keyword
https://read.qxmd.com/read/38500419/-effectiveness-comparison-of-ultrasound-guided-closed-reduction-and-kirschner-wire-fixation-for-different-unstable-humeral-lateralcondylar-fractures-of-children
#21
JOURNAL ARTICLE
Chaoyu Liu, Guoqiang Jia, Xiuming Huang, Xiangyang Shen, Jie Yao, Hailong Ma
OBJECTIVE: To compare the effectiveness of ultrasound-guided closed reduction and Kirschner wire fixation for different unstable humeral lateralcondylar fractures of children. METHODS: The clinical data of 94 children with unstable humeral lateralcondylar fractures admitted to three medical centers between January 2021 and October 2022 were retrospectively analyzed. The children were divided into three groups according to the Song classification and whether the elbow joint was dislocated or not, including 42 cases of Song 4 type (group A), 38 cases of Song 5 type (group B), and 14 cases of elbow joint dislocation (group C)...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38499714/development-of-a-diagnostic-support-system-for-distal-humerus-fracture-using-artificial-intelligence
#22
JOURNAL ARTICLE
Aashay Kekatpure, Aditya Kekatpure, Sanjay Deshpande, Sandeep Srivastava
PURPOSE: AI has shown promise in automating and improving various tasks, including medical image analysis. Distal humerus fractures are a critical clinical concern that requires early diagnosis and treatment to avoid complications. The standard diagnostic method involves X-ray imaging, but subtle fractures can be missed, leading to delayed or incorrect diagnoses. Deep learning, a subset of artificial intelligence, has demonstrated the ability to automate medical image analysis tasks, potentially improving fracture identification accuracy and reducing the need for additional and cost-intensive imaging modalities (Schwarz et al...
March 19, 2024: International Orthopaedics
https://read.qxmd.com/read/38489337/the-efficacy-of-pediatric-elbow-radiographic-guidance-in-diagnosis-of-lateral-humeral-condyle-fracture
#23
JOURNAL ARTICLE
Satetha Vasaruchapong, Patarawan Woratanarat, Tanyaporn Patathong, Thira Woratanarat, Supaneewan Jaovisidha, Chanika Angsanunsukh
Although lateral humeral condyle fracture is common, the incidence of missed diagnosis is very high. Delayed and missed diagnosis led to significant morbidities and loss of functions. We designed a pediatric elbow radiographic guidance aiming to improve the accuracy of diagnosis. This study was aimed to evaluate the efficacy of the radiographic guidance for the diagnosis of lateral condyle fracture. A cross-sectional study was conducted after defining the essential parameters as a guidance for assessing the pediatric elbow radiographs...
2024: PloS One
https://read.qxmd.com/read/38488821/classification-and-treatment-of-pediatric-capitellar-fractures
#24
JOURNAL ARTICLE
Daniel Yang, Soroush Baghdadi, Pille-Riin Värk, Eliza Buttrick, Apurva S Shah
BACKGROUND: Fractures of the capitellum are rare in children. The purpose of this study was to report fracture characteristics, treatment, and outcomes of pediatric capitellar fractures at a single children's hospital. We also aimed to update the classification of these fractures based on a large sample size by revising the Murthy (Boston) classification. METHODS: In a retrospective study at a single tertiary care children's hospital, fractures of the capitellum in patients below 18 years of age were queried and reviewed for demographics, injury characteristics, imaging, treatment, outcomes, and complications...
March 14, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38469596/utility-of-three-dimensional-printing-in-the-surgical-management-of-intra-articular-distal-humerus-fractures-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#25
JOURNAL ARTICLE
Vishnu Baburaj, Sandeep Patel, Vishal Kumar, Siddhartha Sharma, Mandeep Singh Dhillon
BACKGROUND: Clinical outcomes after fixation of distal humerus intraarticular fractures are directly related to the quality of reduction. The use of three-dimensional (3D)-printed fracture models can benefit preoperative planning to ensure good reduction. This review aims to determine if surgery performed with 3D printing assistance are faster and result in fewer complications and improved clinical outcomes than conventional methods. We also outline the benefits and drawbacks of this novel technique in surgical management of distal humerus fractures...
