Search Our Scientific Publications & Authors

Afr J Paediatr Surg 2022 Jul-Sep;19(3):153-159

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Childrens' distal forearm fractures (DFFs) could be treated conservatively with closed reduction and immobilisation, but post-reduction displacements often occur. Displaced DFF should be surgically fixed, to avoid further displacement. Nevertheless, immobilisation after surgery is recommended. Read More

Orthop Rev (Pavia) 2022 6;14(3):32339. Epub 2022 Mar 6.

Emergency Medicine, Lakeland Regional Health Medical Center.

The authors present a case of a triquetrum fracture and pisiform dislocation diagnosed in the emergency department. The patient described wrist pain with no other complaints. However, after a plain radiograph in the emergency department, a minimally displaced avulsion fracture of the triquetrum and subtle pisiform dislocation was detected. Read More

Plast Reconstr Surg Glob Open 2022 Jun 20;10(6):e4414. Epub 2022 Jun 20.

Department of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tübingen, University of Tübingen, Germany.

We report the case of a 62-year-old female patient with a triple-crush radial nerve injury, diagnosed in subsequent order following a fracture of the left humerus. The patient developed flaccid paralysis of all muscles innervated by the left radial nerve except the triceps brachii and reported a sensory deficit corresponding to the innervation territories of the posterior nerve of the forearm as well as the superficial branch of the radial nerve. Following neurolysis of the radial nerve at the humerus level, wrist extension as well as sensory perception on the dorsal aspect of the forearm recovered, but finger extension and thumb abduction were still impossible. Read More

Medicina (Kaunas) 2022 May 31;58(6). Epub 2022 May 31.

Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany.

: Falls from heights are a common mechanism of trauma in children. However, data on bunk-bed-related (BBR) fractures are scarce. We aimed to assess types of fractures and age groups most at risk for BBR fractures. Read More

Zhongguo Gu Shang 2022 Jun;35(6):566-71

Sichuan Province Orthopaedics Hospital, Chengdu 610041, Sichuan, China.

Objective: To explore clinical effect of treatment for distal radius Fernandez type Ⅳ fractures by wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation.

Methods: From January 2018 to December 2019, 11 patients distal radius Fernandez type Ⅳ fractures treated with wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation, including 8 males and 3 females, aged from 23 to 42 years old. The fracture were all calssified to type Ⅳ according to Fernandez classification. Read More

Sci Rep 2022 Jun 17;12(1):10189. Epub 2022 Jun 17.

Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

There is a clear relationship between rheumatoid arthritis (RA) and major osteoporotic fracture (MOF), although there is limited evidence on the effect of continuity of care (COC) on MOF in these patients. We investigated the association between COC and risk of MOF, including fractures of the lumbar spine and pelvis, forearm, and hip, among newly diagnosed RA patients aged ≥ 60 years. A total of 8715 incident RA patients from 2004 to 2010 were included from the Korean National Health Insurance Service-Senior cohort database. Read More

Medicine (Baltimore) 2022 Jun 17;101(24):e29479. Epub 2022 Jun 17.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Pan-carpal dissociation is very rare injury and there is little information as to diagnosis, treatment, and prognosis of this injury.

Patient Concerns: A 35-year-man presented to our hospital with severe pain and swelling of the left wrist and forearm after slipping and falling while riding a motorcycle.

Diagnosis: The wrist simple radiographs demonstrated unrecognizable severe fracture-dislocation of the carpal bones concomitant with fractures of the radioulnar shaft. Read More

J Bone Miner Metab 2022 Jun 16. Epub 2022 Jun 16.

Department of Burn and Plastic Surgery, Zibo Central Hospital, Gongqingtuanxi Road, Zhangdian District, Zibo, 255036, Shandong, China.

Introduction: Vitamin K2 supplementation has been revealed to be effective in the prevention and treatment of osteoporosis in Japan, but further proof for the effectiveness of this practice is still needed.

