keyword
https://read.qxmd.com/read/38457918/synovial-sarcoma-the-misdiagnosed-sarcoma
#21
REVIEW
Chengxiang Li, Fatime Krasniqi, Ricardo Donners, Christoph Kettelhack, Andreas H Krieg
Synovial sarcoma is a rare and highly malignant soft tissue sarcoma. The inconspicuous and diversity of its early symptoms make it a highly misdiagnosed disease. The management of synovial sarcomas is challenging as they are rare and have a poor prognosis. Early and correct diagnosis and treatment are critical for clinical outcomes. Misdiagnosis or delayed diagnosis can have devastating consequences for the patient. The detection of SS18 gene rearrangement is considered a powerful tool in establishing the diagnosis of synovial sarcomas...
March 5, 2024: EFORT Open Reviews
https://read.qxmd.com/read/38450641/pediatric-spastic-wrist-contractures-can-be-well-managed-with-wrist-arthrodesis
#22
JOURNAL ARTICLE
Megan Cain, Paige Lemhouse, Cathleen Buckon, Krister P Freese
BACKGROUND: Severe spastic wrist contractures secondary to cerebral palsy (CP) or alike can have significant implications for patient hand function, hygiene, skin breakdown, and cosmesis. When these contractures become rigid, soft tissue procedures alone are unable to obtain or maintain the desired correction. In these patients' wrist arthrodesis is an option-enabling the hand to be stabilized in a more functional position for hygiene, dressing, and general cosmesis, though are patients satisfied? METHODS: All children who had undergone a wrist arthrodesis for the management of a severe wrist contracture at Shriners Hospital, Portland between January 2016 and January 2021 were identified (n=23)...
March 7, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38449460/techniques-to-remove-press-fit-osseointegration-implants
#23
JOURNAL ARTICLE
Germane Ong, Jason Shih Hoellwarth, Kevin Testworth, Munjed Al Muderis
BACKGROUND: Transcutaneous osseointegration for amputees (TOFA) has proven to consistently, significantly improve the quality of life and mobility for the vast majority of amputees, as compared with the use of a socket prosthesis1,2 . As with any implant, situations such as infection, aseptic loosening, or implant fracture can occur, which may necessitate hardware removal. Although it may eventually occur, to date no osseointegration implant has ever required removal in the setting of periprosthetic fracture...
2024: JBJS Essential Surgical Techniques
https://read.qxmd.com/read/38440369/usage-of-dermal-regeneration-templates-pelnac-for-coverage-of-exposed-hand-tendons-in-acute-setting
#24
JOURNAL ARTICLE
Rama Ahmed Ali, Ahmed Gamal Hemidan, Hamed Mohamed Kadry, Ahmed Samy Saad
BACKGROUND: The loss of soft tissue coverage of tendons is a challenging reconstructive problem after acute hand trauma. Subsequent tendon adhesions and the loss of range of movement in addition to the poor aesthetic outcome and donor site scarring should be avoided when deciding the plan of management. Pelnac is one of the commonly used skin substitutes in reconstructive surgery that can be used for coverage of exposed tendons, but the postoperative functional outcome needs to be addressed in detail...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38438100/does-preoperative-manual-reduction-omoto-technique-affect-surgical-outcomes-for-calcaneal-fractures-a-multicenter-tron-group-retrospective-study
#25
JOURNAL ARTICLE
Hidetane Takahashi, Yasuhiko Takegami, Katsuhiro Tokutake, Yu Takahashi, Mihoko Kato, Marie Mabuchi, Shiro Imagama
The Omoto technique is a well-known method that is commonly used for non-invasive manual repair of calcaneal fractures. However, there have been no detailed studies on its clinical outcomes in preoperative closed reduction for surgical cases. This multicenter retrospective study aimed to compare the clinical and radiographic outcomes of calcaneal fractures treated with and without the preoperative Omoto technique, assessing its effectiveness. We extracted 335 patients with calcaneal fracture who underwent surgery between 2015 and 2020 from our multicenter database, named TRON...
