11,544 results match your criteria avulsion

The effect of pessary treatment on puborectalis muscle function.

Int Urogynecol J 2021 Apr 13. Epub 2021 Apr 13.

Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands.

Introduction And Hypothesis: The objective was to assess if puborectalis muscle (PRM) function changes in women with pelvic organ prolapse (POP) undergoing pessary treatment.

Methods: This was a prospective cohort study of women with symptomatic POP choosing pessary treatment. An interview, clinical examination and 3D/4D transperineal ultrasound were performed at baseline and at 3-month follow-up. Read More

View Article and Full-Text PDF

Predicting Healthy C5 Spinal Nerve Stumps Eligible for Grafting with MRI, Tinel Test, and Rhomboid Electromyography: A Retrospective Study of 295 Consecutive Brachial Plexus Surgeries.

Radiology 2021 Apr 13:202817. Epub 2021 Apr 13.

From the Department of Medical Imaging and Intervention (Y.J.Y., Y.M.W.) and Center for Big Data Analytics and Statistics (J.L.H.), Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC; and Department of Medical Imaging and Intervention, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan, ROC (K.M.Y., I.H.S., C.M.C., J.H.T.).

Background MRI, Tinel test, and rhomboid electromyography (EMG) can be used to predict whether C5 spinal nerve stumps are healthy and eligible for grafting in acute adult brachial plexus injuries, but their comparative diagnostic efficacies have not been evaluated. Purpose To compare diagnostic performances of MRI, Tinel test, and rhomboid EMG in predicting healthy C5 spinal nerve stumps that are eligible for grafting. Materials and Methods This retrospective study included consecutive adult patients with acute brachial plexus injury who underwent microreconstructions between January 2008 and December 2018. Read More

View Article and Full-Text PDF

An asymptomatic detachment of the appendix evolved to giant abscess and complete colliquative necrosis: pivotal role of computed tomography in patient management.

BJR Case Rep 2021 Apr 11;7(2):20200125. Epub 2020 Dec 11.

Department of Radiology, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Acute appendicitis (AA) is one of the most common causes of acute abdominal pain and it generally affects young males in the second or third decade of their life. Due to its often insidious presentations, the diagnosis is challenging and, if delayed, can lead to life-threatening complications. This report describes a rare case of an almost asymptomatic complicated appendicitis caused by an appendicolith followed by spontaneous detachment of the vermiform appendix and its complete colliquative necrosis with abscess formation. Read More

View Article and Full-Text PDF

Head Over Wheels: Traumatic Head and Neck Injuries Secondary to Mountain Biking.

Ann Otol Rhinol Laryngol 2021 Apr 12:34894211007231. Epub 2021 Apr 12.

Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Objectives: The popularity of mountain biking (MTB) in the United States has risen in recent years. We sought to identify the prevalence and distribution of MTB associated head and neck injuries presenting to emergency departments across the U.S. Read More

View Article and Full-Text PDF

A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap.

Int J Surg Case Rep 2021 Apr 1;82:105856. Epub 2021 Apr 1.

Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.

Introduction And Importance: Ocular injury is second mostly caused by motor vehicle accident (MVA) and often leads to severe ocular injury even to visual loss and various aesthetic problems. The outcome is determined by the magnitude of the initial damage and treatment availability. Treating ocular and facial injury due to MVA is challenging given the scope of the damage and may result in various outcomes. Read More

View Article and Full-Text PDF

[Predictive factors for mandibular osteoradionecrosis after irradiation of head and neck cancers].

Cancer Radiother 2021 Apr 6. Epub 2021 Apr 6.

Département d'oncologie radiothérapie, centre Jean-Perrin, 58, rue Montalembert, BP 5026, 63011 Clermont-Ferrand cedex 1, France. Electronic address:

The identification of the different risk factors for mandibular osteoradionecrosis (ORN) must be done before and after the management of patients with head and neck cancer. Various clinical criteria for this severe radiation-induced complication are related to the patient (intrinsic radiosensitivity, malnutrition associated with thin weight loss, active smoking intoxication, microcapillary involvement, precarious oral status, hyposalivation) and/or related to the disease (oral cavity, large tumor size, tumor mandibular invasion). Therapeutic risk factors are also associated with a higher risk of ORN (primary tumor surgery, concomitant radio-chemotherapy, post-irradiation dental avulsion, preventive non-observance with the absence of stomatological follow-up and daily installation of gutters fluoride and, non-observance curative healing treatments). Read More

View Article and Full-Text PDF

Feel the Burn! Fireworks-related Otolaryngologic Trauma.

Ann Otol Rhinol Laryngol 2021 Apr 9:34894211008100. Epub 2021 Apr 9.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019.

Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Read More

View Article and Full-Text PDF

Satisfactory clinical outcomes using a novel arthroscopic technique for fixation of tibial spine avulsion fractures: technical note.

J ISAKOS 2021 Mar 12;6(2):120-123. Epub 2021 Feb 12.

Facultad de Medicina, Universidad CES, MedellÍn, Antioquia, Colombia.

