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Orthopedic splint

Tyler Snoap, Matthew Jaykel, Cayla Williams, Jason Roberts
BACKGROUND: Calcaneal fractures are commonly seen and treated in the emergency department. There are subsets of calcaneal fractures that pose a high risk to the adjacent soft tissue of the heel and can result in full-thickness tissue necrosis. OBJECTIVE: To identify which calcaneal fractures need to be managed within hours and triaged to the orthopedic team and which can be temporized in a neutral or plantarflexed ankle splint and seen in an outpatient setting. DISCUSSION: Tongue-type calcaneal fractures and tuberosity fractures must be triaged appropriately within the first few hours of presentation to prevent skin compromise...
September 19, 2016: Journal of Emergency Medicine
Rachel Kaye, Todd Goldstein, David Zeltsman, Daniel A Grande, Lee P Smith
Three dimensional (3D) printing is a novel technique that has evolved over the past 35 years and has the potential to revolutionize the field of medicine with its inherent advantages of customizability and the ability to create complex shapes with precision. It has been used extensively within the fields of orthopedics, dentistry, and craniofacial reconstruction with wide ranging utility including, medical modeling, surgical planning and the production of custom plates, screws and surgical guides. Furthermore, it has been used for similar means in the field of Otorhinolaryngology and also has potential to revolutionize the treatment of airway malacia...
October 2016: International Journal of Pediatric Otorhinolaryngology
Mark A Feger, Neal R Glaviano, Luke Donovan, Joseph M Hart, Susan A Saliba, Joseph S Park, Jay Hertel
OBJECTIVE: To characterize trends in the acute management (within 30 days) after lateral ankle sprain (LAS) in the United States. DESIGN: Descriptive epidemiology study. PATIENTS: Of note, 825 718 ankle sprain patients were identified; 96.2% were patients with LAS. Seven percent had an associated fracture and were excluded from the remaining analysis. SETTING: Primary and tertiary care settings. INTERVENTIONS: We queried a database of national health insurance records for 2007 to 2011 by ICD-9 codes for patients with LAS while excluding medial and syndesmotic sprains and any LAS with an associated foot or ankle fracture...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Tae Hoon Lee, Ji Ho Lee, Suh Woo Chay, Kyu Sun Jang, Hak Jun Kim
The treatment of Zone 1 fractures of the 5th metatarsal base with >2mm of displacement remains controversial. We prospectively analyzed 29 patients with 5th metatarsal base fractures (Zone 1) during 2009-2014. Radiography was performed to assess the degree of fracture gap and metatarsal length. Patients with gaps of 2mm or less were treated conservatively using a short leg cast or splint (Group A), while patients with fracture gap >2mm were randomly assigned to one of two groups. Group B patients were managed with open reduction and internal fixation (ORIF), and Group C patients were placed in a short leg cast only...
August 2016: Injury
Shane R Hanzlik, Sara E Pearson, Paul E Caldwell
Fractures of the proximal humerus are common and the treatment for both displaced and comminuted variants remains controversial. Treatment options initially consisted of closed reduction, traction, casting, and abduction splints. In the early 1930s, operative treatment for displaced fractures gained popularity, which continued in the 1940s and 1950s. Humeral head replacement for severely displaced fractures of the proximal humerus was introduced in the 1950s. In the 1970s, the Association for Osteosynthesis/Association for the Study of Internal Fixation popularized plates and screws for fracture fixation, and humeral head prostheses were redesigned...
July 1, 2016: Orthopedics
Joon Yub Kim, Dong Wook Sohn, Ho Youn Park, Jeong Hyun Yoo, Joo Hak Kim, Myung Gon Jung, Jae Ho Cho
BACKGROUND: The goals of this study were to compare maximal metacarpophalangeal joint (MCPJ) flexion angles after application of a volar short arm splint at 3 different locations and verify the relations between the three different physical and radiological locations. METHODS: Forty dominant hands of healthy subjects were analyzed in the study. We defined a transverse skin folding line as a line drawn from the radial aspect of the thenar crease to the ulnar aspect of the distal transverse palmar crease...
