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https://www.readbyqxmd.com/read/28937532/prevalence-risk-factors-and-characteristics-of-the-adding-on-phenomenon-in-idiopathic-scoliosis-after-correction-surgery-a-systematic-review-and-meta-analysis
#1
Mingyuan Yang, Yuechao Zhao, Xin Yin, Ziqiang Chen, Changwei Yang, Li Li, Ming Li
STUDY DESIGN: A systematic review and meta-analysis OBJECTIVE.: To discuss the prevalence, risk factors and characteristics of the 'adding-on' phenomenon in idiopathic scoliosis (IS). SUMMARY OF BACKGROUND DATA: There are controversies on the prevalence and risk factors of the 'adding-on' phenomenon. In addition, there is no comprehensive study to describe the characteristics of 'adding-on' in IS patients. METHODS: We performed a systematic online search using PubMed, EMBASE, Web of Science, the Cochrane Library and China WeiPu Library to identify eligible studies...
September 20, 2017: Spine
https://www.readbyqxmd.com/read/28927880/treatment-of-neer-iib-distal-clavicle-fractures-using%C3%A2-anatomical-locked-plate-fixation-with-coracoclavicular-ligament-augmentation
#2
Lei Han, Yungen Hu, Renfu Quan, Weili Fang, Bo Jin, Ligang Huang
PURPOSE: The purpose of this study was to evaluate the clinical and radiographic outcomes of Neer type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with coracoclavicular ligament augmentation. METHODS: Twelve patients with Neer Type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with suture anchor augmentation of the coracoclavicular ligament, were retrospectively studied. Clinical outcomes were assessed using the Constant score and the Disabilities of the Arm, Shoulder, and Hand (DASH) score...
September 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28926505/do-all-clavicle-fractures-in-children-need-to-be-managed-by-orthopedic-surgeons
#3
John Adamich, Andrew Howard, Mark Camp
OBJECTIVES: Although many uncomplicated pediatric fractures do not require routine long-term follow-up with an orthopedic surgeon, practitioners with limited experience dealing with pediatric fractures will often defer to a strategy of frequent clinical and radiographic follow-up. Development of an evidence-based clinical care pathway can help unnecessary radiation exposure to this patient population and reduce costs to patient families and the health care system. METHODS: A retrospective analysis including patients who presented to the Hospital for Sick Children (SickKids) for management of clavicle fractures was performed...
September 18, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28926347/laryngohyoid-fractures-in-fatal-nonhomicidal-falls-from-a-height
#4
Hüseyin Eş, Muhammed Feyzi Şahin, Erdinç Özdemir
In cases of fall from a height, the presence of laryngohyoid fracture or bleeding at autopsy constitutes a suspicion of strangulation before trauma in these types of cases. This study has aimed to investigate the incidence of laryngohyoid fractures in nonhomicidal fall from height cases, and their relationship with age, sex, height of fall, body mass index, and other injuries.A total of 170 cases proven to be nonhomicidal falls from height with certain witnesses and evidences in 4683 autopsy cases in 2013 were included in this study...
September 16, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28922701/unicortical-and-bicortical-plating-in-the-fixation-of-comminuted-fractures-of-the-clavicle-a-biomechanical-study
#5
John M Looft, Lincoln Corrêa, Minoo Patel, Mathew Rawlings, David C Ackland
BACKGROUND: Intraoperative neurovascular complications with clavicle fracture fixation are often due to far cortex penetration by drills and screws, but could be avoided using a unicortical construct. The objective of this study was to compare the bending and torsional strength of a unicortical locking screw plate construct and a hybrid (with central locked and outer non-locked long oblique screws) unicortical plate construct for clavicle fracture fixation with that of a conventional bicortical locking screw construct of plate fixation...
September 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28904638/functional-outcomes-following-non-operative-versus-operative-treatment-of-clavicle-fractures-in-adolescents
#6
M M Herzog, R C Whitesell, L M Mac, M L Jackson, B A Culotta, J R Axelrod, M T Busch, S C Willimon
PURPOSE: Superiority of non-operative versus operative treatment of clavicle shaft fractures remains unclear. We aimed to assess shoulder function in adolescents following shortened clavicle fracture and compare operative versus non-operative treatment. METHODS: Patients aged 12 to 18 years at the time of fracture and minimum 1.5 years post injury were identified for this institutional review board (IRB)-approved study. For this retrospective cohort study, patients were frequency-matched for age, gender, shortening of the clavicle fracture and activity level...
