Search Our Scientific Publications & Authors

Rev Assoc Med Bras (1992) 2019 Mar 11;65(3):355-360. Epub 2019 Apr 11.

Emergency Center of Trauma, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China.

Object: To explore the treatment effect of the anterior medial neurovascular interval approach to coronal shear fractures of the distal humerus.

Methods: This prospective study included two female patients who were 30-64 years old, with a mean age of 47 years. Fractures were caused by falling from a bicycle. Read More

J Bone Joint Surg Am 2019 Apr;101(8):710-721

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: Medical image processing has facilitated simulation of 3-dimensional (3-D) corrective osteotomy, and 3-D rapid prototyping technology has further enabled the manufacturing of patient-matched surgical guides and implants (patient-matched instruments, or PMIs). However, 3-D corrective osteotomy using these technologies has not been the standard procedure. We aimed to prospectively verify the efficacy and safety of PMIs in corrective osteotomy for deformities of the upper extremity. Read More

Diabetes Metab Res Rev 2019 Apr 15:e3170. Epub 2019 Apr 15.

NHC Key Laboratory of Hormones and Development (Tianjin Medical University), Tianjin Key Laboratory of Metabolic Diseases, Tianjin Medical University Metabolic Diseases Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, China.

Aims: To update and determine the effects of sodium glucose co-transporter 2 (SGLT2) inhibitor therapy on fracture and bone mineral density (BMD) in type 2 diabetes mellitus (T2DM) patients.

Materials And Methods: We identified 27 eligible randomized controlled trials (RCTs) that compared the efficacy and safety of SGLT2 inhibitors to a placebo in 20895 T2DM participants, with an average duration of 64.22 weeks. Read More

J Endocrinol Invest 2019 Apr 12. Epub 2019 Apr 12.

MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.

Background: Osteoporosis constitutes a major public health problem, through its association with age-related fractures, particularly of the hip, vertebrae, distal forearm, and humerus. Over recent decades, it has evolved from being viewed as an inevitable consequence of ageing, to being recognised as a serious and eminently treatable disease.

Materials And Methods: In this article, we review the literature pertaining to the epidemiology of osteoporosis, associated health burden, approaches to risk assessment and treatment. Read More

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics, The Warren Alpert Medical School of Brown University.

Background: Recent studies indicate that formal postreduction radiographs may be unnecessary for closed, isolated pediatric wrist, and forearm when mini C-arm fluoroscopy is used for reduction. Our institution changed the Emergency Department (ED) management protocol to reflect this by allowing orthopaedic providers to determine if fluoroscopy was acceptable to assess fracture reduction. We hypothesized that using fluoroscopy as definitive postreduction imaging would decrease total encounter time, without an increase in the rate of rereduction or surgery. Read More

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany. Electronic address:

In the pediatric population supracondylar humerus fracture (SHF) is one of the most common injuries. Diagnosis is based on inspection and conventional radiography. SHFs should be classified according to the modified Gartland classification, which guides treatment. Read More

BMC Musculoskelet Disord 2019 Apr 6;20(1):147. Epub 2019 Apr 6.

Department of Orthopaedic and Trauma Surgery, Helios Hospital Munich West, Steinerweg 5, 81241, Munich, Germany.

Background: The most common location for articular fractures of the radial head is often reported to be the anterior lateral aspect of the radial head with the arm in neutral position. However, these findings mainly base on clinical observations rather than precise biomechanical measurements. The purpose of this study was to evaluate the formation of proximal radius fractures, the association between axial forces and fracture morphology, energy to failure and bone stiffness in a biomechanical in-vitro setup. Read More

BMJ Open 2019 Apr 3;9(4):e024951. Epub 2019 Apr 3.

Nottingham Respiratory Research Unit, NIHR Nottingham Biomedical Research Centre, School of Medicine, University of Nottingham, Nottingham, UK.

Objective: To assess the incidence of hip fracture and all major osteoporotic fractures (MOF) in patients with chronic obstructive pulmonary disease (COPD) compared with non-COPD patients and to evaluate the use and performance of fracture risk prediction tools in patients with COPD. To assess the prevalence and incidence of osteoporosis.

