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Shoulder trauma

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https://www.readbyqxmd.com/read/29901767/posterior-shoulder-dislocation-during-morning-pt-a-case-report
#1
Stefanie E Williams, Anthony J Hackett, Christian Jensen, Mark L Riddle
Posterior shoulder dislocation should be considered in the differential diagnosis of acute shoulder pain and immobility following trauma. Although far less common then the anterior dislocation, it is associated with high rates of comorbidity. Seventy-nine percent of posterior shoulder dislocations are missed on initial presentation, which is partially responsible for the high rate of comorbidity associated with these injuries. The mechanism of injury is varied from generalized seizure to minor trauma, which adds to the complexity of the diagnosis...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29895090/-arthroscopically-assisted-minimally-invasive-fixation-of-a-type-d2c-scapular-fracture
#2
Patrick Kornherr, Christiane Konerding, Mark Kovacevic, Klaus Wenda
Fractures of the scapula are rare and have an incidence of 1% of all fractures. Publications highlight glenoid rim fractures. Classification by Ideberg and Euler and Rüdi are accepted. Euler and Rüdi describe three extra-articular and two intra-articular fracture patterns. The indications for surgery are displaced glenoid fractures, scapula tilt of more than 40° and injuries to the superior shoulder suspensory complex. We describe a case of a 22 year old man, who while cycling collided with a moving car due to wet roads...
June 12, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29888490/in-vitro-tooth-reattachment-techniques-a-systematic-review
#3
Amanda Pinto Bandeira Rodrigues de Sousa, Kamilla França, Liliana Vicente Melo de Lucas Rezende, Déborah Lousan do Nascimento Poubel, Julio César Franco Almeida, Isabela Porto de Toledo, Fernanda Cristina Pimentel Garcia
BACKGROUND/AIMS: Fragment reattachment is a procedure that offers advantages, such as preservation of dental structure and maintenance of color, shape and translucency of the original tooth. The aim of this study was to analyze the reattachment techniques used to restore anterior teeth fractured by trauma. MATERIALS AND METHODS: The PubMed, LILACS, Web of Science, Cochrane and Scopus databases were searched in October 2016, and the search was updated in February 2017...
June 11, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/29887918/cement-augmentation-of-humeral-head-screws-reduces-early-implant-related-complications-after-locked-plating-of-proximal-humeral-fractures
#4
J Christoph Katthagen, O Lutz, C Voigt, H Lill, A Ellwein
Background: Cement augmentation (CA) of humeral head screws in locked plating of proximal humeral fractures (PHF) was found to be biomechanically beneficial. However, clinical outcomes of this treatment have not been well evaluated to date. Objectives: To assess outcomes of locked plating of PHF with additional CA and to compare them with outcomes of conventional locked plating without CA. Methods: 24 patients (mean age, 74.2 ± 10.1 years; 22 female) with displaced PHF were prospectively enrolled and treated with locked plating and additional CA...
2018: Obere Extremität
https://www.readbyqxmd.com/read/29887916/isolated-fractures-of-the-greater-tuberosity-when-are-they-treated-conservatively-a-baseline-study
#5
Benedikt Schliemann, Lukas F Heilmann, Michael J Raschke, Helmut Lill, J Christoph Katthagen, Alexander Ellwein
Background: This study analyzed the indications for conservative management of isolated greater tuberosity (GT) fractures. The rate of secondary interventions for failed conservative treatment was also assessed. Methods: A retrospective data evaluation of isolated GT fractures was performed from the clinical database of two level-I trauma centers from January 2010 to June 2017. Conservatively treated GT fractures were identified and subdivided according to etiology, morphology, and amount of initial displacement...
2018: Obere Extremität
https://www.readbyqxmd.com/read/29876747/backward-planning-a-craniomaxillofacial-trauma-curriculum-for-the-surgical-workforce-in-low-resource-settings
#6
David A Shaye, Travis Tollefson, Irfan Shah, Gopal Krishnan, Damir Matic, Marcelo Figari, Thiam Chye Lim, Sunil Aniruth, Warren Schubert
BACKGROUND: Trauma is a significant contributor to global disease, and low-income countries disproportionately shoulder this burden. Education and training are critical components in the effort to address the surgical workforce shortage. Educators can tailor training to a diverse background of health professionals in low-resource settings using competency-based curricula. We present a process for the development of a competency-based curriculum for low-resource settings in the context of craniomaxillofacial (CMF) trauma education...
June 6, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29876635/a-moving-human-body-causes-fatal-blunt-trauma-an-unusual-traffic-accident
#7
Annette Thierauf-Emberger, Andreas Lickert, Stefan Pollak
In urban traffic accidents, mainly pedestrians and cyclists are at risk of being injured and killed. Lethal injuries are usually caused by the immediate impact of a car or a tram. This paper presents a fatal accident without any direct contact with a motor vehicle. A 63-year-old woman sitting on a chair in a pavement cafe was killed by the impact of a 60-year-old male cyclist, who was flung in her direction after colliding with a car. Autopsy yielded intracutaneous haemorrhages on the impact sites of the female victim (left cheek, left shoulder and left upper arm)...