March 2024: Clinics in shoulder and elbow
https://read.qxmd.com/read/38466199/enhanced-muscle-endurance-through-self-regulated-dual-task-exercises-in-elbow-fracture-rehabilitation-a-cross-sectional-study
#26
JOURNAL ARTICLE
Carlos Cruz-Montecinos, Laura López-Bueno, Rodrigo Núñez-Cortés, Rubén López-Bueno, Luis Suso-Martí, Guillermo Méndez-Rebolledo, Antoni Morral, Lars Louis Andersen, José Casaña, Joaquín Calatayud
OBJECTIVE: The main objective of this study was to investigate the effect of a self-regulated dual task on muscle endurance within a single rehabilitation session in patients recovering from an elbow fracture. DESIGN: Cross-sectional study of individuals recovering from elbow fractures (N = 20). Muscle endurance was tested using elastic bands at Borg's CR10 intensity 3- during four conditions: single-task and dual-task for elbow flexion and extension. RESULTS: The cognitive condition significantly influenced muscle endurance (p < 0...
February 27, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38464438/reliability-of-the-curl-classification-for-proximal-ulna-fracture-dislocations-of-the-elbow
#27
JOURNAL ARTICLE
Humaid Ghori, Rahul Bagga, Anand Tathgar, Andrew Stone, Richard J Murphy, Joideep Phadnis
BACKGROUND: Proximal ulna fracture-dislocations are challenging injuries with a myriad of existing classification systems. The Coronoid, proximal Ulna, Radius, and Ligaments classification (CURL) is a simple framework designed to focus attention on the key components affecting outcome and guide surgical management. This study evaluates interobserver and intraobserver reliability of this new classification. METHODS: Four observers independently reviewed plain radiographs and computed tomography (CT) scans of patients with proximal ulna fracture-dislocations...
March 2024: JSES international
https://read.qxmd.com/read/38458733/ai-is-indeed-helpful-but-it-should-always-be-monitored
#28
EDITORIAL
Ali Guermazi
No abstract text is available yet for this article.
March 2024: Diagnostic and Interventional Imaging
https://read.qxmd.com/read/38457769/no-differences-in-clinical-functional-or-patient-reported-outcomes-following-trial-of-non-operative-management-prior-to-open-reduction-and-internal-fixation-of-humeral-shaft-fractures
#29
JOURNAL ARTICLE
Urvi J Patel, Melissa R Holloway, Thomas J Carroll, Sandeep P Soin, John P Ketz
OBJECTIVES: To test the hypothesis that primary osteosynthesis of humeral shaft fractures may lead to more favorable clinical, functional, and patient-reported outcomes than fixation following a trial of nonoperative management. DESIGN: Retrospective Cohort Review. SETTING: Academic Level I Trauma Center. PATIENT SELECTION CRITERIA: Adult patients who presented with humeral shaft fractures, and ultimately underwent open reduction and internal fixation (ORIF) from 05/2011 to 05/2021...
March 7, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38454784/long-standing-nonunited-fracture-lateral-humeral-condyle-in-children-evaluating-a-two-stage-surgical-treatment-strategy-with-critical-review
#30
JOURNAL ARTICLE
Ashraf A Khanfour
OBJECTIVE: This work aimed to evaluate the results of using a 2-stage surgical treatment strategy without doing anterior transposition of the ulnar nerve (ATUN) for cases with long-standing nonunited fracture lateral humeral condyle (LHC) in children, accompanied by a critical review. METHODS: A consecutive 12 children with a long-standing ">2 years" nonunited LHC with evident radiologic gross anatomic distortion of the elbow were included in this study. A 2-stage surgical treatment strategy was applied, wherein the first stage, open functional reduction, osteosynthesis, and iliac bone graft were done...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38451303/optimizing-periprosthetic-fracture-management-and-in-hospital-outcome-insights-from-the-pippas-multicentric-study-of-1387-cases-in-spain
#31
MULTICENTER STUDY
(no author information available yet)
BACKGROUND: The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to evaluate their implications for the community. METHODS: PIPPAS (Peri-Implant PeriProsthetic Survival Analysis) was a prospective multicentre observational study of 1387 PPF performed during 2021...