Design: Population-based cohort study. Read More

J Am Pharm Assoc (2003) 2019 Apr 1. Epub 2019 Apr 1.

Objectives: To evaluate the need for a fracture liaison service (FLS) based on postfracture care in a patient-centered medical home (PCMH).

Methods: Patients in a PCMH who presented to a local 763-bed community teaching hospital with fragility fracture of the hip, spine, or forearm between January 1, 2013, and December 31, 2014, were identified using ICD-9 codes. A retrospective chart review of inpatient and outpatient medical records 2 years before the fracture and 1 year afterward was conducted. Read More

Int J Circumpolar Health 2019 Dec;78(1):1601056

a School of Human Nutrition , McGill University , Ste-Anne-de-Bellevue , QC , Canada.

Bone mineral density (BMD) and fracture risk are elevated in adults with impaired fasting glucose (IFG) or type 2 diabetes mellitus (T2D). This study aimed to compare bone health among Inuit women with IFG, T2D and normoglycemia. The study included Inuit women (≥40 y) with IFG (n = 57), T2D (n = 72) or normoglycemia (n = 340) from the International Polar Year Inuit Health Survey 2007-2008 in Canada. Read More

Acta Orthop 2019 Apr 4:1-10. Epub 2019 Apr 4.

a Department of Children and Adolescents, Pediatric Surgery and Orthopedics , Oulu University Hospital , Oulu ;

Background and purpose - Fracture of the ulnar styloid process (USP) is common in children in connection with distal radius fracture. The long-term morbidity of USP non-union following a childhood distal radius fracture is unclear. We evaluated long-term clinical and radiographic findings of USP non-union. Read More

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Clinics of Orthopaedics and Traumatology, Kartal Dr.Lütfi Kırdar Training and Research Hospital, Cevizli District, Şemsi Denizer Street, Kartal, 34890, Istanbul, Turkey.

Purpose: In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results.

Methods: 49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 with IMNs. Read More

Shoulder Elbow 2019 Apr 18;11(2):121-128. Epub 2017 Sep 18.

Université de Montréal, Montreal, QC, Canada.

Background: Partial radial head fractures (PRHF) can involve the proximal radioulnar joint (PRUJ) or be restricted to the 'safe zone' (SZ) during forearm rotation. The objective of the present study was to develop an assessment method for PRUJ involvement in radial head fractures using axial computed tomography (CT) scans.

Methods: The area of the radial head in contact with the PRUJ zone was identified, and defined on 18 cadaveric elbows CT scans; the quantitative relationship between PRUJ zone and radial tuberosity was established. Read More

Arch Plast Surg 2019 Mar 31;46(2):171-175. Epub 2019 Mar 31.

Department of Plastic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia.

Forearm fractures are common injuries in childhood. Median nerve entrapment is a rare complication of forearm fractures, but several cases have been reported in the literature. This case report discusses the diagnosis and management of median nerve entrapment in a 13-yearold male who presented acutely with a both-bone forearm fracture and numbness in the median nerve distribution. Read More

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

J Orthop Case Rep 2018 Nov-Dec;8(6):79-81

Department of Paediatric Orthopaedics, OrthoKids Clinic, Ahmedabad, Gujarat, India.

Introduction: Pediatric traumatic elbow dislocation is an uncommon injury accounting for 3-% of all pediatric elbow injuries. It can present as an isolated injury or in association with fractures of radius, ulna, or humerus. Posterolateral type is the most common accounting for 70% of all pediatric elbow dislocations. Read More

Osteoporos Int 2019 Mar 21. Epub 2019 Mar 21.

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

Purpose: Wrist fractures are common, contribute significantly to morbidity in women with postmenopausal osteoporosis, and occur predominantly at the ultradistal radius, a site rich in trabecular bone. This exploratory analysis of the phase 3 ACTIVE study evaluated effects of abaloparatide versus placebo and teriparatide on forearm bone mineral density (BMD) and risk of wrist fracture.

Methods: Forearm BMD was measured by dual energy X-ray absorptiometry in a subset of 982 women from ACTIVE, evenly distributed across the three treatment groups. Read More

Oper Orthop Traumatol 2019 Apr 18;31(2):127-142. Epub 2019 Mar 18.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.

