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Fifth fracture

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https://www.readbyqxmd.com/read/29777283/-fractures-of-the-base-of-the-v-metatarsal-bone-current-concepts-revised
#1
REVIEW
S F Baumbach, W C Prall, M Braunstein, W Böcker, S Polzer, H Polzer
Fractures of the base of the fifth metatarsal bone are one of the most frequent fractures to the foot and ankle. Despite the high frequency and although a number of studies are now available, treatment frequently does not follow the available evidence. Among the reasons is the inconsistent terminology used and that the studies available are neglected. The aim of this review is to present the current classifications, the available treatment studies and to derive evidence-based treatment recommendations. The term "Jones fracture" has been used inconsistently for different fracture entities and should, therefore, not be used anymore...
May 17, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29770174/a-simple-technique-to-prolong-molding-time-during-application-of-a-fiberglass-cast-an-in-vitro-study
#2
Mark Ayzenberg, Michael Narvaez, James Raphael
Casting is routinely used for acute and post-operative immobilization and remains a cornerstone in the non-operative management of fractures and deformities. The application of a properly fitted and wellmolded cast, especially for a trainee, can be challenging. We present a simple method of prolonging cure time of fiberglass cast - placing ice in the dip water. Eight-ply, fiveinch fiberglass cast was circumferentially applied to an aluminum-wrapped cardboard cylinder. An electronic, 2-channel temperature sensor (TR-71wf Temp Logger, T&D Corporation, Matsumoto, Japan), accurate to 0...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29707462/three-dimensional-printed-surgical-simulator-for-kirschner-wire-placement-in-hand-fractures
#3
Michal Brichacek, Julian Diaz-Abele, Sarah Shiga, Christian Petropolis
Closed reduction and percutaneous pinning (CRPP) of hand fractures can be a deceptively challenging procedure that requires significant hands-on time to teach and learn. We created a realistic three-dimensional simulator that can be used for teaching junior residents the CRPP. Computer-aided design and computer-aided manufacturing (CAD/CAM) software was used to create a three-dimensional hand model incorporating several common hand fractures: Bennett's fracture, transverse fifth metacarpal neck, and transverse second proximal phalanx...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29705078/therapist-s-practice-patterns-for-subsequent-fall-osteoporotic-fracture-prevention-for-patients-with-a-distal-radius-fracture
#4
Neha Dewan, Joy C MacDermid, Norma J MacIntyre, Ruby Grewal
STUDY DESIGN: Cross-sectional survey. INTRODUCTION: Multifactorial risk factor screening and treatment is needed for subsequent falls/osteoporotic fractures prevention (SFOFP), given the elevated risk among patients with distal radius fracture (DRF). PURPOSE OF THE STUDY: The primary objective was to describe hand therapists' knowledge and clinical practice patterns for assessment, treatment, referral, and education with respect to SFOFP for patients with DRF older than 45 years...
April 25, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29685559/early-weightbearing-protocol-in-operative-fixation-of-acute-jones-fractures
#5
Brett J Waverly, Matthew D Sorensen, Tyler K Sorensen
The treatment of Jones fractures has been controversial in terms of nonoperative versus operative management, given the high incidence of nonunion secondary to the delicate blood supply to the proximal fifth metatarsal. We report a retrospective review of a patient cohort treated with an early weightbearing protocol after operative intramedullary fixation in acute Jones fractures. Thirty-one consecutive patients with an acute Jones fracture underwent operative fixation with a single intramedullary solid screw...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29600677/-manual-reduction-and-traction-fixation-for-the-treatment-of-metacarpal-neck-fractures-under-ultrasound-guided
#6
Xiao-Hui Wang, Cai-Li Zhang, Su-Hong Shen, Shao-Yong Guo, De Li
OBJECTIVE: To study clinical efficacy of manual reduction and traction fixation for the treatment of metacarpal neck fracture under ultrasound-guided. METHODS: From April 2013 to August 2016, 30 patients with metacarpal neck fractures were treated with manual reduction and traction fixation under ultrasound-guided, including 26 males and 4 females aged from 14 to 56 years old with an average of (25.6±1.6) years old, the courses of diseases ranged from 7 h to 5 d with an average of (2...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29581069/capitellar-erosion-after-radial-head-arthroplasty-a-comparative-biomechanical-study-of-operated-radial-head-fractures-on-cadaveric-specimens
#7
I D Chytas, C Antonopoulos, A Cheva, P Givissis
BACKGROUND: We asked whether either open reduction and internal fixation (ORIF) or radial head arthroplasty (RHA), common techniques used for the confrontation of displaced or comminuted radial head fractures, are correlated with cartilage wear of the capitulum. HYPOTHESIS: We hypothesized that neither ORIF nor RHA are correlated with capitellar cartilage wear. MATERIAL AND METHODS: On 5 cadaveric elbow specimens, osteotomies were employed to simulate radial head comminuted fractures followed with ORIF by Herbert screws...