March 2, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38435207/the-medium-term-outcomes-of-patients-with-suspected-scaphoid-fractures-a-single-centre-retrospective-cohort-study
#26
JOURNAL ARTICLE
Chinmay Tijare
Background The medium-term outcomes of patients (six to 14 months post-injury) with non-specific wrist injuries managed as suspected scaphoid fractures are not clear from the current literature. These patients' wrists are immobilized in casts or splints, and some receive physiotherapy. They receive serial imaging and follow-up appointments as needed. Aims This study aims to describe the medium-term outcomes of patients with non-specific wrist injuries managed as suspected scaphoid fractures. Methods This is a single-centre retrospective cohort study...
February 2024: Curēus
https://read.qxmd.com/read/38435182/a-multidisciplinary-approach-to-the-management-of-unusual-bilateral-gingival-recession-due-to-a-factitious-nail-scratching-habit-a-case-report
#27
Nasreen Ansari, Farrukh Faraz, Arundeep K Lamba, Shruti Tandon, Sachin Dhingra
Self-inflicted gingival injuries have been reported in children and adolescents as a result of multiple factors such as accidental trauma, fingernail biting, sucking on objects such as pencils, or a nail-scratching habit. Management of these lesions requires a multidisciplinary approach that includes psychotherapy, behavioral counseling, and definitive treatment of oral soft tissue lesions. This paper illustrates the diagnosis and treatment of a 16-year-old male patient with a bilateral gingival recession in mandibular canines due to habitual nail scratching...
February 2024: Curēus
https://read.qxmd.com/read/38430751/choosing-the-proper-implant-for-extra-articular-fractures-of-proximal-phalanges-a-study-on-75-cases
#28
JOURNAL ARTICLE
A Del Chiaro, Chiara Suardi, A M Nucci, A Grassi, S Pfanner, A Poggetti
INTRODUCTION: Phalangeal fractures are the most common fractures of the hand and in particular the proximal phalanx of the long fingers is the most involved. These fractures can ben conservatively managed but, when the fracture pattern is considered unstable, surgical treatment is recommended. However, there is no consensus in literature about the proper surgical option for extra-articular proximal phalanx fractures. MATERIAL AND METHODS: We compared clinical and radiographical results after treatment of 75 cases of extra-articular proximal phalanx fractures using three different surgical techniques: closed reduction and internal fixation (CRIF) with Kirschner wires (G1 group), open reduction internal fixation (ORIF) with plates and screws or lag screws (G2 group), and closed reduction and intramedullary screw fixation (CRIMEF)(G3 group)...
February 18, 2024: Injury
https://read.qxmd.com/read/38420251/outcome-of-osteosynthesis-of-late-presenting-proximal-humerus-non-union-a-case-series
#29
JOURNAL ARTICLE
John Mukhopadhaya, Niraj Narain Singh, Arvind Prasad Gupta, Janki Sharan Bhadani
INTRODUCTION: It can be challenging to treat proximal humeral non-union (PHN). The challenge gets compounded when they are presented either late or after previous surgery. The challenges are far greater due to small proximal fragments, scalloping of the head, medial bone defect, osteoporosis, soft tissue contractures, and problems related to the previous implants. MATERIAL AND METHODS: In this retro-prospective study (2007-2020), we report on six cases of PHN which were presented to us more than 5 years after the original injury and managed using an intra-medullary autologous fibular strut graft (FSG) along with fixation with a proximal humeral locking plate and cancellous bone grafting...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38419218/maxillofacial-trauma-and-its-management-presenting-at-a-tertiary-care-hospital-in-lahore-during-covid-19-pandemic
#30
JOURNAL ARTICLE
Syed Shumail Ahmad, Gulraiz Zulfiqar, Bisma Iftikhar
OBJECTIVES: The objective of this study was to assess the patterns of maxillofacial injuries, aetiology and their management during the pandemic of Covid-19 in a tertiary care hospital in Lahore, Pakistan. METHODS: This is a single center, prospective cross-sectional study. Patients from all age groups who presented at the Emergency room of Jinnah Hospital Lahore and managed by the Oral and Maxillofacial Surgery Department during 1st December 2020 till 31st January 2021 were included...
