5,846 results match your criteria Fracture Forearm


Iatrogenic Distal Radial Physeal Fracture During Insertion of Intramedullary Fixation for a Both Bone Forearm Fracture: A Case Report.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900595

1Augusta University, Augusta, Georgia 2Shriners Hospitals for Children-Greenville, Greenville, South Carolina.

Case: A 12-year-old boy with an isolated both bone forearm fracture was treated with closed reduction and flexible intramedullary nailing 11 days postinjury and after the loss of initial fracture alignment. On nail insertion, an intraoperative distal radial physeal fracture was encountered, thereby warranting modification in treatment.

Conclusion: Physeal injury is a rare intraoperative complication of intramedullary fixation of forearm fractures. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00595DOI Listing

Three-dimensional preoperative planning for adult acute plastic bowing of the ulna.

Trauma Case Rep 2020 Aug 28;28:100325. Epub 2020 Jun 28.

Department of Orthopedics, Nasu Red Cross Hospital, Japan.

Case: We report a case of adult acute plastic deformity of the ulna. Ulnar osteotomy was planned using 3-dimensional (3D) surface data from both injured and intact sides using surface registration technique. Opening wedge osteotomy was planned to correct the position of the ulnar fovea with respect to the proximal ulna. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334614PMC

Displaced Radial Shaft Fracture: The Dorsal (Thompson) Approach to the Forearm.

J Orthop Trauma 2020 Aug;34 Suppl 2:S13-S14

NYU Langone Orthopaedic Hospital, NYU Langone Medical Center, New York, NY.

This video demonstrates a displaced radial shaft fracture repaired through a dorsal (Thompson) approach to the forearm. The patient is an 18-year-old man who sustained a left elbow dislocation and ipsilateral radial shaft fracture (OTA/AO: 22-B2) while playing basketball. The patient underwent a closed reduction of the elbow joint and was indicated for operative repair of the radius. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001827DOI Listing

Bridge Plating for Comminuted Ulna Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S11-S12

Department of Trauma, Acute Care Orthopaedic Service, Sutter Roseville Medical Center, Roseville, CA.

Highly comminuted fractures of the forearm are challenging for orthopaedic surgeons to manage because of the functional importance of anatomic restoration of alignment while obtaining sufficient fixation. The use of spanning plate fixation to stabilize comminuted ulna shaft fractures allows the patient early range of motion, whereas maintaining appropriate alignment and maximizing the patient's chances for a good outcome. This video demonstrates a technique for treating a highly comminuted open forearm fracture using spanning or bridge plating techniques. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001825DOI Listing

Blindness increases the risk for hip fracture and vertebral fracture but not the risk for distal radius fracture: a longitudinal follow-up study using a national sample cohort.

Osteoporos Int 2020 Jul 6. Epub 2020 Jul 6.

Department of Cornea, External Disease & Refractive Surgery, HanGil Eye Hospital, Catholic Kwandong University College of Medicine, 35 Bupyeong-daero, Bupyeong-gu, Incheon, 21388, Republic of Korea.

The risks for hip fracture and vertebral fracture, but not the risk for distal radius fracture, were significantly higher in the blindness group than in the control group with a maximum 12-year follow-up.

Purpose: To evaluate the influence of visual impairment on the risk for osteoporotic fractures at common sites: hip, thoracic/lumbar vertebra, and distal radius.

Methods: This longitudinal follow-up study used a database of a national sample cohort from 2002 to 2013 provided by the Korean National Health Insurance Service. Read More

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http://dx.doi.org/10.1007/s00198-020-05475-0DOI Listing

Role of high-resolution peripheral nerve magnetic resonance imaging in diagnosing median nerve tethering in a case of both-bone forearm fracture in a child.

Pediatr Radiol 2020 Jul 3. Epub 2020 Jul 3.

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Forearm fractures are common injuries in pediatric patients. We present a case of median nerve tethering as a complication of both-bone forearm fracture in a child, with an emphasis on MRI as an appropriate and important complement to clinical and electrodiagnostic examination. Early intervention is essential because delayed surgical management of median nerve tethering can result in poor clinical outcomes as a result of irreversible muscle denervation. Read More

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http://dx.doi.org/10.1007/s00247-020-04732-yDOI Listing

Fractures in children and adolescents living with perinatally acquired HIV.