Objective: To investigate whether vitamin K2 supplementation plays a role in maintaining bone mineral density (BMD) and reducing the incidence of fractures for postmenopausal women with osteoporosis at a long-term follow-up.

Materials And Methods: We searched systematically throughout the databases of PubMed, Cochrane library, and EMBASE from the dates of their inception to November 16 2021 in this meta-analysis and systematic review, using keywords vitamin K2 and osteoporosis. Read More

Acta Orthop Traumatol Turc 2022 May;56(3):194-198

Department of Orthopaedics, Ufuk University, School of Medicine, Ankara, Turkey.

Objective: This study aimed to assess the treatment trends and the factors influencing the treatment methods of Orthopaedic Surgeons in closed, isolated, middle-third diaphyseal long bone fractures without any neurovascular injury in children.

Methods: This was a cross-sectional electronic survey of Turkish Orthopaedic Surgeons who were active members of the Turkish Society of Children's Orthopaedics (TSCO) and still managing the children's fractures in their daily clinical practice. An initial e-mail including the electronic survey followed by three reminder e-mails was sent to 110 members, and then reminder telephone calls were made. Read More

Osteoporos Int 2022 Jun 15. Epub 2022 Jun 15.

Department of Medicine-Western Health, The University of Melbourne, Melbourne, VIC, Australia.

This study identified the costs and health-related quality of life impacts of several post-fracture multidisciplinary care pathways specific to individual skeletal site (hip, distal forearm, vertebrae, humerus). These care pathways may assist healthcare providers in allocating resources for osteoporotic fractures in more effective and cost-efficient ways.

Introduction: This micro-costing study was undertaken to provide the estimated healthcare costs of several fracture site-specific health service use pathways associated with different trajectories of health-related quality of life (HRQoL) 12-months post-fracture. Read More

Biomed Eng Online 2022 Jun 13;21(1):35. Epub 2022 Jun 13.

CPGEI - Universidade Tecnológica Federal Do Paraná, Avenida Silva Jardim, 3165, Rebouças, Zip code 80230-901, Curitiba, Brasil.

Introduction: Low- to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye).

Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room.

Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated with the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. Read More

Orthop Traumatol Surg Res 2022 Jun 10:103346. Epub 2022 Jun 10.

Department of Orthopaedics, Wuxi 9th People's Hospital Affiliated to Soochow University, 214062 Wuxi, China. Electronic address:

Introduction: Gustilo IIIB open forearm fractures are severe injuries often associated with extensive bone and soft tissue injuries. The treatment of Gustilo IIIB open forearm fractures remains a challenging problem, with a high morbidity rate such as infection, nonunion, even amputation. External fixation is preferred for open lower limb fractures. Read More

J Pediatr Orthop B 2022 Jun 10. Epub 2022 Jun 10.

Department of Orthopedics, SUNY Upstate Medical University, Syracuse, New York, USA.

Refracture is one of the most common complications of pediatric forearm fractures. One way to decrease this risk is to extend immobilization with a brace after the cast has been removed to allow for a range of motion exercises. The purpose of this study was to examine whether prescribing a brace after casting was discontinued decreased the risk of refracture. Read More

European J Pediatr Surg Rep 2022 Jan 9;10(1):e73-e75. Epub 2022 Jun 9.

Unité Pédiatrique de Chirurgie Orthopédique et Traumatologique, CHUV, Lausanne, Vaud, Switzerland.

Pediatric displaced distal metaphyseal ulnar fractures and distal radial buckle fractures are common. However, to the best of our knowledge, their association has never been specifically reported. Thus, classification and management of this pattern remain challenging especially in young children. Read More

J Bone Miner Res 2022 Jun 11. Epub 2022 Jun 11.

University of Oslo, Institute of Health and Society, Department of Community Medicine and Global Health, Oslo, Norway.

