A Systematic Review of the Utility of Postoperative Imaging in the Management of Pediatric Supracondylar Humerus Fractures
Conclusions: There is a paucity of articles focusing on the utility or appropriate use of postoperative radiographs in changing management of SCH fractures, one of the most common upper extremity fractures in children. There is a very low rate of change in management on the basis of imaging, and frequently authors commented that the management change could have been prompted without routine serial radiographs. The cumulate findings of these studies suggest routine postoperative radiographs after SCH fractures are infrequently associated with changes in management. Practitioners should consider postoperative protocols with the intention of identifying early postoperative alignment loss or when the complication is suspected to prevent excessive routine radiography in the management of pediatric SCH fractures. Level of Evidence: Level III—systematic review of level III studies.
Publication date: Available online 10 July 2020Source: Academic RadiologyAuthor(s): Jan-Peter Grunz, Andreas Max Weng, Carsten Herbert Gietzen, Maike Veyhl-Wichmann, Lenhard Pennig, Andreas Kunz, Rainer Schmitt, Süleyman Ergün, Thorsten Alexander Bley, Tobias Gassenmaier
ConclusionThis study found only small, indefinite associations between early-to-moderate DD and intervertebral motion in healthy controls. Motion sharing in the absence of pain was also not related to early DD, consistent with previous control studies. Further research is needed to investigate these relationships in patients.
ConclusionOne-stage posterior corrective surgery is safe and effective in PAIS patients associated with intraspinal abnormalities without preoperative neurological symptoms. Surgical guidelines of AIS are appropriate for the treatment of PAIS patients associated with intraspinal abnormalities.
Publication date: Available online 8 July 2020Source: Journal of Critical CareAuthor(s): Julián Panizo-Alcañiz, Fernando Frutos-Vivar, Arnaud W. Thille, Óscar Peñuelas, Eva Aguilar-Rivilla, Alfonso Muriel, José María Rodríguez-Barbero, Carlos Jaramillo, Nicolás Nin, Andrés Esteban
Publication date: Available online 8 July 2020Source: American Journal of OtolaryngologyAuthor(s): Steven A. Rooker, Alex A. Nagelschneider, Eric J. Moore, Linda X. Yin, Daniel L. Price, Jeffrey R. Janus, Jan L. Kasperbauer, Kathryn M. Van Abel
CONCLUSIONS The anterolateral approach showed an advantage over the posterior approach for treating simple humeral mid-shaft fractures. However, this advantage was not observed in treating comminuted fractures. PMID: 32639953 [PubMed - as supplied by publisher]
Authors: Dowdy RAE, Cornelius BW Abstract Epiglottitis is most commonly caused by bacterial infection resulting in inflammation and edema of the epiglottis and neighboring supraglottic structures. Acute infection was once found predominantly in children ages 2 to 6 years old, but with the introduction of the Haemophilus influenzae B (HiB) vaccine the incidence of cases in adults is increasing. Typical clinical presentation of epiglottitis includes fever and sore throat. Evidence of impending airway obstruction may be demonstrated by muffled voice, drooling, tripod position, and stridor. Radiographs can be helpful i...
When indicated by signs or symptoms of potentially serious underlying pathology (red flags), chiropractors can use radiographs to inform their diagnosis. In the absence of red flags, the clinical utility of ro...
Publication date: Available online 7 July 2020Source: The Veterinary JournalAuthor(s): S. Burti, V. Longhin Osti, A. Zotti, T. Banzato
Emergency departments in South African public hospitals have a high patient load after hours, with inadequate numbers of health care professionals available to satisfy patient influx. In addition, there is often no provision of after-hours diagnostic reporting services in public hospitals, to an extent that the emergency physician is responsible for interpreting all radiographic images requested themseves.Emergency physicians, in this study, can be described as any medical doctor registered with the Health Professions Council of South Africa and working in the emergency department as a registrar or consultant physician bec...