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J Orthop Trauma 2019 Mar;33(3):137-142

Department of Orthopaedic Surgery, Loyola University Medical Center, Chicago, IL.

Objectives: To assess the relationship between the distal nail target and postoperative alignment for distal tibia fractures treated with intramedullary nailing.

Design: Retrospective cohort study.

Setting: A single level 1 trauma center. Read More

J Orthop Trauma 2019 Mar;33(3):125-130

Department of Trauma and Orthopaedic Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom.

Objectives: To compare the rates of deep infection, flap failure, and nonunion after temporary internal fixation (TIF) with temporary external fixation (ex-fix) in the management of Gustilo-Anderson type IIIB open tibia fractures.

Design: Retrospective comparative cohort study.

Setting: Level 1 trauma center. Read More

Eur J Orthop Surg Traumatol 2019 Feb 18. Epub 2019 Feb 18.

Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, India.

Introduction: Presently, unstable intertrochanteric femur fractures are treated commonly with intramedullary nailing devices. Various designs of intramedullary nail are introduced. The conventional Proximal Femoral Nail has given diverse outcome. Read More

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

Hooper Hand Surgery Unit, St. John's Hospital, Livingston, Scotland.

Purpose: Avulsion injury of the flexor digitorum profundus (FDP) tendon has been traditionally repaired with a pull-out suture over the nail plate. Complication rates with this method and improvements in anchor design have led to the increased use of bone anchors to give a rigid all-inside repair. However, the dimensions of the distal phalanx may limit their use. Read More

Injury 2019 Feb 7. Epub 2019 Feb 7.

2 Orthopaedics Clinic G. Pini Institute, University of Milan, Italy.

Introduction: Femoral shaft fractures are the commonest major pediatric fractures. For generations, traction and casting were the standard method of treatment for children. However, over the past two decades there has been growing recognition of the advantages of fixation and rapid mobilization. Read More

Eur J Radiol 2019 Mar 6;112:93-105. Epub 2019 Jan 6.

Division of Radiology, Department of Imaging and Medical Informatics, Geneva University Hospitals, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva 14, Switzerland. Electronic address:

Although the nail is a small anatomical structure, it can be affected by various tumors and tumor-like conditions. Because of the distinctive nail anatomy, the clinical presentation of tumors is modified, thus rendering the diagnosis challenging. As nail biopsy and surgery are painful procedures associated with an increased risk of permanent onychodystrophy, pre-operative diagnosis is desirable. Read More

J Hand Surg Eur Vol 2019 Feb 18:1753193419826465. Epub 2019 Feb 18.

1 Plastic Surgery Department, Royal Free London NHS Foundation Trust, London, UK.

The aim of this study was to analyse the management of nail bed injuries from a clinical and economic perspective. We carried out a retrospective analysis of nail bed injuries treated operatively at a tertiary Plastic Surgery Hand Trauma Unit during 2016. The National Schedule of Reference Costs (2015-2016) was used to estimate the costs of treating 630 patients. Read More

JBJS Essent Surg Tech 2014 Dec 8;4(4):e19. Epub 2014 Oct 8.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital, 4202 DOT, 2200 Children's Way, Nashville, TN 37232-9565. E-mail address for J.E. Martus:

Introduction: We describe rigid intramedullary nailing using a trochanteric entry for internal fixation of femoral shaft fractures in older children and adolescents.

Step 1 Preparation Prior To Incision: Appropriate preparation prior to the operation is key to minimizing intraoperative and postoperative complications.

Step 2 Perform Incision And Exposure: A well-positioned incision will facilitate and reduce difficulty with ideal guidewire placement. Read More

Acta Ortop Bras 2018 ;26(6):406-410

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Spine Surgery Division, Laboratory of Medical Investigation, São Paulo, SP, Brazil.

Objective: To demonstrate a novel technique for multilevel en bloc post-vertebrectomy reconstruction.

Methods: A novel technique for en bloc multiple post-vertebrectomy reconstruction was used in a patient presenting for curative resection of Ewing's Sarcoma at the oncology center of a public university hospital.