June 2016: Clinics in Orthopedic Surgery
Antonio Manni, Sabrina Mutinelli, Marco Pasini, Laura Mazzotta, Mauro Cozzani
INTRODUCTION: The aim of this study was to evaluate the effectiveness of the treatment of skeletal Class II malocclusions with an acrylic splint Herbst appliance anchored to miniscrews with 2 types of ligation. METHODS: Sixty patients (mean age, 11.6 years; SD, 1.9) with a bilateral Angle Class II Division 1 malocclusion were retrospectively selected and divided into 3 homogeneous and balanced groups on the basis of the Herbst anchorage used: without anchorage, miniscrews with elastic chains, and miniscrews with metallic ligatures...
June 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Baran Kömür, Olcay Güler, Serhat Mutlu, Barış Yılmaz, Bülent Yücel, Tahir Mutlu Duymuş
INTRODUCTION: A rare case of proximal phalange fractures has been presented in this study. PRESENTATION OF CASE: A 29-year-old male patient from Turkey was admitted to the orthopedics and traumatology clinic with a complaint of left hand pain, which had persisted for 10days. He described a rotational trauma that had occurred right after hitting his hand on the wheel of a car as a result of an in-car traffic accident 10days ago. Radiological work-ups were requested...
2016: International Journal of Surgery Case Reports
Sasha J Tharakan, Rushyuan J Lee, Ammie M White, J Todd R Lawrence
Distal humeral epiphyseal separations are rare and treatment strategies are not well defined. The case of a full-term male newborn with a distal humeral epiphyseal separation as the result of a birth trauma was reviewed. A literature review of this topic was undertaken to better understand its occurrence, diagnosis, and treatment options. The patient sustained a distal humeral epiphyseal separation during a vaginal delivery. Deformity and decreased movement in the elbow were observed. Radiographs and subsequent ultrasound were used to make the diagnosis of distal humeral epiphyseal separation...
July 1, 2016: Orthopedics
Kalenia M Márquez-Flórez, Octavio Silva, Carlos A Narváez-Tovar, Diego A Garzón-Alvarado
We used a three-dimensional rigid body spring model (RBSM) to compare the contact force distributions on the acetabular surface of the infant hip joint that are produced by three orthopedic treatments for developmental dysplasia of the hip (DDH). We analyzed treatments using a Pavlik harness, a generic rigid splint, and a spica cast. The joint geometry was modeled from tomography images of a 1-year-old female. The articular cartilage was modeled as linear springs connecting the surfaces of the acetabulum and the femoral head, whereas the femur and the hip bone were considered as rigid bodies...
July 1, 2016: Journal of Biomechanical Engineering
Chanukya R Dasari, Manjot Sandhu, David H Wisner, Michael S Wong
BACKGROUND: Hand trauma call duties at university medical centers are traditionally split among plastic surgeons and orthopedic surgeons, frequently without additional fellowship training in hand and upper-extremity surgery. Differences in operative approach between these groups have never been specifically described. The University Health Consortium-Association of American Medical Colleges Faculty Practice Solutions Center database contains comprehensive, factual, billing and coding data from 90 academic medical centers in the United States and can be used to characterize the practice patterns of various academic surgical specialties...
May 2016: Annals of Plastic Surgery
Jonathan Twu, Jovito Angeles
Developmental trigger thumb, although uncommon, can be easily identifiable in the pediatric outpatient visit. Patients often present with their thumb locked in flexion and a firm nodule at the base of the thumb. The thumb is usually passively correctable and nonpainful. It is important to examine the opposite thumb as bilateral trigger thumbs occur at a rate of 25% to 30%. Nonsurgical options have been proposed in the past including watchful waiting, extension exercises, splinting, and steroid injections with mixed results...
April 2016: Pediatric Annals
Grzegorz Guzik
The most common neoplasms of the distal radius are primary tumors, of which aneurysmal bone cysts and giant cell tumors are seen almost exclusively. Chondrosarcomas are most commonly located in the pelvis, ribs and proximal segments of the extremities; they rarely occur in forearm bones. Bone defects after distal radial resection can be replaced with bone grafts, both autogenous and allogenic. There is always a risk of failure of the bones to mend or slower synostosis, which necessitates the search for new treatments...