Bone 2020 Jun 30:115515. Epub 2020 Jun 30.

Department of Pediatrics, Division of Pediatric Endocrinology/Diabetology and Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA. Electronic address:

Background: Across numerous settings, bone mineral density for age and sex is lower in children/adolescents living with perinatally-acquired HIV (PHIV) compared to uninfected peers. We assessed incidences of any fracture/any long bone fracture, and osteoporosis prevalence in PHIV and HIV-exposed uninfected (PHEU) participants in the Pediatric HIV/AIDS Cohort Study (PHACS).

Methodology: Lifetime history of fracture events from birth up to age 20 years was obtained by chart review and/or interview, including age at fracture, mechanism, and bone(s) fractured. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115515DOI Listing

Severe Osteoarthritis of the Elbow after a Non-Displaced Radial Head Fracture: Case Report.

Rev Bras Ortop (Sao Paulo) 2020 Jun 7;55(3):383-385. Epub 2020 Feb 7.

Hospital Municipal Dr. Moysés Deutsch, São Paulo, SP, Brasil.

Fractures of the radial head account for over 50% of all fractures of the forearm. Broberg and Morrey (modification of the Mason classification) classify them in four types. Type 1 fractures are non-displaced or minimally displaced, considered stable and without mechanical joint blockage. Read More

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http://dx.doi.org/10.1055/s-0039-3402468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316552PMC

Rotational Anatomy of the Radius and Ulna: Surgical Implications.

J Hand Surg Am 2020 Jun 29. Epub 2020 Jun 29.

Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario.

Purpose: The rotational anatomy of the forearm bones is not well defined. This study aims to further the understanding of the torsion of the radius and ulna to better guide treatment.

Methods: Computed tomography images of 98 cadaveric forearms were obtained and 3-dimensional models of the radius and ulna were generated and analyzed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.018DOI Listing

Adjusting conventional FRAX estimates of fracture probability according to the recency of sentinel fractures.

Osteoporos Int 2020 Jul 1. Epub 2020 Jul 1.

Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK.

The risk of a recurrent fragility fracture is particularly high immediately following the fracture. This study provides adjustments to FRAX-based fracture probabilities accounting for the site of a recent fracture.

Introduction: The recency of prior fractures affects subsequent fracture risk. Read More

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http://dx.doi.org/10.1007/s00198-020-05517-7DOI Listing

Prediction of failure in cancellous bone using extended finite element method.

Proc Inst Mech Eng H 2020 Jul 1:954411920936057. Epub 2020 Jul 1.

Department of Mechanical Engineering, University of Alberta, Edmonton, AB, Canada.

The objective of our study is to develop extended finite element method models of cancellous bone specimens that are capable of accurately predicting the onset and propagation of cracks under mechanical loading. In order to do so, previously published three-point bending test results of a single trabecula were replicated using two different extended finite element method approaches, namely, elastic-plastic-fracture and elastic-fracture that considered different configurations of the elasto-plastic properties of bone from which the best approach to fit the experimental data was identified. The behavior of a single trabecula was then used in 2D extended finite element method models to quantify the strength of the trabecular tissue of the forearm along three perpendicular anatomical axes. Read More

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http://dx.doi.org/10.1177/0954411920936057DOI Listing

Total and regional bone mineral density are associated with cellular health in older men and women.

Arch Gerontol Geriatr 2020 Jun 15;90:104156. Epub 2020 Jun 15.

Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal. Electronic address:

Objective: This study aimed to investigate the relationship between crude bioimpedance variables with bone mineral density (BMD) in older adults.

Method: One hundred eighty-four older men and women (≥ 60 years old) composed the sample. BMD (whole-body) was measured through dual-energy X-ray absorptiometry. Read More

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http://dx.doi.org/10.1016/j.archger.2020.104156DOI Listing

Distal forearm fractures in immigrant groups: A national Swedish study.

Bone 2020 Jun 27;138:115508. Epub 2020 Jun 27.

Center for Primary Health Care Research, Lund University, Malmö, Sweden; Department of Family Medicine and Community Health, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, USA; Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine, Shimane University, Matsue, Japan.

Objective: The aim was to analyse risk of forearm fractures in first- and second-generation immigrants to Sweden.