Results: The procedure described was feasible for en bloc resection of the four vertebrae. Read More

Foot Ankle Surg 2019 Feb 5. Epub 2019 Feb 5.

The Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, 2160 South First Avenue, Maywood, IL 60153, United States. Electronic address:

Background: Unstable ankle fractures in diabetics with peripheral neuropathy have an increased risk of postoperative complications, often leading to amputation. Primary ankle arthrodesis has been suggested as an alternative when acceptable reduction and mechanical stabilization cannot be obtained.

Methods: Over a fourteen year period, thirteen diabetic patients with peripheral neuropathy underwent an attempt at primary ankle arthrodesis following the early post-fracture development of acute neuropathic (Charcot) deformity of the ankle after sustaining a low energy unstable ankle fracture. Read More

J Am Acad Dermatol 2019 Feb 13. Epub 2019 Feb 13.

Gulhane Research and Training Hospital, Department of Dermatology and Venereology, 06010, Ankara, Turkey.

J Orthop Sci 2019 Feb 12. Epub 2019 Feb 12.

Department of Orthopaedic Surgery, Bio-medical Research Institute, Pusan National University Hospital, South Korea. Electronic address:

Introduction: Although various clinical applications of geneXds have been reported, no study has reported the clinical application of geneXds in osteoporotic hip fracture. The present study aimed to identify the clinical effect of the application of geneXds in elderly patients with intertrochanteric fracture treated using proximal femoral nail antirotation (PFNA).

Materials And Methods: From March 2014 to October 2017, 233 patients with intertrochanteric fracture (65 men and 168 women) were enrolled in this study. Read More

J Orthop Trauma 2019 Mar;33(3):e104-e109

Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Miami, Miami, FL.

Proximal tibia shaft fractures are often challenging to manage because of their intrinsic tendency toward valgus and apex anterior deformity. In recent years, intramedullary nailing (IMN) has become more frequently used to treat these injuries, allowing for biologic advantages such as load-sharing, immediate weight-bearing, and avoidance of disruption of periosteal blood supply. Several adjunctive techniques, such as semiextended positioning, blocking screws, and external fixation, have been developed to assist with fracture reduction during IMN. Read More

J Hand Surg Eur Vol 2019 Feb 14:1753193419828986. Epub 2019 Feb 14.

2 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.

Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. Read More

Cureus 2018 Dec 2;10(12):e3670. Epub 2018 Dec 2.

Orthopaedic Surgery, North Bristol National Health Service Trust, Bristol, GBR.

The aim of this study was to determine the incidence of atypical femoral fractures in our local population, study their current outcomes and present a novel surgical strategy based on these data. Patients who received surgical fixation of an atypical pattern proximal femoral fracture over a four-year period were identified and followed up in the clinic until union, revision surgery or death. The local incidence of atypical femoral fractures is 1. Read More

Hip Int 2018 Nov;28(2_suppl):78-83

1 I.R.C.C.S. - Istituto Ortopedico Rizzoli, Bologna, Italy.

Introduction:: Hip fractures represent an enormous challenge for our health care system. The aim of this randomised controlled trial was to assess both efficacy and safety of a novel device called Prevention Nail System (PNS) and developed for the surgical prevention of a contralateral femoral neck fracture (FNF) in elderly osteoporotic patients.

Methods:: Primary outcome was to evaluate, in patients suffering from osteoporotic FNF, the effectiveness of PNS in reducing the incidence of a contralateral hip fracture. Read More

J Orthop Trauma 2019 Jan 24. Epub 2019 Jan 24.

Department of Orthopaedic Surgery, Boston University, Boston, MA.

Objectives: To evaluate inter-rater reliability of the modified Radiographic Union Score for Tibial (mRUST) fractures among patients with open, diaphyseal tibia fractures with a bone defect treated with intramedullary nails (IMNs), plates, or definitive external fixation (ex-fix).

Design: Retrospective cohort study.

Setting: 15 level one civilian trauma centers; 2 military treatment facilities. Read More

Open Access Maced J Med Sci 2019 Jan 9;7(1):121-123. Epub 2019 Jan 9.

