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"Wrist fractures"

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https://www.readbyqxmd.com/read/28416429/-life-threatening-sleepwalking-elpenor-s-syndrome-in-a-10-year-old-child
#1
M-A Madigand-Tordjman, P-J Egler, F Bertran, M Jokic, F Guénolé
Though benign in the majority of cases, sleepwalking sometimes causes injuries due, among other causes, to falls. Such accidents can be life-threatening - a situation that has been termed Elpenor syndrome (in reference to an accident experienced by a character in Homer's epic The Odyssey) - in particular when entailing defenestration. This syndrome has been described in adults and adolescents; we report here a case in a child. OBSERVATION: This 10-year-old girl was admitted at night to our hospital after a 3-m fall at home...
April 14, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28409214/-fractures-of-the-upper-limbs-in-childhood-and-adolescence
#2
P P Schmittenbecher
Fractures of the upper limbs are frequent and often need operative treatment in addition to a well-indicated conservative management. This depends on the maturity of the nearest growth plate and the local remodeling potential, which is dependent on age. Following conventional x‑ray imaging an individual prognostic growth analysis leads to the therapeutic decision. Around the elbow and the shaft of the forearm, criteria are stricter than near the shoulder or wrist. Gilchrist or Desault bandages as well as braces are adequate for most subcapital and humeral shaft fractures...
April 13, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28372790/hoverboards-a-new-cause-of-pediatric-morbidity
#3
Brianna L Siracuse, Joseph A Ippolito, Peter D Gibson, Kathleen S Beebe
INTRODUCTION: The hoverboard, a self-balancing powered scooter, was introduced to the market in 2015 and quickly became one of the most popular purchases of the year. As with similar products, this scooter brought a host of concerns surrounding injuries. The purpose of this study is to determine the incidence of injuries that coincided with the popularity of hoverboard. METHODS: The National Electronic Injury Surveillance System (NEISS) was queried from 2011 through 2015 for injuries related to scooters/skateboards, powered (product number, 5042), which includes the hoverboard...
March 27, 2017: Injury
https://www.readbyqxmd.com/read/28371079/validity-of-major-osteoporotic-fracture-diagnosis-codes-in-the-clinical-data-analysis-and-reporting-system-in-hong-kong
#4
Chor-Wing Sing, Yu-Cho Woo, Alan C H Lee, Joanne K Y Lam, Jody K P Chu, Ian C K Wong, Ching-Lung Cheung
PURPOSE: Large medical record databases facilitate epidemiology research in fracture. However, the validity of fracture in the databases is needed to ensure the reliability of data. We aimed to assess the validity of International Classification of Diseases, 9th Revision (ICD-9) code algorithms for identifying major osteoporotic fracture in the Clinical Data Analysis and Reporting System (CDARS) in Hong Kong. METHODS: The CDARS is a database developed by the Hong Kong Hospital Authority for research purpose...
April 3, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28340130/falling-down-on-the-job-evaluation-and-treatment-of-fall-risk-among-older-adults-with-upper-extremity-fragility-fractures
#5
Christine M McDonough, Carrie H Colla, Donald Carmichael, Anna N A Tosteson, Tor D Tosteson, John-Erik Bell, Robert V Cantu, Jonathan D Lurie, Julie P W Bynum
Background: Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. Objective: The aim of this study was to describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and treatment for fall risk. Design: Observational cohort. Methods: Participants were fee-for-service beneficiaries age 66 to 99 treated as outpatients for proximal humerus or distal radius/ulna ("wrist") fragility fractures...
March 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28274883/efficacy-of-vitamin-c-in-preventing-complex-regional-pain-syndrome-after-wrist-fracture-a-systematic-review-and-meta-analysis
#6
F Aïm, S Klouche, A Frison, T Bauer, P Hardy
BACKGROUND: Complex regional pain syndrome type I (CRPS-I), previously known as reflex sympathetic dystrophy, is common after conservatively or surgically treated wrist fractures. Several studies support the efficacy of vitamin C in preventing CRPS-I, although the data are somewhat conflicting. The primary objective of this systematic literature review and meta-analysis was to assess the efficacy of vitamin C therapy in preventing CRPS-I after a wrist fracture. METHODS: Randomised, placebo-controlled trials of vitamin C to prevent CRPS-I after wrist fractures were sought in the three main databases: PubMed (1980 to December 2015), CENTRAL (Central 2015, number 12), and Embase (1980 to December 2015)...
May 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28254313/common-treatments-and-procedures-used-for-fractures-of-the-distal-radius-and-scaphoid-a-review
#7
REVIEW
Basel A Khader, Mark R Towler
The distal radius and the scaphoid are the most commonly injured carpal bones among both active adults and the osteoporotic elderly. The purpose of surgical treatment is to restore form and function to the wrist. Depending on the nature of the fracture, either topical procedures or invasive surgery can be applied. This article critiques the treatments currently used for fixation of wrist fractures in order to drive the development of new materials to improve patient outcomes.
