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https://www.readbyqxmd.com/read/28210413/orbital-adherence-syndrome-following-the-use-of-titanium-precontoured-orbital-mesh-for-the-reconstruction-of-posttraumatic-orbital-floor-defects
#1
Geraldine Hwee Ping Lee, Samuel Yew Ming Ho
Orbital blowout fractures are a common occurrence following orbital trauma. Depending on the size of the defect and the contents that have herniated or incarcerated, possible sequelae include enophthalmos, diplopia, dystopia, and entrapment. Surgical intervention aims to prevent or alleviate this through the use of a bone graft or an alloplastic implant to reconstitute the continuity of the orbit. However, in doing so, the implant itself may result in the unexpected adherence of the periorbita, resulting in orbital adherence syndrome...
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28199291/distal-radius-fractures-in-the-elderly
#2
L Scott Levin, Joshua C Rozell, Nicholas Pulos
Distal radius fractures are common in elderly patients, and the incidence continues to increase as the population ages. The goal of treatment is to provide a painless extremity with good function. In surgical decision making, special attention should be given to the patient's bone quality and functional activity level. Most of these fractures can be treated nonsurgically, and careful closed reduction should aim for maintenance of anatomic alignment with a focus on protecting fragile soft tissues. Locked plating is typically used for fracture management when surgical fixation is appropriate...
March 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28149209/performance-outcomes-after-metacarpal-fractures-in-national-basketball-association-players
#3
Michael S Guss, John P Begly, Austin J Ramme, Richard M Hinds, Raj J Karia, John T Capo
Background: The aim was to determine whether players in the National Basketball Association (NBA) who sustain metacarpal fractures demonstrate decreased performance upon return to competition when compared with their performance before injury and that of their control-matched peers. Methods: Data for 32 NBA players with metacarpal fractures incurred over 11 seasons (2002-2003 to 2012-2013) were obtained from injury reports, press releases, and player profiles (www.nba.com and www.basketballreference.com). Player age, body mass index (BMI), position, shooting hand, number of years in the league, and treatment (surgical vs nonsurgical) were recorded...
December 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28124292/injuries-to-the-great-toe
#4
REVIEW
Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
January 26, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28061357/characteristics-of-alcohol-related-facial-fractures
#5
Kai H Lee, Michael Qiu
PURPOSE: Excessive indulgence in alcohol is a key causative factor in facial fractures especially in settings of interpersonal violence (IPV) and motor vehicle accidents. This study aims to explore characteristics of alcohol-involved facial fractures in the state of Victoria, Australia, over a 10-year period. MATERIALS AND METHODS: This retrospective study analyzed data from the Victorian Admitted Episodes Dataset between 2004 and 2014; the Victorian Admitted Episodes Dataset is a standardized database reported by all Victorian hospitals for every admission...
December 18, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28033150/complex-distal-radius-fractures-an-anatomic-algorithm-for-surgical-management
#6
Peter Charles Rhee, Robert J Medoff, Alexander Y Shin
Most distal radius fractures result from low-energy mechanisms and can be successfully treated nonsurgically or with a variety of surgical techniques if indicated. High-energy distal radius fractures can involve extensive comminution or bone loss with concomitant ligament, soft-tissue, and neurovascular injuries. In patients with complex distal radius fractures, reconstruction of the distal radius, ulna, and triangular fibrocartilage complex can be challenging. Effective restoration of the bony architecture requires intimate knowledge of the anatomy of the distal radius, a thorough understanding of the goals of treatment, versatility in surgical approaches, and familiarity with multiple fixation options...
February 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28002214/management-of-acute-proximal-humeral-fractures
#7
Vamsi Krishna Kancherla, Anshuman Singh, Oke A Anakwenze
Proximal humeral fractures, which typically occur in elderly persons, are among the most common fractures. A myriad of nonsurgical and surgical treatment options exist for these injuries, including short-term immobilization and early physical therapy, percutaneous fixation, plate osteosynthesis, intramedullary nailing, hemiarthroplasty, and reverse shoulder arthroplasty. The choice of treatment depends on the fracture type and severity, surgeon expertise, patient age, and patient health status.