June 6, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29876242/arthroscopic-load-shift-technique-for-intraoperative-assessment-of-shoulder-translation
#8
Steven F DeFroda, Brett D Owens
Shoulder instability represents a spectrum of disease, ranging from subluxation to dislocation. It may present acutely after trauma or chronically as a result of multiple events. Physical examination is a key component in evaluating the degree of instability and laxity present; however, in-office guarding or apprehension may limit the examination. In addition, patient anatomy or operator technique may limit the accuracy and reproducibility of examination maneuvers such as the load-shift test. We propose an arthroscopic modification to the load-shift technique involving direct visualization to assess the direction and degree of shoulder instability...
March 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29864121/disability-and-return-to-work-after-mri-on-suspicion-of-scaphoid-fracture-influence-of-mri-pathology-and-occupational-mechanical-exposures
#9
Lone Kirkeby, Poul Frost, Torben Bæk Hansen, Susanne Wulff Svendsen
OBJECTIVES: We aimed to determine the prognosis after early MRI on clinical suspicion of scaphoid fracture, hypothesising that MRI pathology is associated with more disability and that MRI pathology and high occupational mechanical hand-arm exposures are associated with slower return to work (RTW). METHODS: We conducted a follow-up study of a cohort of 469 patients, who were scanned in the period 2006 to 2010. The respondents constituted our cohort for disability analysis and the subset that was in the labour market at the time of the trauma constituted our sub-cohort for RTW analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29862133/a-typology-of-secondary-stressors-among-refugees-of-conflict-in-the-middle-east-the-case-of-syrian-refugees-in-jordan
#10
Khalifah Alfadhli, John Drury
Introduction: As the years of displacement accumulate, the burden of secondary stressors (i.e., stressors not directly related to war) increase on the shoulders of millions of refugees, who do not have the option of either returning home due to war or having a sustainable livelihood in the host countries. This paper aims to shed light on the overlooked importance of secondary stressors among refugees of conflict in developing countries; it will do this by highlighting the experience of Syrian refugees in Jordan, and developing a typology of these stressors...
May 10, 2018: PLoS Currents
https://www.readbyqxmd.com/read/29862094/splenic-trauma-during-colonoscopy-the-role-of-intra-abdominal-adhesions
#11
Chukwunonso Chime, Charbel Ishak, Kishore Kumar, Venkata Kella, Sridhar Chilimuri
Splenic rupture following colonoscopy is rare, first reported in 1974, with incidence of 1-21/100,000. It is critical to anticipate splenic trauma during colonoscopy as one of the causes of abdominal pain after colonoscopy especially when located in the left upper quadrant or left shoulder. Postoperative adhesions is a predisposing factor for splenic injury, and management is either operative or nonoperative, based on hemodynamic stability and/or extravasation which can be seen on contrast-enhanced CT scan of the abdomen...
2018: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/29859102/long-term-outcomes-of-modular-metal-prosthesis-replacement-in-patients-with-irreparable-radial-head-fractures
#12
Alvin Chao-Yu Chen, Ying-Chao Chou, Chun-Jui Weng, Chun-Ying Cheng
BACKGROUND: The purposes of this study were to investigate the long-term outcomes of radial head replacement and to analyze the relationship between functional outcomes and periprosthetic radiolucency. METHODS: We retrospectively reviewed 32 patients who underwent unilateral radial head replacement between 2004 and 2011. Data on patient characteristics including age, gender, injury complexity, associated trauma, injury chronicity, and number of surgeries were collected and analyzed...
June 1, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29849293/a-near-fatal-sneeze-spontaneous-splenic-rupture-a-case-report-and-review-of-the-literature
#13
Gregory W Reinhold, Tina K Melonakos, Daniel T Lyman
A 79-year-old female called 911 for abdominal pain in her left upper quadrant with radiation through to her back and left shoulder for three hours. Upon arrival to the emergency department her physical exam was positive only for tenderness in the left upper quadrant of her abdomen. The patient denied any history of trauma but reported she "did sneeze three times" just prior to the onset of her pain. Computed tomography angiography of the abdomen and pelvis was obtained to evaluate for vascular pathology...
August 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29808072/musculoskeletal-pain-and-its-associated-risk-factors-among-medical-students-of-a-public-sector-university-in-karachi-pakistan
#14
Husna Haroon, Safia Mehmood, Fauzia Imtiaz, Syed Arif Ali, Mohammad Sarfraz
OBJECTIVE: To assess the frequency and anatomical distribution of musculoskeletal pain and its related risk factors. METHODS: This cross-sectional study was conducted at the Dow Medical College, Karachi, from September to November 2016, and comprised medical students. A self-administered questionnaire was filled out by the participants. Data was analysed using SPSS 17. RESULTS: Of the 360 participants, 268(74.4%)and 140(38.9%)students reported having musculoskeletal pain in at least one of the body sites in the past 12 months and in the past seven days, respectively...
