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https://www.readbyqxmd.com/read/29907939/feasibility-of-quantitative-ultrasonography-for-the-detection-of-metabolic-bone-disease-in-preterm-infants-systematic-review
#1
REVIEW
Liting Tong, Jaya Sujatha Gopal-Kothandapani, Amaka C Offiah
Metabolic bone disease of prematurity is characterised by disordered bone mineralisation and is therefore an increased fracture risk. Preterm infants are especially at risk due to incomplete in utero bone accretion during the last trimester. Currently, diagnosing metabolic bone disease mainly relies on biochemistry and radiographs. Dual-energy x-ray absorptiometry and quantitative ultrasound (US) are used less frequently. However, biochemical measurements correlate poorly with bone mineralisation and although scoring systems exist for metabolic bone disease, radiographs are subjective and do not detect early features of osteopenia...
June 16, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29905047/-treatment-of-gartland-type-%C3%A2-and-%C3%A2-supracondylar-fracture-of-humerus-in-children
#2
Qing Zhou, Qingquan Kong, Bo Gao
Objective: To analyze the treatment of Gartland type Ⅱ and Ⅲ supracondylar fracture of the humerus in children. Methods: Between January 2015 and January 2017, 45 cases of Gartland type Ⅱ and Ⅲ supracondylar fracture of the humerus were treated. There were 28 boys and 17 girls with an age of 1-13 years (mean, 5.7 years). The causes of injury included sports injury in 43 cases and falling from height in 2 cases. Fractures were classified as type Ⅱ in 12 cases and type Ⅲ in 33 cases according to Gartland classification...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29903542/outcomes-of-radial-nerve-grafting-in-children-after-distal-humerus-fracture
#3
Jayme Bertelli, Francisco Soldado, Marcos F Ghizoni
PURPOSE: To report the results of radial nerve grafting in 7 children who sustained a radial nerve injury following a distal humeral fracture. METHODS: Seven children, mean age 6 years (range, 4-11 years), underwent nerve grafting for radial nerve injuries following distal humeral fractures. The mean interval between injury and surgery was 6.7 months (range, 6-9 months). In all cases, 3 sural nerve graft cables were used, of mean length 8.6 cm (range, 6-12 cm)...
June 11, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29901651/intraoperative-sonography-may-reduce-the-risk-of-extensor-pollicis-longus-tendon-injury-during-dorsal-entry-elastic-intramedullary-nailing-of-the-radius-in-children
#4
Marcell Varga, Nikoletta Gáti, Tamás Kassai, Szilvia Papp, Sándor Pintér
Extensor pollicis longus tendon (EPL) injury is a potential complication of dorsal entry radial elastic nailing technique in children. The aim of this study was to investigate if intraoperative ultrasonographic guidance can reduce the risk of (EPL) injury.Correlation between sonographic and operative findings were examined first in 6 adult cadavers. Position of Lister's tubercle, EPL, and extraosseal end of the elastic nail were detected by ultrasound imaging during a minimally invasive dorsal entry nailing...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29898933/pulled-elbow-in-children
#5
Syunsuke Yamanaka, Ran D Goldman
Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting? Answer Pulled elbow, also called nursemaid's elbow , is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon...
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29898932/management-of-bone-health-in-patients-with-celiac-disease-practical-guide-for-clinicians
#6
REVIEW
Donald Duerksen, Maria Ines Pinto-Sanchez, Alexandra Anca, Joyce Schnetzler, Shelley Case, Jenni Zelin, Adrianna Smallwood, Justine Turner, Elena Verdú, J Decker Butzner, Mohsin Rashid
OBJECTIVE: To describe clinical issues related to bone health in patients with celiac disease (CD) and to provide guidance on monitoring bone health in these patients. SOURCES OF INFORMATION: A PubMed search was conducted to review literature relevant to CD and bone health, including guidelines published by professional gastroenterological organizations. MAIN MESSAGE: Bone health can be negatively affected in both adults and children with CD owing to the inflammatory process and malabsorption of calcium and vitamin D...
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29898786/acute-contrecoup-epidural-hematoma-that-developed-without-skull-fracture-in-two-adults-two-case-reports
#7
Shunpei Andoh, Chie Matsuura, Yuuki Sakaeyama, Shinichi Okonogi, Yasuhiro Node, Hiroyuki Masuda, Kousuke Kondo, Naoyuki Harada, Masaaki Nemoto, Nobuo Sugo
BACKGROUND: The incidence of acute epidural hematoma not accompanied by fracture is low, and it mostly occurs right below the impact point in children. Acute epidural hematoma on the contralateral side of the impact point without fracture is very rare. CASE PRESENTATION: Case 1: a 52-year-old Japanese woman fell and was bruised in the left occipital region, and acute epidural hematoma developed in the right frontal region. No fracture line was observed in the right frontal region on head computed tomography or during surgery, and the source of bleeding was the middle meningeal artery...