May 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28069517/fast-estimation-of-colles-fracture-load-of-the-distal-section-of-the-radius-by-homogenized-finite-element-analysis-based-on-hr-pqct
#8
Hadi S Hosseini, Andreas Dünki, Jonas Fabech, Martin Stauber, Nicolas Vilayphiou, Dieter Pahr, Michael Pretterklieber, Jasmin Wandel, Bert van Rietbergen, Philippe K Zysset
Fractures of the distal section of the radius (Colles' fractures) occur earlier in life than other osteoporotic fractures. Therefore, they can be interpreted as a warning signal for later, more deleterious fractures of vertebral bodies or the femoral neck. In the past decade, the advent of HR-pQCT allowed a detailed architectural analysis of the distal radius and an automated but time-consuming estimation of its strength with linear micro-finite element (μFE) analysis. Recently, a second generation of HR-pQCT scanner (XtremeCT II, SCANCO Medical, Switzerland) with a resolution beyond 61 μm became available for even more refined biomechanical investigations in vivo...
January 7, 2017: Bone
https://www.readbyqxmd.com/read/28067411/understanding-bone-strength-is-not-enough
#9
Christopher J Hernandez, Marjolein Ch van der Meulen
Increases in fracture risk beyond what are expected from bone mineral density (BMD) are often attributed to poor "bone quality," such as impaired bone tissue strength. Recent studies, however, have highlighted the importance of tissue material properties other than strength, such as fracture toughness. Here we review the concepts behind failure properties other than strength and the physical mechanisms through which they cause mechanical failure: strength describes failure from a single overload; fracture toughness describes failure from a modest load combined with a preexisting flaw or damage; and fatigue strength describes failure from thousands to millions of cycles of small loads...
January 9, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28064351/orthopedic-trauma-surgery-and-hospital-cost-analysis-in-refugees-the-effect-of-the-syrian-civil-war
#10
Altuğ Duramaz, Mustafa Gökhan Bilgili, Berhan Bayram, Nezih Ziroğlu, Alkan Bayrak, Mustafa Cevdet Avkan
PURPOSE: The aim of this study was to evaluate the musculoskeletal injury types, injury mechanisms, surgical techniques and treatment costs of Syrian refugees. METHODS: Totally 158 patients (67 female, 91 male) treated in our clinic in 34 months period between January 2012 and October 2014 were included in the study. The mean age of the patients was 39.3 years (range: 18-82 years). The patients were evaluated for age, gender, mechanism of injury, location and type of fracture, presence of accompanying injuries, injury severity score, surgical technique, complications, mortality/morbidity and treatment cost...
January 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/27965941/health-related-quality-of-life-in-accordance-with-fracture-history-and-comorbidities-in-korean-patients-with-osteoporosis
#11
Hye-Young Kwon, Yong-Chan Ha, Jun-Il Yoo
BACKGROUND: The purpose of this study was to explore health-related quality of life (HRQOL) among Korean patients with osteoporosis and to measure the impact of fractures and comorbidity on their quality of life (QOL) using the Korean National Health and Nutrition Examination Survey (KNHANES) data with a nationwide representativeness. METHODS: This study was based on 4-year-data obtained from the KNHANES 2008 to 2011. Osteoporosis was diagnosed in 2,078 survey participants according to their bone mineral density measurements using dual energy X-ray absorptiometry...
November 2016: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/27915335/network-meta-analysis-of-pharmacological-agents-for-osteoporosis-treatment-and-fracture-prevention
#12
Xu-Cheng Yang, Zhen-Han Deng, Ting Wen, Wei Luo, Wen-Feng Xiao, Rui-Bo Zhao, Yu-Sheng Li
BACKGROUND AND OBJECTIVE: Osteoporosis afflicts a large number of populations in the world and is featured by systemic impairment of bone mass and strength which may further trigger an increase in the risk of fragile fractures. This network meta-analysis (NMA) is designed to distinguish therapies more preferable than others with respect to efficacy and safety. METHODS: We searched the medical literature for relevant studies systematically. Both direct and indirect evidence were synthesized to compare the efficacy, described by odds ratios (OR) and 95% credible intervals (CrI)...
2016: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/27910799/validation-of-the-danish-version-of-the-quick-disabilities-of-arm-shoulder-and-hand-questionnaire
#13
Jesper Ougaard Schønnemann, Jens Eggers
INTRODUCTION: The Quick-Disabilities of Arm, Shoulder and Hand (QuickDASH) questionnaire is an 11-item region-specific questionnaire used to measure the effect of clinical treatment of disorders and injuries to the upper extremity. During its original development, it was shown that the QuickDASH is a valid and reliable outcome measure. The purpose of this study was to validate the Danish version of the QuickDASH in patients with wrist fractures, using the Nottingham Health Profile (NHP) as an evaluation tool...
