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https://www.readbyqxmd.com/read/29682356/mediastinal-hematoma-and-tracheal-compression-following-transradial-percutaneous-coronary-intervention
#1
Nathaniel R Smilowitz, Muhamed Saric, Michael J Attubato, James N Slater
Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29664863/less-can-be-more-a-skill-we-are-losing-commentary-on-an-article-by-kenneth-e-egol-md-et-al-minimally-displaced-isolated-radial-head-and-neck-fractures-do-not-require-formal-physical-therapy-results-of-a-prospective-randomized-trial
#2
https://www.readbyqxmd.com/read/29664851/minimally-displaced-isolated-radial-head-and-neck-fractures-do-not-require-formal-physical-therapy-results-of-a-prospective-randomized-trial
#3
Kenneth A Egol, Jack M Haglin, Ariana Lott, Nina Fisher, Sanjit R Konda
BACKGROUND: Nondisplaced and minimally displaced fractures of the radial head and neck are common injuries, yet the role of physical therapy (PT) in their treatment is unclear. The aim of this trial was to assess the need for formal PT following a simple fracture of the radial head or neck. METHODS: Patients who had a nondisplaced or minimally displaced fracture of the radial head or neck and presented to 1 of 2 providers were enrolled prospectively between January 2014 and August 2016...
April 18, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29657444/radial-axial-interosseous-load-rail-test-for-essex-lopresti-type-injuries
#4
REVIEW
Zachary C Lum, Eric G Huish, Marc A Trzeciak
Background: When approaching radial head and neck fractures, the decision for ORIF, resection, or arthroplasty is often performed intraoperatively. Factors that contribute include ligamentous and bony stability, cartilage injury, mechanical alignment as well as patient factors. Recent data has suggested conventional methods may not be sufficiently sensitive in detecting Essex Lopresti injuries. Here we describe an intraoperative technique that could objectively assess proximal radio-ulnar stability with subsequent disruption of the ligamentous structures...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29628709/an-unexpected-healing-of-an-established-non-union-of-the-radial-neck-through-teriparatide-a-case-report-and-review-of-literature
#5
Bhavuk Garg, Sahil Batra, Vivek Dixit
No abstract text is available yet for this article.
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29623767/validation-of-a-new-methodology-to-determine-3-dimensional-endograft-apposition-position-and-expansion-in-the-aortic-neck-after-endovascular-aneurysm-repair
#6
Richte C L Schuurmann, Simon P Overeem, Kim van Noort, Bastiaan A de Vries, Cornelis H Slump, Jean-Paul P M de Vries
PURPOSE: To validate a novel methodology employing regular postoperative computed tomography angiography (CTA) scans to assess essential factors contributing to durable endovascular aneurysm repair (EVAR), including endograft deployment accuracy, neck adaptation to radial forces, and effective apposition of the fabric within the aortic neck. METHODS: Semiautomatic calculation of the apposition surface between the endograft and the infrarenal aortic neck was validated in vitro by comparing the calculated surfaces over a cylindrical silicon model with known dimensions on CTA reconstructions with various slice thicknesses...
April 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29577030/eus-guided-gall-bladder-drainage-in-severe-liver-disease-a-single-center-experience-in-critically-ill-cirrhotics
#7
Kapil Dev Jamwal, Manoj Kumar Sharma, Rakhi Maiwall, Barjesh Kumar Sharma, Shiv Kumar Sarin
Background and Aims : Acute calculous cholecystitis with impending gall bladder perforation in severe liver diseases including decompensated cirrhosis and acute-on-chronic liver failure (ACLF) is difficult to manage, due to the procedures such as cholecystectomy and per cutaneous cholecystostomy being associated with high risk and complications in these patients. Methods : Four cases of severe liver disease with acute calculous cholecystitis who presented to the Institute of Liver and Biliary Sciences (New Delhi, India) for further management were included in the study if they underwent endoscopic ultrasound-guided gall bladder drainage (EUS-GBD)...
March 28, 2018: Journal of Clinical and Translational Hepatology
https://www.readbyqxmd.com/read/29549900/long-term-quality-of-life-and-psycho-social-outcomes-after-oropharyngeal-cancer-surgery-and-radial-forearm-free-flap-reconstruction-a-gettec-prospective-multicentric-study
#8
Alexandre Bozec, Pierre Demez, Jocelyn Gal, Emmanuel Chamorey, Marie-Yolande Louis, David Blanchard, Dominique De Raucourt, Jean-Claude Merol, Esteban Brenet, Olivier Dassonville, Gilles Poissonnet, José Santini, Frédéric Peyrade, Karen Benezery, Maria Lesnik, Etienne Berta, Pierre Ransy, Emmanuel Babin
OBJECTIVE: To assess long-term quality of life (QoL) and psycho-social outcomes, and to determine their predictive factors after oropharyngeal cancer (OPC) surgery and radial forearm free-flap (RFFF) reconstruction. METHODS: Patients who had undergone OPC surgery and RFFF reconstruction who were still alive and disease-free at least 1 year after surgery were enrolled in this prospective multicentric study. Patients completed the European Organization for Research and Treatment of Cancer (EORTC) Core (QLQ-C30) and Head and Neck Cancer (QLQ-H&N35) QoL questionnaires, the Voice Handicap Index (VHI-10) questionnaire and the Hospital Anxiety and Depression Scale (HADS)...