June 14, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29892587/trans-olecranon-fossa-four-cortex-purchase-lateral-pinning-in-displaced-supracondylar-fracture-of-the-humerus-a-prospective-analysis-in-48-children
#8
Saravanan Kasirajan, Rajesh Govindasamy, Bhava Ramalingam Jawaharlal Sathish, Jimmy Joseph Meleppuram
Objective: The current study aims at a functional analysis of trans-olecranon lateral pinning for displaced supracondylar fracture of the humerus (SCFH) in children. Methods: A prospective study of 48 children (30 males, 18 females; mean age: 7.4 years) with displaced SCFH was treated at this institution with modified technique from March 2011 to September 2014. Cases were selected on the basis of inclusion criteria. The functional outcome was assessed clinically by modified Flynn's criteria along with achievement of full range of motion...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892526/the-incidence-of-facial-injuries-in-children-in-indian-population-a-retrospective-study
#9
Ashrafullah, Ramesh Kumar Pandey, Apurva Mishra
Objective: To determine the incidence and pattern of facial fracture in children of age 0-16 years of age. Material & methods: Patients with trauma reporting to department of paediatric and preventive dentistry and department of oral & maxillofacial surgery from January 2011 to December 2011 were selected for the present study. The records of patients treated for maxillofacial injuries were retrospectively retrieved and analyzed for prevalence, pattern, etiology, and management of maxillofacial trauma...
May 2018: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/29892038/effect-of-cardiometabolic-risk-factors-on-the-relationship-between-adiposity-and-bone-mass-in-girls
#10
Megan Hetherington-Rauth, Jennifer W Bea, Robert M Blew, Janet L Funk, Vinson R Lee, Tiffany C Varadi, Denise J Roe, Mark D Wheeler, Scott B Going
BACKGROUND/OBJECTIVE: Childhood obesity has been separately associated with cardiometabolic risk factors (CMRs) and increased risk of fracture. However, both augmented and compromised bone mass have been reported among overweight/obese children. Metabolic dysfunction, often co-existing with obesity, may explain the discrepancy in previous studies. The aim of this study was to examine whether the relationship between adiposity and dual-energy X-ray absorptiometry (DXA) derived bone mass differed in young girls with and without CMR(s)...
June 11, 2018: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/29888100/growing-skull-fracture-case-report-after-rottweiler-bite-and-review-of-the-literature
#11
Cletus Cheyuo, Rahul Singh, Brandon Lucke-Wold, Cesar Serrano
Growing skull fracture remains a rare but clinically significant complication of traumatic skull fractures in children less than 3 years of age. Dog attacks on children commonly cause head and neck injuries. We report the first case of growing skull fracture caused by a Rottweiler bite in a 21 days old neonate. Early diagnosis and surgical repair resulted in excellent outcome.
2018: Journal of Neurology & Neurophysiology
https://www.readbyqxmd.com/read/29886865/children-in-the-london-inpatient-care-in-a-voluntary-general-hospital
#12
Madeleine Mant
The presence of children in English voluntary hospitals during the eighteenth century has only recently come under academic scrutiny. This research examines the surviving admission records of the London Hospital, which consistently record inpatient ages, to illuminate the hospital stays of infant and child patients and examine the morbidity of children during the long eighteenth century. Traumatic cases were the most common category of admission. The proportion of trauma cases admitted to the London Hospital was higher than in provincial English child patient cohorts, potentially reflecting the differential risks faced by rural and urban children...
July 2018: Medical History
https://www.readbyqxmd.com/read/29882816/decreased-levels-of-circulating-carboxylated-osteocalcin-in-children-with-low-energy-fractures-a-pilot-study
#13
Janusz Popko, Michał Karpiński, Sylwia Chojnowska, Katarzyna Maresz, Robert Milewski, Vladimir Badmaev, Leon J Schurgers
OBJECTIVE: In the past decades, an increased interest in the roles of vitamin D and K has become evident, in particular in relation to bone health and prevention of bone fractures. The aim of the current study was to evaluate vitamin D and K status in children with low-energy fractures and in children without fractures. METHODS: The study group of 20 children (14 boys, 6 girls) aged 5 to 15 years old, with radiologically confirmed low-energy fractures was compared with the control group of 19 healthy children (9 boys, 10 girls), aged 7 to 17 years old, without fractures...
