Abstract
To analyze the reason of error diagnosis and inappropriate treatment of radius head fractures complicating distal radioulnar joint dislocation (Essex-Lopresti injury) and to seek for the reasonable treatment.
From 2008 to 2009, 2 male patients of radius head fractures complicating distal radioulnar...
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PMID: 21254691
PDF is available here.
Abstract
To observe the clinical efficacy about manipulative reduction of the radialis and ulnar fractures.
From June 2005 to June 2009, 85 patients with radialis and ulnar fractures, 50 males and 35 females, ranging in age from 1 to 20 years with an average of 10.8 years, were treated with manipulative redu...
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PMID: 21254690
PDF is available here.
Abstract
Our objective is to characterize the epidemiology of forearm fractures in Washington, DC, children evaluated in an urban pediatric emergency department (ED).
This retrospective study includes Washington, DC, children, aged 0 years to 17 years, treated for an isolated forearm fracture in the Children...
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PMID: 20938308
PDF is available here.
Abstract
The pattern of fracture, including the anatomical location and age distribution, may differ among urban and rural populations due to various factors such as the inhabitants' occupation and living environment.
This was a retrospective multicentre study involving two urban and three rural hospitals in...
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PMID: 20938610
PDF is available here.
Abstract
Plate fixation remains the primary surgical treatment option for most adult forearm fractures. However, intramedullary nailing can be successful and might be preferable in cases of massive soft-tissue injury and burns, certain segmental fractures, pathologic fractures, and skeletally immature adoles...
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PMID: 20670804
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Abstract
Locked fixed-angle plating in the hand and wrist helps to optimize outcomes following surgical fixation of select acute fractures and complex reconstructions. Select indications include unstable distal ulna head/neck fractures, periarticular metacarpal and phalangeal fractures, comminuted/multifragm...
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PMID: 20670796
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Abstract
Our center has operatively managed DFFx with increased frequency over the past decade. IMN had a complication rate of 14.6% and was frequently not "minimally invasive." An open fracture site delayed healing. Compartment syndrome was more frequent when IMN was used the day of injury and older childre...
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PMID: 20502228
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Abstract
We present a case of an adolescent baseball pitcher who had both proximal humeral and ulnar shaft stress fractures, as well as spondylolysis of the lumbar spine. This particular patient also had an underlying endocrine abnormality of secondary hyperparathyroidism with a deficiency in vitamin D. A bo...
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PMID: 20502233
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Abstract
We treated these both fractures of the distal forearm and the supracondylar humeral by respectively cast plaster and a collar and cuff with an anatomical reduction. The radiological and clinical results were excellent with the 29 months follow-up.
Copyright 2009 Elsevier Masson SAS. All rights reser...
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PMID: 20117955
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Abstract
Thirteen patients (14 elbows) were reviewed at a mean follow-up of 63 months, four patients at a mean follow-up of 11 month (range, 6 to 18 months), and five patients were lost to follow-up. All patients had stable elbow joint and in 90% of the cases, patients reported mild or no elbow pain. The arc...
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PMID: 20417913
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Abstract
Pediatric patients with closed both-bones diaphyseal forearm fractures were treated successfully by both trained orthopaedic nurse practitioners and orthopaedic residents with no statistically significant difference in interventions....
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PMID: 20335759
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Abstract
We investigated a minimally invasive anterior approach to reduce and fix coronoid fractures with a screw in eight consecutive patients and evaluated seven patients at a minimum of 1 year (mean, 78 weeks; range, 61-89 weeks). It was only possible to repair seven of eight coronoid fractures. The avera...
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PMID: 20007424
PDF is available here.
Abstract
We propose that fractures with preoperative translation where anatomical reduction is not achieved should be fixed internally....
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PMID: 19907346
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Abstract
We present two cases of children who developed compartment syndrome after upper limb fractures. Morphine patient-controlled analgesia was used in a bolus-only mode for analgesia (bolus 20 microg/kg, five minute lockout and hourly limit of 150 microg/kg). An increase in patient-controlled analgesia u...