Methods: A nationwide study of individuals 20 years of age and older was conducted. Forearm fractures were defined as at least one registered diagnosis in the National Patient Register between January 1, 1998 and December 31, 2012. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115508DOI Listing

Treatment Modality of Distal Ulnar Head and Neck Fractures Associated With Operatively Treated Distal Radius Fractures Does Not Affect Outcomes.

Hand (N Y) 2020 Jun 29:1558944720922923. Epub 2020 Jun 29.

University of Cincinnati, OH, USA.

This study compares the functional outcomes and complications between operatively and nonoperatively treated distal ulnar head and neck fractures associated with internal fixation of concomitant distal radius fractures. A 7-year retrospective chart review was performed to identify patients with operatively treated distal radius fractures associated with distal ulnar head and neck fractures. Ulnar styloid fractures were excluded. Read More

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http://dx.doi.org/10.1177/1558944720922923DOI Listing

Epidemiology and the economic burden of pediatric fractures in China: A retrospective study of 14,141 fractures.

Bone 2020 Jun 24:115498. Epub 2020 Jun 24.

Medical Record Department, Dalian Children's Hospital, Dalian, China; Information Department, Dalian Children's Hospital, Dalian, China; Medical Record Department, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, China; Medical Record Department, Guiyang Children's Hospital, Guiyang, China; Information Center, Guiyang Children's Hospital, Guiyang, China; Information Department, Hangzhou Children's Hospital, Hangzhou, China; Information Center, Hunan Children's Hospital, Hangzhou, China; Medical Record Department, Inner Mongolia Children's Hospital, Hohhot, China; Information Department, Inner Mongolia Children's Hospital, Hohhot, China; Medical Record Department, Jinan Children's Hospital, Jinan, China; Information Department, Jinan Children's Hospital, Jinan, China; Medical Record Department, Kunming Children's Hospital, Kunming, China; Information Department, Kunming Children's Hospital, Kunming, China; Medical Record Department, Liaocheng Children's Hospital, Liaocheng, China; Information Department, Liaocheng Children's Hospital, Liaocheng, China; Medical Record Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Information Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Medical Record Department, Nanjing Children's Hospital, Nanjing, China; Information Department, Nanjing Children's Hospital, Nanjing, China; Medical Record Department, Qinghai Children's Hospital, Xining, China; Information Department, Qinghai Children's Hospital, Xining, China; Department of Quality Control, Qinghai Children's Hospital, Xining, China; Medical Record Department, Shanxi Children's Hospital, Taiyuan, China; Information Center, Shanxi Children's Hospital, Taiyuan, China; Medical Record Department, Shenzhen Children's Hospital, Shenzhen, China; Information Department, Shenzhen Children's Hospital, Shenzhen, China; Medical Record Department, Urumqi Children's Hospital, Urumqi, China; Medical Record Department, Wuhan Children's Hospital, Wuhan, China; Information Center, Wuhan Children's Hospital, Wuhan, China; Medical Record Department, Anhui Children's Hospital, Hefei, China; Information Center, Anhui Children's Hospital, Hefei, China.

Background: Previous studies have explored the epidemiology of fractures in children, however, differences in incidence over time and between countries and regions was noted. The purpose of the present study was to investigate the epidemiology and the economic burden of pediatric inpatients with fractures in China.

Methods: A total of 14,141 pediatric inpatients (≤18 years of age) with fractures were included in the present study. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115498DOI Listing

Does the location of short-arm cast univalve effect pressure of the three-point mould?

J Child Orthop 2020 Jun;14(3):236-240

Department of Orthopaedic Surgery, Stanford University, Redwood City, California, USA.

Purpose: Forearm and distal radius fractures are among the most common fractures in children. Many fractures are definitively treated with closed reduction and casting, however, the risk for re-displacement is high (7% to 39%). Proper cast application and the three-point moulding technique are modifiable factors that improve the ability of a cast to maintain the fracture reduction. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302413PMC

Retrograde Fixation of the Ulna in Pediatric Forearm Fractures Treated With Elastic Stable Intramedullary Nailing.

Cureus 2020 May 18;12(5):e8182. Epub 2020 May 18.

Orthopaedics, Agia Sofia Children's Hospital, Athens, GRC.

