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ultrasound fracture reduction

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https://www.readbyqxmd.com/read/29681446/reduction-of-radiography-with-point-of-care-elbow-ultrasonography-for-elbow-trauma-in-children
#1
Julia Tokarski, Jeffrey R Avner, Joni E Rabiner
OBJECTIVES: To determine whether point-of-care elbow ultrasound (US), with history and physical examination, can decrease radiography for patients with elbow trauma. Secondary outcomes included evaluation of pediatric emergency department (PED) length of stay (LOS) and test performance characteristics. STUDY DESIGN: This was a prospective study of patients up to age 21 years with elbow trauma necessitating radiography. After clinical examination and before radiography, pediatric emergency physicians performed elbow ultrasonography of the posterior fat pad and determined whether radiography was required...
April 19, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29600677/-manual-reduction-and-traction-fixation-for-the-treatment-of-metacarpal-neck-fractures-under-ultrasound-guided
#2
Xiao-Hui Wang, Cai-Li Zhang, Su-Hong Shen, Shao-Yong Guo, De Li
OBJECTIVE: To study clinical efficacy of manual reduction and traction fixation for the treatment of metacarpal neck fracture under ultrasound-guided. METHODS: From April 2013 to August 2016, 30 patients with metacarpal neck fractures were treated with manual reduction and traction fixation under ultrasound-guided, including 26 males and 4 females aged from 14 to 56 years old with an average of (25.6±1.6) years old, the courses of diseases ranged from 7 h to 5 d with an average of (2...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29500558/emergency-physician-performed-ultrasound-guided-nerve-blocks-in-proximal-femoral-fractures-provide-safe-and-effective-pain-relief-a-prospective-observational-study-in-the-netherlands
#3
Rein Ketelaars, Joram T Stollman, Evelien van Eeten, Ties Eikendal, Jörgen Bruhn, Geert-Jan van Geffen
BACKGROUND: The treatment of acute pain in the emergency department is not always optimal. Peripheral nerve blocks using "blind" or nerve stimulator techniques have substantial disadvantages. Ultrasound-guided regional anesthesia may provide quick, safe, and effective pain relief in patients with proximal femoral fractures with severe pain. However, no evidence exists on emergency physician-performed ultrasound-guided regional anesthesia in these patients in Dutch emergency departments...
March 2, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29471078/development-of-controlled-drug-delivery-systems-for-bone-fracture-targeted-therapeutic-delivery-a-review
#4
REVIEW
Yuchen Wang, Maureen R Newman, Danielle S W Benoit
Impaired fracture healing is a major clinical problem that can lead to patient disability, prolonged hospitalization, and significant financial burden. Although the majority of fractures heal using standard clinical practices, approximately 10% suffer from delayed unions or non-unions. A wide range of factors contribute to the risk for nonunions including internal factors, such as patient age, gender, and comorbidities, and external factors, such as the location and extent of injury. Current clinical approaches to treat nonunions include bone grafts and low-intensity pulsed ultrasound (LIPUS), which realizes clinical success only to select patients due to limitations including donor morbidities (grafts) and necessity of fracture reduction (LIPUS), respectively...
February 19, 2018: European Journal of Pharmaceutics and Biopharmaceutics
https://www.readbyqxmd.com/read/29290601/the-initial-report-on-1-year-outcomes-of-the-feasibility-study-of-the-veniti-vici-venous-stent-in-symptomatic-iliofemoral-venous-obstruction
#5
Mahmood Razavi, William Marston, Stephen Black, Dana Bentley, Peter Neglén
OBJECTIVE: The objective of this study was to assess the safety and efficacy of a dedicated venous stent (the VICI VENOUS STENT; VENITI, Fremont, Calif) for treatment of symptomatic iliofemoral venous outflow obstruction. METHODS: Thirty patients (24 female; median age, 43 years) were enrolled in the feasibility phase of an international, multicenter investigational device exemption trial from June 2014 to February 2015. All patients exhibited unilateral venous disease with ≥50% stenosis in the iliofemoral veins...