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PMID: 20369773
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Abstract
A significant proportion of African American children with fractures in our study have vitamin D insufficiency. Analysis of serum 25-hydroxy vitamin D levels and BMD in additional cases and controls will determine the significance of these findings. CLINICAL RELEVANCE: Vitamin D insufficiency may pl...
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PMID: 20179554
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Abstract
We report a case of posterior Monteggia lesion in a 12-year-old girl consisting of a greenstick fracture of the proximal ulnar metaphysis and a radial neck fracture with a proximal and posterior 90-degree rotational displacement of the radial head. Closed reduction of the radial head resulted in com...
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PMID: 20101126
PDF is available here.
Abstract
The unlikely event of long-term complications in some pediatric fractures, such as midclavicular fractures, has allowed for management of these injuries with interventions that support the injured extremity rather than immobilize it while healing occurs. However, there is currently a growing body of...
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PMID: 20145510
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Abstract
The IOM was affected in neither group. There was no interference of the kinematics in group 1. In group 2, plate contact appeared in one pair in both types of plate. The plates were significantly closer in all positions in group 2. There was no difference between the various plates in the two groups...
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PMID: 20306912
PDF is available here.
Abstract
Bone transport osteogenesis, as described by Ilizarov, has been used to resolve segmental bone defects in both human and veterinary patients. These defects are created when a large osseous tumour, sequestrum, or non-union fracture is resected. This report documents two cases in which the principle o...
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PMID: 20151078
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Abstract
The mean angulation of fractures prior to manipulation was 21.5+/-10.1 degrees, it decreased to 2.4+/-4.8 degrees following manipulation. Remanipulation was required in 11 fractures (9.8%) based on clinical and radiographic findings of redisplacement. Of these, eight fractures (8.3%) were incomplete...
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PMID: 20676013
PDF is available here.
Abstract
We report an unusual pattern of Essex-Lopresti injury with a radial neck fracture, a tear of the interosseous membrane and a disruption of the distal radioulnar joint in which initial wrist radiographs did not show significative abnormalities. Open reduction and internal fixation for the radial head...
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PMID: 20422726
PDF is available here.
Abstract
Fractures of the ulnar styloid commonly accompany fractures of the distal radius, but their effect on the final outcome and need of separate treatment are not precisely determined. The objective of this review was to present the issue based on current literature. To date, results of both experimenta...
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PMID: 21038638
PDF is available here.
Abstract
This case series evaluates 12 patients presenting posttraumatic infected nonunions affecting long bones of the upper extremity, treated with staged reconstruction using polymethylmethacrylate spacers with antibiotics in the first stage and bone graft impregnated with antibiotics in the definitive su...
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PMID: 19876707
PDF is available here.
Abstract
Osteopetrosis (OP) is a rare heterogeneous group of inherited skeletal dysplasias characterised by osteoclast dysfunction, impaired bone resorption and poor bone remodelling. Three groups can be categorised on the basis of clinical findings. These include neurological symptoms, haema...
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PMID: 20141071
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Abstract
We report 6 cases of recalcitrant non-union of forearm bones treated with a free vascularized thin corticoperiosteal graft harvested from the medial condyle of the femur. All non-unions healed. In one 58-year-old patient a fracture of the femur occurred.
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PMID: 19999872
PDF is available here.
Abstract
This article continues a short series of articles on how to apply casts. It examines how below-elbow back slabs should be applied following fracture of the distal forearm and wrist.
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PMID: 19807014
PDF is available here.
Abstract
A bone defect can be provoked by several pathological conditions (e.g. bone tumours, infections, major trauma with bone stock loss) or by surgical procedures, required for the appropriate treatment. Surgical techniques currently used for treating bone defects may count on different alternatives, inc...
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PMID: 19711008
PDF is available here.
Abstract
We describe a new application of wave plate osteosynthesis in the treatment of isolated atrophic nonunions of the ulna. This biologic plating concept restores anatomic alignment without standard rigid fixation and aims to take advantage of the vascularity of the surrounding soft tissues to achieve u...
