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https://www.readbyqxmd.com/read/29241221/diagnosis-risk-assessment-and-treatment-decisions-for-occlusal-caries-a-survey-from-the-danish-public-dental-health-service
#1
Joana Christina Carvalho, Vibeke Qvist, Nicole R Aimée, Heliana D Mestrinho, Azam Bakhshandeh
This study validates a case-based survey method and analyzes the extent to which Danish dental professionals apply current concepts and strategies for occlusal caries management in children, adolescents, and young adults. A case-based, precoded questionnaire consisting of 10 clinical cases/patients with 26 teeth/occlusal surfaces was developed. The cases were set up in a PowerPoint presentation and color printed as a booklet illustrating patients with different patterns of caries activity, severity, and risk...
December 15, 2017: Caries Research
https://www.readbyqxmd.com/read/29239251/treatment-of-distal-interphalangeal-ganglion-cysts-by-volar-corticosteroid-injection
#2
Kent Weinheimer, Nathan Patrick, Michael Darowish
BACKGROUND: Various options exist for operative and nonoperative treatment of symptomatic distal interphalangeal (DIP) ganglion cysts. We describe the technique and efficacy of a novel treatment of DIP ganglion cysts using a volar, transtendon, intra-articular injection of corticosteroid. METHODS: This was a single center, retrospective study (2010-2015) of 21 patients who received a volar, intra-articular corticosteroid injection for treatment of DIP ganglion cysts...
December 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29229415/return-to-sports-after-tibial-tubercle-osteotomy-for-patellofemoral-pain-and-osteoarthritis
#3
Joseph N Liu, Hao-Hua Wu, Grant H Garcia, Irene L Kalbian, Sabrina M Strickland, Beth E Shubin Stein
PURPOSE: To determine the rate of return to sports and clinical outcomes after anteromedialization (AMZ) tibial tubercle osteotomy (TTO) for patients with patellofemoral pain and/or osteoarthritis. METHODS: This study is a retrospective case series of consecutive patients who underwent unilateral or staged bilateral AMZ TTO for a primary diagnosis of patellofemoral pain or arthritis. Included were all patients with minimum 1-year follow-up. The indication for surgery was failure of at least 6 months of nonoperative treatment...
December 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29228848/comparative-study-of-surgical-and-conservative-treatments-for-fifth-metatarsal-base-avulsion-fractures-type-i-in-young-adults-or-athletes
#4
Gen-Bin Wu, Bing Li, Yun-Feng Yang
PURPOSE: This study aimed to investigate the therapeutic effects and complications of minimally invasive surgery in treating displaced avulsion fractures (2-3 mm) of fifth metatarsal base zone I in young adults or athletes. METHODS: Forty-six patients with displaced fifth metatarsal base avulsion fractures were assigned to operative and nonoperative groups by randomization. Patients in nonoperative group were immobilized with plaster, while patients in operative group were treated with closed reduction and fixation with a percutaneous screw...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29228800/fifth-metatarsal-jones-fractures-in-the-athlete
#5
David A Porter
Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types of Jones fractures. The current standard for treatment is operative intervention with intramedullary screw fixation. Athletes typically report an acute episode of lateral foot pain, described as an ache...
December 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29224940/results-of-nonoperative-management-of-acute-limb-ischemia-in-infants
#6
S Keisin Wang, Gary W Lemmon, Natalie A Drucker, Raghu L Motaganahalli, Michael C Dalsing, Ashley R Gutwein, Brian W Gray, Michael P Murphy
OBJECTIVE: Acute limb ischemia (ALI) in infants poses a challenge to the clinician secondary to poor operative outcomes, limb loss risk, and lifelong morbidity. This retrospective study reviewed a 10-year institutional experience with the nonoperative management of ALI in infants. METHODS: Infants (aged ≤12 months) diagnosed with ALI by duplex ultrasound and treated with initial nonoperative management at a tertiary care children's hospital were identified through vascular laboratory arterial duplex ultrasound records and International Classification of Diseases and Current Procedural Terminology codes associated with ALI...
December 7, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29210908/does-using-pas-in-the-closed-treatment-of-pediatric-forearm-fractures-increase-malunion-risk
#7
Stephanie Garrison, Emily A Eismann, Roger Cornwall
PURPOSE: This study assessed whether using physician assistants (PAs) for fracture follow-up during nonoperative management of pediatric forearm fractures was associated with an increased risk of malunion. METHODS: The study was a retrospective review of charts of 141 children under age 18 years who were treated nonoperatively in the division of orthopedics over 12 months for forearm fractures. The effect of type and number of follow-up providers on risk of malunion was determined and controlled for fracture type, location, and initial angulation...