Introduction This study analyzes the outcomes of retrograde fixation of the ulna in pediatric forearm fractures treated with elastic stable intramedullary nailing (ESIN). Materials and Methods A retrospective analysis was conducted by reviewing patient records of forearm fractures treated with ESIN by retrograde fixation. The study included 30 children (26 boys and 4 girls). Read More

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http://dx.doi.org/10.7759/cureus.8182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301426PMC

RADIOGRAPHIC ANATOMY OF THE FORELIMB IN THE NORTHERN TAMANDUA ().

J Zoo Wildl Med 2020 Jun;51(2):265-274

Departamento de Producción Agrícola y Animal, Universidad Autónoma Metropolitana, Unidad Xochimilco, Ciudad de México, México,

The thoracic limb anatomy of anteaters in the family Myrmecophagidae is specialized for accessing termite and ant nests and for defense purposes. In the case of the northern tamandua (), the forelimbs are also adapted for arboreal and terrestrial locomotion. Unfortunately, this species faces many conservation threats, such as habitat loss and traffic accidents, and injured individuals are frequently taken to wildlife rehabilitation centers. Read More

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http://dx.doi.org/10.1638/2018-0047DOI Listing

The serious full-length forearm injury - a case report and literature review.

Authors:
Jun Wang

BMC Musculoskelet Disord 2020 Jun 15;21(1):381. Epub 2020 Jun 15.

Department of orthopedic, Xiaoshan 1st People's Hospital, Hangzhou, 311200, China.

Background: Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. Read More

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http://dx.doi.org/10.1186/s12891-020-03394-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296690PMC

Fixation of distal radius fracture with volar locking palmar plates while preserving pronator quadratus through the minimally invasive approach.

Technol Health Care 2020 Jun 5. Epub 2020 Jun 5.

Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China.

Background: The volar locking plate technique with an L-shaped incision of the PQ muscle through the classic volar Henry approach is a popular method for treating distal radius fractures. Recently we revised and improved this traditional technique by performing mini-invasive surgery.

Objective: The purpose of this study was to evaluate the clinical effects after fixation of distal radius fracture with volar locking palmar plates while preserving the pronator quadratus through minimally invasive approach. Read More

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http://dx.doi.org/10.3233/THC-192113DOI Listing

The Effects of Splitting an Above Elbow Cast: A biomechanical study.

Injury 2020 May 23. Epub 2020 May 23.

University of Rochester, Rochester, New York, 601 Elmwood Avenue Box 665, Rochester, NY 14642. Electronic address:

Background: Forearm fractures are one of the top three most common fractures in children. Treatment often includes immobilizing the arm in a cast extending above the elbow to help maintain fracture reduction and alignment. Complications from circumferential casting can occur including swelling in the forearm that can lead to neurovascular complications. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.027DOI Listing

Correction to: Abaloparatide effect on forearm bone mineral density and wrist fracture risk in postmenopausal women with osteoporosis.

Osteoporos Int 2020 Jun 12. Epub 2020 Jun 12.

Columbia University College of Physicians and Surgeons, New York, NY, USA.

The original version of this article, published on 21 March 2019, unfortunately contains some typos in Figs. 2, 3, 4, and Supplemental Fig. 1. Read More

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http://dx.doi.org/10.1007/s00198-020-05469-yDOI Listing

Do "Anatomic" Distal Ulna Plating Systems Fit the Distal Ulna Without Causing Soft Tissue Impingement?

Hand (N Y) 2020 Jun 10:1558944720930302. Epub 2020 Jun 10.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Distal ulna fracture fixation plates commonly cause irritation, necessitating removal, due to the narrow area between the ulna articular cartilage and the extensor carpi ulnaris. This study defines the safe zone for plate application and determines whether wrist position affects risk of impingement. Four different distal ulna anatomic plates (Acumed, Medartis, Skeletal Dynamics, and Synthes) were applied to 12 cadaveric specimens. Read More

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http://dx.doi.org/10.1177/1558944720930302DOI Listing

Comparative risk of osteoporotic fracture among patients with rheumatoid arthritis receiving TNF inhibitors versus other biologics: a cohort study.

Osteoporos Int 2020 Jun 8. Epub 2020 Jun 8.