Objective: Complete visualization of the articular surface in comminuted uni- or bicondylar tibial plateau fractures as a prerequisite for anatomical reconstruction to reduce the risk of posttraumatic osteoarthritis.

Indications: Unicondylar lateral or medial as well as bicondylar intra-articular tibial plateau fractures with central and/or dorsal fracture lines; comminuted destruction of the medial or lateral tibial plateau with dislocation of >2 mm.

Contraindications: Critical soft tissue in the approach area, femoral condylar fracture, intraligamentous ruptures of the medial or lateral ligaments or the posterolateral corner. Read More

J Pediatr Rehabil Med 2019 Mar 6. Epub 2019 Mar 6.

Human Movement Sciences Department, Universidade Federal de São Paulo, Baixada Santista Campus, Santos, São Paulo, Brazil.

Purpose: To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures.

Methods: This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2. Read More

Medicine (Baltimore) 2019 Mar;98(11):e14743

Department of Trauma Surgery and Reconstructive Surgery, Diakonie Klinikum Jung-Stilling, Siegen, Germany.

Since its introduction by Metaizeau and Prevot, elastic-stable intramedullary nailing (ESIN) has been used for almost all diaphyseal fractures in children. Here, we present a retrospective study analyzing the long-term results of ESIN of forearm fractures in children.A total of 122 patients with diaphyseal forearm fractures and single subtypes in childhood were treated from 2000 to 2007 at our University Hospital by ESIN. Read More

J Am Acad Orthop Surg 2019 Mar 8. Epub 2019 Mar 8.

From the Department of Orthopaedic Surgery (Dr. Nicholson), Keck School of Medicine, University of Southern California, and the Children's Orthopaedic Center (Dr. Skaggs), Children's Hospital Los Angeles, Los Angeles, CA.

Fractures of the proximal radius represent 5% to 10% of all elbow fractures in children. These fractures have many treatment options and have a high risk of complication, particularly loss of forearm rotation. Nonsurgical management of minimally displaced radial neck fractures produces excellent results in most patients. Read More

J Surg Educ 2019 Mar 6. Epub 2019 Mar 6.

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota. Electronic address:

Objective: The purpose of this study is to determine whether the 2013 implementation of ACGME minimum case requirements was associated with increased documented case volume of closed manipulation of forearm and wrist fractures (CMFWF) for graduating orthopedic surgery residents.

Design: We reviewed ACGME case log data for CMFWF among graduating orthopedic surgery residents from 2007 to 2016. Annual national mean, and median number of CMFWF performed by residents in the 10th, 30th, 50th, and 90th case volume percentile were evaluated. Read More

Pain Med 2019 Mar 8. Epub 2019 Mar 8.

Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich, Switzerland.

Objective: First, to determine the number of accident-related complex regional pain syndrome (CRPS) cases from 2008 to 2015 and to identify factors associated with an increased risk for developing CRPS. Second, to analyze the duration of work incapacity and direct health care costs over follow-up periods of two and five years, respectively.

Design: Retrospective data analysis. Read More

Nutrients 2019 Mar 5;11(3). Epub 2019 Mar 5.

Metabolic Bone Disease Research Group, University of Extremadura, 10003 Cáceres, Spain.

The Mediterranean diet (MD) has been associated with an improvement in health and an increase in longevity. Certain components of a MD can play a role in the prevention of osteoporosis and/or hip fracture. We investigated the association between the degree of adherence to a MD and bone mineral density (BMD) measured in several bone areas in a population of Spanish premenopausal women. Read More

J Pediatr Orthop 2019 Apr;39(4):e245-e247

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY.

Introduction: Following closed reduction and initial casting of pediatric forearm fractures, loss of reduction (LOR) occurs in ∼5% to 75% of fractures. Sugar-tong splinting has been shown to maintain acceptable reduction in pediatric distal radius fractures while potentially avoiding issues associated with circumferential casting. We hypothesized that the sugar-tong splint would be an acceptable method for initial immobilization to prevent LOR in distal, mid-shaft, and proximal pediatric forearm fractures. Read More

Bioelectromagnetics 2019 Feb;40(2):128-135

Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.

