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https://www.readbyqxmd.com/read/29457400/-a-case-report-of-reversed-and-separated-elbow-dislocation-with-humeral-fractures-of-medial-and-lateral-condyle
#1
Zhi Tang, Shao-Dong Xie, Shen Cao, Qian Cao, Yun-Qin Yang
No abstract text is available yet for this article.
November 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29456751/cannulated-screw-versus-kirschner-wire-fixation-for-milch-ii-lateral-condyle-fractures-in-a-paediatric-sawbone-model-a-biomechanical-comparison
#2
D Franks, J Shatrov, M Symes, D G Little, T L Cheng
Purpose: Lateral condyle fractures of the humerus are common in the paediatric population, accounting for up to 20% of elbow fractures. Traditional management involves internal fixation with Kirschner (K)-wires, however, this has been associated with complications and insufficiently rigid fixation. Recently, cannulated screws have been proposed as a more stable method of fixation. While cannulated screws have been thought to allow earlier range of movement and shorten time to union, data regarding the biomechanical performance and optimal screw placement is scarce...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29452070/a-modified-peri-angular-approach-for-exposure-of-condylar-fractures
#3
Adarsh Kudva, Abhay T Kamath, Jyotsna Rajan, Charlene D'Souza
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout...
January 12, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29432477/digital-diagnosis-and-treatment-of-mandibular-condylar-fractures-based-on-extensible-neuro-imaging-archive-toolkit-xnat
#4
ZhongWei Zhou, Zhang'ao Li, Jiayin Ren, Mingyun He, Yongqing Huang, WeiDong Tian, Wei Tang
OBJECTIVES: The treatment of condylar fractures has long been controversial. In this paper, we established a database for accurate measurement, storage, management and analysis of patients' data, in order to help determine the best treatment plan. METHODS: First of all, the diagnosis and treatment database was established based on XNAT, including 339 cases of condylar fractures and their related information. Then image segmentation, registration and three-dimensional (3D) measurement were used to measure and analyze the condyle shapes...
2018: PloS One
https://www.readbyqxmd.com/read/29428375/use-of-ultrasound-activated-resorbable-sheets-and-pins-in-the-management-of-fractures-of-the-condylar-neck-of-the-mandible-a-case-series
#5
N M H McLeod, D Van Gijn
The need to treat fractures of the mandibular condyle remains controversial, but when the decision to operate has been made, then multiple forms of fixation are advocated. Traditionally, metal plates and screws have been used, but this is thought to have several disadvantages, particularly in the growing skeleton. Resorbable fixation for maxillofacial fractures has not gained widespread acceptance because of technical difficulties with the materials and concern about inflammatory reactions during their resorption...
February 7, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29424158/-intramedullary-nailing-combined-with-cannulated-screw-in-treating-femoral-condyles-fractures
#6
Guo-Qing Shen, Hao Zhang, Da-Fu Long, Zheng-Wen Li, Ying-Dong Tan
OBJECTIVE: To observe the clinical effects of retrograde intramedullary nailing and cannulated screws in the treatment of femoral condylar fracture. METHODS: From June 2009 to June 2015, 13 patients with femoral condyles fracture were treated by retrograde intramedullary nailing and cannulated screws including 6 males and 7 females with an average age of 46.1 years old ranging from 16 to 76 years old. There were 10 cases of closed fractures, 3 cases of open fraetures...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29409411/irreducible-volar-rotatory-subluxation-of-the-proximal-interphalangeal-joint-of-the-finger
#7
Masahiko Tohyama, Sadahiko Konishi
We describe 4 cases of irreducible volar rotatory subluxation of the proximal interphalangeal (PIP) joint of the finger that required open reduction. All of the patients had radiographically proven (in lateral-view radiographs) volar rotatory subluxation of the PIP joint, without fracture. The causes of irreducibility were interposition of the lateral band about the condyle of the middle phalanx in 2 cases, interposition of the collateral ligament in 1 case, and scarring of the injured central slip in 1 case...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29403243/outcome-of-conservatively-treated-occipital-condylar-fractures-a-retrospective-study
#8
Olof Byström, Torben S Jensen, Frantz R Poulsen
Introduction: Occipital condyle fracture (OCF) is rare. It may, however, pose a serious threat to the patient due to destabilization of the craniocervical junction. Correct diagnosis and effective treatment are essential to prevent long-term complications. The aim of this study was to retrospectively investigate our current treatment program with focus on the functional outcome. Diagnosis and classification systems were evaluated for their usefulness in the clinical practice. Materials and Methods: We retrospectively reviewed all patients treated conservatively for an occipital condylar fracture from 2010 to 2015 at our department...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29402427/novel-implant-for-peri-prosthetic-proximal-tibia-fractures
#9
Ton Tran, Bernard K Chen, Xinhua Wu, Chung Lun Pun
BACKGROUND: Repair of peri-prosthetic proximal tibia fractures is very challenging in patients with a total knee replacement or arthroplasty. The tibial component of the knee implant severely restricts the fixation points of the tibial implant to repair peri-prosthetic fractures. A novel implant has been designed with an extended flange over the anterior of tibial condyle to provide additional points of fixation, overcoming limitations of existing generic locking plates used for proximal tibia fractures...