Division of Rheumatology Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

In this population-based cohort study on comparative osteoporotic fracture risks between different biologic disease-modifying drugs among patients with rheumatoid arthritis (RA), we did not find a significant difference in the risk of osteoporotic fractures between RA patients receiving TNF inhibitors versus abatacept or tocilizumab.

Introduction: We aimed to investigate the comparative risk of osteoporotic fractures between rheumatoid arthritis (RA) patients who initiated TNF inhibitors (TNFis) versus abatacept or tocilizumab.

Methods: Using the Korea National Health Insurance Service datasets from 2002 to 2016, RA patients who initiated TNFis, abatacept, or tocilizumab were identified. Read More

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http://dx.doi.org/10.1007/s00198-020-05488-9DOI Listing

Forearm muscular strength and performance fatigability in orthopaedic surgeons when performing bone screw fixations.

Appl Ergon 2020 Sep 6;87:103135. Epub 2020 May 6.

Department of Industrial and Systems Engineering, Chung Yuan Christian University, Chung Li, 320, Taiwan. Electronic address:

This study investigated the muscle strength and performance fatigability of the forearms in eight male orthopaedic surgeons when performing bone screw fixations. Each surgeon performed an eight-bone screws operations in a porcine femur model to simulate fractural fixation using plating technique. The pre- and post-fatigue maximum isometric forces and corresponding electromyography responses were measured to assess the forearm muscle strength loss and fatigue due to screwing. Read More

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http://dx.doi.org/10.1016/j.apergo.2020.103135DOI Listing
September 2020

Development of the annual incidence rate of fracture in children 1980-2018: a population-based study of 32,375 fractures.

Acta Orthop 2020 Jun 5:1-5. Epub 2020 Jun 5.

Accident Analysis Group, Department of Orthopaedics and Traumatology, Odense University Hospital, Odense.

Background and purpose - Pediatric fractures are a common cause of morbidity. So far, no larger Danish study has described the development in the incidence rates. Therefore, we describe the development in the incidence rates of pediatric fractures in the time period 1980-2018 and the frequency of the most common type of fractures. Read More

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http://dx.doi.org/10.1080/17453674.2020.1772555DOI Listing

Use of processed bovine pericard in peripheral nerve surgery.

Neurochirurgie 2020 Jun 1. Epub 2020 Jun 1.

Department of Neurosurgery, Ruhr-University Bochum, Knappschaftskrankenhaus, Bochum, Germany.

Objective: Nerve damage often means a loss of the epi- and perineural sheaths, an adherence to the surrounding tissue and a loss of smooth movements. This leads to pain and functional deficits. Creating a gliding apparatus for damaged nerves is a possibility to restore physiological function and interrupt the vicious circle of pain. Read More

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http://dx.doi.org/10.1016/j.neuchi.2020.04.001DOI Listing

Compartment Syndrome in Operatively Managed Pediatric Monteggia Fractures and Equivalents.

J Pediatr Orthop 2020 Jun 2. Epub 2020 Jun 2.

University of Wisconsin School of Medicine and Public Health, Madison, WI.

Background: Acute compartment syndrome (ACS) is not commonly associated with pediatric Monteggia fractures or Monteggia equivalents (MF/ME). The aims of this study were: (1) To document a rate of ACS among children with operatively managed MF/ME, comparing this to the rate of ACS in classically associated Type 3 supracondylar humerus (T3-SCH) fractures at the same institution; (2) To determine which patients with MF/ME are at highest risk for ACS.

Methods: Children ages 2 to 12 with MF/ME requiring operative management at an academic institution over a 14-year period were identified. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001599DOI Listing

Limb Salvage and Reconstruction Options in Osteosarcoma.

Adv Exp Med Biol 2020 ;1257:13-29

Penn Medicine Department of Orthopaedic Surgery, Philadelphia, PA, USA.

Advances in chemotherapy, sophisticated imaging, and surgical techniques over the last few decades have allowed limb-salvage surgery (LSS) to become the preferred surgical treatment for bone sarcomas of the extremities. The goal of LLS is to maximize limb functionality to allow for the maintenance of quality of life without compromising overall survival and tumor local recurrence rates. Today, limb-salvage procedures are performed on 80-95% of patients with extremity osteosarcoma, and the 5-year survival rate in extremity osteosarcoma patients is now 60-75%. Read More

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http://dx.doi.org/10.1007/978-3-030-43032-0_2DOI Listing
January 2020

Efficacy of teriparatide compared with risedronate on FRAX-defined major osteoporotic fractures: results of the VERO clinical trial.