August 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28902760/common-ice-hockey-injuries-and-treatment-a-current-concepts-review
#7
William Mosenthal, Michael Kim, Robert Holzshu, Bryan Hanypsiak, Aravind Athiviraham
Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28898793/displaced-acromion-fracture-a-rare-injury-case-report
#8
Özgür Çiçekli, Abdülhalim Akar, Hüseyin Nevzat Topçu
INTRODUCTION: Acromion fractures are extremely rare. There are no common accepted treatment schemes and fixation methods We aimed to present a case which may contribute to the diagnosis and treatment of acromion fracture in a patient with polytrauma. PRESENTATION OF CASE: Acromion fracture associated with scapula and clavicle fractures was diagnosed in 40 years old patient and treated with open reduction and cannulated screw fixation. The fracture healing was completed without causing subacromial impingement...
September 1, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28898321/-cleidocranial-dysplasia-a-case-report
#9
Olga Medina, Nelson Muñoz, Carlos Moneriz
INTRODUCTION: Cleidocraneal dysplasia (CCD) is a rare skeletal autosomal dominant syndrome characterized by dental anomalies and bone abnormalities. These clinical manifestations do not require treatment in most cases. The disease is caused by mutation in the gene RUNX2 (CBAF1), located on the short arm of chromosome 6. OBJECTIVE: To report a case of CCD and perform a literature review focused on clinical manifestations and diagnosis. CASE REPORT: A 3 year old patient, who was clinically diagnosed with CCD since birth...
2017: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/28894757/a-biomechanical-and-clinical-comparison-of-midshaft-clavicle-plate-fixation-are-2-screws-as-good-as-3-on-each-side-of-the-fracture
#10
Christopher G Larsen, Brian Sleasman, Steven C Chudik
BACKGROUND: The standard of care for plating displaced midshaft clavicle fractures has been 6 cortices of purchase on each side of the fracture. The use of locking plates and screws may afford equivalent biomechanical strength with fewer cortices of purchase on each side of the fracture. PURPOSE: To compare the biomechanical and clinical performance of 3- versus 2-screw constructs for plating displaced midshaft clavicle fractures. STUDY DESIGN: Controlled laboratory study/cohort study; Level of evidence, 3...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28894371/radiologic-findings-of-thoracic-trauma
#11
Cihan Akgul Ozmen, Serdar Onat, Delal Aycicek
INTRODUCTION: Chest trauma may be blunt or penetrating and the chest is the third most common trauma region. It is a significant cause of mortality. Multidetector computed tomography (MDCT) has been an increasingly used method to evaluate chest trauma because of its high success in detecting tissue and organ injuries. Herein, we aimed to present MDCT findings in patients with blunt and penetrating chest trauma admitted to our department. METHODS: A total of 240 patients admitted to the emergency department of our hospital between April 2012 and July 2013 with a diagnosis of chest trauma who underwent MDCT evaluations were included...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28890314/bilateral-clavicular-attachment-of-omohyoid-muscle
#12
N Singh, M Kathole, J Kaur, V Mehta, R K Suri, G Rath, M Kohli
Omohyoid muscle present in cervical region is of particular importance to anatomists as it defines anteriorly the carotid triangle and divides the posterior cervical triangle. It has superior and inferior bellies and an intermediate common tendon. Like sternohyoid, sternothyroid and thyrohyoid muscles, omohyoid is also an infrahyoid muscle, but it differs from them in its course. The infrahyoid muscles are formed from a muscle primordium occurring in the anterior cervical area. Anderson (Anderson, 1881) theorized that the superior belly of the omohyoid muscle is a true infrahyoid muscle, whereas the inferior belly most likely shares a common embryology with the subclavius muscle...
September 7, 2017: Morphologie: Bulletin de L'Association des Anatomistes
https://www.readbyqxmd.com/read/28890056/giant-chest-wall-arteriovenous-malformation-a-case-report-and-literature-review
#13
Cullen McCarthy, Subrato Deb, Suhair Maqusi, Joshua Gierman
INTRODUCTION: We present an interesting case of a 55 year-old male with a large left chest mass after significant cutaneous bleeding. CT angiogram of the chest revealed arteriovenous malformation with blood supply from subbranches of the left subclavian artery, left internal mammary artery and left external carotid artery. Measuring 5.0x14.0x10.8cm, the mass extended superior to the clavicle and inferior to the third rib with medial and lateral borders at the level of the clavicular head and coracoid, respectively...
September 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28889331/magnetic-resonance-imaging-based-evaluation-of-ossification-of-the-medial-clavicular-epiphysis-in-forensic-age-assessment
#14
S Schmidt, C Ottow, H Pfeiffer, W Heindel, V Vieth, A Schmeling, R Schulz
Evaluation of the degree of ossification of the medial clavicular epiphysis plays a crucial role in determining with an adequate degree of probability whether legally relevant age boundaries after the age of 17 have been crossed. In view of the need to avoid unnecessary radiation exposure, establishing non-X-ray methods for investigating the clavicle has long been a key objective in forensic age assessment research. Based on magnetic resonance imaging examinations in a large sample of healthy subjects, the current study for the first time presents statistical measures which allow inferences to be drawn for forensic age assessment in both sexes...
