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Fifth fracture

Melkamu Adeb, Daichi Hayashi, Yogesh Kumar
BACKGROUND: Kirner's deformity is a rare bony deformity that is characterized by radial and volar curvature of the distal phalanx of the fifth finger. Affected patients usually present after the age of 5 years, with girls more affected than boys and bilateral involvement more common than unilateral. CASE PRESENTATION: We report a case of an eight-year-old girl who presented with progressive deformity of the right little finger. Radiographic evaluation revealed volar and radial curvature of the distal phalanx of the right fifth digit...
October 21, 2016: BMC Musculoskeletal Disorders
Rahmatollah Moradzadeh, Haidar Nadrian, Farzaneh Golboni, Mohammad Hasan Kazemi-Galougahi, Nasrin Moghimi
Background: Considering the renewed emphasis on women's health, attention to the new aspects of their health, such as equity, among different groups is warranted. The aim of this study was to investigate the economic inequalities among women with osteoporosis-related bone fractures (ORBFs) in Sanandaj, Iran. Methods: In this cross-sectional study, convenient sampling was employed to recruit 220 women with osteoporosis referring to the only rheumatology clinic in Sanandaj (the center of Kurdistan province in Iran) from January to April 2013...
2016: Health Promotion Perspectives
Kerrin C DePeter, Stephen M Blumberg, Sarah Dienstag Becker, James A Meltzer
BACKGROUND: Despite being an effective analgesic for children with fractures, some clinicians may avoid prescribing ibuprofen due to its potentially harmful effect on bone healing. OBJECTIVE: To determine if exposure to ibuprofen is associated with an increased risk of bone healing complications in children with fractures. METHODS: We performed a retrospective study of children aged 6 months to 17 years who presented to the pediatric emergency department (PED) with a fracture of the tibia, femur, humerus, scaphoid, or fifth metatarsus and who followed up with the orthopedic service...
October 14, 2016: Journal of Emergency Medicine
Rifat Latifi, Jayleen K L Gunn, John A Stroster, Edmond Zaimi, Fatos Olldashi, Agron Dogjani, Mihal Kerci, Xheladin Draçini, Julian Kuçani, Zhaneta Shatri, Agim Kociraj, Arian Boci, Ross I Donaldson
BACKGROUND: Traumatic injuries have become a substantial but neglected epidemic in low- and middle-income countries (LMICs), but emergency rooms (ERs) in these countries are often staffed with healthcare providers who have minimal emergency training and experience. The aim of this paper was to describe the specialized training, available interventions, and the patient management strategies in the ERs in Albanian public hospitals. METHODS: A cross-sectional descriptive study of 42 ERs in the Republic of Albania between September 5, 2014, and December 29, 2014 was performed...
December 2016: International Journal of Emergency Medicine
Hélène Jumeau, Philippe Lechien, Florence Dupriez
Posterior carpometacarpal (CMC) dislocation is a rare condition. Treatment is usually surgical though no strict consensus can be found upon literature review. If diagnosed early and no associated fractures are found, CMC dislocation could benefit from conservative treatment comprising closed reduction and splint immobilisation. We report the case of a 26-year-old man diagnosed with a posterior dislocation of the third, fourth, and fifth CMC joints after a fall of 1.5 meters, treated by external reduction under procedural sedation and immobilisation with a cast for 6 weeks...
2016: Case Reports in Emergency Medicine
Akio Kanda, Kazuo Kaneko, Osamu Obayashi, Atsuhiko Mogami, Itaru Morohashi
Acetabular fracture is usually treated with osteosynthesis. However, in the case of an intra-articular fracture, osteosynthesis can result in arthropathy of the hip joint and poor long-term results, hence, total hip arthroplasty is required. However, in total hip arthroplasty for postoperative acetabular fracture, sciatic nerve palsy tends to develop more commonly than after primary total hip arthroplasty. This is a case report of a 57-year-old Japanese male who had internal skeletal fixation for a left acetabular fracture that had occurred 2 years earlier...
November 2016: Annals of Medicine and Surgery
Jouni Havulinna, Jarkko Jokihaara, Pasi Paavilainen, Olli V Leppänen
Coronal plane fracture of lunate in Kienböck disease is a challenging problem with no proven treatment. We present a technique for the treatment. A vascularized bone graft from the distal radius employing the fourth and fifth extracompartmental artery pedicles is used as a mechanical support in order to enable fracture union. The technical pearls and pitfalls are described and a clinical case is presented.
September 20, 2016: Journal of Hand Surgery
Ajit Joshi, Manu Goel, Ashutosh Thorat
PURPOSE: Iatrogenic fracture of mandible (IFM) associated with exodontia though rare, they do occur with an incidence ranging from 0.0034 to 0.0075 %. Most of the data is in the form of case reports or a small case series. This is an attempt to amass the data available in literature since the last 62 years. The purpose of this meta-analysis is to identify the etiologies and risk factors leading to IFM associated with exodontia and also the measures to minimize the complication. METHODS: Articles published between 1953 and 2015 were searched in Medline database...
September 23, 2016: Oral and Maxillofacial Surgery
Christopher R Hood, Stephanie Eldridge, Matthew Tran, Jason R Miller
INTRODUCTION AND OBJECTIVES: There are several various accessory ossicles and sesamoid bones that can be seen throughout the foot and ankle, with reported incidence of 21.2% and 9.6%, respectively. Accessory ossicles and sesamoid bones usually remain asymptomatic until an inciting event (trauma, overuse) occurs and can then cause pain or degenerative changes. They can also be found in routine imaging. One of these confusing findings are lesser metatarsal sesamoids, which are a rare occurrence...
