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https://www.readbyqxmd.com/read/28433980/a-paediatric-case-of-bilateral-mandibular-condyle-fracture-presenting-with-bloody-otorrhoea-following-trauma
#1
Yat Chun Chan, Kwan Leong Au-Yeung
A 7-year-old boy presented to the emergency department with bilateral bloody otorrhoea after falling from his scooter. Skull base fracture was suspected. CT showed no evidence of skull base fracture but bilateral mandibular condyle and external acoustic canals fractures. We report this case to illustrate a rare possibility of bilateral external acoustic canal fracture associated with condylar fracture in trauma patients presented with bloody otorrhoea.
April 22, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28429855/coincidence-of-mandibular-fractures-with-isolated-posterior-maxillary-sinus-fractures
#2
Sebastian Blatt, Roman Rahimi-Nedjat, Keyvan Sagheb, Lisa Piechowiak, Christian Walter, Dan Brüllmann
BACKGROUND/AIM: There is no data available to show whether there is a relationship between mandibular fractures and isolated fractures of the posterior and/or latera wals of the maxillary sinus. The aim of this study was to determine whether there is a coincidence between these fracture patterns. METHODS: Four hundred large volume cone beam computed tomography scans (CBCT) of patients with a fracture of the mandible between 2008 and 2013 were analyzed retrospectively...
April 21, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28412268/how-is-third-molar-status-associated-with-the-occurrence-of-mandibular-angle-and-condyle-fractures
#3
Shuai Xu, Jun-Jie Huang, Yu Xiong, Ying-Hui Tan
PURPOSE: Third molars (M3s) have been hypothesized to be associated with the risk of mandibular angle fracture and mandibular condylar fracture. The authors systematically estimated the relative risk (RR) of M3 status for the development of mandibular angle fracture and mandibular condylar fracture through a meta-analysis of cohort studies. MATERIALS AND METHODS: In this systematic review, the PubMed, EMBASE, and Cochrane Library databases were searched from inception to October 2016...
March 23, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28390685/plate-fixation-for-letenneur-type-i-hoffa-fracture-a-biomechanical-study
#4
Hui Sun, Qi-Fang He, Yi-Gang Huang, Jian-Feng Pan, Cong-Feng Luo, Yi-Min Chai
BACKGROUND: A coronal fracture of the posterior femoral condyle, also known as a Hoffa fracture, is an unusual injury, and there are only a handful of case reports or series exploring it. The optimal fixation method of these intraarticular fractures remains controversial; improper or unstable fixation usually lead to an unsatisfactory prognosis. The use of posterior-anterior or reversed lag screw fixation is still a popular method. Additional buttress plating is also recommended for fixation of these difficult fractures...
March 30, 2017: Injury
https://www.readbyqxmd.com/read/28378234/core-curriculum-case-illustration-stieda-fracture-avulsion-fracture-of-the-medial-femoral-condyle
#5
Shaimaa Abdelhassib Fadl, Jeffrey D Robinson
This is the 30th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC . A Stieda fracture is an avulsion injury from the medial femoral condyle of the origin of the medial collateral ligament...
April 4, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28374066/high-prevalence-of-all-complex-segond-avulsion-using-ultrasound-imaging
#6
Burt Klos, Marlon Scholtes, Stephan Konijnenberg
PURPOSE: The aim of this study was to determine the prevalence of a Segond avulsion fractures in acute ACL tears with ultrasound and to investigate whether other injuries can predict the avulsion. MATERIALS AND METHODS: One hundred thirty-eight ultrasound analyses of acute knee trauma were collected and scored for diagnosed injuries. The reports of patients with an ACL tear (N = 87) were evaluated to determine possible increased prevalence of Segond avulsion fracture with ultrasound...
April 3, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28369948/the-natural-history-of-humeral-intracondylar-fissure-an-observational-study-of-30-dogs
#7
A P Moores, A L Moores
OBJECTIVES: To determine the risk of condylar fracture, or of needing to have a transcondylar screw placed, and to identify risk factors in a cohort of dogs with humeral intracondylar fissure (also known as incomplete ossification of the humeral condyle) that was initially managed non-surgically. METHODS: A retrospective owner survey of dogs diagnosed with humeral intracondylar fissure as an incidental finding and managed non-surgically with a minimum of two years follow-up...
