Keywords (Elbow OR humerus OR shoulder ...

(Elbow OR humerus OR shoulder OR clavicle) AND fracture
Juuli Hannonen, Elina Sassi, Hanna Hyvönen, Juha-Jaakko Sinikumpu
Introduction: Humeral shaft fractures have traditionally been treated non-operatively due to their good union and low rate of functional impairment. In the recent years, upper extremity fractures and their operative treatment have increased in children. Nevertheless, the trends of humeral shaft fractures are not clear. Materials and Methods: All children aged <16 years, with a humeral shaft fracture in the geographical catchment area of Northern Finland Hospital District, with a yearly child population-at-risk of ~86 000 from the year 2001 until the end of 2015 were included...
2020: Frontiers in Pediatrics
Jonathan D Haskel, Charles C Lin, Daniel J Kaplan, John F Dankert, David Merkow, Alexander Crespo, Omar Behery, Abhishek Ganta, Sanjit R Konda
Purpose: To characterize the volume and variation in orthopedic consults and surgeries that took place during a period of social distancing and pandemic. Methods: All orthopedic consults and surgeries at an urban level 1 trauma center from 3/22/20-4/30/2020 were retrospectively reviewed (the social distancing period). Data from the same dates in 2019 were reviewed for comparison. Age, gender, Score for Trauma Triage in the Geriatric and Middle Aged (STTGMA) score and injury type were queried...
2020: Geriatric Orthopaedic Surgery & Rehabilitation
Francisco Fernandez Fernandez, Christoph Ihle, Patrick Ziegler, Thomas Wirth, Oliver Eberhardt
BACKGROUND: Ulnar humeral condyle fractures are rare paediatric elbow fractures, classified as Salter-Harris IV paediatric elbow injuries. Due to constant radiological changes in the elbow with varying manifestation of ossification centres as well as late ossification of the trochlea, diagnosis of these injuries is challenging. To avoid long-term complications, the treating surgeon should be familiar with the rare injury picture, diagnostics and adequate therapeutic measures. MATERIAL AND METHODS: The present retrospective study includes data on all paediatric cases from 2002 to 2019 with primary or secondary treatment at a paediatric traumatology centre for ulnar condyle fracture with a minimum follow-up of 12 months...
November 25, 2020: Zeitschrift Für Orthopädie und Unfallchirurgie
Zachary J Herman, David G Edelman, Asif M Ilyas
Heterotopic ossification (HO), a complication after surgical repair of elbow fractures, can result in pain, decreased range of motion, or complete ankylosis of the joint. This updated systematic review focused on compiling incidence and prevalence rates of HO after surgical repair of various types of elbow fractures. The overall incidence of HO after surgical repair was calculated to be 28.7%, a result comparable with rates in the literature. Further analysis suggested that the odds of having HO may be less after distal humerus fractures than after proximal radius fractures, terrible triad injuries, and elbow fractures/dislocations...
November 25, 2020: Orthopedics
Stefania Zerbo, Clio Bilotta, Giulio Perrone, Ginevra Malta, Giuseppe Lo Re, Maria Chiara Terranova, Antonina Argo, Sergio Salerno
INTRODUCTION: The motor vehicle crash (MVC) constitutes an important challenge for forensic pathology in order to identify the manner and cause of death. Our study focuses on a fatal accident during a rally race corresponding to MVC sub-category. MATERIALS AND METHOD: Postmortem computed tomography (PMCT) was performed before the conventional autopsy. Autoptic and PMCT data were compared. Data collection allowed analyzing biomechanical dynamics of the incident and post-traumatic injuries through qualitative-statistics and solicitation quantitative indices...
November 25, 2020: International Journal of Legal Medicine
Theddy Slongo
OBJECTIVE: Safe and stable fixation of metaphyseal and epiphyseal fractures by Kirschner (K-)wire osteosynthesis. Use of various K‑wire configurations depending on the fracture morphology. INDICATIONS: In accordance with the AO Pediatric Comprehensive Classification of Long-Bone Fractures (PCCF), all Salter-Harris (SH) and metaphyseal fractures as well as fractures of the foot and hand independent of the reduction technique, closed or open, provided that adaptation osteosynthesis allows sufficient stability...