January 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27886872/pediatric-thoracolumbar-spine-trauma
#8
REVIEW
Visish Srinivasan, Andrew Jea
This article reviews thoracolumbar injury patterns that may be seen in children. Although much of the management of these injuries has been extrapolated from the adult literature, unique surgical and nonsurgical considerations in treating children with thoracolumbar spine fractures are discussed. In conclusion, most children achieve satisfactory outcomes in long-term follow-up after healing.
January 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27822009/practice-patterns-in-the-use-of-prophylactic-antibiotics-following-nonoperative-orbital-fractures
#9
Jijo Jizhou Wang, Jennifer M Koterwas, Edward H Bedrossian, William J Foster
PURPOSE: The purpose of this study was to analyze the practice management patterns of the current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and to determine the use of oral prophylactic antibiotics in an attempt to prevent orbital cellulitis following nonoperative orbital fractures. PATIENTS AND METHODS: A cross-sectional web-based survey was emailed to all the members of ASOPRS regarding their current management of nonsurgical orbital fractures and their experience with orbital cellulitis following nonoperative orbital fractures...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27776903/delayed-total-hip-arthroplasty-for-failed-acetabular-fractures-the-influence-of-initial-fracture-management-on-outcome-after-arthroplasty
#10
Ashok S Gavaskar, Hitesh Gopalan, Bhupesh Karthik, Parthasarathy Srinivasan, Naveen C Tummala
BACKGROUND: Total hip arthroplasty (THA) provides a successful salvage option for failed acetabular fractures. The complexity of arthroplasty for a failed acetabular fracture will depend on the fracture pattern and the initial management of the fracture. Our objective was to compare the midterm outcome of THA between patients who presented with failed acetabular fractures following initial surgical or nonsurgical treatment. METHODS: Forty-seven patients underwent cementless THA ± acetabular reconstruction following failed treatment of acetabular fractures...
September 28, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27709875/common-errors-in-the-management-of-pediatric-supracondylar-humerus-fractures-and-lateral-condyle-fractures
#11
Gurpal S Pannu, Craig P Eberson, Joshua M Abzug, Bernard D Horn, Donald S Bae, Martin Herman
Supracondylar humerus fractures and lateral condyle fractures are the two most common pediatric elbow fractures that require surgical intervention. Although most surgeons are familiar with supracondylar humerus fractures and lateral condyle fractures, these injuries present challenges that may lead to common errors in evaluation and management and, thus, compromise outcomes. It is well agreed upon that nondisplaced supracondylar fractures (Gartland type I) are best managed nonsurgically with cast immobilization...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27707564/a-systematic-review-and-meta-analysis-examining-the%C3%A2-differences-between-nonsurgical-management-and%C3%A2-percutaneous-fixation-of-minimally-and-nondisplaced-scaphoid-fractures
#12
Hassan Alnaeem, Salah Aldekhayel, Johnathan Kanevsky, Omar Fouda Neel
PURPOSE: The optimal management of undisplaced scaphoid fractures remains controversial. A systematic review was conducted to assess the outcomes of acute, undisplaced scaphoid fractures managed with cast immobilization versus percutaneous or miniopen screw fixation in terms of time to return to work (RTW), time to union, and morbidity. METHODS: PubMed MEDLINE, Ovid MEDLINE, EMBASE, SCOPUS, and Cochrane electronic databases were searched over the period 1974 to 2015...
December 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27703425/displaced-proximal-humerus-fractures-is-a-sling-as-good-as-a-plate
#13
REVIEW
Michael E Steinhaus, David M Dare, Lawrence V Gulotta
The treatment of displaced proximal humerus fractures is challenging and complex, as its success is predicated on multiple factors. While it is clear that a majority of proximal humerus fractures may be treated nonoperatively, it is less clear which patients benefit from surgical management. The PROFHER trial, a randomized controlled study, used patient-reported outcomes to compare surgical to nonsurgical management of displaced proximal humerus fractures. The purpose of this review is to highlight the strengths and weaknesses of the PROFHER trial and to assess the validity of its conclusion in the context of existing literature...
October 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27671768/risk-factors-for-30-day-postoperative-complications-following-open-reduction-internal-fixation-of-proximal%C3%A2-ulna-fractures
#14
Nikunj N Trivedi, Matthew R Cohn, Samir K Trehan, Aaron Daluiski
PURPOSE: Fractures of the proximal ulna are common injuries in the elderly population. These fractures can be managed nonsurgically or with open reduction internal fixation (ORIF). Whereas nonsurgical management may lead to a relative loss of elbow extension and to nonunion, ORIF carries a risk of complications. Although complications specific to the orthopedic intervention have been reported, few studies have identified postoperative systemic complications in this higher-risk group. The purposes of this study were to determine the rate of systemic complications in patients undergoing surgical fixation of proximal ulna fractures and to determine risk factors for complications...
