Search Our Scientific Publications & Authors

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

Orthop Res Rev 2017 5;9:101-106. Epub 2017 Dec 5.

KSF Orthopaedic Center, Houston, TX, USA,

Post-traumatic radioulnar synostosis is a rare complication after forearm or elbow injury that can result in loss of motion and significant disability. Risk factors include aspects of the initial trauma and of the surgical treatment of that trauma. Surgical intervention for synostosis is the standard of care and is determined based on the location of the bony bridge. 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 Feb 8. 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

Wilderness Environ Med 2019 Jan 11. Epub 2019 Jan 11.

International Mountain Medicine Center, Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.

This case report describes the use of a hydration bladder as an improvised air splint for a left forearm fracture in an austere environment. The literature regarding the use of air splints in the prehospital and wilderness environments is scarce, and it does not appear that this technique has been previously described in the literature. Given the widespread use of hydration bladders, the adjustable nature and overall comfort of the splint, and the anecdotal success of this technique without any complications or harm to the patient, the authors believe this is an important improvised splinting option to add to the quiver of any outdoor enthusiast or wilderness medical professional. Read More

BMJ Open 2019 Jan 3;9(1):e024067. Epub 2019 Jan 3.

Department of Endocrinology, First Affiliated Hospital of Dalian Medical University, Dalian, China.

Objective: Diabetes mellitus (DM) is associated with an increased fracture risk; however, the impact of DM and subsequent fracture at different sites and the associations according to patient characteristics remain unknown.

Design: Meta-analysis DATA SOURCES: The PubMed, EMBASE and Cochrane Library databases were searched from inception to March 2018.

Eligibility Criteria: We included prospective and retrospective cohort studies on the associations of DM and subsequent fracture risk at different sites. Read More

Medicine (Baltimore) 2019 Jan;98(1):e13978

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Treatment of chronic Monteggia fracture-dislocations remains controversial in skeletally immature patients. The present study aimed to review the clinical outcomes of surgical treatment with an Ilizarov mini-fixator for chronic Monteggia fracture-dislocations in children. From April 2003 to March 2014, 5 pediatric patients (4 males, 1 female) with chronic Monteggia fracture-dislocation were treated with an Ilizarov mini-fixator at our institution. Read More

Ann Intern Med 2019 Jan 1. Epub 2019 Jan 1.

Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (S.C.K., S.S., D.K., E.P.).

Background: Sodium-glucose cotransporter-2 inhibitors promote glycosuria, resulting in possible effects on calcium, phosphate, and vitamin D homeostasis. Canagliflozin is associated with decreased bone mineral density and a potential increased risk for fracture.

Objective: To estimate risk for nonvertebral fracture among new users of canagliflozin compared with a glucagon-like peptide-1 (GLP-1) agonist. Read More

J Shoulder Elbow Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of Orthopedics and Traumatology, Honghui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, China. Electronic address:

Hypothesis: This study aimed to evaluate the safety and efficacy of the fixation of Dubberley type B capitellar and trochlear fractures using dorsolateral anatomic plates with support of the distal humerus (DAPSDHs).

Methods: Fifteen patients with Dubberley type B capitellar and trochlear fractures (two type 1B, five type 2B, and eight type 3B) were treated through the extended lateral approach, and fixation was achieved with DAPSDHs. Radiographic evaluation was performed, and range of motion of the elbow and forearm was recorded. Read More

JBJS Essent Surg Tech 2018 Sep 8;8(3):e22. Epub 2018 Aug 8.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Olecranon fractures account for approximately 20% of fractures of the proximal part of the forearm. Clinicians may consider nonoperative management for elderly low-demand patients, whereas operative fixation is recommended for active patients with a displaced fracture. Tension-band wire (TBW) fixation is commonly employed for simple isolated stable displaced fractures of the olecranon (type IIA according to the Mayo classification). Read More

J Orthop Case Rep 2018 May-Jun;8(3):77-80

Department of Orthopaedics, Spine and Trauma Unit, General Hospital of Patras, Greece.

Introduction: Monteggia lesion is a well-known injury that constitutes 0.7% of forearm fractures-dislocations. The combined presentation of Monteggia injury with ipsilateral distal radius fracture is an extremely rare lesion, especially in adults. Read More

Chin J Traumatol 2018 Dec 22;21(6):360-365. Epub 2018 Nov 22.

Department of Orthopaedics, Government Medical College, Jammu 180001, India.

Purpose: Plate fixation is the gold standard for the treatment of displaced forearm shaft fractures in adults. Conventionally radial shaft fractures will be plated either on the volar surface or on the dorsal surface depending on which approach has been chosen. The lateral surface of the radius provides an even and uniformly curved area for placing a plate. Read More

JMIR Res Protoc 2018 Dec 21;7(12):e10363. Epub 2018 Dec 21.

Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.