March 29, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28356695/sialocele-a-rare-sequlae-of-transparotid-approach-in-subcondylar-fracture-management
#8
R Rajeev, S Sajesh, Mathew Jose, N Dhineksh Kumar
Iatrogenic injury and/or damage to the parotid salivary gland during transparotid approach for open reduction and internal fixation of mandibular condyle fracture is a rare event. Accumulation of saliva in the gland leads to formation of a sialocele. Huge sialocele often seeks drain through the most dependent area through an extraoral wound, whereas in the absence of extraoral fistula, saliva can be redirected intraorally using a stent. A case of mangement of sialocele caused by damage to glandular elements during a transparotid approach for a subcondylar fracture reduction is reported...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28355673/the-extensor-mechanism-imaging-and-intervention
#9
Colm J McMahon, Arun Ramappa, Kenneth Lee
We present an overview of imaging and intervention of the extensor mechanism of the knee. Particular focus is placed on the evaluation of patellofemoral tracking disorders, patellar and quadriceps tendinosis and tears, patellar fracture, lateral patellar condyle patellar friction syndrome, and prepatellar bursitis. Anatomical and biomechanical factors contributing to these disorders are considered. Imaging evaluation is presented in a clinical context, and therapeutic options for these disorders are discussed...
April 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28345414/fresh-osteochondral-allograft-transplantation-for-fractures-of-the-knee
#10
Guilherme C Gracitelli, Luis Eduardo Passarelli Tirico, Julie C McCauley, Pamela A Pulido, William D Bugbee
Objective The purpose of this study was to evaluate functional outcomes and allograft survivorship among patients with knee fracture who underwent fresh osteochondral allograft (OCA) transplantation as a salvage treatment option. Design Retrospective analysis of prospectively collected data. Setting Department of Orthopaedic Surgery at one hospital. Patients Fresh OCAs were implanted for osteochondral lesions after knee fracture in 24 males and 15 females with an average age of 34 years. Twenty-nine lesions (74%) were tibial plateau fractures, 6 (15%) were femoral condyle fractures, and 4 (10%) were patella fractures...
April 2017: Cartilage
https://www.readbyqxmd.com/read/28340662/vascularized-small-bone-transfers-for-fracture-nonunion-and-bony-defects
#11
REVIEW
Ai Dong Deng, Marco Innocenti, Rohit Arora, Markus Gabl, Jin Bo Tang
Vascularized small-bone grafting is an efficient and often necessary surgical approach for nonunion or necrosis of several bones in particular sites of the body, including scaphoid, lunate, distal ulna, and clavicle. The medial femoral condyle is an excellent graft source that can be used in treating scaphoid, ulna, clavicle, or lower-extremity bone defects, including nonunion. Vascularized bone grafting to the small bones, particularly involving reconstruction of damaged cartilage surfaces, should enhance subchondral vascular supply and help prevent cartilage regeneration...
April 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28326704/-extramedullary-fixation-combined-with-intramedullary-fixation-in-the-surgical-reduction-of-sagittal-mandibular-condylar-fractures
#12
Chen Chuanjun, Chen Xiaoyang, Chen Jing
OBJECTIVE: This study aimed to evaluate the clinical effect of extramedullary fixation combined with intramedullary fixation during the surgical reduction of sagittal mandibular condylar fractures. METHODS: Twenty-four sagittal fractures of the mandibular condyle in18 patients were fixed by two appliances: intramedullary with one long-screw osteosynthesis or Kirschner wire and extramedullary with one micro-plate. The radiologically-recorded post-operative stability-associated com-plications included the screw/micro-plate loosening, micro-plate twisting, micro-plate fractures, and fragment rotation...
October 1, 2016: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/28320522/-image-guided-bone-consolidation-in-oncology-cementoplasty-and-percutaneous-screw-fixation
#13
REVIEW
Xavier Buy, Roberto Luigi Cazzato, Vittorio Catena, Guilhem Roubaud, Michele Kind, Jean Palussiere
Bone metastases are a common finding in oncology. They often induce pain but also fractures which impair quality of life, especially when involving weight-bearing bones. Percutaneous image-guided consolidation techniques play a major role for the management of bone metastases. Cementoplasty aims to stabilize bone and control pain by injecting acrylic cement into a weakened bone. This minimally invasive technique has proven its efficacy for bones submitted to compression forces: vertebra, acetabular roof, and condyles...
