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Shoulder fractures

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https://www.readbyqxmd.com/read/28326443/radiological-clinical-and-functional-evaluation-using-the-quick-disabilities-of-the-arm-shoulder-and-hand-questionnaire-of-children-with-medial-epicondyle-fractures-treated-surgically
#1
Federico Canavese, Lorenza Marengo, Alexandru Tiris, Mounira Mansour, Marie Rousset, Antoine Samba, Antonio Andreacchio, Alain Dimeglio
PURPOSE: The main goal of this study was to retrospectively evaluate the clinical, functional and radiographic outcomes of displaced medial epicondyle fractures with or without associated elbow dislocation in children undergoing surgical treatment and to evaluate upper-extremity function with the Quick Disbilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire. The hypothesis was that patients with associated elbow dislocation would have similar functional outcome to patients with displaced fractures with or without intra-articular entrapment of the medial epicondyle...
March 22, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28326303/current-role-and-application-of-teriparatide-in-fracture-healing-of-osteoporotic-patients-a-systematic-review
#2
Sang-Min Kim, Kyung-Chung Kang, Ji Wan Kim, Seung-Jae Lim, Myung Hoon Hahn
BACKGROUND: The use of osteoanabolic agents to facilitate fracture healing has been of heightened interest to the field of orthopaedic trauma. This study aimed to evaluate the evidence of teriparatide for fracture healing and functional recovery in osteoporotic patients. METHODS: We performed a literature search in PubMed, EMBASE, Web of Science, and the Cochrane Library using terms including "Fracture" [tiab] AND "Teriparatide [tiab] OR "PTH" [tiab]. RESULTS: This systematic review included 6 randomized clinical trials, 4 well-controlled retrospective studies, and 1 retrospective post hoc subgroup analysis...
February 2017: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/28325156/-the-reversed-shoulder-prosthesis
#3
J van Rijn, T Gosens
In patients aged over 70 years, a non-functioning rotator cuff is an indication for a reversed shoulder prosthesis. Here we describe an 84-year-old woman with rotator cuff arthropathy and a 76-year-old man with a proximal humerus fracture, who both received a reversed shoulder prosthesis. This prosthesis decreases pain and improves the range of movement; however, the high risk of complications associated with this prosthesis should be taken into account and should be discussed preoperatively.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28321570/comparative-analysis-of-locking-plate-versus-hook-plate-osteosynthesis-of-neer-type-iib-lateral-clavicle-fractures
#4
Benjamin Erdle, Kaywan Izadpanah, Martin Jaeger, Patrizia Jensen, Lukas Konstantinidis, Jörn Zwingmann, Norbert P Südkamp, Dirk Maier
INTRODUCTION: Controversy exists on optimal operative treatment of vertically unstable Neer IIB lateral clavicle fractures. Aim of this study was to analyse and compare clinical and radiological results and complications of locking plate osteosynthesis (LPO) versus hook plate osteosynthesis (HPO) with acromioclavicular joint (ACJ) stabilization. The hypothesis was, that HPO would recreate coracoclavicular stability more effectively and potentially lead to a superior outcome. METHODS: This retrospective, observational cohort study included 32 patients (19 HPO, 13 LPO) with a mean age of 44...
March 20, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28319141/heightened-clinical-utility-of-smartphone-versus-body-worn-inertial-system-for-shoulder-function-b-b-score
#5
Claude Pichonnaz, Kamiar Aminian, Céline Ancey, Hervé Jaccard, Estelle Lécureux, Cyntia Duc, Alain Farron, Brigitte M Jolles, Nigel Gleeson
BACKGROUND: The B-B Score is a straightforward kinematic shoulder function score including only two movements (hand to the Back + lift hand as to change a Bulb) that demonstrated sound measurement properties for patients for various shoulder pathologies. However, the B-B Score results using a smartphone or a reference system have not yet been compared. Provided that the measurement properties are comparable, the use of a smartphone would offer substantial practical advantages. This study investigated the concurrent validity of a smartphone and a reference inertial system for the measurement of the kinematic shoulder function B-B Score...
2017: PloS One
https://www.readbyqxmd.com/read/28301321/giant-parathyroid-adenoma-associated-with-severe-hypercalcemia-in-an-adolescent-patient
#6
Kinyas Kartal, Nurcihan Aygun, Mujdat Bankaoglu, Alper Ozel, Mehmet Uludag
BACKGROUND: The objective of this study is to bring attention to the importance of differential diagnosis in adolescent patients with skeletal involvement and hypercalcemia. CASE: A 17-year-old male patient with a complaint of severe leg pain was admitted to our hospital. Seven months before he had a fracture of his distal humerus after falling on to his left shoulder and was treated conservatively. Five months previously, he had a rupture of his quadriceps tendon...
