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humeral periostitis

Jorge Delgado, Diego Jaramillo, Nancy A Chauvin
Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. The imbalance in strength between the growing bones and the nearby tendons and ligaments makes the bones prone to acute and chronic injuries...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Zichao Xue, Chaolai Jiang, Chuanzhen Hu, Hui Qin, Haoliang Ding, Zhiquan An
BACKGROUND: Humeral shaft fractures are generally managed with the conventional posterior open reduction and internal fixation (ORIF) or minimally invasive plate osteosynthesis (MIPO). This study was aimed at comparing the outcomes of these surgical techniques in terms of the vascular integrity of the mid-distal humeral shaft. METHODS: Twelve upper limbs were harvested from 6 fresh cadavers. ORIF or MIPO was randomly performed on either side of each pair of limbs...
2016: BMC Musculoskeletal Disorders
Nicole Klein, P Martin Sander, Anna Krahl, Torsten M Scheyer, Alexandra Houssaye
Mid-diaphyseal cortical bone tissue in humeri of Nothosaurus spp. consists of coarse parallel-fibered bone, finer and higher organized parallel-fibered bone, and lamellar bone. Vascular canals are mainly arranged longitudinally and radially in a dominantly radial system. Blood vessels are represented by simple vascular canals, incompletely lined primary osteons, and fully developed primary osteons. Nothosaurus spp. shows a variety of diaphyseal microanatomical patterns, ranging from thick to very thin-walled cortices...
2016: PloS One
Pasquale Guida, Roberto Ragozzino, Biagio Sorrentino, Antonio Casaburi, Raffaele Dario D'Amato, Gianluigi Federico, Lelio Guida, Annarita Assantino
INTRODUCTION: The outcome of pathological fracture due to large aggressive benign stage 3 Dormans and Flynn lesions [6] is often unsatisfactory and the rate of recurrence is high. No single technique has been considered safe and successful. Many Authors suggested curettage and bone grafting as the unique effective treatment in cases of large defect but, because of the invasive and complex nature of the operation (it needs a double-step procedure), it is not preferred. The purpose of this study is to examine the effectiveness of a minimally invasive treatment in one step through ESIN, curettage and packing with self-setting calcium phosphate cement...
June 2016: Injury
K E Dittmer, B Hitchcock, S McDougall, J C Hunnam
AIMS: To investigate the pathophysiology of humeral fractures in first-lactation dairy heifers in the North Island of New Zealand. METHODS: Ten 2-year-old dairy heifers with humeral fractures were subject to euthanasia and the fractured and non-fractured contralateral humeri were collected. Humeri were also collected from 10 unaffected 2-year-old dairy heifers sent for slaughter. Humeri from heifers with and without fractures were examined using computed tomography (CT), and four slices of the diaphysis and lower metaphysis (D1-4) were analysed using the Bone J plug-in for Image J...
July 2016: New Zealand Veterinary Journal
Elisabeth C Robinson, Vijay B Thangamani, Michael A Kuhn, Glen Ross
BACKGROUND: Shoulder instability in the older patient traditionally has received less attention in the literature than in the younger patient population. However, when traumatic dislocation does occur, these patients often still have frequent pain, disability, and even continued instability. PURPOSE: To characterize the pathoanatomy of traumatic anterior shoulder instability in the older patient population and to discuss the correlating symptoms that ultimately led to operative treatment...
May 2015: Orthopaedic Journal of Sports Medicine
Abha Soni, Alec Weil, Shi Wei, Kenneth A Jaffe, Gene P Siegal
A case of florid reactive periostitis ossificans (RPO) arising in a long bone is presented. This is a rare bone proliferation with a pronounced periosteal reaction. Less than 100 cases have been described in the literature with far fewer outside the bones of the hand, feet, fingers, and toes. Although the etiology is unknown, a relationship to preceding trauma is suggested. The imaging and histologic features show an overlap with other bone lesions including bizarre parosteal osteochondromatous proliferation, subungual exostosis, and malignant surface tumors of bone and cartilage which include, periosteal and parosteal osteosarcoma...