February 2, 2018: Injury
https://www.readbyqxmd.com/read/29395454/outcomes-of-treatment-for-intracapsular-fractures-of-the-mandibular-condyle-recommendation-for-a-new-classification
#10
B B Ying, Q Q Zhang, S S Zhu, Y F Li
We know of no universally accepted classification for intracapsular condylar fractures. We propose here a new classification based on the concept of a "disc-condyle" unit, and validate the classification based on outcomes of treatment. From 1 January 2010 - 31 December 2014, 55 patients with unilateral intracapsular condylar fractures were classified into three types: type A has no reduction in mandibular height or displacement of the disc (n=7); type B has displacement of the disc with no reduction in mandibular height (n=17); and type C has reduced mandibular height with or without displacement of the disc (n=31)...
February 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29392384/comparative-study-of-lateral-condyle-fracture-with-or-without-posteromedial-elbow-dislocation-in-children
#11
Xia Lan, Min Dai, Bin Zhang, Gendong Huang
PURPOSE: The purpose of this study was to compare the surgical findings and clinical outcomes of the lateral condylar fractures of the humerus with or without posteromedial elbow dislocation in children. METHODS: Between January 2013 and June 2016, a total of 21 Milch type II humeral condylar fractures were treated with open reduction and internal fixation. The average follow-up was 2.8 years (range, 1 to 4 years). There were 8 patients in group A with posteromedial elbow dislocation and 13 patients in group B without dislocation...
February 1, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29390511/mandibular-fracture-patterns-at-a-medical-center-in-central-taiwan-a-3-year-epidemiological-review
#12
Fu-Yu Lin, Chao-I Wu, Hsu-Tang Cheng
Mandibular fractures constitute a major portion of maxillofacial trauma and may lead to considerable functional and aesthetic sequelae if treatment is inadequate or delayed. An epidemiology study on mandibular fractures may guide the preventive efforts of the Taiwan public health care system. Therefore, a retrospective review was conducted at a medical center in central Taiwan to evaluate the current mandibular fracture epidemiology.The medical records and digitized radiographs of 198 patients who received treatment for mandibular fractures during a 3-year period (from October 2010 to September 2013) at a medical center in central Taiwan were reviewed to obtain demographic and injury data...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29387306/ectopic-molar-removal-from-the-ramus-condyle-unit-a-minimally-invasive-approach
#13
Gary A Forgach, Stephen P R MacLeod
Ectopic molars within the mandibular ramus/condyle unit, although rare, present a unique challenge to the surgeon. Multiple approaches have been described in the literature for their removal. A review of the English literature on the subject of mandibular ectopic molars and their epidemiology, etiology, indications for removal, and surgical techniques was completed. In addition, a case report is presented of an ectopic mandibular molar in the mid-ramus region which was removed via a minimally invasive, intraoral, technique combining the use of endoscopy and piezoelectric surgery...
March 2018: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29381884/osteochondral-injuries-of-the-knee-in-pediatric-patients
#14
Kathryn L Bauer
Osteochondral injuries in pediatric patients may occur as a result of a traumatic injury or secondary to an osteochondritis dissecans (OCD) lesion. Lateral patella dislocation is a common traumatic cause of osteochondral injury that typically occurs at the medial facet of the patella or at the lateral aspect of the distal femur. Multiple theories have been proposed for the cause of an OCD lesion in the knee, including trauma or repetitive microtrauma, local vascular insufficiency, and family history. The most "classic" location for OCD lesions of the knee is the lateral aspect of the medial femoral condyle of the distal femur...