Osteoporos Int 2020 May 30. Epub 2020 May 30.

Maastricht University Medical Center, Maastricht, The Netherlands.

FRAX calculates the 10-year probability of major osteoporotic fractures (MOF), which are considered to have a greater clinical impact than other fractures. Our results suggest that, in postmenopausal women with severe osteoporosis, those treated with teriparatide had a 60% lower risk of FRAX-defined MOF compared with those treated with risedronate.

Introduction: The VERO trial was an active-controlled fracture endpoint clinical trial that enrolled postmenopausal women with severe osteoporosis. Read More

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http://dx.doi.org/10.1007/s00198-020-05463-4DOI Listing

Capitate and Hamate Fracture. Case Study.

Ortop Traumatol Rehabil 2020 Apr;22(2):143-149

University Center of Anápolis - UniEVANGÉLICA.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Read More

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http://dx.doi.org/10.5604/01.3001.0014.1185DOI Listing

Results of the modified reverse step-cut osteotomy in paediatric cubitus varus.

Int Orthop 2020 Jul 27;44(7):1417-1426. Epub 2020 May 27.

Department of Orthopaedics, PGIMER Chandigarh, 162 K Block Mdh Pgimer, Chandigarh, 160012, India.

Purpose: Cubitus varus deformity occurs in children as a late consequence of supracondylar fracture of the distal humerus. Different types of corrective osteotomies have been described, but a gold standard has not yet been established. The aim of this study is to report the clinical, radiological, and cosmetic outcome of the modified reverse step-cut osteotomy technique. Read More

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http://dx.doi.org/10.1007/s00264-020-04648-0DOI Listing

Elastic stable intramedullary nailing for treatment of pediatric forearm fractures: A 15-year single centre retrospective study of 173 cases.

Acta Orthop Traumatol Turc 2020 May 22. Epub 2020 May 22.

Department of Pediatric Surgery, University Hospital of Split, Split, Croatia.

Objective: The aim of this study was to analyze the outcomes and complications in children treated with elastic stable intramedullary nailing (ESIN) for forearm fracture.

Methods: The study included 173 patients (126 men and 47 women; median age: 11 years (range: 3-17 years) treated with ESIN for forearm fracture between May 2002 and May 2018. Immobilization was not performed after the surgery. Read More

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http://dx.doi.org/10.5152/j.aott.2020.19128DOI Listing

[Fracture classification-part 1 : Modern low-dose radiation imaging in pediatric traumatology].

Radiologe 2020 Jun;60(6):487-497

Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Background: Fractures in children are significantly more common than bone fractures in adults. Overall, they have a good prognosis regarding spontaneous correction and a restitutio ad integrum. The aim of this study is to provide an overview of established modern (low-dose radiation) imaging techniques in pediatric fractures. Read More

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http://dx.doi.org/10.1007/s00117-020-00697-zDOI Listing

Gorham Disease Limited to the Left Upper Extremity Without Hand Involvement.

J Hand Surg Am 2020 May 15. Epub 2020 May 15.

Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI.

In this case report, we present a young female patient with a history of Gorham disease, who sustained pathologic fractures of the left radius and ulna after a low-impact fall. Massive osteolysis of the left forearm and wrist was noted on plain radiographs. The patient had had 8 previous left upper-extremity fractures without evidence of disease in any other area of the body. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.03.015DOI Listing

Comparison of Intravenous Regional Anesthesia with Single-Cuff Forearm Tourniquet and Hematoma Block and Traditional Method in Patients with Distal Radius Fractures; A Randomized Clinical Trial.

Bull Emerg Trauma 2020 Apr;8(2):77-82

CRNA, Chamran Hospital, Shiraz, Iran.

Objective: To investigate the effect of intravenous regional anesthesia with single-cuff forearm tourniquet and hematoma block on intraoperative and postoperative pain intensity of patients with distal radial bone fracture.