Norway is an elongated country with large variations in climate and duration of winter season. It is also a high-risk country for osteoporotic fractures, in particular hip fractures, which cause high mortality. Although most hip fractures occur indoors, there is a higher incidence of both forearm and hip fractures during wintertime, compared with summertime. Read More

Dig Dis Sci 2022 Jun 7. Epub 2022 Jun 7.

Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.

Background: Lower whole body bone mineral density (BMD) has been reported in children with nonalcoholic fatty liver disease (NAFLD), but potential mediators remain uncertain.

Aims: To assess BMD at multiple skeletal sites in children with confirmed NAFLD and controls with obesity, adjusting for known determinants of BMD, and examine potential mediators.

Methods: We assessed age-, sex-, and race-specific, and height-adjusted BMD z-scores of whole body, lumbar spine, hip, femoral neck and forearm by dual-energy-x-ray absorptiometry in 79 children, 8-19 years old: 46 with biopsy-confirmed NAFLD [29 steatohepatitis (NASH)/17 fatty liver (NAFL)] and 33 controls without liver disease. Read More

Hand (N Y) 2022 Jun 6:15589447221096705. Epub 2022 Jun 6.

Division of Plastic Surgery, University of British Columbia, Vancouver, Canada.

Traumatic thumb injuries often result in significant functional disability. With segmental bone loss, reconstructive options include antibiotic cement with delayed bone graft, revision amputation with webspace deepening, metacarpal distraction osteogenesis, index pollicization, bone flap, and free toe transfer. We present a case of a subtotal thumb amputation just distal to the metacarpal phalangeal joint resulting in loss of both soft tissue and a segmental bone defect of the proximal and distal phalanx. Read More

Bone Jt Open 2022 Jun;3(6):448-454

Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.

Aims: The aim of this study was to report a complete overview of both incidence, fracture distribution, mode of injury, and patient baseline demographics of paediatric distal forearm fractures to identify age of risk and types of activities leading to injury.

Methods: Population-based cohort study with manual review of radiographs and charts. The primary outcome measure was incidence of paediatric distal forearm fractures. Read More

Arch Bone Jt Surg 2022 Feb;10(2):153-159

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

Background: Refracture after both bone forearm fracture fixation may vary with or without plate removal. We tested the null hypothesis that there is no difference in the rate of refracture in patients who have undergone open reduction and internal fixation of a diaphyseal forearm bone who have retained implants versus removed implants. We also studied factors associated with plate removal. Read More

J Clin Med 2022 May 18;11(10). Epub 2022 May 18.

Department of Hand Surgery, Helsinki University Hospital, University of Helsinki, 00029 Helsinki, Finland.

A distal radius fracture (DRF) is one of the most common fractures in emergency units, the treatment of which requires considerable health care resources. We analyzed the incidence rate for DRFs and the incidence rate of operative treatment over a five-year period, 2015-2019, for the entire population of Finland and all ages. Data was obtained from the Finnish National Care Register for Health Care. Read More

Children (Basel) 2022 May 23;9(5). Epub 2022 May 23.

Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Background: The forearm is the most common fracture site in childhood, accounting for every fourth pediatric fracture. It is well described that vitamin D is involved in the regulation of bone mineralization and skeletal homeostasis by the regulation of calcium absorption. The aim of our study was to determine the influence of 25-hydroxyvitamin D levels on forearm fracture falls in a pediatric population, depending on level of energy impact. Read More

Children (Basel) 2022 May 20;9(5). Epub 2022 May 20.

Department of Pediatric Surgery, University Medical Center Schleswig-Holstein, Campus Lübeck, 23538 Lübeck, Germany.

(1) Background: Diaphyseal forearm fractures are a common injury in children and adolescents. When operative treatment is needed, elastic stable intramedullary nailing (ESIN) is the most common surgical procedure. Although there is no clear evidence, hardware removal after fracture healing is performed in many patients. Read More

J Child Orthop 2022 Apr 30;16(2):83-87. Epub 2022 Apr 30.