December 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27648396/surgical-and-nonsurgical-treatment-of-vascular-skull-base-trauma
#15
REVIEW
Brian C Dahlin, Ben Waldau
Vascular trauma is associated with blunt skull base fractures and penetrating injuries. We review the contemporary management of cranial vascular trauma, including blunt and penetrating cerebrovascular injury as well as refractory epistaxis from facial trauma.
October 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27564794/factors-affecting-functional-outcomes-after-clavicle-fracture
#16
Joshua K Napora, Dominic Grimberg, Benjamin R Childs, Heather A Vallier
INTRODUCTION: This study evaluated the effects that patient demographics, injury, and social characteristics have on functional outcomes after clavicle fracture. METHODS: After a mean follow-up of 56 months, 214 patients with a mean age of 44.4 years completed the American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form. The effects that age, sex, fracture location, open fracture, associated injuries, tobacco use, employment status, and timing of surgery had on functional outcomes were assessed...
October 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27559444/ankylosing-spondylitis-patterns-of-spinal-injury-and-treatment-outcomes
#17
Idiris Altun, Kasım Zafer Yuksel
STUDY DESIGN: Retrospective review. PURPOSE: We retrospectively reviewed our patients with ankylosing spondylitis (AS) to identify their patterns of spinal fractures to help clarify management strategies and the morbidity and mortality rates associated with this group of patients. OVERVIEW OF LITERATURE: Because of the brittleness of bone and long autofused spinal segments in AS, spinal fractures are common even after minor trauma and often associated with overt instability...
August 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27487737/the-true-recurrence-rate-and-factors-predicting-recurrent-instability-after-nonsurgical-management-of-traumatic-primary-anterior-shoulder-dislocation-a-systematic-review
#18
REVIEW
David N Wasserstein, Ujash Sheth, Kristina Colbenson, Patrick D G Henry, Jaskarndip Chahal, Tim Dwyer, John E Kuhn
PURPOSE: To (1) define the cumulative recurrence rate after primary anterior shoulder dislocation in Level I and II comparative studies and (2) to pool risk ratios for common risk factors to provide a clinically practical hierarchy of modifiable and nonmodifiable risk factors for recurrence. METHODS: Level I and II prognostic studies were identified using the electronic databases CINAHL, Embase, and MEDLINE from inception to December 2014. Included studies (n = 15) had recurrent dislocation as the main outcome, and a minimum 2-year follow-up...
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27436923/variability-in-orthopedic-surgeon-treatment-preferences-for-nondisplaced-scaphoid-fractures-a-cross-sectional-survey
#19
Megan Carroll Paulus, Jake Braunstein, Daniel Merenstein, Steven Neufeld, Michael Narvaez, Robert Friedland, Katherine Bruce, Ashley Pfaff
PURPOSE: The absence of a best practice treatment standard contributes to clinical variation in medicine. Often in the absence of evidence, a standard of care is developed and treatment protocols are implemented. The purpose of this study was to examine whether the standard of care for the treatment of nondisplaced scaphoid fractures is uniform among orthopedic surgeons. METHODS: A survey of orthopedic surgeons actively practicing in the US or abroad was conducted to elicit preferred treatment strategies for nondisplaced scaphoid fractures...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27227985/intramedullary-fixation-of-clavicle-fractures-anatomy-indications-advantages-and-disadvantages
#20
Josef K Eichinger, Todd P Balog, Jason A Grassbaugh
Historically, management of displaced midshaft clavicle fractures has consisted of nonsurgical treatment. However, recent literature has supported surgical repair of displaced and shortened clavicle fractures. Several options exist for surgical fixation, including plate and intramedullary (IM) fixation. IM fixation has the potential advantages of a smaller incision and decreased dissection and soft-tissue exposure. For the last two decades, the use of Rockwood and Hagie pins represented the most popular form of IM fixation, but concerns exist regarding stability and complications...
July 2016: Journal of the American Academy of Orthopaedic Surgeons
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