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https://www.readbyqxmd.com/read/29686900/are-unnecessary-serial-radiographs-being-ordered-in-children-with-distal-radius-buckle-fractures
#1
Shi-Neng James Ling, Aidan J Cleary
Background. Torus or buckle distal radius fractures are common injuries in the pediatric population. By definition, they are stable and can be treated conservatively with a wrist splint or soft crepe bandage. Objective. The objective of this study was to evaluate the utility of serial radiographs in the clinical outcome of children with stable distal radius buckle fractures. Materials and Methods. A one-month retrospective analysis was undertaken at two major hospitals in Queensland-Logan and Redlands Hospital...
2018: Radiology Research and Practice
https://www.readbyqxmd.com/read/29680335/the-sigmoid-notch-view-for-distal-radius-fractures
#2
Robin N Kamal, Fraser Leversedge, David S Ruch, Suhail K Mithani, Ilvy H F Cotterell, Marc J Richard
PURPOSE: This study defines the sigmoid notch view of the distal radius. Specifically, we tested the null hypothesis that there is no relationship between the subchondral stripe of bone seen on a sigmoid notch view of the distal radius and the articular surface of the sigmoid notch. METHODS: We used 44 wrist specimens for anatomic and fluoroscopic analysis. We measured the articular depth of the sigmoid notch from its deepest point and classified the shape of the sigmoid notch...
April 18, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29675770/sports-participation-and-fracture-in-older-australian-men
#3
Kara L Holloway-Kew, David J Moloney, Gosia Bucki-Smith, Natalie K Hyde, Sharon L Brennan-Olsen, Elizabeth N Timney, Amelia G Dobbins, Julie A Pasco
Older men who participated in a sporting activity were less likely to sustain any fracture or major osteoporotic fracture over a 6-year follow-up period. PURPOSE: Regular weight-bearing physical activity can reduce fracture risk through an increase in bone strength, as well as reducing falls risk by improving muscle strength and balance. In this study, we aimed to determine whether a specific type of physical activity, sports participation, reduces fracture risk in older Australian men...
April 19, 2018: Archives of Osteoporosis
https://www.readbyqxmd.com/read/29672437/risk-of-fractures-in-inflammatory-bowel-diseases-a-systematic-review-and-meta-analysis
#4
Yuga Komaki, Fukiko Komaki, Dejan Micic, Akio Ido, Atsushi Sakuraba
BACKGROUND: Studies assessing the risk of fractures in inflammatory bowel diseases (IBD) have shown controversial results. GOALS: We performed a systematic review and meta-analysis to assess the risk of fractures in IBD. STUDY: Electronic databases were searched for cohort studies assessing the risk of fractures in IBD. The outcomes were the risk of overall fractures and at specific sites, and the association between the risk of fractures and the proportion of patients with corticosteroid use or osteoporosis...
April 18, 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29664849/association-between-distal-radial-fracture-malunion-and-patient-reported-activity-limitations-a-long-term-follow-up
#5
Muhanned Ali, Elisabeth Brogren, Philippe Wagner, Isam Atroshi
BACKGROUND: The long-term effect of distal radial fracture malunion on activity limitations is unknown. Between 2001 and 2002, we conducted a prospective cohort study of all patients with distal radial fracture treated with casting or percutaneous fixation in northeast Scania in Sweden. In that original study, the patients completed the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire at baseline and at 2 years. We performed a long-term follow-up study of patients who were 18 to 65 years of age at the time of the fracture to investigate the association between fracture malunion and activity limitations...