Medical Institute of the Ministry of Interior, Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Background: Drug-induced melanoma is a topic, concept or "reality" becoming more and more popular as the list of drugs considered as potential inducers of cutaneous melanoma is constantly growing. Interesting and current at the moment is the question/dilemma of "Irbesartan induced melanomas" and "Valsartan induced melanomas"! The following questions are without answers: 1) the general risk which angiotensin receptor blockers contain for potentiating the carcinogenesis and cancer development (as a whole); 2) available officialized data for withdrawal from the market of products with valsartan and irbesartan due to detected potential carcinogens-NDMA/NDEA, and 3) the missing official information on the most likely forms of cancer potentiated by these drugs. That is precisely why many questions remain open, and the inevitable assumption arises for the key, although according to some conspiratorial role of so-called "pharmaceutical giants" in the concept of drug-induced malignancies. Read More

J Pediatr Orthop 2019 Mar;39(3):146-152

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas, Dallas, TX.

Background: Although pediatric mallet fractures are more common than adult fractures, no techniques have focused on surgical fixation of pediatric mallet fractures. This study aims to describe the technique and results of percutaneous reduction and fixation in acute and chronic pediatric mallet fractures.

Methods: This is a retrospective review of 51 pediatric mallet fractures treated with percutaneous wire fixation from 2007 to 2014; 38 were acute fractures and 13 were chronic (>4 wk from injury). Read More

Am J Dermatopathol 2019 Jan 29. Epub 2019 Jan 29.

Centro Médico Voth, Madrid, Spain.

We present a 41-year-old man with a hemionychodystrophy of the first toe, appearing as a longitudinal thickening of the nail plate, overcurved and with holes in its thickened free margin, thus leading to the clinical diagnosis of onychomatricoma. Complete excision showed typical nail plate of onychomatricoma and, underlying it, curvy disorganized neural-looking fascicles without atypia and with diffuse positivity for S100, interpreted as subungual neurofibroma (NF). Subungual NF is a very rare tumor, with only 12 previous cases reported. Read More

Arch Orthop Trauma Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Introduction: Nonunion is a common complication after intramedullary nailing of subtrochanteric femoral fractures. A more detailed knowledge, particularly of avoidable risk factors for subtrochanteric fracture nonunion, is thus desired to develop strategies for reducing nonunion rates. The aim of the present study therefore was to analyse a wide range of parameters as potential risk factors for nonunion after intramedullary nailing of subtrochanteric fractures. Read More

J Knee Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri Columbia, Columbia, Missouri.

This study compares bioabsorbable nail to metal screw fixation of shell osteochondral allograft (OCAs) for compression and shear strength. Cadaveric distal femurs ( = 5) yielding six 1.5 cm shell grafts ( = 30) were used. Read More

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S157-S161

JMS Burn and Reconstruction Center, Jackson, MS.

Objective: In this report, we present our experience on the use of bilateral lateral hallux osteo-onychocutaneous free flaps for reconstruction of distal finger and the aesthetic and functional results of this technique in a series of cases.

Patients And Methods: From February 2005 to May 2015, 7 patients underwent finger reconstruction distal to the distal interphalangeal joint using the bilateral lateral hallux osteo-onychocutaneous free flaps. The mean age was 29. Read More

J Pediatr Orthop B 2019 Jan 31. Epub 2019 Jan 31.

St Catherine Specialty Hospital.

Osteogenesis imperfecta (OI) is a genetic disorder characterized by fragile bones. It is our aim to illustrate variability in clinical presentation of severe form of OI. As an example of personalized surgery approach we present an 11-year-old girl with OI type III. Read More

Acta Biomed 2018 Dec 20;90(1-S):130-135. Epub 2018 Dec 20.

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

Background And Aim Of The Work: Since 2006, It has been developed the possibility to introduce a tibia nail through a suprapatellar access. However, the removal of device must be carried out using the classic infrapatellar approach. The aim of this study is to evaluate the clinical scores of a group of patients that removed a tibial nail by infrapatellar approach, previously introduced through a suprapatellar access. Read More

Orthop Traumatol Surg Res 2019 Jan 30. Epub 2019 Jan 30.