August 18, 2015: World Journal of Orthopedics
Isabel S Maggiano, Corey M Maggiano, Vera G Tiesler, Julio R Chi-Keb, Sam D Stout
This study quantifies regional histomorphological variation along the human humeral and femoral diaphysis in order to gain information on diaphyseal growth and modeling drift patterns. Three thin sections at 40, 50, and 60% bone length were prepared from a modern Mexican skeletal sample with known age and sex to give a longitudinal perspective on the drifting cortex (12 adults and juveniles total, 7 male and 5 female). Point-count techniques were applied across eight cross-sectional regions of interest using the starburst sampling pattern to quantify percent periosteal and endosteal primary lamellar bone at each diaphyseal level...
October 2015: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
Nicole E Smith-Guzmán
OBJECTIVES: Recent studies in paleopathology have shown promise in associating some skeletal lesions with malarial infection. However, malaria's skeletal manifestation has never been confirmed using a large clinical reference sample from an endemic area for malaria with known individual causes of death. MATERIALS AND METHODS: To pinpoint evidence of malaria infection on ancient skeletal remains, this study uses an epidemiological approach to compare skeletal lesions in a modern reference sample of 98 individuals from Uganda, where malaria is holoendemic, to a similar modern sample of 106 individuals from a malaria-free area...
December 2015: American Journal of Physical Anthropology
A Iu Vasil'ev, A P Buzhilova, E A Egorova, D V Makarova, N Ia Berezina, I S Zorina, V I Khartanovich
OBJECTIVE: To study the capabilities of cone-bean computed tomography (CBCT) in estimating the bone structure when analyzing anthropological findings. MATERIAL AND METHODS: Twenty-four bone fragments (remains) of Napoléon Bonaparte Imperial Army soldiers who had died at a Königsberg military hospital during their retreat from Russia in the War of 1812 were examined by CBCT. A total of 28 tubular bones with different injury healing signs and a skull with maxillofacial trauma marks were investigated...
September 2014: Vestnik Rentgenologii i Radiologii
Brian Forsythe, Rachel M Frank, Mohammed Ahmed, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Matthew T Provencher, Shane J Nho
Recurrent anterior instability is a common finding after traumatic glenohumeral dislocation in the young, athletic patient population. A variety of concomitant pathologies may be present in addition to the classic Bankart lesion, including glenoid bone loss; humeral head bone loss; rotator interval pathology; complex/large capsular injuries including humeral avulsions of the glenohumeral ligaments (HAGL lesions), SLAP tears, near circumferential labral tears, and anterior labral periosteal sleeve avulsions (ALPSA lesions); and rotator cuff tears...
January 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Andrew S Bernhardson, James R Bailey, Daniel J Solomon, Mark Stanley, Matthew T Provencher
BACKGROUND: Glenoid bone loss is a factor that has been inversely associated with the success of shoulder instability repair. Recently, patients with an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion have also been identified as having a higher failure rate after surgical repair. PURPOSE: To determine differences in the amount of glenoid bone loss and to compare demographic factors of instability in patients with and without ALPSA tears. STUDY DESIGN: Case-control study; Level of evidence, 3...
September 2014: American Journal of Sports Medicine
A Ireland, T Maden-Wilkinson, B Ganse, H Degens, J Rittweger
UNLABELLED: While tennis playing results in large bone strength benefits in the racquet arm of young players, the effects of tennis playing in old players have not been investigated. Large side asymmetries in bone strength were found in veteran players, which were more pronounced in men, younger players and childhood starters. INTRODUCTION: Regular tennis results in large racquet arm bone and muscle strength advantages; however, these effects have not been studied in old players...
April 2014: Osteoporosis International
Gerardo Gallucci, Jorge Boretto, Andrea Vujovich, Verónica Alfie, Agustín Donndorff, Pablo De Carli
Fractures of the humeral shaft are common. Most of them can be successfully treated without surgery. In some cases, an operative intervention may offer faster and better functional results. One of the major problems with the open plating osteosynthesis is the extensive soft tissue stripping and disruption of periosteal circulation, caused by extensive surgical exposure, resulting in a relatively high rate of nonunion. Minimally invasive plate osteosynthesis (MIPO) techniques were developed to achieve a biologic fixation, although minimizing the complications of an open reduction...