September 9, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28885665/comparison-of-2-plating-techniques-for-lateral-clavicle-fractures-using-a-new-standardized-biomechanical-testing-setup
#15
Cyrill Suter, Martin Majewski, Andrej M Nowakowski
BACKGROUND: Conservative treatment of lateral clavicle fractures (Neer type II) often ends with unsatisfactory results for patients. Operative treatment is thus gaining acceptance. A retrospective study found success using a double plate technique for these injuries. For the current study, a standardized testing setup was developed to compare the mechanical properties of single versus double plate technique for lateral clavicle fractures. METHODS: Six synthetic bones were tested for each technique...
September 8, 2017: Journal of Applied Biomaterials & Functional Materials
https://www.readbyqxmd.com/read/28876271/treatment-of-unstable-distal-clavicle-fractures-with-multiple-steinmann-pins-a-modification-of-neer-s-method-a-series-of-56-consecutive-cases
#16
Sang H Kwak, Young H Lee, Dong W Kim, Min B Kim, Ho S Choi, Goo H Baek
OBJECTIVES: To introduce an alternative fixation technique for Neer type II fractures using Steinmann pins (S-pins). DESIGN: Retrospective case series study. SETTING: Operating room followed by clinic in tertiary hospital. PATIENTS/PARTICIPANTS: Between 2001 and 2013, among 66 consecutive patients diagnosed with Neer type II distal clavicle fractures, 11 patients were excluded and 56 clavicles of 55 patients who underwent surgical treatment with multiple transacromial S-pins were selected for analysis...
September 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28876163/concurrent-validity-of-inclinometer-measures-of-scapular-and-clavicular-positions-in-arm-elevation
#17
Paula R Camargo, Vandana Phadke, Gisele G Zanca, Paula M Ludewig
OBJECTIVE: To assess concurrent validity, between and within-day reliability of scapular and clavicular digital inclinometer measures. DESIGN: Test-retest and concurrent validity. SETTING: Laboratory. PARTICIPANTS: Twenty-three participants with and without shoulder symptoms. MAIN OUTCOME MEASURES: Static positions of scapular upward rotation, anterior/posterior tilting and clavicular elevation were measured between days with an inclinometer and compared to a 3-dimensional electromagnetic tracking system in different positions of sagittal plane humeral elevation (neutral, 30°, 60°, 90°, 120°)...
September 6, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28872155/the-rising-incidence-of-parotid-metastases-our-experience-from-four-decades-of-parotid-gland-surgery
#18
A Franzen, A Buchali, A Lieder
Secondary neoplasia in the parotid gland is increasingly frequent. We examined outcomes from 40 years of parotid surgery to analyse patterns for metastasis, review the staging procedure and discuss management. We retrospectively examined 772 consecutive cases of parotid surgery in a university hospital between 1975 and 2015 and assessed changes in incidence and management over four decades. In all, 71% percent of patients were male and 29% were female, with a mean age of 68 years, aged between 23 and 93 years...
August 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28867440/etonogestrel-implant-migration-to-the-vasculature-chest-wall-and-distant-body-sites-cases-from-a-pharmacovigilance-database
#19
Sarah Kang, Ali Niak, Neha Gada, Allen Brinker, S Christopher Jones
OBJECTIVE: To describe clinical outcomes of etonogestrel implant patients with migration to the vasculature, chest wall, and other distant body sites spontaneously reported to the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) database. STUDY DESIGN: We performed a standardized Medical Dictionary for Regulatory Activities (MedDRA) query in the FAERS database (through November 15, 2015) with reports coded with one or more MedDRA preferred terms (PTs) that indicate complications with device placement or migration of the device from the original site of insertion to the vasculature, chest wall and other distant body sites...
August 31, 2017: Contraception
https://www.readbyqxmd.com/read/28856939/three-dimensional-morphological-analysis-of-acromioclavicular-joint-in-patients-with-and-without-subacromial-erosion-after-hook-plate-fixation
#20
Peng-Cheng Shen, Yu Zhu, Hui Zhang, Li-Fan Zhu, Feng-Biao Weng, Fu-Gui Jiang, Neng Xu, Wen Ju, Xiao-Lin Li
Objective To investigate the role of acromioclavicular joint morphology in the presence of subacromial erosion after hook plate fixation. Methods We retrospectively analyzed the clinical data of 36 patients (17 men, 19 women; mean age, 48.7 years; range, 21-76 years) treated with hook plate fixation for distal clavicular fractures (n = 20) or acromioclavicular joint dislocation (n = 16) from August 2011 to March 2013. The patients were divided into two groups: the subacromial erosion group (18 patients) and the normal group (18 patients)...
January 1, 2017: Journal of International Medical Research
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