Department of Hand Surgery, SOS Main, CCOM, University of Strasbourg, University Hospital of Strasbourg, FMTS, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address:

Introduction: There are numerous internal fixation techniques for distal radius fracture, using pins, plates or nails. Some authors have developed minimally invasive procedures. The aim of the present study was to compare two minimally invasive internal fixation techniques for unstable extra-articular distal radius fracture in women over 50 years of age: volar plate (minimally invasive plate osteosynthesis: MIPO), and intramedullary nail. Read More

Z Gerontol Geriatr 2019 Feb 1. Epub 2019 Feb 1.

Faculty of Health Sciences, Universidad Rey Juan Carlos, 28922, Alcorcón, Spain.

Background: Patients of all ages can develop nail disorders, such as onychocryptosis, which are recurrent and painful conditions.

Objective: The aim of the study was to compare the quality of life in a group of aged patients with recurrent and painful ingrown toenails before and after chemical nail surgery to treat onychocryptosis.

Material And Methods: The study design utilized a presurgery and a postsurgery questionnaire and examined prospective serial cases. Read More

Int J Mol Sci 2019 Jan 31;20(3). Epub 2019 Jan 31.

Department of Orthopaedic Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, WV 25705, USA.

Lack of standardization of clinically compliant culture protocols of mesenchymal stem cells for re-implantation in humans have hindered clinical progress in the field of tissue regeneration to repair maxillofacial and orthopedic defects. The goal of this study was to establish a clinically relevant osteogenic protocol for collection and expansion of autologous stem cells to be used at Marshall University for re-implantation and repair of maxillofacial and orthopedic conditions. Human bone marrow (hBM) samples were collected from patients undergoing intramedullary nail fixation for closed femoral fractures. Read More

Clin Exp Dermatol 2019 Jan 31. Epub 2019 Jan 31.

Dermatology Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.

Background: Advanced stage primary cutaneous malignant melanoma (PCMM) has a high mortality. PCMM may affect any area of the skin, including the nail apparatus (malignant melanoma or subungual melanoma). Although nail apparatus malignant melanoma (NAMM) is rare, delayed diagnosis carries a poor prognosis. Read More

J Clin Orthop Trauma 2019 Jan-Feb;10(1):182-190. Epub 2017 Aug 24.

National Academy of Medical Science, Medical Faculty, University of Nis, Serbia, Bul. Dr Z. Djindjic 81, 18000 Nis, Serbia.

Background: The nonunion of open and closed tibial shaft fractures continues to be a common complication of fractures. Tibial nonunions constitute the majority of long bone nonunions seen by orthopaedic surgeons. In this article, we present our approach to the surgical treatment of noninfected tibial shaft nonunions. Read More

J Clin Orthop Trauma 2019 Jan-Feb;10(1):178-181. Epub 2017 Aug 24.

Department of Plastic Surgery, Los Angeles County + University of Southern California Medical Center, 1983 Marengo St, Los Angeles, CA 90033, United States.

Background: Lower extremity trauma accounts for over 300,000 injuries annually. While soft tissue transfer is a well-accepted practice for open fracture coverage, functional outcomes remain unclear.

Hypothesis: This study investigates functional outcomes following soft tissue reconstruction for open tibial fractures. Read More

J Orthop Trauma 2019 Jan 24. Epub 2019 Jan 24.

Arizona State University, Tempe, AZ.

Objectives: 1) To determine the infection rate following fixation of open tibial shaft fractures using the Surgical Implant Generation Network (SIGN) intramedullary nail in low- and middle-income countries; and 2) to identify risk factors for infection.

Design: Prospective cohort study using an international online database.

Setting: Multiple hospitals in low- and middle-income countries worldwide. Read More

Bone Joint J 2019 Feb;101-B(2):178-188

Center for Ilizarov Techniques, Akola, India.

Aims: Double-level lengthening, bone transport, and bifocal compression-distraction are commonly undertaken using Ilizarov or other fixators. We performed double-level fixator-assisted nailing, mainly for the correction of deformity and lengthening in the same segment, using a straight intramedullary nail to reduce the time in a fixator.