March 2018: Surgical Oncology
https://www.readbyqxmd.com/read/29517923/anatomic-predictors-of-sagittal-hip-and-pelvic-motions-in-patients-with-a-cam-deformity
#9
K C Geoffrey Ng, Mario Lamontagne, Jonathan R T Jeffers, George Grammatopoulos, Paul E Beaulé
BACKGROUND: As there is a high prevalence of patients with cam deformities and no ongoing hip dysfunction, understanding the biomechanical factors predicting the onset of symptoms and degenerative changes is critical. One such variable is how the spinopelvic parameters may influence hip and pelvic sagittal mobility. Hypothesis/Purpose: Pelvic incidence may predict sagittal hip and pelvic motions during walking and squatting. The purpose was to determine which anatomic characteristics were associated with symptoms and how they influenced functional hip and pelvic ranges of motion (ROMs) during walking and squatting...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29481345/morphologic-features-of-the-contralateral-femur-in-patients-with-unilateral-slipped-capital-femoral-epiphysis-resembles-mild-slip-deformity-a-matched-cohort-study
#10
Tobias Hesper, Sarah D Bixby, Daniel A Maranho, Patricia Miller, Young-Jo Kim, Eduardo N Novais
BACKGROUND: Hip osteoarthritis has been reported in the contralateral hip in patients who had been treated for unilateral slipped capital femoral epiphysis (SCFE) during adolescence. Although this might be related to the presence of a mild deformity, the morphologic features of the contralateral hip in unilateral SCFE remains poorly characterized. QUESTIONS/PURPOSES: Do measurements of (1) femoral head-neck concavity (α angle and femoral head-neck offset), (2) epiphyseal extension into the metaphysis (epiphyseal extension ratio and epiphyseal angle), and (3) posterior tilt of the epiphysis (epiphyseal tilt angle) differ between the contralateral asymptomatic hips of patients treated for unilateral SCFE and hips of an age- and sex-matched control population without a history of hip disease? METHODS: From January 2005 to May 2015, 442 patients underwent surgical treatment for SCFE at our institution...
April 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29480362/functional-and-cosmetic-donor-site-morbidity-of-the-radial-forearm-free-flap-comparison-of-two-different-coverage-techniques
#11
Markus Pirlich, Iris-Susanne Horn, Christian Mozet, Mandy Pirlich, Andreas Dietz, Miloš Fischer
BACKGROUND: The use of the radial forearm-free flap is a well-established and reliable reconstruction method in head and neck surgery. Usually, the defect of the donor site is covered with full or split-thickness skin grafts. Since 09/2013, a direct closure of the radial forearm donor site has been performed at the ENT University Hospital Leipzig to avoid secondary donor site morbidity. However, few data are available in the literature on long-term cosmetic and functional results compared to the established indirect donor site defect coverage...
February 26, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29457421/-minimally-invasive-elastic-intramedullary-nailing-for-the-treatment-of-radial-neck-fracture-in-children-a-report-of-18-cases
#12
Zhen Xu, Mei-Jin Hu
OBJECTIVE: To investigate effects of elastic stable intramedullary nails(ESIN) for the treatment of radial neck fracture in children. METHODS: From January 2014 to April 2017, 18 children with radial neck fractures were treated with minimally invasive internal fixation including 6 males and 12 females with an average age of 8.6 years old ranging from 4 to 15 years old; 7 cases were on the left, 11 cases on the right. According to Judet type, 5 cases were type II, 9 cases were type III, 1 case was type IVa, 3 cases were type IVb...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29406341/femoral-version-abnormalities-significantly-outweigh-effect-of-cam-impingement-on-hip-internal-rotation
#13
Matthew J Kraeutler, Vivek Chadayammuri, Tigran Garabekyan, Omer Mei-Dan
BACKGROUND: The purpose of this study was to investigate the effects of femoral version, cam-type femoroacetabular impingement (FAI), and the combination of the 2 on the passive hip range of motion (ROM). METHODS: We prospectively analyzed a consecutive cohort of 220 patients (440 hips) who presented with unilateral or bilateral hip pain. The passive hip ROM was measured bilaterally with the patient in prone, supine, and lateral positions. Femoral version was measured and the presence of cam-type deformity was determined on preoperative computed tomography (CT) scans...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29402719/intramedullary-devices-in-the-management-of-judet-iii-and-iv-paediatric-radial-neck-fractures
#14
Manish Kiran, Colin Bruce, Harvey George, Neeraj Garg, Roger Walton
PURPOSE: The aim of this study is to discuss the results of different intramedullary devices used in the management of paediatric radial neck fractures and to suggest methods to avoid the pitfalls of the technique. METHODS: Thirty patients with isolated Judet III and IV fractures were included in this prospective study. Judet I and II fractures and radial neck fractures associated with other injuries were excluded. The final results were graded using the Metaizeau functional scoring system and Oxford Elbow Score...