June 6, 2018: Nutrients
https://www.readbyqxmd.com/read/29882466/development-of-the-cidss2-score-for-children-with-mild-head-trauma-without-intracranial-injury
#14
Jacob K Greenberg, Yan Yan, Christopher R Carpenter, Angela Lumba-Brown, Martin S Keller, Jose Pineda, Ross C Brownson, David Limbrick
While most children with mild TBI (mTBI) without intracranial injury (ICI) can be safely discharged home from the emergency department, many are admitted to the hospital. To support evidence-based practice, we developed a decision tool to help guide hospital admission decisions. This study was a secondary analysis of a prospective study conducted in 25 emergency departments. We included children under 18 years who had Glasgow Coma Scale score 13-15 head injuries and normal CT scans or skull fractures without significant depression...
June 8, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29881594/pleural-effusion-with-rib-fractures-in-infant
#15
Akinobu Taniguchi, Takashi Maeda, Takashi Tachibana
The causes of pleural effusions in children are various. This case demonstrates the importance of considering rib fractures associated with child abuse in the differential diagnosis of pleural effusion in infants.
June 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29881164/spondylolysis-and-spondylolisthesis-a-review-of-the-literature
#16
REVIEW
Paul Gagnet, Kent Kern, Kyle Andrews, Hossein Elgafy, Nabil Ebraheim
Spondylolysis is a common diagnosis with a high prevalence in children and adolescents complaining of low back pain. It may be caused by either a defect or fracture of the pars interarticularis due to mechanical stress. Depending on the severity of the spondylolysis and symptoms associated it may be treated either conservatively or surgically, both of which have shown significant success. Conservative treatments such as bracing and decreased activity have been shown to be most effective with patients who have early diagnosis and treatment...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29880225/corrigendum-to-traumatic-skull-fractures-in-children-and-adolescents-a-retrospective-observational-study-injury-49-2018-219-225
#17
Hongwei Wang, Yue Zhou, Jun Liu, Lan Ou, Jianda Han, Liangbi Xiang
No abstract text is available yet for this article.
June 4, 2018: Injury
https://www.readbyqxmd.com/read/29880019/a-systematic-review-and-meta-analysis-of-two-different-managements-for-supracondylar-humeral-fractures-in-children
#18
Lin-Guo, Xue-Ning Zhang, Jian-Ping Yang, Zhi Wang, Yang Qi, Shan-Zhu, Xiang-Hong Meng
BACKGROUND: The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. METHODS: In January 2018, a systematic computer-based search was conducted in PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, and Google database. Data on patients prepared for two different managements for supracondylar humeral fractures in children were retrieved...
June 7, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29877636/the-assessment-of-skeletal-status-in-young-patients-with-turner-syndrome-by-2-densitometric-techniques-phalangeal-quantitative-ultrasound-and-dual-energy-x-ray-absorptiometry
#19
Beata Wikiera, Agata Mierzwicka, Aleksander Basiak, Jowita Halupczok-Żyła, Diana Jędrzejuk, Magdalena Cabała, Anna Noczyńska, Marek Bolanowski, Kornel Mikołajczyk, Zenon P Halaba
BACKGROUND: Studies using dual energy X-ray absorptiometry (DXA) demonstrate a reduction in bone mineral density (BMD) in children and adolescents with Turner syndrome (TS). However, these studies do not take into account changes in bone size, which influence BMD in the case of short-statured patients. Phalangeal quantitative ultrasound (phQUS) measurements have shown an ability to reveal changes due to skeletal growth, aging, and bone and mineral disorders. There is limited data on bone mineral status in girls with TS assessed by 2 different techniques, i...
June 4, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29876169/primary-repair-of-a-complex-panfacial-fracture-by-dog-bite
#20
Cláiton Heitz, Guilherme Pivatto Louzada, Ricardo Augusto Conci, Renato Luiz Rodrigues, Guilherme Genehr Fritscher
Facial fractures due to dog attacks have an unknown incidence rate. To date, only 41 cases of canine bite trauma in a pediatric patient, associated with facial fracture, have been reported in the literature. As major species of involving dogs are the American pitbull terrier and rottweiler. Due to the intense kinematics of this trauma, the treatment becomes complex. Thus, attention to the primary repair of such complex lesions ensures satisfactory results, which is the focus of this discussion. The purpose of this review was to analyze how different ways to approach this type of trauma in children for clarification or correct management...
April 2018: Plastic and Reconstructive Surgery. Global Open
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