Patients And Methods: A total of 23 patients underwent this surgery, involving 27 segments (23 femora and four tibiae), over a period of ten years. Read More

Arch Plast Surg 2019 Jan 15;46(1):57-62. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.

Background: Full-thickness nail bed defects with significant exposure of the distal phalanx are typically challenging to reconstruct. We describe a novel method of nail bed defect reconstruction using a thenar fascial flap combined with nail bed grafting.

Methods: Full-thickness nail bed defects were reconstructed in a 2-stage operation involving the placement of a thenar fascial flap and subsequent nail bed grafting. Read More

Foot Ankle Clin 2019 Mar;24(1):143-161

Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA. Electronic address:

Severe talar avascular necrosis has many etiologies and can cause bone loss/hindfoot deformity. Tibiotalar calcaneal arthrodesis is a salvage procedure after severe talar avascular necrosis. Large bone voids can present significant challenges. Read More

Hand Surg Rehabil 2019 Jan 23. Epub 2019 Jan 23.

Department of hand surgery, plastic and reconstructive surgery. centre chirurgical Emile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.

We report the clinical and radiographic results of distal interphalangeal (DIP) joint arthrodesis using the X-Fuse implant with a mean follow-up of 24 months (6-54). Forty-one patients (33 women and 8 men) with a mean age of 65 years were operated on. DIP joint arthrodesis was performed on 54 fingers for advanced osteoarthritis resistant to medical treatment. Read More

J Orthop Surg Res 2019 Jan 25;14(1):30. Epub 2019 Jan 25.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277, Jiefang Avenue, Wuhan, 430022, China.

Background: Distal metadiaphyseal tibial fractures are commonly seen lower limb fractures. Intramedullary nail fixation (IMN) and plate internal fixation (PL) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. This meta-analysis was designed to compare the success of IMN and PL fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery. Read More

Vet Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, Michigan.

Objective: To report tibial fracture repairs with I-Loc angle-stable interlocking nails (AS-ILN) in 2 calves.

Study Design: Clinical case reports.

Animals: One 5-day-old Holstein calf and one 3-month-old beefalo calf. Read More

Acta Orthop 2019 Jan 23:1-9. Epub 2019 Jan 23.

a University of Tartu.

Background and purpose - There are no national guidelines for treatment of hip fractures in Estonia and no studies on management. We assessed treatment methods and mortality rates for hip fracture patients in Estonia. Patients and methods - We studied a population-based retrospective cohort using validated data from the Estonian Health Insurance Fund's database. Read More

J Am Vet Med Assoc 2018 Dec;253(12):1610-1616

CASE DESCRIPTION A 2-year-old female pigeon was evaluated because of a 5-day history of lower than typical activity level, weight loss, and polyuria. CLINICAL FINDINGS Whole-body radiography revealed a linear metallic foreign body in the area of the ventriculus. Fluoroscopy followed by contrast-enhanced CT was performed to further characterize the lesion location, revealing that the foreign body had perforated the ventral aspect of the ventriculus wall and that the ventral extremity of the foreign body was surrounded by a mass, consistent with a granuloma. Read More

Hand Surg Rehabil 2019 Jan 18. Epub 2019 Jan 18.

Centre de la Main, Angers assistance Main, Village Santé Angers Loire, 47, rue de la Foucaudière, 49800 Trélazé, France; CHU Tahar Sfar, avenue Tahar Sfar, 5100 Mahdia, Tunisia.

Severe contracture of the little finger due to Dupuytren's disease continues to be a therapeutic problem. Fifth finger amputation, which is sometimes the only solution, has a major negative impact on function and appearance, and exposes the patient to adjacent digital hook aggravation. Middle phalangectomy with finger shortening fusion is an alternative surgical solution. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Hand and Plastic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address:

Purpose: To evaluate nail appearance after nail fusion plasty to treat thumb duplication.