December 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29201925/a-comparison-of-nonoperative-and-operative-treatment-of-complete-proximal-hamstring-ruptures
#8
Braidy C Shambaugh, Joshua R Olsen, Edward Lacerte, Ethan Kellum, Suzanne L Miller
Background: The early repair of acute proximal hamstring ruptures provides better clinical results than delayed repair. However, it is unclear how nonoperative treatment compares with the operative treatment of these injuries. Purpose: To compare the clinical results of the nonoperative and operative treatment of acute proximal hamstring ruptures. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 25 patients with complete, retracted proximal hamstring ruptures presenting to 1 institution were retrospectively reviewed...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29200485/clinical-outcomes-of-an-initial-3-month-trial-of-conservative-treatment-for-femoroacetabular-impingement
#9
Aditya L Kekatpure, Taesoo Ahn, Chul-Ho Kim, Soong Joon Lee, Kang Sup Yoon, Pil Whan Yoon
Background: Femoroacetabular impingement (FAI) can be managed either conservatively or by a surgical correction of the deformity causing impingement. However, there is insufficient evidence to justify an immediate surgical treatment in all symptomatic patients, and the role of a nonoperative treatment is unclear. This study evaluates the role of conservative treatment for FAI. Materials and Methods: 87 patients (102 hips) diagnosed as FAI between January 2011 and May 2012 were included in this retrospective study...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29200479/management-of-sub-axial-cervical-spine-injuries
#10
Gautam Zaveri, Gurdip Das
Sub-axial cervical spine injuries are commonly seen in patients with blunt trauma. They may be associated with spinal cord injury resulting in tetraplegia and severe permanent disability. Immobilization of the neck, maintenance of blood pressure and oxygenation, rapid clinical and radiological assessment of all injuries, and realignment of the spinal column are the key steps in the emergency management of these injuries. The role of intravenous methylprednisolone administration in acute spinal cord injuries remains controversial...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29198605/incidence-demographics-and-outcomes-of-nonoperative-management-of-appendicitis-in-the-united-states
#11
Christopher B Horn, Dajun Tian, Grant V Bochicchio, Isaiah R Turnbull
BACKGROUND: Appendicitis is the most common intraabdominal surgical emergency in the United States, with over 250,000 cases each year. Several recent studies have evaluated the efficacy of nonoperative management of appendicitis. We measured changes in the treatment of appendicitis in the United States from 1998 to 2014 and evaluated outcomes in the contemporary cohort of appendicitis cases from 2010 to 2014. METHODS: The National Inpatient Sample was queried for cases with a principal diagnosis of appendicitis...
December 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29195847/trochanteric-bursitis-following-primary-total-hip-arthroplasty-incidence-predictors-and-treatment
#12
Shai S Shemesh, Calin S Moucha, Aakash Keswani, Nolan A Maher, Darwin Chen, Michael J Bronson
BACKGROUND: Trochanteric bursitis (TB) remains a common complication after total hip arthroplasty (THA), with an incidence between 3% and 17%, depending on the surgical approach, with the posterior approach (PA) being relatively protective compared to the lateral approach. The purposes of this study were to determine the incidence of TB after primary THA, identify potential risk factors for TB, and examine the utility of different modes of treatment. METHODS: Retrospective cohort data of 990 primary THAs performed in a single institution, including 613 PAs and 377 direct anterior approaches (DAAs), were analyzed...
November 13, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29189532/pediatric-supracondylar-humerus-fractures-aaos-appropriate-use-criteria-versus-actual-management-at-a-pediatric-level-1-trauma-center
#13
Joanne H Wang, William Z Morris, Blaine T Bafus, Raymond W Liu
OBJECTIVES: The purpose of this study was to characterize management of supracondylar humerus fractures (SCHFs) at a level 1 trauma center and identify factors contributing to divergence in management from American Academy of Orthopedic Surgeons (AAOS) the Appropriate Use Criteria (AUC) recommendations. METHODS: A query revealed 556 patients with diagnoses of SCHF between 2013 and 2015 at a pediatric level 1 trauma center. Patients were excluded if they were younger than 2 years of age, older than 12 years of age, were polytrauma patients, or if there was not sufficient clinical or radiographic documentation, resulting in 449 patients...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29189529/trends-in-management-and-complications-of-anterior-cruciate-ligament-injuries-in-pediatric-patients-a-survey-of-the-prism-society
#14
Charles A Popkin, Margaret L Wright, Andrew T Pennock, Laura A Vogel, Ajay Padaki, Lauren H Redler, Christopher S Ahmad
BACKGROUND: Anterior cruciate ligament (ACL) injuries have been recognized and treated with increasing frequency in children and adolescents. ACL reconstruction (ACLR) in skeletally immature patients has unique considerations and there is a large practice variation in the management of these injuries. The purpose of this study was to survey the members of the Pediatric Research in Sports Medicine (PRiSM) Society regarding their experience with the management and complications of pediatric ACL injuries...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29189339/a-prospective-randomized-controlled-trial-comparing-conservative-treatment-with-trunk-stabilization-exercise-to-standard-hip-muscle-exercise-for-treating-femoroacetabular-impingement-a-pilot-study
#15
Michihisa Aoyama, Yasuo Ohnishi, Hajime Utsunomiya, Shiho Kanezaki, Hiroki Takeuchi, Makoto Watanuki, Dean K Matsuda, Soshi Uchida
OBJECTIVE: To assess the efficacy of conservative management of women with femoroacetabular impingement (FAI) using trunk stabilization. DESIGN: Randomized controlled trial (level of evidence: I). SUBJECTS: Twenty FAI female patients who met the inclusion FAI criteria. METHODS: A prospective, randomized, controlled study was performed on 20 female patients with symptomatic FAI comprising 2 groups (10 hips in trunk stabilization exercise group vs 10 hips in control group)...