Fracture healing happens naturally in most bone break cases. Occasionally prolongation of restoration period or non-union of the fracture may occur, where electrical stimulation has been shown to facilitate bone restoration by stimulating osteoblasts. Despite clinical use, a comprehensive computational model linking the applied currents to the stimulating field in the fracture has been missing. Read More

Hand (N Y) 2019 Feb 28:1558944719831239. Epub 2019 Feb 28.

1 Western University, London, ON, Canada.

Background: Distal radius fracture reduction by internal fixation is most commonly achieved using volar locking plates (VLPs). Many standard VLP designs make little point contact with radius anatomy, and most postsurgical complications following fixation are attributed to poor implant fit. Sex differences may require consideration in implant design, as females more commonly require VLP removal. Read More

Clin Orthop Relat Res 2019 Apr;477(4):813-820

K. E. Nappo, B. W. Hoyt, G. C. Balazs, G. P. Nanos, D. F. Ipsen, S. M. Tintle, E. M. Polfer, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; and the Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Background: High-energy open forearm fractures are unique injuries frequently complicated by neurovascular and soft tissue injuries. Few studies have evaluated the factors associated with nonunion and loss of motion after these injuries, particularly in the setting of blast injuries.

Questions/purposes: (1) In military service members with high-energy open forearm fractures, what proportion achieved primary or secondary union? (2) What is the pronation-supination arc of motion as stratified by the presence or absence of heterotopic ossification (HO) and synostosis? (3) What are the risks of heterotopic ossification and synostosis? (4) What factors may be associated with forearm fracture nonunion?

Methods: A retrospective study of all open forearm fractures treated at a tertiary military referral center from January 2004 to December 2014 was performed. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018825223

2 Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang China.

Background:: The goal of this study was to evaluate the clinical effect of Regan-Morrey type II comminuted coronoid process fracture treated with mini plate through the direct anterior approach (DAA).

Methods:: Ten patients who underwent open reduction and internal fixation (ORIF) with mini plate through the DAA between February 2013 and August 2016 was included. There were three women and seven men, with an average age of 34. Read More

J Bone Miner Metab 2019 Feb 21. Epub 2019 Feb 21.

Department of Orthopaedic Surgery, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 143-729, South Korea.

Despite the presence of vitamin D receptor (VDR) in skeletal muscle cells, the relationship between VDR expressions and muscle mass or function has not been well studied. The purpose of this study was to compare VDR gene and protein expression in the forearm muscle between sarcopenic and non-sarcopenic individuals who have sustained distal radius fractures. Twenty samples of muscle tissue from sarcopenic patients (mean age 63. Read More

Microsurgery 2019 Feb 19. Epub 2019 Feb 19.

Swissparc AG, Hand Surgery Service, Zürich, Switzerland.

Introduction: There is growing evidence of the superior ability of muscular tissue to clear bacterial bone infection. Unfortunately, in the hand, there are almost no small local muscular flaps, and muscular transfers to the hand are mainly microsurgical free transfers. In this report, we present the results of the use of a chimeric posterior interosseous flap including part(s) of the forearm muscles to treat osteomyelitis and soft tissue defect of hand from a series of patients. Read More

J Hand Surg Am 2019 Feb 15. Epub 2019 Feb 15.

Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY. Electronic address:

Purpose: To investigate whether the location of distal radius osteotomy/shortening relative to the radial insertion of the distal interosseous membrane (DIOM) is correlated with distal radioulnar joint (DRUJ) instability. We hypothesized that distal radius osteotomy and shortening proximal to the DIOM insertion would result in increased DRUJ instability because of induced laxity in the DIOM.

Methods: Osteotomies of the distal radius were performed proximal and distal to the DIOM insertion in 14 fresh-frozen cadaveric specimens. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14497

Department of Orthopedic Traumatology.

Background: The term "floating" is used in orthopedic literature to describe certain patterns of skeletal injuries that share one common character which is disruption and discontinuity of bones above and below a joint. The first time used in orthopedic literature being in late 1970 to describe a type of elbow injury. Later the word was used increasingly and applied to a variety of injuries affecting the knee, shoulder, hip, forearm, hand, and ankle. Read More

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):86-88

Department of Plastic, Reconstructive and Aesthetic Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir-Turkey.