March 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29262453/-the-observation-of-curative-effect-on-closed-reduction-of-nasal-bone-fracture-under-ultrasound-guidance-report-of-38-cases
#6
L Ma, S H Shen, P Hu, Z Q Wu
No abstract text is available yet for this article.
December 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29242794/bilateral-anterior-shoulder-dislocation-in-the-elderly-a-case-report-and-review-of-the-literature
#7
Kristian Nikolaus Schneider, Benedikt Schliemann, Salomon M Manz, Pranai K Buddhdev, Georg Ahlbäumeri
Introduction: Bilateral shoulder dislocations are rare and a diagnostic as well as a therapeutic challenge. Case Report: We report the case of a 67-year-old male who fell while skiing and suffered a bilateral anterior shoulder dislocation associated with a four-part proximal humerus fracture on the left side and an osseous avulsion of the rotator cuff, a Pulley lesion, and a Hill-Sachs lesion on the right side. In addition, we searched the PubMed database using the terms "bilateral shoulder dislocation" and also "bilateral glenohumeral dislocation"...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29117238/tdf-and-quantitative-ultrasound-bone-quality-in-african-patients-on-second-line-art-anrs-12169-2lady-sub-study
#8
RANDOMIZED CONTROLLED TRIAL
Firmin Nongodo Kabore, Sabrina Eymard-Duvernay, Jacques Zoungrana, Stéphanie Badiou, Guillaume Bado, Arsène Héma, Assane Diouf, Eric Delaporte, Sinata Koulla-Shiro, Laura Ciaffi, Amandine Cournil
BACKGROUND: Bone demineralization, which leads to osteoporosis and increased fracture risk, is a common metabolic disorder in HIV-infected individuals. In this study, we aimed to assess the change in bone quality using quantitative ultrasound (QUS) over 96 weeks of follow-up after initiation of second-line treatment, and to identify factors associated with change in bone quality. METHODS AND FINDINGS: In a randomized trial (ANRS 12169), TDF and PI-naïve participants failing standard first-line treatment, from Burkina Faso, Cameroon, and Senegal were randomized to receive either TDF/FTC/LPVr, ABC/ddI/LPVr or TDF/FTC/DRVr...
2017: PloS One
https://www.readbyqxmd.com/read/29089198/dynamic-ultrasound-imaging-for-the-assessment-of-extensor-tendon-adhesion-after-fifth-metacarpal-intraarticular-head-fracture-a-case-report
#9
Tugce Ozekli Misirlioglu, Hakan Ozben
STUDY DESIGN: Case report. INTRODUCTION: Development of extensor tendon adhesions is a common complication after intra-articular metacarpal head fracture. Whenever these adhesions cannot be mobilized by rehabilitation, tenolysis should be considered. However, the decision for tenolysis is often delayed. When the rehabilitation program comes to a plateau and clinical examination may not be sufficient to find out the cause, dynamic ultrasound (US) can show where the gliding mechanism is disrupted and help clinicians to give an accurate decision for determining the next steps...
October 28, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29026819/the-role-of-dynamic-ultrasound-in-the-immediate-conservative-treatment-of-volar-plate-injuries-of-the-pip-joint-a-series-of-78-patients
#10
Franck Marie Leclère, Lukas Mathys, Bettina Juon, Esther Vögelin
INTRODUCTION: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization. MATERIAL AND METHODS: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29022165/a-new-approach-to-treat-bone-gaps-after-midfacial-and-zygomatic-fractures-with-a-collagen-membrane
#11
Matthias Krause, Heike Hümpfner-Hierl, Lutz Völker, Thomas Hierl, Niels Christian Pausch
PURPOSE: The aim of the study was to analyze the eligibility of resorbable collagen membrane in the treatment of midfacial fractures to prevent gap formation and subsequent cheek tissue retraction. MATERIAL AND METHODS: We included nine patients (six males, three females; mean age 51; range 20-73 years; mean bone gap size 8.03 × 13.12 mm) in a retrospective study design. The defect size was assessed by ultrasound. RESULTS: After a healing period of 4 to 55 weeks, treatment resulted in a significant reduction of gap size (residual mean bone gap size 6...