Methods: In this randomized clinical trial, a total number of 52 patients with distal radius fractures were randomly assigned to receive either a traditional Bier block with 3 mg.kg lidocaine (D group) or a single-cuff forearm tourniquet intravenous regional anesthesia with 1. Read More

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http://dx.doi.org/10.30476/BEAT.2020.46446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211393PMC

The pronator teres and the flexor carpi radialis interval approach for operative fixation of ulna coronoid process fractures.

Orthop Traumatol Surg Res 2020 May 14. Epub 2020 May 14.

Department of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, No.169, Donghu Road, Wuchang District, Wuhan 430071, China. Electronic address:

Background: The optimal approach for the fixation of coronoid process fractures is unknown. We present the advantages and the clinical effect of the pronator teres and the flexor carpi radialis interval approach for the treatment of ulna coronoid process fractures.

Methods: The patients, who had operative treatment of closed ulna coronoid process fracture by the pronator teres and the flexor carpi radialis interval approach between January 2011 to December 2016, were studied retrospectively. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.04.004DOI Listing

Infrared thermal imaging as a screening tool for paediatric wrist fractures.

Med Biol Eng Comput 2020 Jul 14;58(7):1549-1563. Epub 2020 May 14.

Emergency Department, Sheffield Children's Hospital, Sheffield, S10 2TH, UK.

Wrist injuries are common in paediatric trauma; however, only half of children evaluated with an x-ray for possible fractures will have one. Thermal imaging offers a possible non-ionising method of screening for fractures and thus reducing negative x-ray rates. One hundred five children attending the Emergency Department for wrist injuries were recruited. Read More

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http://dx.doi.org/10.1007/s11517-020-02167-zDOI Listing

Extraphyseal distal radius fracture in children: is the cast always needed? A retrospective analysis comparing Epibloc system and K-wire pinning.

Eur J Orthop Surg Traumatol 2020 May 13. Epub 2020 May 13.

Istituto Di Clinica Ortopedica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Roma, Italia.

Introduction: Closed reduction and internal fixation are a widespread surgical treatment for pediatrics displaced extraphyseal distal radius fractures. Post-surgical cast immobilization is usually needed. Epibloc system (ES) is a device used to fix Colles fractures in adults, not requiring post-surgical immobilization. Read More

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http://dx.doi.org/10.1007/s00590-020-02698-zDOI Listing

[Special aspects of fractures of the distal forearm].

Radiologe 2020 Jul;60(7):591-600

Klinik und Poliklinik für Radiologie, Ludwig-Maximilians-Universität München, München, Deutschland.

Background: Fractures of the distal forearm, especially fractures of the distal radius which are the most common fracture in humans, are of increasing socioeconomic relevance due to the increasing incidence and the increasing costs that are associated with the popularity of palmar plating.

Objectives: Radiological imaging for diagnosis and follow-up are presented with special focus on new biomechanical fracture concepts such as the four-corner concept.

Materials And Methods: The basic literature and expert opinions are evaluated and discussed. Read More

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http://dx.doi.org/10.1007/s00117-020-00689-zDOI Listing

Neurofibromatosis type 1 associated with hypophosphatemic osteomalacia due to hypersecretion of fibroblast growth factor 23: a case report.

J Med Case Rep 2020 May 9;14(1):56. Epub 2020 May 9.

Department of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medicine and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.

Background: Neurofibromatosis type 1 is characterized by multiple café au lait spots and cutaneous and plexiform neurofibromas, and is one of the most common autosomal dominant hereditary disorders caused by mutations of the neurofibromatosis type 1 tumor suppressor gene. Osteomalacia in neurofibromatosis type 1 is very rare and is characterized by later onset in adulthood. In humans, fibroblast growth factor 23, which is a causative factor of tumor-induced osteomalacia, is not only a paracrine and autocrine factor, but is also a physiological regulator of phosphate balance in normal serum. Read More

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http://dx.doi.org/10.1186/s13256-020-02381-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210688PMC

What is the validity of self-reported fractures?

Bone Rep 2020 Jun 1;12:100256. Epub 2020 May 1.

Department of Endocrinology, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium.