Airbags and seatbelts are among the primary means of preventing severe injuries after motor vehicle accidents. Nonetheless, many studies have examined injuries that were related to airbag deployment. To our knowledge, this is the first case report of multiple mandible fractures caused by impact with the airbag cover. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):19-21

Department of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, Msida MSD 2090, Malta.

Introduction: Monteggia fracture-dislocations are uncommon injuries in children, rarely associated with other ipsilateral upper limb injuries. We present a case of type III Monteggia lesion associated with an ipsilateral fracture of the lateral condyle of the humerus in a child.

Case Report: A 4-year-old girl presented with a left elbow swelling after falling from a height of 2 meters. Read More

Osteoporos Int 2019 Mar 8;30(3):573-581. Epub 2019 Feb 8.

Division of Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands.

In the first year, after an osteoporotic fracture of a hip, forearm, upper arm, or spine, the dispensing rates of antidepressants and benzodiazepines increased significantly. After those fractures, recent and past use of antidepressants and benzodiazepines was associated with increased all-cause mortality; current use was not associated with mortality risk.

Introduction: It remains unclear to what extent use of antidepressants and benzodiazepines is associated with mortality risk after a major osteoporotic fracture (MOF). Read More

Acta Ortop Mex 2018 Sep-Oct;32(5):279-282

Centenario Hospital «Miguel Hidalgo». Aguascalientes, Ags. México.

Objective: To describe the most common types of fractures in patients under 16 years of age at the forearm level, and to evaluate depending on the level of the fracture, the treatment with better results.

Material And Methods: We perform a retrospective analysis to determine the frequency of forearm fractures in patients under 16 years, in the period from January 2013-July 2017. The following diagnoses were entered into the system: forearm fracture, radius fracture, ulnar fracture and bilateral fracture. Read More

Sud Med Ekspert 2019;62(1):4-7

M.I. Raiskiy Department of Forensic Medicine, V.I. Razumovsky Saratov State Medical University, Saratov, Russia, 410012.

The objective of the present study was to elucidate the influence of the age of the child, its location in the passenger compartment of the vehicle, and the application of the safety seat belts on the frequency of the injuries inflicted to the children involved in the motor vehicle traffic accidents. The analysis of the relevant clinical materials has demonstrated the non-uniform influence of the factors being evaluated on the specific features of the injuries to the different parts of the children's body. The age of the child was found to have the most pronounced effect on the character of the injuries. Read More

J Bone Miner Res 2019 Feb 5:e3666. Epub 2019 Feb 5.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Although the short-term impact of incident fragility fractures on health-related quality of life (HRQL) of older people has been confirmed, we lack long-term evidence. We explored the impact of incident fragility fractures on HRQL, among people aged 50 years and older, using 10-year prospective data from the Canadian Multicentre Osteoporosis Study (CaMos). This study was based on data from 7753 (2187 men and 5566 women) participants of CaMos. Read More

Ultraschall Med 2019 Feb 5. Epub 2019 Feb 5.

Pediatric surgery, Heinrich-Heine-Universität Düsseldorf Medizinische Fakultät, Düsseldorf, Germany.

Background:  Distal forearm fractures are the most common fractures in childhood and can be diagnosed with ultrasound. The aim of this study was to demonstrate the eligibility of Wrist SAFE for clinical use and the avoidance of X-ray application in children.

Methods:  We enrolled patients from 0 - 12 years with suspected distal forearm fractures. Read More

J Am Acad Orthop Surg 2019 Feb 1. Epub 2019 Feb 1.

From the Division of Orthopaedic Surgery (Dr. Whitlock, Dr. Little, Singleton, and Dr. McCarthy) and the Department of Anesthesiology (Dr. Mahmoud and Dr. Ngamprasertwong), Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Introduction: Charges, procedural efficiency, return to activity, and complications after closed treatment of fractures performed in an operating room (OR) versus closed reduction in a dedicated fracture reduction room (FRR) were compared.