March 16, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28295125/treatment-of-locked-posterior-shoulder-dislocation-with-bone-defect
#7
Yousuf M Khira, Adel M Salama
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may lead to chronic instability, osteonecrosis, and osteoarthritis. A group of 12 patients, including 10 men and 2 women, with neglected locked posterior shoulder dislocation with a reverse Hill-Sachs lesion were treated with the modified McLaughlin technique...
March 14, 2017: Orthopedics
https://www.readbyqxmd.com/read/28293910/surgical-treatment-of-complex-proximal-humeral-fractures-with-a-technique-of-nail-and-osteosuture-nos
#8
J Garret, H Houdré, M Cievet-Bonfils, Arnaud Godenèche, Fabrice Duparc, Xavier Roussignol
Open reduction and internal fixation of complex proximal humeral fracture represents a surgical challenge. The main objective of this procedure is to anatomically reduce the tuberosities. We propose a standardized and reproducible technique that we apply to all complex displaced 3- and 4-part fractures of patients under 50 years. We use an antero-lateral trans-deltoid approach; the humeral head and the tuberosities are reduced under fluoroscopic control. The tuberosities are stabilized with an inter-tuberosity osteosuture, and we then introduce a thin and straight intra-medullary nail (Telegraph IV FH Orthopedics) at the hinge point of the humeral head...
March 14, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28293333/percutaneous-cannulated-compression-screw-osteosynthesis-in-phalanx-fractures-the-surgical-technique-the-indications-and-the-results
#9
Eirini Liodaki, Tobias Kisch, Eike Wenzel, Peter Mailänder, Felix Stang
Objective: Fractures of metacarpals and phalanges are very common fractures, and there are a lot of treatment modalities. The purpose of the study was to describe the technique of percutaneous fixation of phalangeal fractures using a cannulated compression screw fixation system and its results. Methods: We conducted a prospective clinical study on 43 patients with different types of phalangeal fractures undergoing a percutaneous cannulated compression screw osteosynthesis. Parameters such as average operation time and clinical outcome were evaluated postoperatively...
2017: Eplasty
https://www.readbyqxmd.com/read/28292485/a-cost-effectiveness-analysis-of-reverse-total-shoulder-arthroplasty-versus-hemiarthroplasty-for-the-management-of-complex-proximal-humeral-fractures-in-the-elderly
#10
Georg Osterhoff, Nathan N O'Hara, Jennifer D'Cruz, Sheila A Sprague, Nick Bansback, Nathan Evaniew, Gerard P Slobogean
BACKGROUND: There is ongoing debate regarding the optimal surgical treatment of complex proximal humeral fractures in elderly patients. OBJECTIVES: To evaluate the cost-effectiveness of reverse total shoulder arthroplasty (RTSA) compared with hemiarthroplasty (HA) in the management of complex proximal humeral fractures, using a cost-utility analysis. METHODS: On the basis of data from published literature, a cost-utility analysis was conducted using decision tree and Markov modeling...
March 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28291522/fractures-and-dislocations-of-the-hand-in-polytrauma-patients-incidence-injury-pattern-and-functional-outcome
#11
Steven Ferree, Quirine M J van der Vliet, Mark van Heijl, Roderick M Houwert, Luke P H Leenen, Falco Hietbrink
INTRODUCTION: Injuries of the hand can cause significant functional impairment, diminished quality of life and delayed return to work. However, the incidence and functional outcome of hand injuries in polytrauma patients is currently unknown. The aim of this study was to determine the incidence, distribution and functional outcome of fractures and dislocation of the hand in polytrauma patients. METHODS: A single centre retrospective cohort study was performed at a level 1 trauma centre...
March 6, 2017: Injury
https://www.readbyqxmd.com/read/28290758/similar-1-year-subjective-outcome-after-a-distal-radius-fracture-during-the-10-year-period-2003-2012
#12
Marcus Landgren, Antonio Abramo, Mats Geijer, Philippe Kopylov, Magnus Tägil
Background and purpose - During the last decades, treatment of distal radius fractures (DRFs) has changed, with surgical intervention being more common and with new techniques. We investigated whether this change has influenced the subjective outcome. Here we report, year by year, the 1-year score after a DRF over a 10-year-period, using a patient-reported outcome measure. Patients and methods - Patients aged 18 years or more with a DRF between 2003 and 2012 were prospectively and consecutively registered in a longitudinal outcome database...
March 14, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28289904/shoulder-arthroscopy-combined-to-hardware-removal-in-proximal-humeral-fractures-a-series-of-58-cases-with-a-mean-follow-up-of-2%C3%A2-years
#13
Ch Maroun, D Aliani, A Hass, J D Werthel, Anne Vidil, Ph Valenti
BACKGROUND: Proximal humerus fractures are common injuries. Locking plates and anterograde medullary nails are the two most common fixation devices used when open reduction and internal fixation (ORIF) is indicated. Complications related to fracture and to hardware are numerous, especially shoulder stiffness. The goal of this study is to report the clinical outcomes of gleno-humeral arthroscopic arthrolysis combined with hardware removal. METHODS: A total of 58 patients (25 men, 33 women) with a mean age of 58 years (24-79) were reviewed retrospectively...