This research aims to present a novel arthroscopic fixation technique that uses a double-row suture anchor for tibial spine avulsion and to evaluate its short-term clinical outcomes. The surgical technique is described and a retrospective case series is presented. Patients who presented with tibial spine avulsion type III and IV fractures according to the Meyers and McKeever classification and received the same surgical treatment from 2013 to 2018 in two specialised hospitals in Medellín City were included. Read More

View Article and Full-Text PDF

Comparison of single and double dorsal wires in the extension block technique for mallet fractures: Retrospective observational study.

Medicine (Baltimore) 2021 Apr;100(14):e25419

Department of Orthopaedic and Traumatology, Ağri Training and Research Hospital, Ağri.

Abstract: Mallet fractures are avulsion fractures of the extensor tendon from the distal phalanx base and often occur due to sudden flexion or axial loading. In this study, we aimed to compare the clinical and radiological results of patients treated with single and double dorsal wires from the dorsal in the extension block method.Patients to whom a single wire from dorsal was applied were assigned to Group 1 (n: 22), and those to whom double wires were applied were assigned to Group 2 (n: 23). Read More

View Article and Full-Text PDF

Closed Traumatic A2 Through A4 Pulley Rupture and Flexor Digitorum Superficialis Avulsion Treated With Reconstruction.

Ochsner J 2021 ;21(1):99-103

Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, LA.

Multiple closed spontaneous pulley ruptures are rare injuries and require surgical reconstruction to prevent functional deficits. Pulley rupture combined with avulsion of the flexor digitorum superficialis (FDS) tendon is an even more uncommon occurrence. We describe a closed traumatic annular 2 (A2) through annular 4 (A4) pulley rupture with avulsion of the FDS tendon. Read More

View Article and Full-Text PDF
January 2021

Unusual Pattern of Traumatic Anterolisthesis at Multiple Levels (L3,4,5 Over S1) Because of Pedicle Avulsion: A Case Report.

JBJS Case Connect 2021 04 7;11(2). Epub 2021 Apr 7.

Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.

Case: Multilevel lumbar spondylolistheses have been reported, but only secondary to degenerative processes. We describe a case where grade 4 anterolisthesis occurred (L3,4,5 over S1) because of multiple level traumatic pedicle avulsion rather than facetal/pars interarticularis/posterior ligamentous complex disruption in a 42-year-old man who presented with paraparesis after a fall from height. Decompression was performed at the L5 level, and pedicle screw fixation was performed at L3, L5, and S1 levels. Read More

View Article and Full-Text PDF

The impact of traumatic dental injury on sensory perception and oral health-related quality of life of a child/adolescent before and after the treatment with aesthetic prosthesis: case report.

Int J Burns Trauma 2021 15;11(1):41-47. Epub 2021 Feb 15.

Postgraduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University Nova Friburgo, RJ, Brazil.

Children and adolescents are most frequently affected by Traumatic Dental Injuries (TDIs). Scientific evidence shows that TDIs have a negative impact on the oral health-related quality of life (OHRQoL) of children/adolescents and their families. This article aimed to report two cases of avulsion and how the treatment influenced the oral sensory perception and OHRQoL. Read More

View Article and Full-Text PDF
February 2021

Management of Heel Pad Degloving Injury After Severe Foot Crush Injury: A Case Report Study.

Cureus 2021 Mar 30;13(3):e14191. Epub 2021 Mar 30.

Orthopaedic Department, General Hospital of Ioannina "G. Chatzikosta", Ioannina, GRC.

Crush injuries of the foot and ankle are uncommon and they have a poor prognosis leading to some form of disability. Degloving injuries of the heel and foot after crush injuries are rare and very challenging to manage due to the need for reconstruction of both osseous and soft tissue architecture. We present a salvage strategy for an open injury to the foot with extensive soft tissue detachment from the plantar and dorsal surface. Read More

View Article and Full-Text PDF

Clinical significance of incidentally detected lead perforations by computed tomography.

Pacing Clin Electrophysiol 2021 Mar 30. Epub 2021 Mar 30.

Division of Cardiology, Department of Medicine, University of California San Diego, La Jolla, California, USA.

Background: Computed tomography (CT) has an established role in detecting perforation of implanted pacemaker and defibrillator leads. The clinical significance of incidental finding of delayed lead perforation remains unclear. The aim of this study was to assess the prevalence of lead perforation as detected by CT in a cohort of patients undergoing transvenous laser lead extraction and characterize the association between finding of incidental lead perforation with periprocedural outcomes. Read More

View Article and Full-Text PDF

Magnetic resonance imaging of medial collateral ligament avulsion fractures of the knee in children: a potentially underestimated injury.

Pediatr Radiol 2021 Mar 30. Epub 2021 Mar 30.

Department of Radiology, New York-Presbyterian Hospital, Weill Cornell Medicine, 525 E. 68th St., New York, NY, 10065, USA.

