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scapular X-ray

Manuela Schmidt, Martin Mehlhorn, Martin S Fischer
Studies into the function of structures are crucial for making connections between morphology and behaviour of organisms, but are still rare for the terrestrial Testudinidae. We investigated the kinematics of shoulder girdle and forelimb motion in Hermann's tortoise Testudo hermanni using biplanar X-ray fluoroscopy with a twofold aim: firstly, to understand how the derived shapes of shoulder girdle and carapace together influence rotation of the girdle; and, secondly, to understand how girdle rotation affects forelimb excursion...
September 1, 2016: Journal of Experimental Biology
Luis Gorospe, María Ángeles Fernández-Méndez, Ana Ayala-Carbonero, Alberto Cabañero-Sánchez, Gemma María Muñoz-Molina
BACKGROUND: An extrapleural hematoma (EH) is an uncommon and potentially life-threatening condition defined as the accumulation of blood in the extrapleural space between the parietal pleura and the endothoracic fascia. EH usually occurs after blunt thoracic trauma causing fractures of the sternum and ribs, which can tear the intercostal or internal mammary vessels. Typical radiological findings of EH are a biconvex opacity on the involved hemithorax and the so-called displaced "extrapleural fat sign...
August 2016: Journal of Emergency Medicine
Li-feng Zhai, Hua Xu, Yi-min Chen, Da-wei Bi
OBJECTIVE: To explore surgical therapeutic strategies and clinical effects for floating shoulder injury. METHODS: From March 2010 to December 2013, 12 patients with floating shoulder injury were treated by open reduction and plate screw fixation,including 10 males and 2 females aged from 22 to 45 years old with an average of 31.7 years old. Preoperative X-ray and CT showed 11 cases were ipsilateral clavicle fracture with scapular neck fractures, 1 case was scapular neck fracture with ipsilateral acromioclavicular dislocation...
January 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
E Casado-Sanz, R Barco-Laakso, S Antuña-Antuña
BACKGROUND: To assess the clinical and radiological results of fractures of the proximal humerus treated with intramedullary nail fixation as well as the risk factors associated with a poor outcome. METHODS: Patients were analyzed retrospectively with a minimum follow-up of one year. An objective clinical assessment was made using the Constant scale, the subjective satisfaction scale, VAS, and the DASH scale to measure disability. The radiological assessment included AP and axial X-rays in the scapular plane...
May 2015: Acta Ortopédica Mexicana
Marschall B Berkes, Joshua S Dines, Jacqueline F Birnbaum, Lionel E Lazaro, Tristan C Lorich, Milton T M Little, Joseph T Nguyen, Dean G Lorich
BACKGROUND: Convention dictates that an axillary view be obtained when evaluating proximal humerus fractures (PHF). However, the axillary view is frequently omitted because of pain and technical considerations. Furthermore, its diagnostic utility is unclear in this setting. QUESTIONS/PURPOSES: The purpose of this study was to (1) determine the rate of obtaining an adequate axillary X-ray and complete shoulder series at a level I trauma center, (2) understand the cost of ordering and attempting an axillary radiograph, and (3) determine if axillary radiographs influence the management of PHF...
October 2015: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Ezequiel E Zaidenberg, Luciano A Rossi, Santiago L Bongiovanni, Ignacio Tanoira, Gaston Maignon, Maximiliano Ranalletta
BACKGROUND: Scapulo-thoracic joint disorders, including bursitis and crepitus, are commonly misdiagnosed problems and can be a source of persistent pain and dysfunction PRESENTATION OF THE CASE: This article describes an unusual case of a snapping scapula syndrome secondary to a migration through the lateral cortex of a rib splint intramedullary fixation device into the scapulothoracic joint. DISCUSSION: Recently, the operative fixation of multiple ribs fractures with intramedullary fixation devices has become popular...