December 9, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29395220/comparison-of-two-closed-surgical-techniques-at-isolated-pediatric-radial-neck-fractures
#15
Mahmut Kalem, Ercan Şahin, Hakan Kocaoğlu, Kerem Başarır, Hakan Kınık
INTRODUCTION: This paper aims to compare the clinical and radiological results of children operated using elastic stable intramedullary nailing as described by Métaizeau to those with the closed reduction and percutaneous pinning (CRPP). METHODS: Results of 21 pediatric patients with radial neck fracture who were treated by two pediatric surgeons between January 2011 and December 2013 were reviewed retrospectively. 10 were treated with the Métaizeau method versus 11 with the CRPP...
January 25, 2018: Injury
https://www.readbyqxmd.com/read/29394909/long-term-results-after-non-operative-and-operative-treatment-of-radial-neck-fractures-in-adults
#16
Holger Keil, Marc Schnetzke, Arpine Kocharyan, Sven Yves Vetter, Nils Beisemann, Benedict Swartman, Paul-Alfred Grützner, Jochen Franke
BACKGROUND: The aim of this study is to determine the functional long-term outcome after non-operative and operative treatment of radial neck fractures in adults. METHODS: Thirty-four consecutive patients with a mean age of 46.4 (18.0 to 63.0) years with a fracture of the radial neck who were treated between 2000 and 2014 were examined regarding the clinical and radiological outcome. Twenty patients were treated non-operatively, and 14 patients underwent surgery...
February 2, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29388047/self-reported-protein-intake-and-properties-of-bone-in-community-dwelling-older-individuals
#17
Jonas Johansson, Andreas Hult, Bente Morseth, Anna Nordström, Peter Nordström
This study revealed that a quick and simple estimation of protein intake was related to measures of bone density and area in 70-year-old individuals. Furthermore, these associations were mediated by muscle mass when investigating peripheral measurement sites such as arms and legs. PURPOSE: Recent evidence suggests that dietary protein is beneficial for bone health in older individuals, but less is known about the influence of muscle mass on this relationship. This cross-sectional study aimed to investigate associations among protein intake, bone health, and muscle mass in 2332 men and women aged 70 years...
January 31, 2018: Archives of Osteoporosis
https://www.readbyqxmd.com/read/29357701/comparison-of-exposure-in-the-kaplan-versus-the-kocher-approach-in-the-treatment-of-radial-head-fractures
#18
Leslie Fink Barnes, Joseph Lombardi, Thomas R Gardner, Robert J Strauch, Melvin P Rosenwasser
BACKGROUND: The aim of this study was to compare the complete visible surface area of the radial head, neck, and coronoid in the Kaplan and Kocher approaches to the lateral elbow. The hypothesis was that the Kaplan approach would afford greater visibility due to the differential anatomy of the intermuscular planes. METHODS: Ten cadavers were dissected with the Kaplan and Kocher approaches, and the visible surface area was measured in situ using a 3-dimensional digitizer...
January 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29344982/experience-with-pharmacologic-leeching-with-bivalirudin-for-adjunct-treatment-of-venous-congestion-of-head-and-neck-reconstructive-flaps
#19
Aisha Harun, Rachel M Kruer, Andrew Lee, Kofi Boahene, Patrick J Byrne, Jeremy D Richmon
OBJECTIVES: The goal of this study was to review the feasibility of local bivalirudin injection for adjunct treatment of venous congestion of head and neck reconstructive flaps. METHODS: A retrospective chart review of patients who underwent bivalirudin treatment for venous congestion of head and neck reconstructive flaps in a single institution from September 1, 2012 to September 1, 2015 was undertaken. Individuals were treated with variable number of intradermal injections directly into the flap followed by a small skin incision to allow extended passive bleeding...
January 18, 2018: Microsurgery
https://www.readbyqxmd.com/read/29343893/assessment-of-perfusion-of-free-flaps-used-in-head-and-neck-reconstruction-using-pulsatility-index
#20
Akshay Kapoor, Malay Karmakar, Collin Roy, Kaushal Priya Anand
Objective: To detect venous or arterial obstruction in the pedicle of a free flap we can monitor resistance in the flap bed which is reflected in Pulsatility Index (PI) Therefore if we detect change in the values of the PI in these flaps then we can detect complications in flap due to vascular insufficiency early. Materials and Methods: Seven patients of Free Fibular Flap Reconstruction and ten patients of Free Radial Forearm Flap reconstruction were evaluated over a period of 18 months...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
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