Background: Distal forearm fractures are among the most common injuries presenting to the pediatric emergency department (PED). Bier block (BB), or intravenous regional anesthesia, is a safe and effective alternative to procedural sedation for closed reduction of forearm fractures; it is associated with fewer adverse events, a shorter length of stay, and reduced costs. BB has long remained relatively underutilized; however, with an increasing emphasis on efficient resource use and patient-centered care, there is renewed interest in this technique. Read More

Injury 2018 Dec 4. Epub 2018 Dec 4.

Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia (IOT-HCFMUSP), Sao Paulo, SP, Brasil.

Objectives: The purpose of this study was to compare the pain scores and the rates and doses of opioid use in patients undergoing volar locked plate fixation of intra-articular distal radius fractures using or not postoperative immobilization.

Methods: This was a prospective randomized controlled trial. Thirty-nine patients with distal radius fractures scheduled to receive volar plate fixation were randomly assigned to receive a short forearm splint for two weeks postoperatively or conventional bandage with early wrist mobilization. Read More

Clin J Sport Med 2018 Dec 13. Epub 2018 Dec 13.

HealthONE Family Medicine Residency, Lone Tree, Colorado.

Forearm fractures of the distal radius are one of the most common fractures seen in the upper extremity, and they represent approximately 1/6 of fractures treated in the emergency department. Forearm fractures are associated with a rare but known complication of a delayed ruptured extensor pollicis longus (EPL) tendon. This sequela is more commonly seen in adults after a nondisplaced distal radius fracture, with much variability in the incidence ranging from 0. Read More

Pediatr Radiol 2019 Mar 13;49(3):358-364. Epub 2018 Dec 13.

Department of Radiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Background: Treatment pathways for isolated distal radius fractures in children are becoming more tailored to specific fracture types and include different management plans for stable buckle fractures versus potentially unstable distal radius fractures.

Objective: To propose a measurement rule to aid in differentiating stable buckle fractures from other distal radius fractures in children.

Materials And Methods: A medical record search identified 203 children with closed distal radius fractures during a 14-month period. Read More

Surg Radiol Anat 2018 Dec 12. Epub 2018 Dec 12.

Center for Orthopedic and Trauma Surgery, University Medical Center, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Purpose: Radial head fractures are regularly treated with radial head arthroplasty. To prevent limited motion or pain, the implant's size should match its normal anatomy. Preoperative estimation of the radial head size helps in finding the correct head component. Read More

Rev Esp Cir Ortop Traumatol 2019 Jan - Feb;63(1):12-19. Epub 2018 Dec 3.

Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico, Barcelona, España.

Objective: The management of MasonII fracture pattern assisted by arthroscopy is a valid technique that provides good results. The objective of this study was to draw attention to the usefulness of the location of the fracture in the head of the radius in defined quadrants with respect to the bicipital tuberosity through CT. This would help to plan the optimal forearm position to access each quadrant and foresee the specific difficulties of each one. Read More

Case Rep Orthop 2018 8;2018:7430297. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, USA.

"Floating elbow" injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. Read More

J Pediatr Orthop B 2018 Dec 6. Epub 2018 Dec 6.

Department of Orthopaedics, The Medical University of South Carolina, Charleston, South Carolina, USA.

The purpose of this study was to compare the efficacy of a single-sugar-tong splint (SSTS) to a long-arm cast (LAC) in maintaining reduction of pediatric forearm fractures, while avoiding secondary intervention. One hundred patients age 3-15 with a forearm fracture requiring a reduction and immobilization were evaluated (50 LAC and 50 SSTS). Medical records and radiographs were reviewed at injury, postreduction, and at 1, 2, and 4 weeks postinjury. Read More

J Hand Surg Am 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedics, Beaumont Health System, Royal Oak, MI. Electronic address:

We report an unusual clinical presentation and surgical treatment of a Galeazzi-equivalent fracture in which initial closed treatment failed. This case was unique and challenging secondary to the formation of a neoulna volar to an unreduced periosteal sleeve injury, resulting in a bifid radiographic appearance. Read More

Am J Emerg Med 2018 Nov 24. Epub 2018 Nov 24.

Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Japan.

Although ultrasound-guided peripheral nerve block (UGPNB) has recently been introduced into pediatric emergency departments (EDs), knowledge of its use is still limited among pediatric emergency physicians. Ultrasound-guided ulnar nerve block (UGUNB) is a form of peripheral nerve block available for controlling the pain caused by phalangeal injuries, but studies of its use in pediatric patients are still scarce. The aim of this case series was to describe the experience of UGUNB use for pediatric phalangeal fractures in a pediatric ED setting. Read More

JBJS Case Connect 2018 Oct-Dec;8(4):e92-5

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

J Hand Microsurg 2018 Dec 28;10(3):134-138. Epub 2018 May 28.

Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States.

Closed reduction and percutaneous pinning (CRPP) is losing popularity as a treatment modality for distal radius fractures. However, in select cases, CRPP may have advantages relative to open reduction and internal reduction. We aimed to retrospectively assess the outcomes after CRPP for the treatment of distal radius fractures. Read More

Turk J Urol 2018 Nov 21:1-6. Epub 2018 Nov 21.