Department of Orthopaedic Surgery, Children's Hospital of Orange County, Orange, CA, USA.

Purpose: This study examined the volume and characteristics of common surgically treated fractures in children during the COVID-19 pandemic. The worldwide spread of COVID-19 affected the society in numerous ways. Social distancing led to changes in the types of activities performed by individuals, including children. Read More

J Child Orthop 2022 Apr 30;16(2):88-97. Epub 2022 Apr 30.

Department of Orthopaedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark.

Purpose: Displaced children's forearms fractures are commonly treated surgically with Kirschner Wires or Elastic Stable Intramedullary Nails. The osteosynthesis system "Minimally Invasive Reduction and Osteosynthesis System" might be beneficial in the treatment of these fractures due to being minimally invasive while achieving fracture stability. In this exploratory prospective randomized controlled longitudinal study, we compared Minimally Invasive Reduction and Osteosynthesis System to Kirschner Wires and Elastic Stable Intramedullary Nails osteosynthesis. Read More

J Child Orthop 2022 Apr 30;16(2):98-103. Epub 2022 Apr 30.

Great Western Hospital, Swindon, UK.

Purpose: Pediatric forearm fractures are a common presentation to Accident and Emergency departments. Standard treatment for the majority of these is manipulation under sedation within the department, followed by cast application. Concerns have been raised about the acceptability of such interventions, and reluctance to perform these procedures has led to increased admissions and manipulations performed under general anesthetic. Read More

J Orthop Case Rep 2022 Jan;12(1):41-44

Department of Orthopaedics, "Panagiotis and Aglaia Kyriakou" Athens General Children's Hospital, Athens, Greece.

Introduction: Monteggia injuries are relatively rare in the pediatric population. They can be missed leading to complications arising from a chronic radial head dislocation. There is limited information about their proper management in the literature. Read More

Int J Numer Method Biomed Eng 2022 May 13:e3617. Epub 2022 May 13.

Key Laboratory of Bionic Engineering, Ministry of Education, Jilin University, Changchun, China.

Most researchers have performed finite element (FE) analysis of the human forearm fracture by exploring the strength and load transmission of the bones. However, few studies concentrated a complete simulation of the whole forearm complex including ligaments. This paper aims to investigate the load transmission through the bones, contact stress at the joints and strain in the ligaments by using an elaborate FE model, further validating the fracture condition for human forearm. Read More

Ortop Traumatol Rehabil 2022 Apr;24(2):79-86

Klinika Ortopedii i Ortopedii Dziecięcej, Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi, Polska / Orthopedics and Pediatric Orthopedics Department, Central Teaching Hospital of the Medical University of Lodz, Poland.

Background: The term Monteggia fracture refers to a class of injuries encompassing the fracture of the proximal end of the ulna with subluxation or dislocation of the radial head. These injuries account for 0.4-1% of all forearm fractures in children. Read More

Case Rep Orthop 2022 29;2022:6041577. Epub 2022 Apr 29.

Department of Orthopaedics and Traumatology, Venizeleio and Pananio General Hospital of Heraklion Crete, Greece.

Introduction: Neglected distal humerus fractures are rare injuries, which the orthopaedic surgeon will not deal many times in his career. We present a case of a young patient with such an injury, who was treated with a corrective osteotomy and fixation, resulting in a very good outcome. This case report highlights the importance of surgical intervention for distal humerus fracture malunion. Read More

Malays Orthop J 2022 Mar;16(1):138-141

Department of Orthopaedics, The Medical City Clark, Mabalacat, Philippines.

Wide-awake local anaesthesia, no tourniquet (WALANT) continues to gain popularity and has been adapted for various fracture fixations proximal to the hand. A case of olecranon tension band wiring with concomitant extensor tendon repair is presented. The procedure was done with the patient awake in a lateral decubitus position 30min after the injection of WALANT solution at the intended surgical sites. Read More