April 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29793464/a-retrospective-comparative-study-of-arthroscopic-fixation-in-acute-rockwood-type-iv-acromioclavicular-joint-dislocation-single-versus-double-paired-endobutton-technique
#15
Jian Xu, Haifeng Liu, Wei Lu, Dingfu Li, Weimin Zhu, Kan Ouyang, Bing Wu, Liangquan Peng, Daping Wang
BACKGROUND: Rockwood type IV acromioclavicular joint (ACJ) dislocation is a trauma usually needs surgical treatment. Paired EndoButton technique (PET) is used in treating such condition. However, the effect of using different types of PET (single versus double PET) for fixation remains controversial. This study aims to evaluate and compare the efficacy of single and double PET and to provide a suitable option for the surgeons. METHODS: We retrospectively reviewed the charts of patients with acute Rockwood type IV ACJ dislocation who had undergone arthroscopic fixation using single or double PET fixation between March 2009 and March 2015...
May 24, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29793404/hyperglycaemia-in-early-pregnancy-the-treatment-of-booking-gestational-diabetes-mellitus-tobogm-study-a-randomised-controlled-trial
#16
David Simmons, William M Hague, Helena J Teede, N Wah Cheung, Emily J Hibbert, Christopher J Nolan, Michael J Peek, Federico Girosi, Christopher T Cowell, Vincent W-M Wong, Jeff R Flack, Mark McLean, Raiyomand Dalal, Annette Robertson, Rohit Rajagopal
BACKGROUND: Gestational diabetes mellitus (GDM) causes adverse pregnancy outcomes that can be averted by treatment from 24-28 weeks' gestation. Assessing and treating women for overt diabetes in pregnancy (ODIP) at the first antenatal clinic booking is now recommended in international guidelines. As a consequence, women with milder hyperglycaemia are being diagnosed and treated for early GDM, but randomised controlled trial (RCTs) assessing the benefits and harms of such treatment have not been undertaken...
May 28, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29762283/five-to-ten-year-outcomes-of-operatively-treated-scapular-fractures
#17
Joscelyn M Tatro, Jeffrey A Gilbertson, Lisa K Schroder, Peter A Cole
BACKGROUND: The purpose of this study was to assess the 5 to 10-year clinical and patient-reported functional outcomes after open reduction and internal fixation (ORIF) of intra-articular and extra-articular scapular fractures. METHODS: We conducted a retrospective review of prospectively collected data on 106 patients who underwent ORIF of a scapular fracture at a single level-I trauma center between January 2005 and December 2010. Eight patients were excluded from the study because they had either severe neurologic injury or an isolated process fracture, and 66 patients (37 with an isolated extra-articular fracture and 29 with an intra-articular fracture) participated in the 5 to 10-year follow-up, yielding a follow-up rate of 67%...
May 16, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29760842/appropriateness-of-extremity-magnetic-resonance-imaging-examinations-in-an-academic-emergency-department-observation-unit
#18
McKinley Glover, Ravi V Gottumukkala, Yadiel Sanchez, Brian J Yun, Theodore I Benzer, Benjamin A White, Anand M Prabhakar, Ali S Raja
Introduction: Emergency departments (ED) and hospitals face increasing challenges related to capacity, throughput, and stewardship of limited resources while maintaining high quality. Appropriate utilization of extremity magnetic resonance imaging (MRI) examinations within the emergency setting is not well known. Therefore, this study aimed to determine indications for and appropriateness of MRI of the extremities for musculoskeletal conditions in the ED observation unit (EDOU). Methods: We conducted this institutional review board-approved, retrospective study in a large, quaternary care academic center and Level I trauma center...
May 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29728740/arthroscopic-rotator-cuff-surgery-following-shoulder-trauma-improves-outcome-despite-additional-pathologies-and-slow-recovery
#19
Barak Haviv, Tal Frenkel Rutenberg, Shlomo Bronak, Mustafa Yassin
PURPOSE: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients. METHODS: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities...
May 4, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29725515/a-limb-threatening-long-arterial-dissection-caused-by-humerus-neck-fracture-a-case-report
#20
R Kurnaz, M Ikizler, M Ozbayburtlu, T Gunes
Proximal humerus fracture is a common arm trauma and rarely occurs with vascular injury which however is a serious complication. In this case report, we present a long segment dissection of the axillary and brachial arteries as a rare complication due to fragmented proximal humerus fracture and shoulder dislocation. An 80-year old female patient was seen at the emergency department. Radiograph examination has revealed a fragmented proximal humerus fracture besides dislocation of the head of humerus towards the axillary area...
March 2018: Malaysian Orthopaedic Journal
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