April 18, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29661070/scaphoid-cysts-literature-review-of-etiology-treatment-and-prognosis
#6
Tyler Safran, Jessica Hazan, Becher Al-Halabi, Hassan Al-Naeem, Sabrina Cugno
BACKGROUND: Cystic lesions of the carpal bones are rare entities that are infrequently reported in the literature. Scaphoid intraosseous cystic lesions represent a rare subset of carpal bone cysts. This review aims to summarize the available evidence on the evaluation and treatment of scaphoid cystic lesions to help guide clinical management. METHODS: Systematic electronic searches were performed using PubMed, Ovid, and Embase databases. Studies included were graded for their risk of bias...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29661068/correlation-between-radiological-parameters-and-functional-outcomes-in-patients-older-than-60-years-of-age-with-distal-radius-fracture
#7
Rodrigo Gutiérrez-Monclus, Héctor Gutiérrez-Espinoza, Jonathan Zavala-González, Cristian Olguín-Huerta, David Rubio-Oyarzún, Felipe Araya-Quintanilla
BACKGROUND: The relationship between radiographic and functional outcomes is controversial in the elderly. The objective of this study is to determine whether there is a correlation between functional outcome and acceptable distal radius fracture (DRF) alignment in patients older than 60 years of age. METHODS: This correlation study was carried out at the Central Metropolitan Health Service of Chile. A total of 180 patients diagnosed with extra-articular DRF, according to the AO classification, were prospectively recruited...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29657441/percutaneous-upper-extremity-fracture-fixation-using-a-novel-glass-based-adhesive
#8
Paul Zalzal, Oleg Safir, Adel Alhalawani, Marcello Papini, Mark Towler
Objective: To develop a surgical technique for percutaneous upper extremity fracture fixation using a novel glass-based adhesive. Methods: Three intact upper extremity cadaveric specimens with undisturbed soft tissues were obtained. Two were used to model a wrist fracture, and the third to model a proximal humerus fracture. Fractures were produced using a small osteotome in a percutaneous fashion. Banna Bone Adhesive (BBA) was delivered to the fracture site percutaneously using a 16 gauge needle under bi-planar fluoroscopic guidance...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29655367/biologic-plating-of-unstable-distal-radial-fractures
#9
Jae-Man Kwak, Gu-Hee Jung
BACKGROUND: Volar locking plating through the flexor carpi radialis is a well-established technique for treating unstable distal radial fractures, with few reported complications. In certain circumstances, including metaphyseal comminuted fractures, bridge plating through a pronator quadratus (PQ)-sparing approach may be required to preserve the soft tissue envelope. This study describes our prospective experience with bridge plating through indirect reduction. METHODS: Thirty-three wrists (four 23A2, six 23A3, 15 23C1, and eight 23C2) underwent bridge plating through a PQ-sparing approach with indirect reduction from June 2006 to December 2010...
April 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29651313/risk-factors-for-osteoporosis-in-postmenopausal-women-from-the-point-of-view-of-primary-care-gynecologist
#10
Damir Franic, Ivan Verdenik
Introduction: Osteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman. Methods: From 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis...
March 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29644275/delayed-identification-of-an-isolated-paediatric-capitate-fracture
#11
A Khoriati, C Jones, A Abdulkareem, N Ellahee
Fractures of the capitate bone are the second most common injury to a child's wrist but are rarely encountered in isolation. This is reflected in the paucity of described cases in the literature. Their true incidence is unknown as they often do not appear on plain radiographs and may heal without immobilisation. The easiest way to detect these fractures is with an MRI scan. The authors present a rare case of isolated capitate fracture that was initially missed on plain films. This case is important as it highlights the need for a high index of suspicion in paediatric patients with unresolving wrist pain...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29628706/does-operative-fixation-of-isolated-fractures-of-ulna-shaft-results-in-different-outcomes-than-non-operative-management-by-long-arm-cast
#12
Altaf Hussain, Sandeep Kumar Nema, Deep Sharma, Sujiv Akkilagunta, Gopisankar Balaji
Objective: The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional outcomes and radiological union in patients treated for isolated fractures of the ulnar shaft by open reduction and internal fixation and a long arm cast. Methods: This prospective study was conducted at level I trauma center from November 2014 to March 2016. 30 patients with isolated fractures of ulnar shaft were randomized to two groups to receive treatment by open reduction and internal fixation by plates and screws and a long arm cast...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29626236/prospective-study-of-comminuted-articular-distal-radius-fractures-stabilized-by-volar-plating-in-the-elderly
#13
Daniel Martinez-Mendez, Alejandro Lizaur-Utrilla, Joaquin de Juan-Herrero
PURPOSE: The objective was to assess the ability of the volar locking plate to maintain the radiographic parameters over the time in elderly patients with complex intra-articular distal radius fractures. METHODS: Prospective cohort of 66 consecutive patients with mean age of 68 (range 60-81) years and AO type C fractures treated with volar locking plate. Radiographic measurements were performed pre and post-operatively at each follow-up. Clinical assessment was made by Patient-Rated Wrist Evaluation scores, Disabilities of the Arm, Shoulder and Hand score, range of motion, and grip strength...
April 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29621979/nordic-innovative-trial-to-evaluate-osteoporotic-fractures-nitep-group-non-operative-treatment-versus-surgery-with-volar-locking-plate-in-the-treatment-of-distal-radius-fracture-in-patients-aged-65-and-over-a-study-protocol-for-a-prospective-randomized-controlled
#14
Teemu P Hevonkorpi, Antti P Launonen, Lauri Raittio, Toni Luokkala, Juha Kukkonen, Aleksi Reito, Bakir O Sumrein, Minna K Laitinen, Ville M Mattila
BACKGROUND: In the literature, there are numerous studies that compare different surgical procedures in the treatment of distal radius fractures (DRF). It is, however, unknown whether operative treatment and better restoration of anatomy with volar locking plate yields a better functional outcome in the elderly population when compared with non-operative treatment. METHODS AND DESIGN: This study is a prospective, randomized, controlled, multi-center trial. The purpose will be to compare the non-operative and operative treatment of initially or early malaligned distal radius fractures in patients aged 65 and older...