February 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38406058/tibial-plateau-fracture-with-use-of-tibia-strut-and-bone-filler-in-a-37-year-old-male-a-case-report
#31
Wayne Ngo, Germain Craddock, Alex Frangenberg, Amber Park, Niladri Basu
Tibial plateau fractures (TPFs) are orthopedic challenges with multiple injury modalities and clinical presentations. TPFs are often classified using the Schatzker classification system, which can dictate management. In our case, a 37-year-old male presented at an orthopedic specialty hospital with right knee pain after a fall from a truck ramp. X-rays and CT imaging demonstrated a comminuted bicondylar TPF in the emergency room with metaphyseal dissociation. The patient was placed in a knee immobilizer, made non-weight bearing, and scheduled for outpatient follow-up with a local orthopedic surgeon...
January 2024: Curēus
https://read.qxmd.com/read/38391418/enhanced-hemostatic-and-procoagulant-efficacy-of-peg-zno-hydrogels-a-novel-approach-in-traumatic-hemorrhage-management
#32
JOURNAL ARTICLE
Chuyue Zhang, Yifan Wang, Yuan Xue, Junyao Cheng, Pengfei Chi, Zhaohan Wang, Bo Li, Taoxu Yan, Bing Wu, Zheng Wang
Managing severe bleeding, particularly in soft tissues and visceral injuries, remains a significant challenge in trauma and surgical care. Traditional hemostatic methods often fall short in wet and dynamic environments. This study addresses the critical issue of severe bleeding in soft tissues, proposing an innovative solution using a polyethylene glycol (PEG)-based hydrogel combined with zinc oxide (ZnO). The developed hydrogel forms a dual-network structure through amide bonds and metal ion chelation, resulting in enhanced mechanical properties and adhesion strength...
January 24, 2024: Gels
https://read.qxmd.com/read/38390424/ascending-colon-injury-and-ileal-perforation-due-to-blunt-abdominal-trauma-a-case-report
#33
Toshiyuki Suzuki, Daisuke Sugiki, Akiyo Matsumoto, Takahiko Akao, Hiroshi Matsumoto
A rare case of an ascending colon injury and ileal perforation in a 34-year-old male patient due to blunt abdominal trauma caused by a road traffic accident is reported in this study. This paper reports the clinical and imaging findings of seat belt syndrome. The seat belt syndrome primarily involves soft tissue injury; however, lacerations of the colon, small intestine, and mesentery have rarely been reported in the literature. However intestinal injuries, including bowel perforation and mesenteric injuries due to seat belt syndrome, must not be underestimated because they usually require emergency laparotomy because of accompanying peritonitis and hemorrhaging, and can be lethal if left untreated...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38389626/a-case-report-emphasizing-an-early-approach-in-a-patient-with-diffuse-axonal-injury
#34
Mansee S Dangare, Akshaya Saklecha, Pallavi Harjpal
Diffuse axonal injury (DAI) is a severe and frequently life-altering form of traumatic brain injury that is brought on by forces of rapid acceleration as well as deceleration impacting the brain. DAI primarily stems from mechanical forces that lead to the widespread disruption of axons throughout the brain. Unlike focal injuries that affect a specific brain region, DAI manifests as multifocal axonal damage, often impairing vital neural connections. This injury occurs due to shear and tensile forces during traumatic events, such as car accidents, falls, and sports-related incidents...
January 2024: Curēus
https://read.qxmd.com/read/38386124/optimising-the-orthopaedic-trauma-society-open-fracture-classification-system-a-proposal-for-modification-in-the-context-of-high-civilian-gunshot-fractures
#35
JOURNAL ARTICLE
Zamalunga Lunga, Maritz Laubscher, Simon Matthew Graham, Michael Held, Nando Ferreira, Ramanare Magampa, Sithombo Maqungo
OBJECTIVES: Uniformly classifying long bone open fractures is challenging. The purpose of this study was to propose a modified Orthopaedic Trauma Society (OTS) Open Fracture Classification System, developed in a setting with a high incidence of civilian gunshot fractures. METHODS: From our prospectively collected database, we identified all patients with open tibia and femur fractures treated with intramedullary nailing over a 4 year period. All open fractures were retrospectively reclassified from the Gustilo-Anderson Classification system to the OTS Open Fracture Classification System...
