keyword
MENU ▼
Read by QxMD icon Read
search

Nonoperative + fracture + pediatric

keyword
https://www.readbyqxmd.com/read/27898493/complex-monteggia-fracture-in-a-5-year-old
#1
Tyler R Clark, Daniel S Merriott, Joseph A Gonzales
Monteggia fractures comprise a small subset of fractures in the pediatric population that are normally reduced nonoperatively. Complex Monteggia fractures can be more difficult to identify and require operative intervention. We describe a case of a Bado type I Monteggia fracture with a posteriorly dislocated radial head and neck fracture that has not been described before in the literature. The patient required advanced imaging because of ossification delays and led to an operative intervention to reduce the radial head and neck...
January 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27861213/what-s-new-in-pediatric-medial-epicondyle-fractures
#2
Jennifer J Beck, Richard E Bowen, Mauricio Silva
BACKGROUND: Medial epicondyle fractures are predominantly seen in adolescent, male patients. Historically, nonoperative intervention was the mainstay of treatment. With increasing upper extremity demands of young athletes and reports of valgus instability after nonoperative treatment, there has been an increased interest in operative indications. Controversy regarding proper imaging and measurement of displacement complicates decision-making algorithms. Review of recent literature is required for improved decision making...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27741036/outcomes-of-nonoperative-pediatric-medial-humeral-epicondyle-fractures-with-and-without-associated-elbow-dislocation
#3
Derrick M Knapik, Cameron L Fausett, Allison Gilmore, Raymond W Liu
BACKGROUND: Medial epicondyle fractures may occur in isolation or with associated elbow dislocation. In the absence of open fracture or fragment incarceration, nonoperative management with immobilization has been shown to result in generally successfully outcomes comparable with those reported after surgical fixation. However, no comparative investigation has assessed outcomes after nonoperative treatment based on the presence or absence of elbow dislocation. METHODS: A systematic review was conducted investigating all studies in the literature reporting nonoperative outcomes for isolated medial epicondyle fractures and fracture-dislocations...
October 12, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27686572/fractures-of-the-axis-a-review-of-pediatric-adult-and-geriatric-injuries
#4
REVIEW
Megan E Gornet, Michael P Kelly
Fractures of the second cervical vertebra (C2, axis) are common in adult spine surgery. Those fractures occurring in younger adult patients are often associated with high-energy mechanism trauma, resulting in a "Hangman's Fracture." Management of these fractures is often successful with nonoperative means, though surgery may be needed in those fractures with greater displacement and injury to the C2-C3 disc. Older patients are more likely to sustain fractures of the odontoid process. The evidence supporting surgical management of these fractures is evolving, as there may be a mortality benefit to surgery...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27602913/lisfranc-injuries-in-children-and-adolescents
#5
Jaclyn F Hill, Benton E Heyworth, Anneliese Lierhaus, Mininder S Kocher, Susan T Mahan
In this descriptive analysis of pediatric Lisfranc injuries, records of 56 children treated for bony or ligamentous Lisfranc injuries over a 12-year period were reviewed. Overall, 51% of fractures and 82% of sprains were sports-related (P=0.03). A total of 34% of the cohort underwent open reduction internal fixation, which was more common among patients with closed physes (67%). Full weight bearing was allowed in open reduction internal fixation patients at a mean of 14.5 weeks, compared to 6.5 weeks in the nonoperative group...
September 3, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27379787/complications-after-plate-fixation-of-displaced-pediatric-midshaft-clavicle-fractures
#6
Ying Li, Peter Helvie, Frances A Farley, Matthew D Abbott, Michelle S Caird
BACKGROUND: Operative treatment of displaced pediatric midshaft clavicle fractures has become increasingly popular, despite lack of evidence that surgical management leads to superior outcomes. Complications, such as plate irritation necessitating removal and wound infection, have been reported in adults. The purpose of this study was to evaluate complications after plate fixation of midshaft clavicle fractures in the pediatric population. METHODS: We retrospectively identified patients 10 to 18 years old who had undergone plate fixation of a displaced midshaft clavicle fracture between 2009 and 2014...
July 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27261971/clinical-and-radiographic-outcomes-after-submuscular-plating-smp-of-pediatric-femoral-shaft-fractures
#7
Jason W Stoneback, Patrick M Carry, Katherine Flynn, Zhaoxing Pan, Ernest L Sink, Nancy H Miller
BACKGROUND: To evaluate lower extremity strength and alignment among children who underwent submuscular plating (SMP). METHODS: Subjects who underwent SMP for a length unstable femoral fracture returned for isokinetic strength testing ≥2 years after surgery. Extensor and flexor strength deficits (percent difference) between the operative and nonoperative limbs were evaluated. Radiographic measurements of mechanical alignment [anatomic lateral distal femoral angle (aLDFA)] and qualitative measurements (The Pediatric Outcomes Data Collection Instrument, PODCI) were obtained from all subjects...