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PMID: 19704276
PDF is available here.
Abstract
A prospective study was conducted to evaluate the efficacy of percutaneous Kirschner-wire fixation for the management of high-risk distal forearm fractures in children. Thirty two children (22 boys & 10 girls) with displaced fractures of the distal third of the radius with or without ulnar fractures...
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PMID: 19774811
PDF is available here.
Abstract
We found 77 fractures in 64 patients (50 radius, 1 ulna, 13 radius and ulna). The sensitivity of ultrasound diagnostics was 94% and the specificity 99% compared with X-ray diagnosis. Mean axis deviation differences were 1.8 degrees (radius) and 0.7 degrees (ulna). CONCLUSION: Ultrasound seems to be...
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PMID: 19280166
PDF is available here.
Abstract
We propose a new surgical technique for aseptic forearm nonunions combining a fibular cortical autograft strut with a metal plate and a fibular intercalary autograft in cases with a segmental bone defect. We retrospectively reviewed 20 patients with a mean age of 31 years (range, 17-48 years) at the...
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PMID: 19350333
PDF is available here.
Abstract
Conservative treatment gave excellent and good results in 21 (91%), while surgical treatment gave excellent and good results in 9 (82%) of the patients when evaluated according to Anderson's criteria. A bad result was seen in one patient who did not accept an operation, and had an angulation of over...
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PMID: 19669968
PDF is available here.
Abstract
Over a 6-year-period, 15 women and 11 men with a mean age of 53 years (range, 24 to 80 years) had resection of the distal part of the ulna (Darrach's procedure) to address stiffness, instability, non-union, or substantial radioulnar length discrepancy after trauma. At an average follow-up of 21 mont...
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PMID: 19681316
PDF is available here.
Abstract
We have used the missing K-wire technique to fix the small articular fragments....
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PMID: 19516132
PDF is available here.
Abstract
A series of 103 acute fractures of the coronoid process of the ulna in 101 patients was reviewed to determine their frequency. The Regan-Morrey classification, treatment, associated injuries, course and outcomes were evaluated. Of the 103 fractures, 34 were type IA, 17 type IB, ten type IIA, 19 type...
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PMID: 19407298
PDF is available here.
Abstract
After a mean follow-up of 2.2 (range, 1-3) years, the mean arc of flexion-extension was 116 degrees and the mean flexion contracture was 15 degrees. All patients maintained a concentric reduction of both the ulnotrochlear and the radiocapitellar articulation, with isometric fixation of the lateral c...
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PMID: 19398790
PDF is available here.
Abstract
PA screw placement was biomechanically superior to AP screw placement. Together with the fact that it is clinically easier to insert and remove screw from the posterior ulna, these data indicate that optimal screw orientation for fixation of coronoid tip fracture is posterior to anterior direction....
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PMID: 19318871
PDF is available here.
Abstract
These data suggest that BUS evaluation of upper extremity injuries not involving joints maybe comparable to radiography for identifying fractures, the need for reduction, and the adequacy of reduction in children. If further investigations which include a larger number of lower extremity, growth pla...
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PMID: 19382318
PDF is available here.
Abstract
We identified a cohort of 20 lateral condylar mass (LCM) fractures of the humerus in children associated with elbow dislocation (n = 12; mean age 8.2 years) or with olecranon fracture (n = 8; mean age 4.1 years). Eight patients with undisplaced fracture pattern were treated conservatively yielding a...
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PMID: 17940766
PDF is available here.
Abstract
A two-year follow-up period monitoring treatment and therapeutic results of deformities in the forearm bones at our clinic, confirmed a minimal incidence of complications and a high percentage of successfully treated cases....
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PMID: 19365531
PDF is available here.
Abstract
Fracture-dislocations of the elbow remain among the most difficult injuries to manage. Historically, the combination of an elbow dislocation, a radial head fracture, and a coronoid process fracture has had a consistently poor outcome; for this reason, it is called the terrible triad. An elbow disloc...
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PMID: 19264707
PDF is available here.
