Surgical management of Gartland type III supracondylar humerus fractures in older children: a retrospective study

The aim of this study was to analyse the management of Gartland type III supracondylar humerus fractures in children older than 10 years at our paediatric orthopaedics and to determine the clinical and radiographic long-term effects following open reduction by the small medial approach and cross-fixation with three kirschner wires. Eighty-three cases of Gartland type III supracondylar humerus fractures in children older than 10 years were treated by open reduction by the small medial approach and cross-fixation with three kirschner wires from January 2010 to December 2015. All patients were followed up from 12 to 15 months (mean: 13 months). Assessments after 1 year included neurovascular examination, Flynn’s criteria (elbow function and carrying angle), pain and complications (infections, growth disturbances or iatrogenic nerve injuries). All fractures healed within 2 months. According to Flynn’s criteria, 80 (96.4%) patients achieved satisfactory outcomes, whereas three (3.6%) were graded as unsatisfactory because of limited elbow motion. The mean carrying angle measured 9.4° (1°–16°) compared with 10.8° on the contralateral side (5°–16°). No case of cubitus varus was noted. No wound infection and displacement of bone fracture occurred. No case of iatrogenic ulnar nerve injury and vascular deficits was noted. There were no cases of myositis ossificans or Volkmann’s ischaemic contracture. It is safe and effective to treat...
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Trauma Source Type: research

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Conclusion: The results of this study suggests that though plain ultrasound as well as phonophoresis with aceclofenac gel are effective in the management of temporomandibular disorders. Phonophoresis was found be slightly superior as evident in VAS scores and CRP levels though not statistically significant.
Source: Indian Journal of Dental Research - Category: Dentistry Authors: Source Type: research
Publication date: Available online 13 November 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Alton R. Johnson, Danielle Mooshol, Vikram Thakar, Marie WilliamsAbstractThe purpose of this case study is to describe the surgical treatment of idiopathic ulcerative cutaneous calcinosis or calcinosis cutis of the lower extremity. A 77-year-old Latin American female who reported no significant past medical history presented to our hospital's emergency department from her home complaining of worsening right lower extremity erythema, edema, increased temperature, and pain. It was noted that the patient presented with m...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
ConclusionThe results of this retrospective study suggest that the 45S5 BAG may be an interesting alternative option to autologous graft, in terms of safety and bone fusion efficiency.Level of evidenceIV Retrospective study
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
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Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
Fibrous dysplasia/McCune-Albright syndrome: a rare, mosaic disease of Gαs activation. Endocr Rev. 2019 Nov 01;: Authors: Boyce AM, Collins MT Abstract Fibrous dysplasia/McCune-Albright syndrome (FD/MAS) is a rare disorder of striking complexity. It arises from somatic, gain-of-function mutations in GNAS, leading to mosaic Gαs activation and inappropriate production of intracellular cyclic adenosine monophosphate (AMP). The clinical phenotype is largely determined by the location and extent of affected tissues, and the pathophysiologic effects of Gαs activation within these tissues. I...
Source: ENDOCR REV - Category: Endocrinology Authors: Tags: Endocr Rev Source Type: research
We present a retrospective case series involving 4 patients diagnosed with peroneus tertius syndrome, discuss symptoms for clinical diagnosis, review radiographic imaging, and outline a minimally invasive operative technique for resection of the symptomatic tendon. Furthermore, we sought to evaluate postoperative outcomes and satisfaction scores after surgical management. All patients experienced resolution of symptoms by the fourth postoperative week. There was a statistically significant improvement in visual analog scale scores (average ± SD, 7.75 ± 0.96 preoperative to 0.75 ± 1.19 postoperative) (p...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
AbstractBackgroundA variety of surgical techniques can be used to achieve lumbar spinal fusion for management of degenerative conditions. Transforaminal lumbar interbody fusion (TLIF) is the most popular technique; however, midline lumbar interbody fusion (MIDLIF) is a valid alternative to the more traditional pedicle screw trajectory with potential advantages. The aim of this study is to evaluate the clinical outcomes from a cohort of patients submitted to MIDLIF in a single hospital during the surgical team ’s initial learning period.MethodsThe first 30 consecutive patients who underwent single- or two-level MIDLIF...
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
Low socioeconomic status and patient questionnaires in osteoarthritis: challenges to a "biomedical model" and value of a complementary "biopsychosocial model". Clin Exp Rheumatol. 2019 Sep-Oct;37 Suppl 120(5):18-23 Authors: Pincus T, Castrejon I Abstract Modern medical care is based largely on a paradigm known as a "biomedical model," in which "objective," high-technology biomarkers guide clinical care, and most health outcomes are determined by health professionals rather than individuals, using drugs as the primary therapy. The biomedical model is spectacularly...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
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Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
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Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
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