March 2014: Techniques in Hand & Upper Extremity Surgery
Shannon G Farmakis, Thomas E Herman, Marilyn J Siegel
A 13-year-old girl was incidentally found to have a partially calcified anterior mediastinal mass during the work-up for a left humeral lesion. The resected specimen demonstrated a lymphocyte predominant World Health Organization type B1 thymoma with nodules of metaplastic bone consistent with osseous metaplasia. In addition, she had multiple osteochondromas, a periosteal chondroma of the humerus, a metaplastic osseous pseudotumor of the thigh, and other benign-appearing sclerotic foci, all manifestations of what is likely an autosomal dominant disorder...
July 2014: Pediatric Radiology
Robert L Wimberly, Philip L Wilson, Marybeth Ezaki, Benjamin D Martin, Anthony I Riccio
BACKGROUND: The management of posttraumatic bone loss is complicated and often requires complex reconstructive procedures. No options exist that are specific to the treatment of the growing skeleton that has intercalary bone loss. We have observed reconstitution of the humerus in 2 cases that have precluded extensive management. METHODS: Two pediatric patients sustained traumatic injuries to the upper extremities, including humeral bone loss, and are presented after spontaneous reconstitution of the segmental bone loss...
June 2014: Journal of Pediatric Orthopedics
Kilian Wegmann, K J Burkhart, T C Koslowsky, J Koebke, W F Neiss, L P Müller
PURPOSE: Distal humeral fractures are rare, but severe injuries, the treatment of which is often accompanied by serious complications and its outcome strongly depends on the quality of surgical therapy. Non-union is a common entity, compromising clinical results and requiring revision surgery. Osteonecrosis is an underestimated etiologic factor in the development of non-union. The present study aims to display the distribution patterns of the arterial vessels at the distal humerus, to correlate the displayed vessels with local nutrient foramina and to disclose an endangerment of these structures by common osteosynthetic implants...
September 2014: Surgical and Radiologic Anatomy: SRA
Robin M Dabareiner, M Keith Chaffin, Heather Quirham, G Kent Carter
CASE DESCRIPTION: 4 horses with enthesopathy and desmitis of the medial collateral ligament of the cubital joint were examined. CLINICAL FINDINGS: All 4 horses had a history of acute, severe, unilateral forelimb lameness and had signs of pain during manipulation of the affected upper forelimb; 2 also had swelling in the axillary region. There was no improvement in lameness after diagnostic local analgesia below the carpal region, and 1 of 4 horses had mild improvement after cubital joint analgesia...
April 15, 2013: Journal of the American Veterinary Medical Association
Ju Won Yi, Jong-Keon Oh, Seung-Beom Han, Sang-Jin Shin, Chang-Wug Oh, Yong-Cheol Yoon
OBJECTIVE: The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate. MATERIALS AND METHODS: We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B humeral shaft fracture. The mean age of the patients at the time of surgery was 39.4 (range 16-82). Quality of reduction and healing process was analysed on radiographs...
June 2013: Archives of Orthopaedic and Trauma Surgery
Alison A Macintosh, Thomas G Davies, Timothy M Ryan, Colin N Shaw, Jay T Stock
Cross-sectional geometric (CSG) properties of human long bone diaphyses are typically calculated from both periosteal and endosteal contours. Though quantification of both is desirable, periosteal contours alone have provided accurate predictions of CSG properties at the midshaft in previous studies. The relationship between CSG properties calculated from external contours and "true" (endosteal and periosteal) CSG properties, however, has yet to be examined along the whole diaphysis. Cross-sectional computed tomography scans were taken from 21 locations along humeral, femoral, and tibial diaphyses in 20 adults from a late prehistoric central Illinois Valley cemetery...
March 2013: American Journal of Physical Anthropology
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