Abstract
At surgery, 51 (46%) joints had free fragments, 55 (49%) had nondisplaced fragments, and 6 (5%) did not have any fragments or fissures. Fragments were not seen ultrasonographically in 23 of the 51 (45%) joints in which a free fragment was found during surgery or in 50 of the 55 (91%) joints in which...
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PMID: 19222356
PDF is available here.
Abstract
Fractures of the forearm represent common injuries. Understanding the anatomy and function of the radius, ulna, interosseous membrane, proximal and distal radioulnar joints is critical to appropriate management. Diagnosis can readily be made by examination and radiographs. Well established surgical...
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PMID: 19268042
PDF is available here.
Abstract
Using rigid fixation, for example with a plate and screws, and avoidance of technical errors seem to be the most appropriate measures helping to decrease the risk of non-union during treatment of a fracture of both forearm shafts....
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PMID: 19502670
PDF is available here.
Abstract
A fracture of the proximal 1/3 of the ulna, with concurrent fractures of the proximal radial physis and the distal 1/3 of the diaphysis of the radius occurred in a three-month-old, male, neutered, Domestic Shorthaired cat. The ulnar fracture was stabilised with an intramedullary pin. The proximal ra...
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PMID: 19448870
PDF is available here.
Abstract
Statistical analysis demonstrated a significant negative correlation between TSMR and owner VAS at four weeks post treatment but at no other period of evaluation. There was no significant correlation between TSMR and clinician VAS score at any evaluation period. CLINICAL SIGNIFICANCE: Assessments by...
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PMID: 19448876
PDF is available here.
Abstract
Feline combined diaphyseal radial and ulnar fractures were reviewed in a retrospective study of cases that were admitted to two university teaching hospitals. A high incidence of complications was noted, with 6/26 (23.1%) of cases requiring revision surgery. Open fractures were significantly more li...
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PMID: 19151869
PDF is available here.
Abstract
All fractures united before the final visit. Most forearm bone fractures were complete fractures at the mid shaft. Eighty-six percent of the patients had excellent functional outcomes and none had poor outcomes. There were significantly reduced angles of deformities before and after treatment (p < 0...
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PMID: 19827340
PDF is available here.
Abstract
The mean operation time was 65 minutes (range 40 to 97 min) with plate-screw fixation, and 61 minutes (range 35 to 90 min) with intramedullary nailing (p>0.05). The mean time to union was significantly shorter with intramedullary nailing (10 weeks vs. 14 weeks; p<0.05). According to the Grace-Eversm...
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PMID: 19293611
PDF is available here.
Abstract
Flexible IM nails act as internal splints to align the fracture ends. At 3 diameters or more beyond the fracture site, the length does not significantly affect the biomechanical properties of the construct. CLINICAL RELEVANCE: Flexible IM nails act as internal splints to align the fracture ends. At...
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PMID: 19098645
PDF is available here.
Abstract
A total of 118 consecutive patients with a fracture of the distal radius were treated with a volar locking plate; 50 patients had no ulnar styloid fracture, 41 had a basal ulnar styloid fracture, and 27 had a fracture of the tip of the ulnar styloid. There were no significant differences in radiolog...
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PMID: 19092013
PDF is available here.
Abstract
We asked whether a new processing technique influenced graft-host healing compared with autograft and a standard processing technique in a canine ulna model. We used bilateral intercalary allografts or autografts in the ulna of 13 skeletally mature male coonhounds. Each animal received two allograft...
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PMID: 18712453
PDF is available here.
Abstract
We report an unusual case of irreducible Galeazzi-equivalent fracture in a child and discuss the factors that prevented reduction in this case.
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PMID: 19104308
PDF is available here.
Abstract
An optimized therapeutic rehabilitation program involved 393 patients with fractured long bones (humeral, radial/ulnar, femoral, crural) admitted to the Orthopedic Department of the Stavropol Regional Children's Clinical Hospital and the Rehabilitation Centre for Handicapped Children and Adolescents...
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PMID: 19637835
PDF is available here.