September 2016: Journal of the American Podiatric Medical Association
Jan van Aaken, Cesare Fusetti, Stefano Lucchina, Stefania Brunetti, Jean-Yves Beaulieu, Angèle Gayet-Ageron, Kathryn Hanna, Alexander Y Shin, Eric Hofmeister
No abstract text is available yet for this article.
September 7, 2016: Archives of Orthopaedic and Trauma Surgery
Tuğba Kuru Çolak, İlker Çolak, Eren Timurtaş, Güven Bulut, M Gülden Polat
Misalignment of the talar neck after surgical repair can redistribute the load among the posterior, middle, and anterior facets of the subtalar joints, which can change the joint biomechanics, cause arthritis, and impair function. However, we found no studies analyzing the plantar pressures after treatment of talus neck fracture. We determined the dynamic plantar pedobarographic and radiographic characteristics and ankle range of motion, function, and pain among patients after surgical repair of talar neck fractures...
September 2, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Shruti Sharma, Sunil Kumar
Primary hyperparathyroidism is a generalized disorder of bone and mineral metabolism caused by autonomous secretion of parathyroid hormone. It is primarily seen in adults with typical age of presentation between third and fifth decades of life. Juvenile hyperparathyroidism is a rare disorder. The common presentations in order of incidence are fatigue and lethargy, headache, nephrolithiasis, nausea, abdominal pain, vomiting and polydipsia. Though skeletal symptoms include bone pains and fractures, but the presence of limb deformity is atypical...
July 2016: Oxford Medical Case Reports
Linli Li, Youhai Dong, Yiqun He, Xiangsheng Liu, Wenqing Tong
Purpose To evaluate the efficacy of percutaneous pedicle screw fixation technique combined with three-step reduction in the treatment of thoracolumbar fracture. Methods This is a retrospective study, based on medical records from the archives of the Fifth People's Hospital of Fudan University, from January 2012 to January 2015. The 49 patients with thoracolumbar fracture were treated with percutaneous pedicle screw fixation technique combined with three-step reduction. The treatment plan was determined by the AO classification and the Thoracolumbar Injury Classification and Severity classification...
July 26, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Youn Moo Heo, Sang Bum Kim, Jin Woong Yi, Tae Gyun Kim, Byoung Gu Lim
BACKGROUND: As intramedullary (IM) fixation is one of the fixation methods used in neck fractures of the fifth metacarpal, an early motion of injured finger can be allowed. The purpose of this study is to evaluate whether immediate active motion affects the stability of antegrade IM fixation in surgical treatment of neck fractures of the fifth metacarpal bone and to assess related factors. METHODS: Thirty one patients treated by closed reduction and antegrade IM fixation were consecutively enrolled...
February 2016: J Hand Surg Asian Pac Vol
R Bovard
In brief During competition, a cross-country skier sustained a fifth metacarpal fracture, which is an unusual injury in this population. The skier's shelf-support pole grip, along with twisting of the flexed fifth finger, might have contributed to the mechanism of injury. As ski-skaters look to new pole grips to increase their power and thrust, physicians may see more of these injuries. Urging patients who use these models to properly adjust their grip straps may help prevent these injuries.
January 1994: Physician and Sportsmedicine
G J Sammarco
In brief Jones fractures must be distinguished from styloid fractures of the fifth metatarsal. Although the difference is only 1.5 cm along the length of the metatarsal, if a patient sustains a Jones fracture and the injury is treated as if the styloid were broken, the bone either will fail to heal or will heal very slowly. Conservative therapy for Jones fractures is sometimes appropriate, but it involves several months of immobilization. Operative treatment usually involves medullary compression screw fixation for acute fractures, and compression screw or bone grafting for chronic fractures...
June 1992: Physician and Sportsmedicine
R Ganzhorn, B J Toy
In brief Two intercollegiate hockey players sustained a fracture of the fifth metatarsal. They were treated conservatively with a short leg cast for 10 to 13 days, followed by 4 to 6 weeks of physical therapy and no weight bearing. The athletes returned to competition 12 and 18 days postinjury, respectively. An Orthoplast pad was attached to the outside of the skate to protect the area during competition. Both players finished the season with no further problems. Because hockey players do not experience lower-extremity pounding, they can return to participation quickly and safely after fractures to the fifth metatarsal bone...
December 1990: Physician and Sportsmedicine
John Grice, James Calder
Treatment of fifth metatarsal fractures in elite athletes or delayed/non unions often requires operative fixation. However, this can cause technical difficulties and we present an operative tip to avoid complications is presented.
June 6, 2016: Foot
F C McCue
In brief: The six most common types of metacarpal fractures are (1) intra-articular fractures of the metacarpophalangeal joint; (2) compacted fractures through the metacarpal neck-the so-called boxer's or punch fracture; (3) transverse or short oblique fractures of the shaft; (4) spiral fractures of the shaft; (5) proximal fractures and fracture-dislocations of the fifth metacarpal; and (6) thumb metacarpal fractures. Conservative treatment is preferable for most injuries of the hand, but surgical repair is indicated in a few patients...
September 1985: Physician and Sportsmedicine
Pravin Padalkar, Nilesh Virani, Ambadas Kathare
INTRODUCTION: A case of young male patients aged 25 years old presented with history of injured from falling heavy object on his back. There was burst Fracture of L5 Vertebrae with grade 3 spondylolisthesis. It was completely different from the types of L5 fracture that had been published up to now. Our patient had combination of a complete burst fracture of the fifth lumbar vertebra with dislocation and complete disruption of the posterior ligamantous and bony complex between L5 and sacrum...
April 2014: Journal of Orthopaedic Case Reports
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