December 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28913283/reduction-of-zygomatic-arch-isolated-fracture-using-ultra-sound-and-needle-marking
#12
Jun Sik Kim, Young Ji Park, Yoon Jung Lee, Nam Gyun Kim, Kyung Suk Lee
BACKGROUND: Zygomatic arch is a bony arch constituting the lateral midface, which consists of 25% of all midface fractures. There are a number of ways to evaluate the extent of zygomatic arch fracture. Some authors have reported successful treatment outcomes using ultrasound (U/S). To add to the previous methods, we have considered ways to accurately display the location of the fracture line while using U/S with 23 gauge needle marking. We introduce our method, which provided satisfactory results for reduction using a portable U/S, and it can evaluate the fracture line simultaneously when reduction of an isolated zygomatic arch fracture is necessary, and needle marking, which can easily point out the fracture line on U/S...
December 2016: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/28854496/the-efficacy-and-safety-of-combination-therapy-of-low-intensity-pulsed-ultrasound-stimulation-in-the-treatment-of-unstable-both-radius-and-ulna-fractures-in-children
#13
Tsuyoshi Ota, Soichiro Itoh, Kimihiro Yamashita
BACKGROUND: There are few reports of Low-intensity pulsed ultrasound (LIPUS) treatment for fresh forearm fractures in children. OBJECTIVES: LIPUS stimulation was applied after surgery of forearm fractures in children and the efficacy and safety of combination therapy of LIPUS treatment were evaluated. PATIENTS AND METHODS: Children with both radius and ulna fracture, twenty-five diaphysis (mid-R&U) and nineteen metaphysis (dist-R&U) fractures, were treated with intramedullary nailing followed by cast and splint mobilization...
2017: Bio-medical Materials and Engineering
https://www.readbyqxmd.com/read/28828129/salter-harris-i-fracture-of-the-distal-humerus-in-a-neonate-imaging-appearance-of-radiographs-ultrasound-and-arthrography
#14
Nicholas M Beckmann, Lindsay Crawford
Neonatal Salter-Harris I fractures of the distal humerus are a rare injury. This injury can be easily mistaken for a posterior elbow dislocation, creating a delay in diagnosis. We present a case of a neonate with a distal humerus Salter-Harris I fracture secondary to trauma during delivery. The patient presented with pseudoparesis of the left arm following birth. Posterior displacement of the elbow was identified on radiographs. Ultrasound of the elbow was performed after a gentle closed reduction of the left elbow was unsuccessful...
September 2017: Radiology Case Reports
https://www.readbyqxmd.com/read/28826727/randomized-comparison-of-femoropopliteal-artery-drug-eluting-balloons-and-drug-eluting-stents-forest-trial-study-protocol-for-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Hidde Jongsma, Patricia van Mierlo-van den Broek, Farshad Imani, Daniel van den Heuvel, Jean-Paul P M de Vries, Bram Fioole
The optimal endovascular treatment for femoropopliteal arterial occlusive disease has yet to be assessed. Patency rates after uncoated balloon angioplasty are disappointing. Although stents have better outcomes, they also have limitations. Intra-arterial stenting may lead to stent thrombosis and flow pattern disruption, which may result in stent fracture or in-stent restenosis. In the past decade, drug-eluting balloons (DEBs) and drug-eluting stents (DESs) have been introduced, and both have been proven to possess antirestenotic features compared with conventional techniques...