February 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38386077/adjunctive-hyperbaric-oxygen-therapy-in-the-management-of-severe-lower-limb-soft-tissue-injuries-a-systematic-review
#36
JOURNAL ARTICLE
Esmee Kwee, Marieke Borgdorff, Tim Schepers, Jens A Halm, Hay A H Winters, Robert P Weenink, Milan L Ridderikhof, Georgios F Giannakópoulos
PURPOSE: Traumatic crush injuries of the lower limb often accompany severe complications. The incorporation of hyperbaric oxygen therapy to standard trauma care may have the potential to diminish injury-related complications and improve outcome in such cases. This systematic review aims to evaluate the effectiveness of hyperbaric oxygen therapy in the management of severe lower limb soft tissue injuries. METHODS: The electronic databases Medline, Embase and Cochrane Library were searched to identify studies involving patients with crush-associated sever lower limb soft tissue injuries who received hyperbaric oxygen therapy in conjunction with standard trauma care...
February 22, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38385320/embedded-episcleral-foreign-body-mimicking-nodular-anterior-scleritis
#37
JOURNAL ARTICLE
Zeynep Özbek, Banu Lebe, Mustafa Kayabaşı, Ali Osman Saatci
A 56-year-old man was referred to our clinic for unilateral nodular scleritis unresponsive to systemic corticosteroids. A localized, nodular hyperemia on the nasal bulbar conjunctiva surrounding a central cyst-like lesion together with vascular engorgement was observed on slit-lamp examination of the left eye. No abnormal fundoscopic findings were noted. Surgical exploration revealed an embedded episcleral brown colored, soft to touch, splinter-like organic foreign body (FB) which was confirmed by the histopathological examination...
February 22, 2024: Turkish Journal of Ophthalmology
https://read.qxmd.com/read/38385043/early-post-surgical-rehabilitation-and-functional-outcomes-of-a-traumatic-ulnar-nerve-injury-a-pediatric-case-report
#38
Federica Fulceri, Chiara Marinelli, Giulia Ghelarducci, Anna Maria Nucci, Andrea Poggetti, Larisa Ryskalin, Marco Gesi
BACKGROUND: Peripheral nerve injuries (PNIs) of the upper limb are very common events within the pediatric population, especially following soft tissue trauma and bone fractures. Symptoms of brachial plexus nerve injuries can differ considerably depending on the site and severity of injury. Compared to median and radial nerves, the ulnar nerve (UN) is the most frequently and severely injured nerve of the upper extremity. Indeed, due to its peculiar anatomical path, the UN is known to be particularly vulnerable to traumatic injuries, which result in pain and substantial motor and sensory disabilities of the forearm and hand...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38374531/contemporary-management-of-open-extremity-fractures-what-you-need-to-know
#39
JOURNAL ARTICLE
Philip F Stahel, Adam M Kaufman
Open extremity fractures are high-risk injuries prone to significant complications, including soft tissue loss, bone defects, infection, infected nonunion, and the necessity for limb amputation. Large-scale multicenter prospective studies from the "Lower Extremity Assessment Project" (LEAP) and the "Major Extremity Trauma Consortium" (METRC) have provided novel scientific insights pertinent to the timeliness and appropriateness of specific treatment modalities aimed at improving outcomes of patients with open extremity injuries...
February 20, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38371213/the-k9-teen-pandemic-when-good-boy-goes-bad-the-epidemiology-management-and-public-health-ramifications-of-facial-dog-bite-injuries-newcastle-australia-experience
#40
JOURNAL ARTICLE
Sophie K M Kelly, Gary R Hoffman
The purpose of this study was to investigate the epidemiology, pattern of injury and management of facial dog bite injuries. Methods: The authors conducted a retrospective cohort study over a 5-year period of patients who sustained a facial dog bite injury. The study setting was an Oral and Maxillofacial Surgery Department at a level 1 trauma centre, servicing an estimated catchment population in excess of 950,000 people. Results: In total, 171 patients were managed in the designated period from January 2017 to January 2022...
March 2024: Craniomaxillofacial Trauma & Reconstruction
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