December 2020: Operative Orthopädie und Traumatologie
Susanne Baertl, Volker Alt, Markus Rupp
Although the success story of surgical fracture treatment led to a tremendous improvement of treatment outcome for certain fractures such as femur or tibia shaft fractures, the overall benefit of surgical versus conservative treatment remains controversial for several types of fractures. For this sake, we carried out a narrative review of high-level of evidence studies comparing treatment outcomes in fractures with controversial debates on the value of surgical therapy in clavicle, proximal humerus, olecranon, ankle, calcaneus and Jones fractures...
November 17, 2020: Injury
Miriam Kalbitz, Birte Weber, Ina Lackner, Meinrad Beer, Jochen Pressmar
BACKGROUND: Olecranon fractures are a rare entity in children. The classification and treatment strategies are still discussed controversially. METHODS: A retrospective chart review of all patients < 17 years admitted with an olecranon fracture at a Level I Trauma Center between 2005 and 2017 has been performed. 46 subjects were included. For classification of olecranon fractures in children the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO-PCCF) was used...
November 24, 2020: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Lei Yang, Panyi Yang, Lang Li, Xueyang Tang
OBJECTIVES: We evaluated the clinical and imaging outcomes of loose bone fragments in children with supracondylar humerus fractures after closed reduction with percutaneous pin (CRPP) fixation. METHODS: A retrospective review was conducted on 12 children with fragments on imaging after closed reduction of displaced humeral supracondylar fractures (Gartland III). Primary radiographic assessment included fragment outcome, postoperative Baumann angle, carrying angle and loss of reduction...
November 20, 2020: Journal of Pediatric Orthopedics. Part B
Xiaocong Lin, Xiuxi Huang, Kaibin Fang, Zhangsheng Dai
BACKGROUND: Patients with greater tuberosity fractures of the humerus often require surgery. Therefore, there is a need to find a minimally invasive and effective surgical procedure with great patient outcomes. AIM: To evaluate the clinical outcomes of the W-shaped suture technique under shoulder arthroscopy in the treatment of greater tuberosity fractures of the humerus. METHODS: In this retrospective study, a total of 17 patients were included...
November 23, 2020: Journal of Orthopaedic Surgery and Research
Takeaki Sato, Mayo Watanabe, Yoshito Onoda, Taku Oyanagi, Shigeki Kushimoto
BACKGROUND: Paroxysmal sympathetic hyperactivity (PSH) may occur in patients with traumatic brain injury. Heterotopic ossification (HO) has frequently been observed in patients with PSH and has been found to impair patients' recoveries. However, the pathophysiology of HO in patients with PSH remains unelucidated. Vitamin D deficiency is a common abnormality among critically ill patients and may be associated not only with musculoskeletal complications, but also with high morbidity and mortality...
November 23, 2020: Surgical Case Reports
Colin W Fuller, Aileen Taylor
This study aimed to describe anthropometry and incidence, nature and causes of match injuries in women's international rugby sevens and to compare these with results reported previously for men's international rugby sevens. The study comprised an 8-season, prospective study of World Rugby's women's Sevens World Series. Over the eight seasons, the overall incidence of injury was 105.6 (95% CI: 96.0 to 116.3) injuries/1000 player-match-hours with a mean injury severity of 53.4 (95% CI: 46.9 to 59.9) days-absence...
November 22, 2020: Journal of Sports Sciences
Hyojune Kim, Wonhee Lee, SeungHyun Choi, Erica Kholinne, Euisop Lee, Wael Mohammed Alzahrani, Kyoung Hwan Koh, In-Ho Jeon, Shinseok Kim
Introduction: Importance of inferomedial supporting screws in preventing varus collapse has been investigated for the proximal humerus fracture. However, few studies reported the results of osteoporotic complex fracture. This study aimed to demonstrate the stress distribution pattern, particularly in osteoporotic 3-part proximal humerus fractures involving greater tuberosity (GT) with different screw configurations. Materials and methods: Using the computed tomography (CT) images of 2 patients, who had osteoporosis and the other had normal bone density, 3-part fractures involving the GT, without medial support were reconstructed...