Methods: A modified form of nail fusion plasty was performed on 17 reconstructed thumbs of 16 children with thumb duplications, commencing in January 2010. We assessed nail width and nail, lunular, and nail fold deformities using the Wang-Gao scoring system. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 Oct 2;2(10):e057. Epub 2018 Oct 2.

Orthopedic Surgery Department, Cairo University, Cairo, Egypt (Dr. Ebeid), the Orthopedic Surgery Department, Menoufia University, Menoufia, Egypt (Dr. Hasan and Mesregah), and the Orthopedic Surgery Department, Keck School of Medicine, University of Southern California, Los Angeles, California (Dr. Mesregah).

Introduction: This paper assesses whether treating patients with fibrous dysplasia of proximal femur by internal fixation with correction of the deformity, if present, without grafting is enough or not.

Methods: This study is a retrospective study using patient's medical records, including analysis of 19 patients with fibrous dysplasia of proximal femur treated by internal fixation only and followed up between 2000 and 2017 for at least 2 years. Epidemiologic data, clinical manifestations, radiologic and histologic investigations, surgery, functional outcomes, and complications in these patients were analyzed. Read More

Plast Reconstr Surg Glob Open 2018 Dec 5;6(12):e2049. Epub 2018 Dec 5.

Division of Plastic, Reconstructive and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Fla.

Background: The Atasoy, or Kleinert flap, is well-known to hand surgeons. This triangular volar V-Y flap is frequently used for reconstruction of fingertip amputations with exposed bone. It is indicated in transverse amputations or in dorsal oblique amputations, providing replacement of an area of skin and subcutaneous tissues with sensibility. Read More

Medicine (Baltimore) 2019 Jan;98(3):e14111

Second Clinic of Surgery, Regional Institute of Oncology, University of Medicine and Pharmacy "Gr. T. Popa", Iaşi, Romania.

Rationale: Nail bed solitary neurofibroma is an extremely rare tumor, with only 9 cases recorded in the literature so far.

Patient Concern: We present the case of a 42-year-old female patient, with a history of a slowly growing tumor in the nail bed of the left index and no clinical features of type I neurofibromatosis.

Diagnosis: Nail bed solitary neurofibroma. Read More

J Am Podiatr Med Assoc 2019 Jan 16. Epub 2019 Jan 16.

¶ Icahn School of Medicine at Mount Sinai The Leni and Peter W. May Department of Orthopedic Surgery.

Acral lentiginous melanoma (ALM) is a disease that is found on the palms, soles and nail-beds. Since these areas are not often examined during general medical examinations, the presence of ALM often goes unnoticed or the diagnosis is delayed. Research shows that the misdiagnosis of ALM is common, reported between 20-34%. Read More

J Surg Case Rep 2019 Jan 9;2019(1):rjy335. Epub 2019 Jan 9.

PGY2 Resident General Surgery, U.C.E, Quito, Ecuador.

Inadvertent ingestion of foreign bodies is a common condition within clinical practice. It rarely produces any symptoms. The diagnosis is difficult since most patients do not recall having swallowed any object. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jan;33(1):35-40

Operating Room, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To assess the application and the effectiveness of a strategy of combining posterior occipitocervical angle (POCA) with occipital-C (O-C ) angle for adjustment of occipitocervical fixation angle in posterior instrumented occipitocervical fusion.

Methods: The clinical data of 22 patients undergoing posterior instrumented occipitocervical fusions between March 2013 and January 2016 were retrospectively analysed, and all patients were performed by using a strategy combining with POCA and O-C angle for adjustment of occipitocervical fixation angle. All patients suffered from occipitocervical instability, including 7 males and 15 females with an average age of 44. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jan;33(1):1-7

Department of Orthopaedics, Chinese PLA General Hospital, Beijing, 100853,

Objective: To summarize the evolving concept in treatment of intertrochanteric fractures and the development of internal fixation devices.

Methods: Related literature concerning the implant devices to treat intertrochanteric fractures was reviewed and analyzed in terms of the biomechanical characteristics, clinical application, and complications.

Results: The treatment of intertrochanteric fractures has undergone an evolving concept from conservative treatment to surgical treatment. Read More