June 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27258360/do-additional-full-length-radiographs-of-the-humerus-and-forearm-improve-the-decision-making-in-children-with-supracondylar-humerus-fractures
#8
Tamir Bloom, Daniel A Seigerman, Caixia Zhao, Sanjeev Sabharwal
We sought to determine the diagnostic utility of additional full-length radiographs of the forearm and humerus for pediatric supracondylar humerus fractures. A pediatric orthopedic surgeon and a senior orthopedic resident individually reviewed the initial humerus, forearm, and elbow radiographs of 55 children with a supracondylar humerus fracture and recommended definitive treatment (operative vs. nonoperative) on the basis of the modified Gartland classification. Interobserver agreements for classification and the recommended treatment were highest for the elbow radiographs (weighted κ=0...
September 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27100039/type-i-open-fractures-benefit-from-immediate-antibiotic-administration-but-not-necessarily-immediate-surgery
#9
Jenna Godfrey, J Lee Pace
Pediatric open fractures are rare, occurring in approximately 2% to 9% of all pediatric fractures. Type I open fractures represent the most common type of open fractures seen in pediatrics and are commonly caused by low-energy mechanisms. The management of these injuries has been primarily dictated by the adult literature. Immediate antibiotic administration, specifically a first generation cephalosporin, has been shown to reduce infection rates. The duration of antibiotic treatment is less clear, but longer courses of antibiotics have not been significantly better than a shorter course...
June 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27078228/hexapod-external-fixation-of-tibia-fractures-in-children
#10
Christopher A Iobst
Most tibia fractures in children can be treated nonoperatively. For fractures that do require surgery, however, the most common methods of management include plating or flexible nail insertion. Some fracture patterns, such as periphyseal fractures, fractures with bone and/or soft tissue loss, or fractures with delayed presentation, are not easily amenable to these techniques. Hexapod external fixators are especially helpful in these difficult cases. The purpose of this review is to discuss the principles of performing hexapod circular external fixation applied to pediatric tibia fractures...
June 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27047984/the-incidence-of-surgery-in-osteochondritis-dissecans-in-children-and-adolescents
#11
Jennifer M Weiss, Hooman Nikizad, Kevin G Shea, Samvel Gyurdzhyan, John C Jacobs, Peter C Cannamela, Jeffrey I Kessler
BACKGROUND: The frequency of osteochondritis dissecans (OCD), a disorder of the subchondral bone and articular cartilage, is not well described. PURPOSE: To assess the frequency of pediatric OCD lesions that progress to surgery based on sex, joint involvement, and age. STUDY DESIGN: Descriptive epidemiology study. METHODS: A retrospective chart review (2007-2011) was performed on OCD. Inclusion criteria included OCD of any joint and patients aged 2 to 19 years...
March 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27043962/pediatric-maxillofacial-trauma-a-review-of-156-patients
#12
Al Haitham Al Shetawi, C Anthoney Lim, Yash K Singh, Jason E Portnof, Stephen M Blumberg
PURPOSE: To review the epidemiology and management of facial fractures in a pediatric population. MATERIALS AND METHODS: This study was a retrospective review of patients younger than 18 years who presented to a pediatric emergency department during a 5-year period in an urban, academic, level 1 designated trauma center. RESULTS: Of the 156 patients identified, most were boys (87%) and the mean age was 13.5 years (standard deviation, 4.9 yr; interquartile range, 12 to 17 yr)...
July 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26990060/treatment-dilemma-in-multiple-metatarsal-fractures-when-to-operate
#13
Susan T Mahan, Anneliese M Lierhaus, Samantha A Spencer, James R Kasser
UNLABELLED: Fractures of multiple metatarsals in the pediatric population are uncommon; however, indications for surgical treatment have not been delineated. The aim of this study was to review multiple metatarsal fractures to help refine surgical indications. A total of 98 patients had multiple metatarsal fractures; displacement greater than 10% shaft width (displaced) was encountered in 33 (34.0%) patients. Fifteen patients had displacement of more than 75% shaft width of one metatarsal...
July 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/26974527/does-the-modified-gartland-classification-clarify-decision-making
#14
Sophia Leung, Ebrahim Paryavi, Martin J Herman, Paul D Sponseller, Joshua M Abzug
HYPOTHESIS: The modified Gartland classification system for pediatric supracondylar fractures is often utilized as a communication tool to aid in determining whether or not a fracture warrants operative intervention. This study sought to determine the interobserver and intraobserver reliability of the Gartland classification system, as well as to determine whether there was agreement that a fracture warranted operative intervention regardless of the classification system. METHODS: A total of 200 anteroposterior and lateral radiographs of pediatric supracondylar humerus fractures were retrospectively reviewed by 3 fellowship-trained pediatric orthopaedic surgeons and 2 orthopaedic residents and then classified as type I, IIa, IIb, or III...