January 30, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29363519/increased-sclerostin-associated-with-stress-fracture-of-the-third-metacarpal-bone-in-the-thoroughbred-racehorse
#15
N Hopper, E Singer, F Henson
OBJECTIVES: The exact aetiology and pathogenesis of microdamage-induced long bone fractures remain unknown. These fractures are likely to be the result of inadequate bone remodelling in response to damage. This study aims to identify an association of osteocyte apoptosis, the presence of osteocytic osteolysis, and any alterations in sclerostin expression with a fracture of the third metacarpal (Mc-III) bone of Thoroughbred racehorses. METHODS: A total of 30 Mc-III bones were obtained; ten bones were fractured during racing, ten were from the contralateral limb, and ten were from control horses...
January 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29360456/do-open-reduction-and-internal-fixation-with-articular-disc-anatomical-reduction-and-rigid-anchorage-manifest-a-promising-prospect-in-the-treatment-of-intracapsular-fractures
#16
Bo-Lei Cai, Rong Ren, Hong-Bo Yu, Peng-Chao Liu, Steve G F Shen, Jun Shi
PURPOSE: In response to the increased attention to soft tissue reduction in the treatment of intracapsular condylar fractures (ICFs), a modified open reduction technique is proposed and its functional and radiographic outcomes were evaluated in this study. PATIENTS AND METHODS: This is a retrospective case series study of patients with all ICF types that were treated with open reduction and internal fixation (ORIF) with articular disc anatomic reduction and rigid anchorage...
December 28, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29350412/surgical-repair-of-propagating-condylar-fractures-of-the-third-metacarpal-metatarsal-bones-with-cortical-screws-placed-in-lag-fashion-in-26-racehorses-2007-2015
#17
N Moulin, I François, N Coté, C Alford, O Cleary, M R Desjardins
BACKGROUND: Despite the recommendation of plate fixation for propagating condylar fractures of the third metacarpal (McIII) or third metatarsal bone (MtIII), lag screw fixation can be a viable surgical option. OBJECTIVES: To evaluate short-term outcome and long-term racing performance of horses that underwent lag screw fixation of long condylar fractures of the McIII/MtIII. STUDY DESIGN: Retrospective case series. METHODS: Medical records, post-surgical racing performance and outcome of 26 horses with propagating fractures of the medial and/or lateral condyle of McIII/MtIII were reviewed...
January 19, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29344755/mathematical-modelling-of-bone-adaptation-of-the-metacarpal-subchondral-bone-in-racehorses
#18
Peta L Hitchens, Peter Pivonka, Fatemeh Malekipour, R Chris Whitton
In Thoroughbred racehorses, fractures of the distal limb are commonly catastrophic. Most of these fractures occur due to the accumulation of fatigue damage from repetitive loading, as evidenced by microdamage at the predilection sites for fracture. Adaptation of the bone in response to training loads is important for fatigue resistance. In order to better understand the mechanism of subchondral bone adaptation to its loading environment, we utilised a square root function defining the relationship between bone volume fraction [Formula: see text] and specific surface [Formula: see text] of the subchondral bone of the lateral condyles of the third metacarpal bone (MCIII) of the racehorse, and using this equation, developed a mathematical model of subchondral bone that adapts to loading conditions observed in vivo...
January 17, 2018: Biomechanics and Modeling in Mechanobiology
https://www.readbyqxmd.com/read/29343898/assessment-of-temporomandibular-joint-dysfunction-in-condylar-fracture-of-the-mandible-using-the-helkimo-index
#19
S Suhas, Sharad Ramdas, P P Lingam, H R Naveen Kumar, Aashish Sasidharan, R Aadithya
Introduction: Condylar fractures of the mandible are functionally important fractures as the condyle of the mandible being a part of the temporomandibular joint (TMJ) and can lead to TMJ dysfunction if not properly treated. Materials and Methods: This was a cross-sectional study of a total of 33 treated patients with fracture of the mandibular condyle who underwent examination as per the Helkimo index. Their dysfunction was quantified and clinicoepidemiological characteristics were assessed...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29343888/medial-femoral-condyle-vascularised-corticoperiosteal-graft-a-suitable-choice-for-scaphoid-non-union
#20
Samir Kumta, Sudhir Warrier, Leena Jain, Rani Ummal, Manik Menezes, Shrirang Purohit
Introduction: Scaphoid fractures are not very common and frequently remain undiagnosed, presenting in non-union and persistent wrist pain. Options for scaphoid fracture treatment have been described over several decades, however, none with an optimal solution to achieve union along with good hand function. We describe here, the use of vascularised corticoperiosteal bone grafts from the medial femoral condyle (MFC) as a solution for the difficult problem of scaphoid fracture non-union...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
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