January 2016: Ortopedia, Traumatologia, Rehabilitacja
John C Dunn, Nicholas Kusnezov, Justin D Orr, Mark Pallis, Justin S Mitchell
Fractures of the fifth metacarpal neck, or boxer's fractures, are common, particularly among young men. Because of the high frequency of this injury, there is a considerable range of treatment options. The purpose of this systematic review was to determine whether reduction and splint or cast immobilization is necessary for fractures of the fifth metacarpal neck. The authors conducted a systematic review of all published studies that randomized these fractures to cast immobilization vs treatment with soft wrap without reduction...
May 1, 2016: Orthopedics
Maria Florinda Otero González, Thomas Klit Pedersen, Michel Dalstra, Troels Herlin, Carlalberta Verna
OBJECTIVE: To evaluate three-dimensional (3D) condylar and mandibular growth in patients with juvenile idiopathic arthritis (JIA) with unilateral temporomandibular joint involvement treated with a distraction splint. MATERIALS AND METHODS: Cone-beam computed tomography (CBCT) scans were taken for 16 patients with JIA with unilateral TMJ involvement before treatment (T0) and 2 years after treatment (T1). All patients received orthopedic treatment with a distraction splint...
September 2016: Angle Orthodontist
Fabiana Ortiz Figueroa, Yasmin Moftakhar, Arthur L Dobbins Iv, Ramisha Khan, Rahul Dasgupta, Rachel Blanda, Tiffany Marchand, Rami Ahmed
INTRODUCTION: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. METHODS: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients...
2016: Curēus
Kemal Tunc Tiryaki, Esin Aksungur, James C Grotting
BACKGROUND: Most younger patients expect to be able to achieve significant improvements and lift to their neck, yet they don't want to undergo extensive surgery. They are now able to do that and restore their youthful appearance thanks to new concepts the techniques through volume redistribution. OBJECTIVES: The authors' goal was to achieve results that are comparable to a necklift and durable through minimally invasive surgery, utilizing punctures instead of incisions...
June 2016: Aesthetic Surgery Journal
Mark A Seeley, Erick Kazarian, Brandon King, Janet S Biermann, James E Carpenter, Michelle S Caird, Todd A Irwin
Orthopedic surgical interns must gain a broad array of clinical skills in a short time. However, recent changes in health care have limited resident-patient exposures. With the reported success of simulation training in the surgical literature, the American Board of Orthopaedic Surgery (ABOS) and Residency Review Committee for Orthopaedic Surgery have required that surgical simulation training be a component of the intern curricula in orthopedic surgical residencies. This study examined the short-term effectiveness of an orthopedic "intern boot camp" covering 7 of 17 simulation training concept modules published by the ABOS...
January 2016: Orthopedics
Eric Koelink, Suzanne Schuh, Andrew Howard, Jennifer Stimec, Lorena Barra, Kathy Boutis
OBJECTIVES: Our main objective was to determine the proportion of children referred to a primary care provider (PCP) for follow-up of a distal radius buckle fracture who subsequently did not deviate from this reassessment strategy. METHODS: This prospective cohort study was conducted at a tertiary care pediatric emergency department (ED). Eligible children were aged 2 to 17 years with a distal radius buckle fracture treated with a removable splint and referred to the PCP for reassessment...
January 2016: Pediatrics
Amir Masoud Hashemian, Koorosh Ahmadi, Mohammad Hossein Tarazjamshidi
A few numbers of patients admitted to the emergency department due to the lunate dislocation can cause a direct injury to the wrist ligament, which mainly occurs after wrist trauma, and often diagnosis is far from the mind. A 32 years old man due to severe pain and tenderness of the wrist started the previous day during swimming, referred to Emergency Department of Imam Reza Hospital of Mashhad, 2012. He did not recall any history of direct trauma to the wrist. However, he was prescribed NSAID and wrist splint, but the pain did not improve...
October 2015: Iranian Journal of Public Health
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