March 23, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29564471/successful-fifth-metatarsal-bulk-autograft-reconstruction-of-thermal-necrosis-post-intramedullary-fixation
#8
Andrea Veljkovic, Vu Le, Mario Escudero, Peter Salat, Kevin Wing, Murray Penner, Alastair Younger
Reamed intramedullary (IM) screw fixation for proximal fifth metatarsal fractures is technically challenging with potentially devastating complications if basic principles are not followed. A case of an iatrogenic fourth-degree burn after elective reamed IM screw fixation of a proximal fifth metatarsal fracture in a high-level athlete is reported. The case was complicated by postoperative osteomyelitis with third-degree soft-tissue defect. This was successfully treated with staged autologous bone graft reconstruction, tendon reconstruction, and local bi-pedicle flap coverage...
March 21, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29545001/rehabilitation-utilization-for-falls-among-community-dwelling-older-adults-in-the-united-states-in-the-national-health-and-aging-trends-study
#9
Briana L Moreland, Laura L Durbin, Judith D Kasper, Thelma J Mielenz
OBJECTIVES: To determine the characteristics of community-dwelling older adults receiving fall-related rehabilitation. Injurious falls cost billions of dollars each year in the United States and these costs are expected to rise. Fall-related rehabilitation can presumably decrease this burden. More needs to be known about the characteristics of older adults utilizing fall-related rehabilitation services. DESIGN: Cross-sectional analysis of the fifth round (2015) of the National Health and Aging Trends Study (NHATS)...
March 12, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29530825/fourth-and-fifth-carpometacarpal-fracture-dislocations-is-plate-or-kirschner-wire-fixation-superior-a-retrospective-cohort-study
#10
Bingbo Bao, Hongyi Zhu, Xianyou Zheng
BACKGROUND: Fourth and fifth carpometacarpal fracture-dislocations with unsatisfactory closed reduction commonly require later open reduction and internal fixation. However, the optimal method of internal fixation for these is unknown. The purpose of this study was to determine through objective clinical measures which method is superior for fourth and fifth carpometacarpal fracture-dislocations: a K-wire or a plate. METHODS: We conducted a retrospective review of hospital records of patients who had received treatment for fourth and fifth carpometacarpal fracture-dislocations at one hospital between May 2007 and May 2015...
April 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29519630/initial-support-with-no-immobilisation-as-therapy-of-choice-for-fractures-of-the-fifth-metatarsal
#11
I Úbeda-Pérez de Heredia
AIM: To demonstrate the effectiveness of early weight bearing with no immobilisation (functional therapy) applied to fractures of the fifth metatarsal. MATERIAL AND METHOD: A retrospective case and control observational study was performed among 382 fractures on the fifth metatarsal comparing functional, conservative-orthopaedic and surgical treatments. Fractures were classified according to the settlement on the distal, diaphyseal or proximal part of the bone, the recommended therapy and the treatment performed...
March 5, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29510856/a-prospective-study-with-ten-years-follow-up-of-two-hundred-patients-with-proximal-femoral-fracture
#12
M Galler, M Zellner, C Roll, C Bäuml, B Füchtmeier, F Müller
BACKGROUND: The proximal femoral fracture is one of the most common injuries in the elderly. Nevertheless, no results beyond the second year post surgery have been reported in the literature. Therefore, the purpose of this study was to evaluate any revision and mortality within 10 years follow-up as well as the walking ability of still alive patients. METHODS: A total of 200 consecutive patients were included. A prospective database was first used to collect the demographic data...
April 2018: Injury
https://www.readbyqxmd.com/read/29502318/correction-to-the-minimally-invasive-flexor-carpi-radialis-approach-a-new-perspective-for-distal-radius-fractures
#13
Yuka Igeta, Paul Vernet, Sybille Facca, Ismaël Naroura, Juan José Hidalgo Diaz, Philippe A Liverneaux
With regards to Juan José Hidalgo Diaz, fifth author. The author's name is incorrectly listed on Pub-Med. The first and last name has been mixed up.Correct first name is: JJ (on PubMed: JJH.).Correct last name is: Hidalgo Diaz (on PubMed: Diaz).On SpringerLink the name is listed correctly, but on PubMed he is listed as Diaz JJH.