March 7, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38450618/comparison-of-low-dose-computed-tomography-versus-conventional-dose-computed-tomography-in-the-evaluation-of-distal-radius-fractures
#32
JOURNAL ARTICLE
Steven L Zeng, A Jordan Grier, Hannah C Langdell, Kier M Blevins, William M Tian, Robert J French, Suhail K Mithani, Warren C Hammert, Christopher S Klifto
BACKGROUND: Distal radius fractures (DRFs) are common upper extremity fractures and often require surgical fixation when they are intraarticular. Preoperative computed tomography (CT) has emerged as a surgical planning tool to evaluate intraarticular DRFs. Although CT affords additional details, patients receive higher radiation doses than standard radiographs. We aim to develop a low-dose CT (LDCT) protocol, relative to the institutional standard-dose CT wrist for intraarticular DRFs although providing adequate detail for surgical decision-making...
March 7, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38447478/the-importance-of-interdigitating-screw-fixation-of-the-trochlea-in-double-plate-osteosynthesis-of-low-transcondylar-distal-humerus-fractures-a-biomechanical-study
#33
JOURNAL ARTICLE
Sebastian Lappen, Sebastian Siebenlist, Tim Leschinger, Pavel Kadantsev, Stephanie Geyer, Kilian Wegmann, Lars-Peter Müller, Michael Hackl
OBJECTIVE: The trochlea is of great importance for the stability of the elbow and its fixation in low transcondylar fractures of the distal humerus is especially challenging. The aim of this study was to determine the optimal trochlea fixation in double plate osteosynthesis of intraarticular distal humerus fractures. METHODS: A low transcondylar, C3-type distal humerus fracture was created in 20 fresh-frozen human cadaveric humeri. The samples were then randomly divided into two groups of 10 specimens each...
April 2024: Injury
https://read.qxmd.com/read/38443721/-nerve-injuries-due-to-fractures-in-childhood-primarily-and-secondarily-on-the-upper-extremity
#34
JOURNAL ARTICLE
Richarda Böttcher, Frank Dähne, Sebastian Böttcher, Ulrike Johl, Anja Tittel, Ulrike Schnick
The approach for nerve injuries in children in the context of fractures of the upper extremities is inconsistent in the literature. The underlying mostly retrospective studies do not usually consider the potential diagnostics. The frequency of nerve injuries with a clear need for reconstructive surgery is sometimes estimated so differently that precedent-setting errors in these studies must be assumed; however, as 10-20% of pediatric fractures near the elbow show primary or secondary nerve lesions, timely and appropriate further treatment is necessary...
March 5, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38439558/five-year-radiographic-and-functional-outcomes-of-nonoperative-treatment-of-completely-displaced-midshaft-clavicular-fractures-in-teenagers
#35
JOURNAL ARTICLE
Samuel G Polinsky, Eric W Edmonds, Tracey P Bastrom, Claire E Manhard, Benton E Heyworth, Donald S Bae, Michael T Busch, Henry B Ellis, Katelyn Hergott, Mininder S Kocher, Ying Li, Jeffrey J Nepple, Nirav K Pandya, Crystal Perkins, Coleen S Sabatini, David D Spence, Samuel C Willimon, Philip L Wilson, Andrew T Pennock
BACKGROUND: Optimal treatment of completely displaced midshaft clavicular fractures in adolescents remains controversial, with some favoring surgical management and others favoring a nonoperative approach. Few studies have comprehensively assessed longer-term nonoperative outcomes. PURPOSE: To prospectively assess patient-reported outcomes (PROs) and radiographic remodeling ≥5 years after injury in teenagers undergoing nonoperative treatment of completely displaced clavicular fractures...