November 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29182002/acute-hand-injury-splinting-the-good-the-bad-and-the-ugly
#16
T Richards, R Clement, I Russell, D Newington
Injuries to the hand comprise 20% of all emergency department attendances, with an estimated annual treatment cost of over £100 million in the UK. The initial assessment and management of hand injuries is usually undertaken by junior staff, many of whom have little or no training or experience in splinting hand fractures. In the Department of Orthopaedic Hand Surgery, Morriston Hospital, we regularly observe patients presenting to the specialist hand fracture clinics having had initial management that shows no appreciation for the treatment objectives or the safe positions for splinting...
November 28, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29181361/insufficiency-fractures-at-unusual-sites-a-case-series
#17
Raju Vaishya, Amit Kumar Agarwal, Paras Kumar Banka, Vipul Vijay, Abhishek Vaish
Introduction: Insufficiency fractures (IFs) are a subtype of stress fractures commonly associated with osteoporosis and Vitamin D deficiency. These nontraumatic fractures often occur in the pelvis and spine, but the involvement of other unusual sites is also not very uncommon. Plain radiographs and magnetic resonance imaging scan are the most commonly used imaging modalities for the diagnosis of IF. Case Report: We are presenting a series of five cases of IFs at unusual sites, along with a detailed literature review on this individual...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29181345/intrapleural-penetration-of-a-clavicle-fracture-an-indication-for-operative-fixation
#18
Ryan D DeAngelis, Kenneth W Graf, Rakesh P Mashru
Introduction: Clavicle fractures are common injuries treated by orthopedic surgeons, with most injuries managed nonoperatively. Operative fixation of clavicle fractures is indicated in specific clinical scenarios such as open injuries, ipsilateral shoulder trauma, or fractures with associated neurovasculature compromise. Operative fixation is not widely accepted for closed injuries and is typically reserved for instances of failed closed treatment with resultant nonunion or delayed union...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29176489/treatment-of-axis-body-fractures-a-systematic-review
#19
Christopher K Kepler, Alexander R Vaccaro, Andrew N Fleischman, Vincent C Traynelis, Alpesh A Patel, Mark B Dekutoski, James Harrop, Kirkham B Wood, Gregory D Schroeder, Richard Bransford, Bizhan Aarabi, David O Okonkwo, Paul M Arnold, Michael G Fehlings, Ahmad Nassr, Christopher Shaffrey, S Tim Yoon, Brian Kwon
STUDY DESIGN: Evidence-based systematic review. OBJECTIVES: To define the optimal treatment of fractures involving the C2 body, including those with concomitant injuries, based upon a systematic review of the literature. SUMMARY OF BACKGROUND DATA: Axis body fractures have customarily been treated nonoperatively, but there are some injuries that may require operative intervention. High-quality literature is sparse and there are few class I or class II studies to guide treatment decisions...
December 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29169957/operative-versus-nonoperative-treatment-for-the-management-of-full-thickness-rotator-cuff-tears-a-systematic-review-and-meta-analysis
#20
Christine C Piper, Alice J Hughes, Yan Ma, Haijun Wang, Andrew S Neviaser
BACKGROUND: Rotator cuff disease is the most common pathology of the shoulder, responsible for approximately 70% of clinic visits for shoulder pain. However, no consensus exists on the optimal treatment. The aim of this study was to analyze level I and II research comparing operative versus nonoperative management of full-thickness rotator cuff tears. METHODS: A literature search was performed, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, to identify level I and II studies comparing operative versus nonoperative treatment of rotator cuff tears...
November 21, 2017: Journal of Shoulder and Elbow Surgery
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