March 3, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29466679/a-biomechanical-comparison-of-fifth-metatarsal-jones-fracture-fixation-methods
#14
Neil L Duplantier, Ronald J Mitchell, Steve Zambrano, Aaron C Stone, Domenica A Delgado, Bradley S Lambert, Michael R Moreno, Joshua D Harris, Patrick C McCulloch, David M Lintner, Kevin E Varner
BACKGROUND: Fifth metatarsal base fractures of the metaphyseal-diaphyseal watershed junction (Jones fracture) are commonly treated with surgical fixation in athletes. Intramedullary screw fixation remains the most utilized construct, although plantar-lateral plating is an alternative. Purpose/Hypothesis: The purpose was to compare the mechanical strength of fracture fixation between an intramedullary screw and plantar-lateral plating. The hypothesis was that plantar-lateral plate fixation would allow for more cycles and higher peak loads before failure, as well as less fracture gapping, than would an intramedullary screw in cadaveric foot specimens with simulated Jones fractures exposed to cantilever bending...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29463632/an-injured-man-with-acute-altered-mental-status
#15
Hung-Yu Chuang, Lu-Chih Kung, Ming-Yuan Huang
CLINICAL INTRODUCTION: A 58-year-old man sustained injuries due to accidental fall from a height of 5 m onto a solid floor while operating a crane. He was fully conscious without external evidence of head injury when presented to the ED. The patient had multiple fractures involving the fourth, fifth and seventh of the left ribs, left iliac wing and superior ramus of the pelvis, comminuted fracture of the left femur shaft, and an open fracture of the mandible. Two hours after ED presentation, the patient developed acute confusion and lethargy, which rapidly progressed to coma and respiratory distress, and was subsequently intubated with mechanical ventilation support...
March 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29451657/malignant-fibrous-histiocytoma-in-a-patient-presenting-with-urinary-system-symptoms
#16
Mustafa Resorlu, Ozan Karatag, Fatma Uysal, Muhsin Ozturk
Malignant fibrous histiocytoma is a rare tumor. It is most commonly seen in individuals between the fifth and seventh decades of life, in extremities, and less frequently in the retroperitoneum. Although its etiology is not clearly known, radiotherapy, chemical agents, previous history of surgery, trauma and fracture, and Hodgkin lymphoma have been blamed. Leiomyosarcoma, liposarcoma and rhabdomyosarcoma should be taken into account in differential diagnosis. It is seen on computed tomography as a mass lesion with irregular borders and density similar to that of the surrounding muscle tissue...
November 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/29444578/-anatomy-of-fractures-of-the-inferior-scapular-angle
#17
J Bartoníček, M Tuček, J Malík
INTRODUCTION: The aim of this study is to describe the anatomy of fractures of the inferior angle and the adjacent part of the scapular body, based on 3D CT reconstructions. METHOD: In a series of 375 scapular fractures, we identified a total of 20 fractures of the inferior angle of the scapular body (13 men, 7 women), with a mean patient age of 50 years (range 3373). In all fractures, 3D CT reconstructions were obtained, allowing an objective evaluation of the fracture pattern with a focus on the size and shape of the inferior angle fragment, propagation of the fracture line to the lateral and medial borders of the infraspinous part of the scapular body, fragment displacement and any additional fracture of the ipsilateral scapula and the shoulder girdle...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29444576/-fractures-of-the-fifth-metatarsal-base
#18
K Bušková, D Kuběnová, M Tuček
Fractures of the fifth metatarsal base are among the most common fractures of the foot. They are typically caused by indirect violence during sports activities. This region is also a site where stress fractures occur frequently. Diagnosis is based on the patients medical history, clinical examination and imaging methods. The fundamental imaging method is radiography of the foot in three views. MRI is used primarily for early diagnosis of stress fractures. CT examination is beneficial mainly in complex foot injuries, in order to rule out associated fractures...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29410077/simplified-internal-fixation-of-fifth-metacarpal-neck-fractures
#19
L Amsallem, J Pierrart, T Bihel, J Sekri, T Lafosse, E Masmejean, D Delgrande
BACKGROUND: Fifth metacarpal neck fractures (boxer's fractures) are common injuries that contribute 20% of all hand fractures. Divergent percutaneous pinning (bouquet fixation) as described by Foucher has gained popularity but is challenging and at times arduous, as it requires the insertion of several slender K-wires into a narrow medullary canal. Here, we report on a simplified technique in which a single thick K-wire is inserted. TECHNIQUE: An 18/10 K-wire is bent at one end then mounted on a drill chuck...
April 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29409300/lateral-malleolus-closed-reduction-and-internal-fixation-with-intramedullary-fibular-rod-using-minimal-invasive-approach-for-the-treatment-of-ankle-fractures
#20
Oded Coifman, Jason T Bariteau, Nachshon Shazar, Shay A Tenenbaum
BACKGROUND: Ankle fractures are extremely common and represent nearly one quarter of all lower-limb fractures. Techniques for fixation of displaced fractures of the lateral malleolus have remained essentially unchanged in recent decades. The current gold standard of treating unstable fractures is with open reduction and internal fixation (ORIF), using plates and screws construct. This study evaluates the use of fibula intramedullary nailing based on minimal invasive surgical approach...
September 7, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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