2020: Geriatric Orthopaedic Surgery & Rehabilitation
Meryem Lemsanni, Rachid Chafik, Mohamed Madhar, Hanane Elhaoury, Youssef Najeb
Introduction: complete joint fractures of the lower end of the humerus are rare and severe injuries in adults, affecting the functional prognosis of a narrow and complex joint such as the elbow. Multiple therapeutic options are available, but osteosynthesis is widely used provided that it can recover stable, mobile, and painless joint. The purpose of our study was to describe the epidemiological, clinical, radiological and therapeutic features of these fractures, as well as to evaluate functional outcomes in our patients...
2020: Pan African Medical Journal
Andrew P McBride, Godefroy Brais, Tim Wood, Eugene T Ek, Greg Hoy
Stress fractures of the upper limb affect athletes from a wide range of sports. Athletes involved in throwing sports are particularly susceptible along with athletes from sports involving high repetitive and compressive loads such as gymnastics. Diagnosis can be made from clinical history, examination and radiography in some cases however MRI imaging is often required for definitive diagnosis. The mainstay of management is rest and activity modification however advanced pathology often requires surgical management for successful resolution and return to play...
November 1, 2020: Journal of Science and Medicine in Sport
Roberto Rotini, Marco Ricciarelli, Enrico Guerra, Alessandro Marinelli, Andrea Celli
The surgical management of distal humerus fractures in adults generally consists in open reduction internal fixation (ORIF) or total elbow arthroplasty (TEA). Hemi humeral hemiarthroplasty (EHA) is a treatment option for unreconstructable intra-articular distal humerus fractures. It is a reasonable option in patients over the fifth decade and its potential advantages are to eliminate the complications related to the ulnar component such as wear of the hinge (busching wear) or the aspetic loosening of the ulnar component...
November 10, 2020: Injury
Frank Jp Beeres, Nadine Diwersi, Marijn R Houwert, Björn C Link, Marilyn Heng, Matthias Knobe, Rolf Hh Groenwold, Herman Frima, Reto Babst, Bryan Jm van de Wall
BACKGROUND: There is no consensus on the optimal operative technique for humeral shaft fractures. This meta-analysis aims to compare minimal-invasive plate osteosynthesis (MIPO) with open reduction internal fixation (ORIF) for humeral shaft fractures regarding non-union, re-intervention, radial nerve palsy, time to union, operation duration and functional outcomes. METHODS: PubMed/Medline/Embase/CENTRAL/CINAHL were searched for both randomized clinical trials (RCT) and observational studies comparing MIPO with ORIF for humeral shaft fractures...
November 6, 2020: Injury
Tammy Y N Tong, Paul N Appleby, Miranda E G Armstrong, Georgina K Fensom, Anika Knuppel, Keren Papier, Aurora Perez-Cornago, Ruth C Travis, Timothy J Key
BACKGROUND: There is limited prospective evidence on possible differences in fracture risks between vegetarians, vegans, and non-vegetarians. We aimed to study this in a prospective cohort with a large proportion of non-meat eaters. METHODS: In EPIC-Oxford, dietary information was collected at baseline (1993-2001) and at follow-up (≈ 2010). Participants were categorised into four diet groups at both time points (with 29,380 meat eaters, 8037 fish eaters, 15,499 vegetarians, and 1982 vegans at baseline in analyses of total fractures)...
November 23, 2020: BMC Medicine
Joon-Ryul Lim, Tae-Hwan Yoon, Yun-Rak Choi, Hwan-Mo Lee, Yong-Min Chun
Extra-articular distal humerus locking plate (EADHP) is widely used for distal extra-articular diaphyseal humeral fracture fixation. However, it occasionally causes skin prominence and discomfort. The upside-down use of a proximal humerus internal locking system (PHILOS) plate is suggested as an alternative option, but it lacks biomechanical evidence. The purpose of this study was to compare the biomechanical performance between two different fixation methods: a modified use of the PHILOS plate on the anterior cortex versus conventional use of an EADHP on the posterior cortex...
November 22, 2020: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
J A Nicholson, N Makaram, Ahrw Simpson, J F Keating
Nonunion following a long bone fracture causes considerable morbidity when it occurs. Risk factors depend on specific fractures but there is a complex interplay of injury severity, comorbidities, patient medication and infection. The majority of nonunions occur after long bone fractures with the tibia, femur, forearm, humerus and clavicle predominating. Despite interest in the biological augmentation of fracture healing, the majority of nonunions can be effectively managed with conventional surgical techniques...
November 11, 2020: Injury
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