October 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28796651/ultrasound-assisted-reduction-of-displaced-and-shortened-fractures-by-pediatric-emergency-physicians
#16
Eric Scheier, Uri Balla
Pediatric emergency physicians at Kaplan Medical Center regularly reduce forearm fractures under point-of-care ultrasound guidance in the pediatric emergency department. We present 3 children who arrived at our department with shortened, angulated forearm fractures within the span of a single week. We report on the successful reduction of these fractures under point-of-care ultrasound and on the maintenance of anatomic alignment at follow-up 1 week postreduction.
September 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28710794/ultrasound-assessment-of-the-sural-nerve-in-patients-with-neuropathic-pain-after-ankle-surgery
#17
Nadia Rbia, Tim H J Nijhuis, Gert R Roukema, Ruud W Selles, Cornelis H van der Vlies, Steven E R Hovius
INTRODUCTION: The sural nerve may be damaged after ankle injury. The aim of our study was to determine the diagnostic utility of high-resolution sonography in patients with ankle fractures treated by open reduction and internal fixation in whom there was a clinical suspicion of sural neuropathy. METHODS: We examined the ultrasound (US) characteristics of patients with and without postsurgical sural neuropathic pain and healthy volunteers. Cross-sectional area (CSA), echogenicity, and vascularization of the sural nerves were recorded...
July 15, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28688752/comparison-of-effects-of-lllt-and-lipus-on-fracture-healing-in-animal-models-and-patients-a-systematic-review
#18
REVIEW
Mohammad Bayat, Amarjit Virdi, Reza Jalalifirouzkouhi, Fatemehalsadat Rezaei
The aim of this paper is to study the in vivo potency of low-level laser therapy (LLLT) and low intensity pulsed ultrasound (LIPUS) alone, accompanied by bone grafts, or accompanied by other factors on fracture healing in animal models and patients. In this paper, we aim to systematically review the published scientific literature regarding the use of LLLT and LIPUS to accelerate fracture healing in animal models and patients. We searched the PubMed database for the terms LLLT or LIPUS and/or bone, and fracture...
July 5, 2017: Progress in Biophysics and Molecular Biology
https://www.readbyqxmd.com/read/28669078/the-incidence-of-life-threatening-iatrogenic-vessel-injury-following-closed-or-open-reduction-and-internal-fixation-of-intertrochanteric-femoral-factures
#19
David Segal, Eyal Yaacobi, Niv Marom, Victor Feldman, Elhan Aliev, Ezequiel Palmanovich, Gabriel Bartal, Yaron S Brin
AIM OF THE STUDY: Bleeding due to a vascular injury is a possible life-threatening complication of intertrochanteric femoral fracture internal fixation. Our goals were to find the current incidence of these events, and to describe the reasons, the presentation, and the treatment options. METHOD: We conducted a retrospective record review of 1,469 patients who were operated upon at our institution due to AO31A femoral fractures from 2011 through 2015 and were treated with closed reduction and internal fixation...
September 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28632663/an-examination-of-the-factors-related-to-a-reduction-in-the-use-of-low-intensity-pulsed-ultrasound-lipus
#20
Yoshiyasu Uchiyama, Takaaki Tateiwa, Daisuke Nakajima, Naoki Takatori, Masahiko Watanabe
OBJECTIVE: We examined the factors related to a reduction in the use of low-intensity pulsed ultrasound (LIPUS) for patients at both our hospital and other affiliated institutions. MATERIALS AND METHODS: Of 350 patients who used LIPUS at our and other affiliated institutions from May 2010 to April 2015, 279 (168 males, 111 females) were evaluated, after excluding mortalities and those with unexplained bone adhesion. Those patients with LIPUS compliance [calculated as: (number of days LIPUS was used/number of days LIPUS was available) × 100] below 80% were defined as the non-compliant group (170 patients), and those patients with a compliance rate of 80% or above were defined as the compliant group (109 patients)...
July 2017: Journal of Orthopaedic Trauma
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