We assessed the validity of self-reported fractures, over a median follow-up period of 6.2 years, in a well characterized population-based cohort of 3560 postmenopausal women, aged 60-85 years, from the Fracture Risk Brussels Epidemiological Enquiry (FRISBEE) study. Incident low-traumatic (falls from a standing height or less) or non-traumatic fractures, including peripheral fractures, were registered during each annual follow-up telephone interview. Read More

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http://dx.doi.org/10.1016/j.bonr.2020.100256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200867PMC

Dietary calcium and vitamin K are associated with osteoporotic fracture risk in middle-aged and elderly Japanese women, but not men: the Murakami Cohort Study.

Br J Nutr 2020 May 7:1-25. Epub 2020 May 7.

Division of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Although dietary calcium, vitamin D, and vitamin K are nutritional factors associated with osteoporosis, little is known about their effects on incident osteoporotic fractures in East Asian populations. This study aimed to determine whether intakes of these nutrients predict incident osteoporotic fractures. We adopted a cohort-study design with a 5-year follow-up. Read More

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http://dx.doi.org/10.1017/S0007114520001567DOI Listing

Disease burden of osteoporosis and other non-communicable diseases in Lebanon.

Osteoporos Int 2020 May 6. Epub 2020 May 6.

Calcium Metabolism and Osteoporosis Program, Division of Endocrinology and Metabolism, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Osteoporosis is more common than most feared non-communicable diseases in the Middle East. This justifies the need to place osteoporosis as a health priority in the region.

Introduction: Osteoporosis is a common disease associated with severe debilitating consequences. Read More

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http://dx.doi.org/10.1007/s00198-020-05433-wDOI Listing

Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature.

Authors:
Lujie Xu Wensong Ye

BMC Musculoskelet Disord 2020 May 6;21(1):282. Epub 2020 May 6.

Department of Orthopaedics, Children's Hospital, Zhejiang University School of Medicine, 14th Floor, Inpatient Building, No. 3333 Binsheng Road, Hangzhou, Zhejiang, People's Republic of China.

Background: Monteggia equivalent lesion represents a series of combined elbow and forearm injuries that resemble typical Monteggia fracture either in presentation or mechanism. The term has gradually evolved since its introduction, as sporadic case reports continued to complement it. The aim of this study was to present a furthermore type of that lesion which no previous study had reported and arouse pediatric orthopedists' additional awareness of it. Read More

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http://dx.doi.org/10.1186/s12891-020-03315-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204043PMC

Reconstruction of complex radial head fractures using fine-threaded K-wires : clinical outcome and remaining instability.

Acta Orthop Belg 2019 Dec;85(4):437-447

Radial head replacement or ORIF are established treatment options for Mason type-III and type-IV fractures. The aim of this study was to provide results for reconstruction of these complex fractures using fine-threaded K-wires. We present results after reconstruction of 15 Mason type-III and 8 Mason type-IV fractures. Read More

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December 2019

Refracture of pediatric both-bone diaphyseal forearm fracture following intramedullary fixation with Kirschner wires is likely to occur in the presence of immature radiographic healing.

Eur J Orthop Surg Traumatol 2020 May 5. Epub 2020 May 5.

Kyushu University Fracture Repair and Research Group, Saga City, Saga, Japan.

Purpose: Refracture of pediatric both-bone diaphyseal forearm fractures (PBDFFs) may occur, even if the fractures are treated with intramedullary nailing. The purpose of this study was to investigate the risk of refracture of PBDFFs treated with intramedullary Kirschner wires (K-wires), which are commonly used in our clinic.

Methods: The present multicenter retrospective study included 60 consecutive patients with 60 PBDFFs who were treated with intramedullary K-wires at 5 hospitals between 2007 and 2016. Read More

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http://dx.doi.org/10.1007/s00590-020-02689-0DOI Listing

Unusual presentation of congenital radioulnar synostosis with osteoporosis, fragility fracture and nonunion: A case report and review of literature.

World J Clin Cases 2020 Apr;8(8):1538-1546

Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha 410000, Hunan Province, China.

Background: Congenital radioulnar synostosis (CRUS) is a rare deformity of the upper extremity. It is characterized by loss of rotation of the involved forearm and functional limitations in daily activities. No studies on CRUS with osteoporosis have been reported to date, and osteoporosis is usually recognized as an important dimension of genetic disorder in children. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i8.1538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190948PMC