2015: International Journal of Surgery Case Reports
Raffaele Garofalo, Brody Flanagin, Alessandro Castagna, Eddie Y Lo, Sumant G Krishnan
INTRODUCTION: Treatment of long segment proximal humeral fractures with extension below the surgical neck into the diaphysis remains a significant challenge for orthopaedic surgeons. The purpose of this paper was to evaluate the clinical and radiological outcomes following primary long-stem RSA with cerclage fixation for complex long segment proximal humeral fractures with diaphyseal extension in patients more than 65 years old. MATERIAL AND METHODS: Between February 2010 and March 2013, 22 patients who suffered a complex proximal humerus fracture with extended diaphyseal involvement underwent surgery with long-stem RSA and cerclages fixation...
December 2015: Injury
Robert M Rodriguez, Mark I Langdorf, Daniel Nishijima, Brigitte M Baumann, Gregory W Hendey, Anthony J Medak, Ali S Raja, Isabel E Allen, William R Mower
BACKGROUND: Unnecessary diagnostic imaging leads to higher costs, longer emergency department stays, and increased patient exposure to ionizing radiation. We sought to prospectively derive and validate two decision instruments (DIs) for selective chest computed tomography (CT) in adult blunt trauma patients. METHODS AND FINDINGS: From September 2011 to May 2014, we prospectively enrolled blunt trauma patients over 14 y of age presenting to eight US, urban level 1 trauma centers in this observational study...
October 2015: PLoS Medicine
Yun Ling, Rong Qu, Yufeng Luo
OBJECTIVE: To report the treatment of the first imported Middle East respiratory syndrome ( MERS ) in China, and to investigate the clinical features and treatment of the patient. METHODS: On May 28th, 2015, the first patient of imported MERS to China was admitted to Department of Critical Care Medicine of Huizhou Municipal Central Hospital. The clinical features and treatments of this patient were analyzed. RESULTS: (1) A 43 years old male of South Korean nationality was admitted with the complaint of back ache for 7 days and fever 2 days with the following characteristics: back ache 7 days ago, without fever or cough or expectoration...
August 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
A Fekir, X Balguerie, I Bardoux, J-N Dacher, P-H Vivier
Venous malformation (VM) is a frequent soft tissue mass in children that should not be confused with vascular tumors. We report the case of a 10-year-old boy with a bulky thrombosed VM of the shoulder with functional disability. D-dimer levels were high. Pathognomonic phleboliths were demonstrated on conventional x-rays. Echo-doppler confirmed the venous nature of the lesion and areas without flow suspicious for thrombosis. MRI provides the deep extension and can show non-calcified thrombi that are difficult to see with ultrasound...
July 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Merce Avellanet, Xavier Sala-Blanch, Lidia Rodrigo, Miguel A Gonzalez-Viejo
Interscalene brachial plexus block (IBPB) has been widely used in shoulder surgical procedures. The incidence of postoperative neural injury has been estimated to be as high as 3 %. We report a long-term neurologic deficit after a nerve stimulator assisted brachial plexus block. A 55 year-old male, with right shoulder impingement syndrome was scheduled for elective surgery. The patient was given an oral dose of 10 mg of diazepam prior to the nerve stimulator assisted brachial plexus block. The patient immediately complained, as soon as the needle was placed in the interscalene area, of a sharp pain in his right arm and he was sedated further...
February 2016: Journal of Clinical Monitoring and Computing
U Irlenbusch, G Kohut
BACKGROUND AND PURPOSE: To minimize notching problem associated with reversed prostheses, inferior positioning of base plate is recommended. This reduces the risk of notching, but does not eliminate it completely. Both polyethylene/PE-induced osteolysis and implant-to-bone or implant-to-implant contact may still occur, contributing to the risk of screw-breakage and resulting long-term failure. Therefore, the stability and integration of a newly developed base plate without inferior screw and inversion of bearing materials was investigated...
April 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
Tudisco C, Bisicchia S, Savarese E, Ippolito E
BACKGROUND: There is still debate about the best treatment option for highly recurrent anterior shoulder dislocation in patients with severe impairment of the anterior capsule and/or recurrence after either arthroscopic or open capsulorrhaphy. Materials and. METHODS: The clinical and radiological findings of 7 patients treated with an open capsulorrhaphy stabilized with an "8 plate" for a highly recurrent traumatic anterior shoulder dislocation with severe impairment of the anterior capsule and a large Bankart lesion were retrospectively reviewed...