March 17, 2017: Bulletin du Cancer
https://www.readbyqxmd.com/read/28293698/anterolateral-ligament-abnormalities-are-associated-with-peripheral-ligament-and-osseous-injuries-in-acute-ruptures-of-the-anterior-cruciate-ligament
#14
Camilo Partezani Helito, Paulo Victor Partezani Helito, Renata Vidal Leão, Marco Kawamura Demange, Marcelo Bordalo-Rodrigues
PURPOSE: Few studies have used MRI to identify the ALL. As it was shown that it is not possible to precisely characterize this ligament in all examination, it is important to identify concomitant lesions that can help in diagnosing ALL abnormalities. It is important to characterise this injury due to its association with anterolateral knee instability. Thus, the present study was performed to determine the frequency of ALL injuries in patients with acute ACL rupture and to analyse its associated knee lesions...
March 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28280678/the-medial-femoral-condyle-flap-for-reconstruction-of-intercondylar-pathological-fractures-of-the-thumb
#15
Chung-Chen Hsu, Charles Yuen Yung Loh, Yu-Te Lin, Cheng-Hung Lin
No abstract text is available yet for this article.
February 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28277417/comparison-of-healing-intra-articular-fracture-of-distal-femur-using-a-kirschner-wire-and-autologous-fibrin-glue-in-an-animal-model
#16
Mohammad R Azarpira, Kasra Vazani, Maryam Ayatollahi, Negar Azarpira, Maryam Kaviani
Considering different surgical techniques for the fixation of osteochondral intra-articular fracture, the present study aimed to compare the efficacy of autologous fibrin glue and Kirschner wire (KW) on an osteochondral fracture in the left lateral condyle of Dutch rabbits with a control group. After 6 weeks, macroscopic and microscopic evaluation showed that autologous fibrin glue is easier and faster with a higher number of bone trabecula (P<0.05), whereas the healing rate and cellularity of the healing site were not different between the two groups (KW and glue)...
March 8, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28259600/influence-of-third-molars-in-mandibular-fractures-part-2-mandibular-condyle-a-meta-analysis
#17
REVIEW
A C V Armond, C C Martins, J C R Glória, E L Galvão, C R R Dos Santos, S G M Falci
The aim of this systematic review was to investigate the influence of the presence and position of mandibular third molars in mandibular condyle fractures. An electronic search was conducted in PubMed, Scopus, Web of Science, Cochrane Library, and VHL, through January 2016. The eligibility criteria included observational studies. The search strategy resulted in 704 articles. Following the selection process, 13 studies were included in the systematic review and 11 in the meta-analysis. In terms of the risk of bias analysis, six studies presented ≤6 stars in the Newcastle-Ottawa scale assessment...
March 1, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28253480/open-reduction-with-k-wire-stabilization-of-fracture-dislocations-of-the-mandibular-condyle-a-retrospective-review
#18
Kayvon Haghighi, Manolis G Manolakakis, Connor Balog
PURPOSE: The aim of this study was to determine the feasibility of direct transcortical stabilization of fracture dislocations of the mandibular condyle (FDMCs) using narrow-diameter non-threaded Kirschner wire (K-wire). MATERIALS AND METHODS: This retrospective review reports on the treatment outcomes for 12 patients (15 fractures) with FDMCs treated with open reduction using transcortical 0.027-inch K-wire stabilization. Postoperative parameters of relevance included infection, facial nerve function, hardware removal, mandibular range of motion, and radiographic determination of fracture union...
February 6, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28252351/patellar-reconstruction-following-previous-patellectomy-a-review-of-the-literature-and-a-case-series-using-distal-femoral-autograft-during-total-knee-arthroplasty
#19
REVIEW
D A George, A Dosani, R Morgan-Jones
During total knee arthroplasty, the reconstruction of the patella following a previous patellectomy is challenging, and is undertaken to improve functional outcomes and patient satisfaction. In this case series, we have reconstructed the patella using a femoral condyle resected during total knee arthroplasty. The resected femoral condyle with best available bone stock is selected and secured to the extensor mechanism. We reviewed the preoperative indications and postoperative outcomes of two patients who underwent the above procedure at our Institute, and compared this to the literature...
March 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28240716/open-reduction-versus-in-situ-fixation-of-neglected-lateral-condyle-fractures-a-comparative-study
#20
Jatin Prakash, Anil Mehtani
The management of neglected fracture of the lateral condyle of the humerus is controversial. Careful neglect and conservative management with early ulnar nerve transposition and ostetomy, in-situ surgical fixation and accurate open reduction and internal fixation are all recommended as treatment options. However, an overgrowth of fractured condyle, highly distorted anatomy, contracted soft tissue and almost unrecognizable fracture ends make open reduction a challenging task. As the functional loss is not severe, in-situ fixation of the fragment provides a good alternative...
February 24, 2017: Journal of Pediatric Orthopedics. Part B
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