April 5, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29619121/intra-articular-fracture-of-the-distal-part-of-the-triquetrum-within-the-pisotriquetral-joint-case-report-and-review-of-literature
#15
V Athanasiou, A Panagopoulos, I D Iliopoulos, I Vrahnis, G Diamantakis, P Kraniotis, M Tyllianakis
Background: Intra-articular fractures of the distal part of the triquetrum within the pisotriquetral joint are uncommon, and can be associated with tears of the dorsal carpal ligaments, pisiform subluxation and/or FCU dislocation. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination including oblique wrist x-rays, computed tomography and MRI scan. These fractures can be delayed diagnosed due to late presentation thus leading to painful nonunion, persistent instability and late pisotriquetral arthritis...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29616587/biomechanical-strength-of-retrograde-fixation-in-proximal-third-scaphoid-fractures
#16
Charles A Daly, Allison L Boden, William C Hutton, Michael B Gottschalk
BACKGROUND: Current techniques for fixation of proximal pole scaphoid fractures utilize antegrade fixation via a dorsal approach endangering the delicate vascular supply of the dorsal scaphoid. Volar and dorsal approaches demonstrate equivalent clinical outcomes in scaphoid wrist fractures, but no study has evaluated the biomechanical strength for fractures of the proximal pole. This study compares biomechanical strength of antegrade and retrograde fixation for fractures of the proximal pole of the scaphoid...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29615100/ultrasonography-or-direct-radiography-a-comparison-of-two-techniques-to-detect-dorsal-screw-penetration-after-volar-plate-fixation
#17
Yunus Oc, Bekir Eray Kilinc, Anıl Gulcu, Ali Varol, Rodi Ertugrul, Adnan Kara
BACKGROUND: Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following volar plate fixation. METHODS: We recruited 47 patients (33 males, 14 females, mean age 37.4 years; range 18-58 years). To evaluate dorsal screw penetration in all patients, we performed radiographs at 45° pronation, 45° supination and obtained dorsal tangential graphs at maximum palmar flexion, and a wrist lateral radiograph...
April 3, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29611845/dual-radial-styloid-and-volar-plating-for-unstable-fractures-of-the-distal-radius
#18
Matthew R Garner, Patrick C Schottel, Ryan R Thacher, Stephen J Warner, Dean G Lorich
As the operative management of displaced distal radius fractures evolves, intraoperative techniques and fixation strategies evolve as well. Achieving and maintaining an acceptable reduction is paramount but can be difficult with particular fracture patterns. In this article, we describe the use of a radial column plate as a reduction tool in the management of unstable distal radius fractures, along with clinical and radiographic clinical outcomes. This technique can be useful in situations where multiplanar instability exists, or simply when intraoperative assistance is limited...
March 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29599051/the-effect-of-diabetes-on-functional-outcomes-among-individuals-with-distal-radial-fractures
#19
Sana'a A Alsubheen, Joy C MacDermid, David M Walton, Ruby Grewal
STUDY DESIGN: Prospective cohort study. INTRODUCTION: Diabetes is reported to adversely affect outcomes; however, its effect on distal radial fractures (DRF) is not well examined. PURPOSE OF THE STUDY: This study investigated the effect of diabetes on pain, hand function, physical health status, grip strength, and wrist and forearm range of motion among patients with DRF. METHODS: A total of 479 patients with DRF were classified into patients with and without diabetes based on self-report...
March 26, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29587687/above-versus-below-elbow-casting-for-conservative-treatment-of-distal-radius-fractures-a-randomized-controlled-trial-and-study-protocol
#20
Aldo Okamura, Gabriel Maciel de Mendonça, Jorge Raduan Neto, Vinicius Ynoe de Moraes, Flavio Faloppa, João Carlos Belloti
BACKGROUND: A variety of cast options are available for the non-surgical treatment of distal radius fractures (DRF) in adults. However, the literature is inconclusive regarding the need to immobilize the elbow joint after reduction in order to prevent rotation of the forearm in order to maintain the reduction of DRF. This study aimed to evaluate the best method of immobilization between above-elbow (AE) and below-elbow (BE) cast groups at the end of six-month follow-up. METHODS: This is a randomized clinical trial with parallel groups and a blinded evaluator...
March 27, 2018: BMC Musculoskeletal Disorders
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