March 13, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28286622/the-role-of-reverse-shoulder-arthroplasty-in-management-of-proximal-humerus-fractures-with-fracture-sequelae-a-systematic-review-of-the-literature
#14
REVIEW
James Holton, Tahir Yousri, George Arealis, Ofer Levy
Fracture sequelae of the proximal humerus poses a complex management decision due to the frequent deformity and its consequences on the peri-articular soft tissues. These patients are frequently elderly with significant medical comorbidities. Due to the age of the patient there is frequently rotator cuff deficiency and therefore the reverse shoulder arthroplasty (RSA) becomes the arthroplasty of choice. We have performed a systematic review of the literature and report nine studies presenting RSA for the treatment of fracture sequelae of the proximal humerus...
February 20, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/28285907/-elbow-dislocation
#15
B de Pablo Márquez, P Castillón Bernal, M C Bernaus Johnson, N M Ibañez Aparicio
Elbow dislocation is the most frequent dislocation in the upper limb after shoulder dislocation. Closed reduction is feasible in outpatient care when there is no associated fracture. A review is presented of the different reduction procedures.
March 9, 2017: Semergen
https://www.readbyqxmd.com/read/28274008/to-operate-or-not-to-operate-the-mid-shaft-fractures-of-the-clavicle-a-comparative-study-of-functional-outcomes-of-the-two-methods-of-management
#16
Sanath Kumar Shetty, Ragesh Chandran, Arjun Ballal, Lawrence John Mathias, Anoop Hegde, Ashwin Shetty
INTRODUCTION: Fractures of the clavicle are some of the most common fractures which are seen in the adult population. Mid-shaft fractures of the clavicle are considered the most common form of clavicle fractures and about half of them are displaced fractures. They have been managed non-operatively over the years. However, severe displacement and comminution of these fractures have warranted the requirement of operative intervention, due to increased incidence of mal-union, worsening of shoulder functions etc...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28262282/a-survey-of-extensor-pollicis-longus-tendon-injury-at-the-time-of-distal-radius-fractures
#17
Kiyohito Naito, Yoichi Sugiyama, Thitinut Dilokhuttakarn, Mayuko Kinoshita, Kenji Goto, Kentaro Aritomi, Yoshiyuki Iwase, Kazuo Kaneko
BACKGROUND: The purpose of this study is to investigate the presence or absence, incidence, and degree of extensor pollicis longus (EPL) tendon injury by visual confirmation of the EPL at the time of osteosynthesis for distal radius fractures. METHODS: The subjects were 25 patients (5 males and 20 females; mean age: 56 years) with distal radius fracture that had a dorsal roof fragment. During osteosynthesis using a volar locking plate, the third compartment was exposed in order to determine the EPL injury...
February 27, 2017: Injury
https://www.readbyqxmd.com/read/28261432/comparison-of-clinical-and-radiological-results-according-to-glenosphere-position-in-reverse-total-shoulder-arthroplasty-a-short-term-follow-up-study
#18
Chang Hyuk Choi, Sung Guk Kim, Jae Jun Lee, Byung Hoon Kwack
BACKGROUND: In a previous biomechanical study, eccentric glenospheres with more inferior position of the center of rotation were shown to improve range of motion and reduce the incidence of scapular notching after reverse total shoulder arthroplasty (RSA). The purpose of this study was to compare the clinical and radiological results of RSA using an eccentric glenosphere to those using a concentric glenosphere and to determine the usefulness of the eccentric glenosphere. METHODS: From 2009 to 2015, we performed a retrospective review of 20 consecutive patients who underwent RSA using a deltopectoral approach...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28260116/proximal-humerus-fractures-editorial
#19
Christian Cuny
Proximal humerus fractures are characterized by their frequency, the difficulties and the absence of treatment of reference. New means of osteosynthesis appeared since the years 2000, as well as the preferential recourse to the reversed prostheses of shoulder. A chapter is dedicated to classifications, as a whole not very reproducible. The new treatments are represented by the nails, such as Telegraph(®), and the plates with blocked screws. It appeared a real progress in the osteosyntheses and became infinitely more solid with the stability of the screws in the bone...
March 4, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28251280/a-systematic-comparison-of-the-closed-shoulder-reduction-techniques
#20
H Alkaduhimi, J A van der Linde, N W Willigenburg, D F P van Deurzen, M P J van den Bekerom
PURPOSE: To identify the optimal technique for closed reduction for shoulder instability, based on success rates, reduction time, complication risks, and pain level. METHODS: A PubMed and EMBASE query was performed, screening all relevant literature of closed reduction techniques mentioning the success rate written in English, Dutch, German, and Arabic. Studies with a fracture dislocation or lacking information on success rates for closed reduction techniques were excluded...
March 1, 2017: Archives of Orthopaedic and Trauma Surgery
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