King George's Medical University, Lucknow, India.

Objective: The management of recurrent posterior urethral strictures developing after pelvic fracture urethral injury (PFUI) is a challenging task. Despite availability of many surgical approaches, there is no consensus regarding the optimal approach. The objective of this study was to present our 10-year experience in the management of recurrent urethral strictures due to PFUI. Read More

J Pediatr Orthop 2018 Nov 16. Epub 2018 Nov 16.

Service of Pediatric Orthopedics, Department of Child and Adolescent.

Background: Loss of bone mineral mass and muscle atrophy are predictable consequences of cast-mediated immobilization following wrist and forearm fractures. This study aimed to prospectively determine whether previously reported lower bone mineral mass following immobilization for wrist and forearm fractures in children and teenagers had recovered at 6- and 18-month follow-up.

Methods: We recruited 50 children and teenagers who underwent a cast-mediated immobilization for a forearm or wrist fracture. Read More

Cureus 2018 Sep 5;10(9):e3259. Epub 2018 Sep 5.

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir, TUR.

Introduction Distal radius fractures are the most frequent fractures seen in pediatric population and usually treated with closed reduction and casting. However, there is a risk of reduction loss and/or angulations in distal radial metaphyseal fractures. The purpose of this study is to evaluate the radiological and functional results of pediatric patients with distal radius metaphyseal fractures in which excessive displacement and/or angulations were accepted and to question upper acceptable limits in light of current literature. Read More

J Clin Densitom 2018 Oct 12. Epub 2018 Oct 12.

Medizinische Klinik und Poliklinik IV, Schwerpunkt Akutgeriatrie, Klinikum der Universität München (LMU), München, Bavaria,Germany; Medizinische Klinik und Poliklinik IV, Schwerpunkt Endokrinologie, Klinikum derUniversität München (LMU), München, Bavaria, Germany.

The loss of bone and muscle mass increases the risk of osteoporotic fractures. Dual energy X-ray absorptiometry (DXA) loses sensitivity in older age. The purpose of this study was to evaluate bone and muscle measurements of peripheral quantitative computed tomography (pQCT) in a geriatric cohort with osteoporosis. Read More

PLoS One 2018 12;13(11):e0207122. Epub 2018 Nov 12.

Department of Pain Medicine, BG University Hospital Bergmannsheil, Bochum, Germany.

Osteoporosis remains a major health concern due to high incidence of fragility fractures followed by higher mortality and morbidity. Implementation of guidelines for diagnosis and treatment of osteoporosis is critically discussed internationally. Aim of this study was to evaluate implementation of these guidelines regarding diagnosis and therapy of osteoporosis in a developed western country. Read More

Pain Med 2018 Nov 8. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.

Objective: To evaluate the influence of pain sensitization in the early recovery of distal radius fractures (DRFs) on the occurrence and prognosis of complex regional pain syndrome (CRPS) type I.

Methods: We enrolled 58 patients who were diagnosed with CRPS I based on Budapest criteria within six months after sustaining DRF; they were age- and gender-matched with 58 patients with DRF who did not have CRPS I. We commonly measured patients' pressure pain thresholds (PPTs) in the forearm and administered a Pain Sensitivity Questionnaire (PSQ) when patients complained of pain with numeric rating scale ≥4 at three-month follow-up. Read More

J Pediatr Orthop 2018 Nov 20. Epub 2018 Nov 20.

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

Handchir Mikrochir Plast Chir 2018 Sep 7;50(5):326-328. Epub 2018 Nov 7.

The case of a patient suffering from Alzheimer's disease who sustained epiphyseal, severely dislocated fractures of the distal radius and ulna is reported. As the patient was incapacitated and attempts to contact her curator failed, the decision was made on a conservative treatment of the fractures. This treatment eventually failed and resulted in malunion with exposure of bone fragments above the skin. Read More

Int J Rheum Dis 2018 Dec 5;21(12):2119-2121. Epub 2018 Nov 5.

Faculty of Medicine, Department of Medicine, Population Health Research Center, Galle, Sri Lanka.

Aim: Fragility hip fracture has become a major global health concern. Data related to recurrent fragility fractures are sparse in the South Asian region.

Method: We assessed the prevalence of prior fragility fracture among patients admitted with new hip fracture to a tertiary care hospital in southern Sri Lanka. Read More

Insights Imaging 2018 Dec 5;9(6):1021-1034. Epub 2018 Nov 5.

Department of Orthopaedics, SMS Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

The radial nerve has a long and tortuous course in the upper limb. Injury to the nerve can occur due to a multitude of causes at many potential sites along its course. The most common site of involvement is in the proximal forearm affecting the posterior interosseous branch while the main branch of the radial nerve is injured in fractures of the humeral shaft. Read More