March 11, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26904336/a-posteriorly-displaced-distal-metaphyseal-clavicular-fracture-type-iv-ac-joint-dislocation-like-in-children-a-case-report-and-literature-review-study
#15
Ahmed Kotb, Taylor Yong, Amr Abdelgawad
Fractures of the lateral end of the clavicle are common in pediatric patients; most of these fractures occur at the physeal level representing Salter Harris injuries. The vast majority of fractures of the lateral end of the clavicle are managed nonoperatively. In this report, we describe a unique type of fracture of the distal end of the clavicle in the pediatric patients in which the fracture occurs in the metaphyseal lateral clavicle with the proximal edge of the fracture displaced posteriorly through the trapezius muscle causing obvious deformity...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26488782/obesity-increases-early-complications-after-high-energy-pelvic-and-acetabular-fractures
#16
Brent Joseph Morris, Justin Edward Richards, Oscar Dean Guillamondegui, Kyle Robert Sweeney, Hassan Riaz Mir, William Todd Obremskey, Philip James Kregor
Elevated body mass index has been identified as a potential risk factor for complications in operatively treated pelvic trauma. Although obesity is an independent risk factor for morbidity and mortality following high-energy blunt force trauma, there is little information on the immediate complications following isolated pelvic and acetabular fractures in obese patients with trauma. The authors hypothesized that obesity (body mass index ≥30 kg/m(2)) is a risk factor for complications in both operative and nonoperative pelvic and acetabular fractures...
October 2015: Orthopedics
https://www.readbyqxmd.com/read/26327403/changes-in-the-treatment-of-pediatric-femoral-fractures-15-year-trends-from-united-states-kids-inpatient-database-kid-1997-to-2012
#17
Sameer M Naranje, Matthew G Stewart, Derek M Kelly, Tamekia L Jones, David D Spence, William C Warner, James H Beaty, Jeffrey R Sawyer
BACKGROUND: The options for treating femoral fractures in children and adolescents have evolved over the last 2 decades to include a variety of nonoperative and operative methods. The purpose of this study was to identify changes in the types of treatment for pediatric femoral fractures in the United States from 1997 to 2012. METHODS: From discharge estimates for 1997, 2000, 2003, 2006, 2009, and 2012 in the Kids' Inpatient Database, data were extracted using the International Classification of Diseases, 9th revision, and Clinical Modification for pediatric femoral fracture treatments...
October 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26151246/displaced-tibial-shaft-fractures-with-intact-fibula-in-children-nonoperative-management-versus-operative-treatment-with-elastic-stable-intramedullary-nailing
#18
Federico Canavese, Alexei Botnari, Antonio Andreacchio, Lorenza Marengo, Antoine Samba, Alain Dimeglio, Bruno Pereira, Mounira Mansour, Marie Rousset
BACKGROUND: The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes of displaced tibial shaft fractures with intact fibula in children after nonoperative management and operative treatment by elastic stable intramedullary nailing. METHODS: A study was performed on 80 consecutive children, 56 males, 24 females from 2 Institutions, with displaced and closed tibial shaft fracture with intact fibula. All patients underwent regular clinical and radiographic follow-up visits for at least 2 years after injury...
October 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26090972/effect-of-casting-material-on-the-cast-pressure-after-sequential-cast-splitting
#19
Aaron Roberts, K Aaron Shaw, Shawn E Boomsma, Craig D Cameron
BACKGROUND: Circumferential casting is a vital component of nonoperative fracture management. These casts are commonly valved to release pressure and decrease the risk of complications from swelling. However, little information exists regarding the effect of different casting supplies on the pressure within the cast. METHODS: Seventy-five long-arm casts were performed on human volunteers, divided between 5 experimental groups with 15 casts in each groups. Testing groups consisted of 2 groups with a plaster short-arm cast overwrapped with fiberglass to a long arm with either cotton or synthetic cast padding...
January 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26085533/pediatric-triplane-ankle-fractures-impact-of-radiographs-and-computed-tomography-on-fracture-classification-and-treatment-planning
#20
COMPARATIVE STUDY
Emily A Eismann, Zachary A Stephan, Charles T Mehlman, Jaime Denning, Tracey Mehlman, Shital N Parikh, Junichi Tamai, Andrew Zbojniewicz
BACKGROUND: The purpose of this study was to compare the reliability of triplane fracture classification, displacement measurement, and treatment planning with the use of radiographs with and without computed tomography. METHODS: One pediatric radiologist, one musculoskeletal radiologist, and three fellowship-trained pediatric orthopaedic surgeons rated a spectrum of twenty-five triplane fractures with use of radiographs alone and then with computed tomography scans on two separate occasions (two to four weeks apart)...
June 17, 2015: Journal of Bone and Joint Surgery. American Volume
keyword
keyword
109699
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"