December 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27890199/-what-is-the-role-of-primary-or-secondary-hemiarthroplasty-for-distal-radius-fractures-in-independent-elderly-patients
#14
G Herzberg, M Burnier
The authors report their experience with wrist hemiarthroplasty for acute irreparable distal radius fractures in independent elderly patients (12 women, mean age 76years) and following failed initial treatment in the same population (5 women, mean age 75years). The first 11 cases have a mean follow-up of 30months. No complications requiring implant removal were reported. At follow-up, the mean VAS for pain was 1/10, the mean flexion-extension arc was 60°, the Lyon Wrist score was 73 % and the PRWE (Patient-Related Wrist Evaluation) was 22 points...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27886828/wrist-arthroscopy-for-athletic-injuries
#15
REVIEW
Rick Tosti, Eon Shin
Management of hand and wrist injuries for athletes often places emphasis on an expeditious return to sport. Arthroscopic techniques have the advantage of directly visualizing joint derangements and correcting them via a minimally invasive approach. This article discusses the evaluation and management of common wrist injuries treated with arthroscopy in athletes, including scapholunate and lunotriquetral injury, triangular fibrocartilage complex tears, hamatolunate impingement, and arthroscopic-assisted reduction of wrist fractures...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27881257/economic-burden-of-osteoporotic-fracture-of-the-elderly-in-south-korea-a-national-survey
#16
Jinhyun Kim, Eunhee Lee, Sungjae Kim, Tae Jin Lee
BACKGROUND: Osteoporotic fractures (OFs) in the elderly are common worldwide, and the predicted number of the aging population is increasing the burden of OF on health care systems. OBJECTIVES: To estimate the economic burden of OF in people older than 65 years in South Korea from a societal perspective. METHODS: National Health Insurance claim databases were used to analyze health care utilization and medical costs of OF in the Korean population (49 million)...
May 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27870256/factors-related-to-a-decline-in-upper-extremity-function-among-patients-with-a-wrist-fracture-due-to-a-fall
#17
MULTICENTER STUDY
Nerea González, Ane Antón-Ladislao, Miren Orive, Jon Zabala, Susana García-Gutiérrez, Carlota Las Hayas, Jose Maria Quintana
AIMS: The aim of this study was to identify factors related to a decline in function following a wrist fracture. METHODS: Observational, prospective cohort study done in five public hospitals of the Basque Health Service. We recruited adults aged 65 or older with a wrist fracture due to a fall who attended the emergency department (ED) of one of these hospitals. Sociodemographic and clinical data were collected, along with information about health-related quality of life (HRQoL) and functionality...
November 2016: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/27824387/fler-utreddes-f%C3%A3-r-osteoporos-efter-inf%C3%A3-rande-av-frakturkedja
#18
Michael Lovric, Eva Ribom-Bornefalk
The aim of this retrospective study was to review the effect of a fracture liaison service (FLS) in terms of assessment and treatment of osteoporosis. An FLS is a model of care for improving the secondary preventive care of these patients. An FLS was started at Halland Hospital Halmstad in October 2013. In this study we evaluated the effect of the FLS on the follow up of patients with wrist fractures. In total 126 patients were included, equally divided in two groups before and after the implementation of the FLS...
November 1, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27788215/comparison-of-diagnostic-accuracy-of-radiation-dose-equivalent-radiography-multidetector-computed-tomography-and-cone-beam-computed-tomography-for-fractures-of-adult-cadaveric-wrists
#19
Jakob Neubauer, Matthias Benndorf, Carolin Reidelbach, Tobias Krauß, Florian Lampert, Horst Zajonc, Elmar Kotter, Mathias Langer, Martin Fiebich, Sebastian M Goerke
PURPOSE: To compare the diagnostic accuracy of radiography, to radiography equivalent dose multidetector computed tomography (RED-MDCT) and to radiography equivalent dose cone beam computed tomography (RED-CBCT) for wrist fractures. METHODS: As study subjects we obtained 10 cadaveric human hands from body donors. Distal radius, distal ulna and carpal bones (n = 100) were artificially fractured in random order in a controlled experimental setting. We performed radiation dose equivalent radiography (settings as in standard clinical care), RED-MDCT in a 320 row MDCT with single shot mode and RED-CBCT in a device dedicated to musculoskeletal imaging...
2016: PloS One
https://www.readbyqxmd.com/read/27780801/persistent-user-bias-in-case-crossover-studies-in-pharmacoepidemiology
#20
Jesper Hallas, Anton Pottegård, Shirley Wang, Sebastian Schneeweiss, Joshua J Gagne
Studying the effect of chronic medication exposure by means of a case-crossover design may result in an upward-biased odds ratio. In this study, our aim was to assess the occurrence of this bias and to evaluate whether it is remedied by including a control group (the case-time-control design). Using Danish data resources from 1995-2012, we conducted case-crossover and case-time-control analyses for 3 medications (statins, insulin, and thyroxine) in relation to 3 outcomes (retinal detachment, wrist fracture, and ischemic stroke), all with assumed null associations...
October 25, 2016: American Journal of Epidemiology
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