Methods: Patients with closed fractures of the forearm who underwent closed reduction in the year before (OR), and after implementation of the FRR, were retrospectively reviewed. Charges, American Society of Anesthesiologists class, sex, age, length of follow-up, prior reduction, fracture location/displacement, time from injury to procedure, procedural time, time to return to activity, and complications were recorded. Read More

J Clin Endocrinol Metab 2019 Jan 30. Epub 2019 Jan 30.

DONALD Study Center Dortmund, IEL - Nutritional Epidemiology, University of Bonn, Dortmund, Germany.

Background: Elevated bone marrow adipose tissue (BMAT) is associated with lower bone quality, higher fracture rates, and an unfavorable overall metabolic profile. Apart from older age, particularly glucocorticoids (GC), body fat, and diet are discussed to influence BMAT. Against this background, we hypothesized that already in healthy children and adolescents higher dietary fat intake, higher fat mass index (FMI), and higher GC-secretion, still within the normal range, may associate with increased BMAT. Read More

Acta Biomed 2018 Dec 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

Pediatr Emerg Care 2019 Jan 29. Epub 2019 Jan 29.

Phoenix Children's Hospital, Phoenix, AZ.

Background: Emergency physicians are trained in urgent fracture reduction. Many hospitals lack readily available in-house orthopedic coverage.

Objectives: The aim of this study was to determine success rates for reduction of pediatric distal radius or ulna fractures by emergency department (ED) physicians. Read More

J Pediatr Orthop 2019 Jan 25. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, University of South Alabama, Mobile, AL.

Background: This study is the first to test Friberg's equation's (Vt=V0[e]) accuracy in predicting the residual angular deformity in pediatric distal forearm fractures.

Methods: Angular deformities from distal forearm fractures in 50 children (mean age, 9 y) were retrospectively measured on follow-up radiographs once healed and compared to extrapolated angles at respective follow-up intervals from 2013 to 2015.

Results: The predicted and actual angulations from 120 radiographs (mean follow-up, 3mo) showed that the mean predicted angle was similar to the measured angle in the radioulnar plane and only 2 degrees greater than the measured angle in the dorsovolar plane. Read More

J Pediatr Orthop B 2019 Jan 25. Epub 2019 Jan 25.

Department of Orthopaedics, The Ohio State University Wexner Medical Center.

Acute compartment syndrome (ACS) is an emergency with potentially devastating consequences. Delayed recognition may be especially concerning for the pediatric population, as children present with a wide variety of etiologies, symptoms, and levels of communication. We sought to determine the average time from injury to diagnosis, most common presentations, the degree to which providers obtained pressure measurements, and outcomes of ACS in the pediatric population. Read More

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Health Sciences, Rehabilitation and Functional Performance Postgraduate Program, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil.

Study Design: Case report.

Introduction: Radial nerve injury can cause severe functional impairment due to paralysis of wrist and digit extensors. Various orthotic designs have been described, including static, dynamic, and tenodesis. Read More

EFORT Open Rev 2018 Oct 1;3(10):526-540. Epub 2018 Oct 1.

Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain.

Supracondylar fractures of the humerus are the most frequent fractures of the paediatric elbow, with a peak incidence at the ages of five to eight years.Extension-type fractures represent 97% to 99% of cases. Posteromedial displacement of the distal fragment is the most frequent; however, the radial and median nerves are equally affected. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 2;2(11):e031. Epub 2018 Nov 2.

Department of Orthopaedics, Hennepin County Medical Center, Minneapolis, MN (Dr. Geissler and Westberg), and the Department of Orthopaedics, University of Southern California, Los Angeles, CA (Dr. Stevanovic).

Background: Unlike the usual Volkmann contracture as a complication of pediatric forearm fracture, pseudo-Volkmann contracture is not a sequela of ischemia, but rather of a mechanical entrapment of the flexor myotendinous units in the fracture or adhesions.

Methods: PubMed search of the English literature was performed using the terminology entrapment and fracture and pseudo-Volkmann.

Results: Thirteen articles were identified that described cases of pseudo-Volkmann contracture in pediatric both-bone forearm fractures. Read More