March 4, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38435251/suture-button-repair-for-lateral-ulnar-collateral-ligament-in-terrible-triad-injuries-surgical-technique
#36
JOURNAL ARTICLE
Liana J Tedesco, Peter C Noback, Taylor L Paskey, Matthew Konigsberg, R Kumar Kadiyala
Terrible triad injuries are typically treated surgically to restore elbow stability, as the radial head acts as a secondary stabilizer to valgus stress, while the coronoid provides stability against posterior elbow dislocations. The lateral ulnar collateral ligament (LUCL) is also commonly injured in terrible triad of the elbow injuries, and if not repaired, leads to posterolateral rotatory instability. Depending on the fracture pattern and size, the radial head fracture may be treated with open reduction internal fixation (ORIF), arthroplasty, or excision, whereas the coronoid fracture is most commonly treated with ORIF...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435044/fast-treatment-of-anterior-shoulder-dislocations-with-two-sedation-free-methods-the-davos-self-reduction-method-and-arlt-method
#37
JOURNAL ARTICLE
Lukas Werner Widmer, Till Dominic Lerch, Anna Genthner, Lara Pozzi, James Geiger, Hans-Curd Frei
BACKGROUND: Various reduction techniques exist to treat traumatic shoulder dislocation, but best management remains unclear. AIMS: To investigate the reduction rate of traumatic anteroinferior shoulder dislocations using two sedation-free techniques and success rates of subgroups. METHODS: A single-center study was performed analysing shoulder dislocations in a two-year period. Adult patients with anteroinferior shoulder dislocation were included...
February 2024: Shoulder & Elbow
https://read.qxmd.com/read/38435036/sternoclavicular-joint-reconstruction-for-traumatic-acute-and-chronic-anterior-and-posterior-instability-patient-reported-outcomes-at-a-minimum-of-2-years
#38
JOURNAL ARTICLE
Jeremy S Somerson, Kate M Parker, Winston J Warme
BACKGROUND: Instability of the sternoclavicular joint (SCJ) is a rare problem that is often treated closed, with few published outcomes of surgical treatment with tendon graft reconstruction. METHODS: We reviewed a consecutive series of patients who underwent tendon graft reconstruction for SCJ instability over a 7-year period. Cases with acute fractures or fewer than 2 years of follow-up were excluded. Pre- and postoperative function and pain were assessed using Single assessment numeric evaluation (SANE), simple shoulder test (SST), and visual analog scale (VAS) outcome measures...
February 2024: Shoulder & Elbow
https://read.qxmd.com/read/38430980/surgical-treatment-of-displaced-proximal-humerus-fractures-is-associated-with-decreased-1-year-mortality-in-patients-aged-65-and-older-a-retrospective-study-of-medicare-patients
#39
JOURNAL ARTICLE
Akiro H Duey, Brocha Z Stern, Nicole Zubizarreta, Leesa M Galatz, Bradford O Parsons, Jashvant Poeran, Paul J Cagle
BACKGROUND: Proximal humerus fracture (PHF) is a risk factor for 1-year mortality. This study aimed to determine if surgery is associated with lower mortality compared to nonoperative treatment following PHF in older patients. METHODS: This retrospective cohort study used the Medicare Limited Data Set. Patients aged 65+ with a PHF diagnosis in 2017-2020 were included. Treatment was classified as nonoperative, open reduction internal fixation (ORIF), total shoulder arthroplasty (TSA), or hemiarthroplasty...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430070/radial-head-replacement-with-the-3d-printed-patient-specific-titanium-prosthesis-preliminary-results-of-a-multi-centric-prospective-study
#40
MULTICENTER STUDY
Suriya Luenam, Arkaphat Kosiyatrakul, Chris Charoenlap, Chedtha Puncreobutr, Boonrat Lohwongwatana
PURPOSE: To report preliminary clinical results and safety of 3D-printed patient-specific titanium radial head (RH) prosthesis in treatment of the irreparable RH fractures. MATERIAL AND METHODS: This multi-centric prospective study included 10 patients (6 men and four women, mean age 41 years (range, 25-64 years)). Three cases were classified as Mason type III and 7 cases as type IV. Patients were assessed preoperatively, intraoperatively, and at 1, 6, 12, 24, 36, and 48 weeks postoperatively...
2024: Journal of Orthopaedic Surgery
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