2014: Open Orthopaedics Journal
F Giurazza, G Frauenfelder, E Schena, P Saccomandi, R L Cazzato, B Beomonte Zobel
Stature is an important biological characteristic considered in the clinical activities. Height (h)is frequently hard to measure in the elderly population or in people with skeletal deformities and vertebral fractures. Furthermore it represents also a key point in forensic evaluations. Our aim was to provide an equation in order to predict human height based on the Longitudinal Scapular Diameter(LSD) measured through a Chest X-ray (CX) in an elderly Italian population. We enrolled 60 patients (age > 65 years) who underwent a standard CX...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Atilla Çıtlak, Ulaş Akgün, Tugrul Bulut, Cihan Aslan, Berna Dirim Mete, Muhittin Şener
INTRODUCTION: Subacromial impingement syndrome is one of the most common disorders of shoulder. Scapula is a very rare site for osteochondromas, and osteochondromas arising under the acromion cause impingement syndrome. PRESENTATION OF CASE: We presented 34-year old female patient with subacromial impingement syndrome secondary to osteochondroma. She had received conservative treatment several times in other clinics. The osteochondroma causing impingement was not diagnosed...
2015: International Journal of Surgery Case Reports
Thanissara Chansakul, Arvind von Keudell, Peter Rohloff, Laura Janneck, Nirma Bustamante, Michael J Weaver, Urvi Fulwadhva
No abstract text is available yet for this article.
October 18, 2014: Lancet
N Bigorre, R Lancigu, P Bizot, L Hubert
INTRODUCTION: The main complication of reverse shoulder arthroplasty is the development of notches in the scapular pillar, which occurs in 44% to 100% of cases. Furthermore the functional score has been shown to be poorer in patients with high-grade notches. Many options have been proposed to reduce this risk. The purpose of this study was to evaluate the predictive factors of the development of scapular notches. MATERIALS AND METHODS: We retrospectively evaluated 133 shoulders in 121 patients with reverse shoulder arthroplasty...
November 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
Julia K Terzis, Dimitrios Karypidis, Ricardo Mendoza, Zinon T Kokkalis, Norou Diawara
BACKGROUND: Scapular position and size deficiency is evident in obstetric brachial plexus paralysis (OBPP) patients due to the absence of balanced muscular forces acting on the scapula. Scapula stabilization (SS) procedures aim to restore a balanced musculature and anatomic position and to augment shoulder function and enhance developmental potential. METHODS: Retrospective chart review of 106 patients with OBPP between March 1979 and March 2007 was performed. Forty-one female and 27 male were included in the study...
September 2014: Hand: Official Journal of the American Association for Hand Surgery
Julia K Terzis, Dimitrios Karypidis, Ricardo Mendoza, Zinon T Kokkalis, Norou Diawara
BACKGROUND: Obstetric brachial plexus paralysis (OBPP) has been associated with shoulder deformities, scapular growth, and shoulder function impairment. The absence of balanced muscular forces acting on the scapula has been considered responsible for scapula dysplasia and impaired growth as compared with the normal side. Scapula growth impairment may also lead to shoulder and upper extremity dysfunction. This study aims at showing the association of primary nerve reconstruction with the restoration of scapular bone growth potential...
September 2014: Hand: Official Journal of the American Association for Hand Surgery
Yong Zhao, Wei Fang, An Yan, Gang Wang, Chun-Yu Liu
OBJECTIVE: To discuss the relative association of soft tissue tension and cervical physiological curvature chang in patients with scapula muscle fasciitis. METHODS: From February 2012 to December 2012,29 patients with scapula muscle fasciitis were investigated. There were 10 males and 19 females with an average age of 27.77 years old (ranged from 22 to 40 years old). Routine AP and lateral cervical X-rays were done in all patients. Cervical lordosis was measured according to Borden's method and the pain point tension was measured by soft tissue tension meter...
May 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
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