Multiple Comparisons of the Efficacy and Safety for Seven Treatments in Tibia Shaft Fracture Patients

Conclusion: Cast might have the highest probability of the most optimal choice for tibia shaft fracture in close cases, while reamed intramedullary nailing ranked second. Introduction The tibia is a large bone in the lower extremity other than the fibula. A tibia shaft fracture is the most common type of long bone fractures. According to vast clinical data, the causation of diaphyseal fractures of the tibia is usually grouped into two types, bending load and torsion (Johner and Wruhs, 1983). Bending load, led by direct impact injuries, generally of high-velocity trauma, like a car accident, is an increasing fracture cause in modern life and most cases include open fractures with broken skin, even exposed bone. While torsion, low-energy injuries, like falls or sports injuries, is a common cause of closed fractures (Grutter et al., 2000). Pain and regional swelling are clear signs and symptoms. Deformity, distortion and angulation can also be observed (Delee and Stiehl, 1981). In light of AT/OTA, a Comprehensive Classification of Fractures of the Long Bones proposed by the American Orthopedic Trauma Association (OTA), there are three classes: A indicates simple cases, including spiral, oblique (≥30°) and transverse (
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research

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A 44-year-old woman with a history of hypertension and partial gastrectomy presented to the emergency department with low thoracic back pain of 2  days' duration without red flag symptoms. The physical examination was significant for point tenderness to palpation in the lower thoracic spine without overlying skin changes or neurologic symptoms. Considering her large body habitus and history of gastrectomy, a thoracic radiograph was obtained to rule out compression fracture due to osteoporosis (Figure 1).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research
AbstractPurpose of ReviewThe purpose is to review current literature on pain management strategies from initial presentation to postoperative care on common fracture types.Recent Findings- Hip fractures benefit from use of multimodal pain control for early mobility and decreased narcotic requirement.- Distal radius fracture pain during reduction can be managed with hematoma block. Postoperatively, a soft dressing is adequate, and use of a compression glove may improve pain control and edema.- Ankle fractures can be reduced with hematoma block, though use of procedural sedation may reduce reduction attempts for fracture dis...
Source: Current Osteoporosis Reports - Category: Orthopaedics Source Type: research
ABSTRACT Introduction: Use of androgen deprivation therapy (ADT) in carcinoma prostate (CaP) has deleterious effect on bone mineral density (BMD) leading to increase incidence of osteoporosis and skeletal-related events. We evaluated bone health status and impact of bone-directed therapy (BDT) and ADT on BMD in these patients from Jan 2015-Dec 2018. Materials and Method: Baseline bone health was assessed using Tc-99 MDP Bone scan/ DEXA scan for patients on ADT. Monthly zoledronic acid (ZA) was given to high-risk candidates (T-score ≤ 2.5 or previous hip/vertebral fracture) or Skel et al. metastatic patients who were rec...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
Conclusion: Muscle strength as measured by grip strength and knee extension was statistically significantly correlated with the WOMAC scores in patients with knee symptoms regardless of whether radiologic signs of knee osteoarthritis were observed.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
C, Hartmann S Abstract Pedicle fractures are rare and usually associated with repetitive stress, high-speed trauma, osteoporosis, unilateral spondylolysis, or instrumentation surgery. A review of the current literature on bilateral pedicle fractures of the lumbar spine revealed only a few cases listed as a complication of instrumentation or excessive decompression surgery. The authors present the clinical case of a 49-year-old man with exacerbating low-back pain and intermittent L5 radicular pain. The known comorbidities were rather remarkable for systemic lupus erythematosus and osteopenia. Radiological investiga...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
CONCLUSIONS: A high index of suspicion is needed to diagnose sacral insufficiency fracture after LS arthrodesis. A trial of conservative management is reasonable for select patients; potential surgical indications include refractory pain, neurological deficit, fracture nonunion with anterolisthesis or kyphotic angulation, L5-S1 pseudarthrosis, and spinopelvic malalignment. Lumbopelvic fixation with iliac screws may be effective salvage treatment to allow fracture healing and symptom improvement. High-risk patients may benefit from prophylactic lumbopelvic fixation at the time of index LS arthrodesis. PMID: 32217798 [P...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
(Natural News) The shoulder blades or scapulae are triangular bones located on the upper back. The scapulae serve many functions including shoulder rotation and spinal support. Pain along this region is often caused by poor posture and muscle strain. However, serious conditions, such as cardiovascular disease, lung cancer and osteoporosis, can also affect the shoulders....
Source: - Category: Consumer Health News Source Type: news
This article gives a comprehensive review of pain management in osteoporosis and also explains the underlying pathomechanisms, risk factors, and diagnostic procedures. PMID: 32193562 [PubMed - as supplied by publisher]
Source: Der Orthopade - Category: Orthopaedics Authors: Tags: Orthopade Source Type: research
CONCLUSION: Musculoskeletal disorders and symptoms occur frequently. The burden of complaints and diagnoses is comparable to previous population-based surveys. PMID: 32189044 [PubMed - as supplied by publisher]
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - Category: International Medicine & Public Health Authors: Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
(Natural News) Osteoporosis affects bone health. If you have the condition, you are at high risk of fractures, even while doing normal activities like walking or standing. Osteoporosis also causes painful symptoms, which you can relieve naturally with treatments like acupressure or by taking supplements. (h/t to Vitamin D for muscle spasms and bone...
Source: - Category: Consumer Health News Source Type: news
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