Background: Literature regarding medial collateral ligament (MCL) injuries is focused on adults with superficial MCL disruptions. However, children follow different injury patterns, with avulsion fractures at ligament attachment sites occurring commonly. Such avulsions have not been characterized for pediatric MCL injuries. Read More

View Article and Full-Text PDF

Clinical and Radiological Outcomes Following Arthroscopic Dual Tibial Tunnel Double Sutures Knot-bump Fixation Technique for Acute Displaced Posterior Cruciate Ligament Avulsion Fractures.

Arch Bone Jt Surg 2021 Jan;9(1):50-57

Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, India.

Background: Many fixation options (Open and arthroscopic) are described for Posterior Cruciate Ligament avulsion (PCL) fractures. In this retrospective series, we evaluated functional and radiographic outcomes following arthroscopic dual tunnel double sutures knot bump technique for acute PCL tibial end avulsion fractures.

Methods: 23 patients with acute PCL avulsion fractures who were operated between 2009 and 2016 by Arthroscopic dual tunnel double sutures technique at a minimum of two years of follow-up were included in the study. Read More

View Article and Full-Text PDF
January 2021

European Resuscitation Council Guidelines 2021: First aid.

Resuscitation 2021 Apr 24;161:270-290. Epub 2021 Mar 24.

Thames Valley Air Ambulance, Stokenchurch, UK.

The European Resuscitation Council has produced these first aid guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics include the first aid management of emergency medicine and trauma. For medical emergencies the following content is covered: recovery position, optimal positioning for shock, bronchodilator administration for asthma, recognition of stroke, early aspirin for chest pain, second dose of adrenaline for anaphylaxis, management of hypoglycaemia, oral rehydration solutions for treating exertion-related dehydration, management of heat stroke by cooling, supplemental oxygen in acute stroke, and presyncope. Read More

View Article and Full-Text PDF

Tooth avulsion: does the milk matter?

A Hamid A Carter

Br Dent J 2021 Mar;230(6):326

By email, West Yorkshire, UK.

View Article and Full-Text PDF

A novel asymmetric horizontal splitting fracture of the lumbar spine: pediatric case report of a lateral bending, flexion and distraction fracture.

Br J Neurosurg 2021 Mar 26:1-3. Epub 2021 Mar 26.

Department of Neurosurgery, Arnavutkoy State Hospital, Istanbul, Turkey.

Background: There are many lateral bending fracture cases presented in the literature that mostly involve facet dislocations or corpus collapse. In this report, we aim to describe a novel asymmetric lateral bending, flexion and distraction fracture, propose a mechanism, and delineate its clinical importance.

Case Description: A 13-year-old girl arrived at our trauma center 12 hours after a head-on truck collision. Read More

View Article and Full-Text PDF

Avulsion fracture of the ischial tuberosity: A surgical dilemma.

Clin Case Rep 2021 Mar 24;9(3):1814-1815. Epub 2021 Jan 24.

2nd Orthopaedic Department General Hospital of Thessaloniki "Papageorgiou" Thessaloniki Greece.

The clinician should make the treatment choice considering the patient's requirements. Thus, surgical treatment can successfully achieve long-lasting satisfactory results and provide the best chance for a rapid return to sports. Read More

View Article and Full-Text PDF

Histopathological nerve assessment in brachial plexus birth injuries.

Hand Surg Rehabil 2021 Mar 19. Epub 2021 Mar 19.

Department of Pediatric Orthopedics, Armand Trousseau Hospital - Sorbonne Medical University, 26 Avenue du Dr Arnold Netter, 75012 Paris, France. Electronic address:

In children suffering from brachial plexus birth injuries (BPBI), one major difficulty concerns intraoperative selection of the roots to be used for reconstruction. Between November 2018 and August 2020, surgical qualitative evaluations and pathological quantitative analyses were conducted on 52 roots and 29 distal neural stumps (trunks, divisions, cords, and nerves distal to the neuroma) in 17 patients who underwent brachial plexus reconstruction. For each root, surgeons rated stump quality as "good", "fair" or "avulsed". Read More

View Article and Full-Text PDF

Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study.

Arch Gynecol Obstet 2021 Mar 22. Epub 2021 Mar 22.

Department of Gynecology, Obstetrics and Reproductive Medicine, University Medical School of Saarland, Kirrberger Straße, 66421, Homburg, Saar, Germany.

Purpose: To assess changes in the pelvic floor anatomy that cause pelvic floor disorders (PFDs) in primigravidae during and after pregnancy and to evaluate their impact on women's quality of life (QoL).

Methods: POP-Q and translabial ultrasound examination was performed in the third trimester and 3 months after delivery in a cohort of primigravidae with singleton pregnancy delivering in a tertiary center. Results were analyzed regarding mode of delivery and other pre- and peripartal factors. Read More

View Article and Full-Text PDF

Fixation of anterolateral distal tibial fractures: the anterior malleolus.

Oper Orthop Traumatol 2021 Apr 22;33(2):125-138. Epub 2021 Mar 22.

University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Objective: The anterior tibial rim with the anterolateral tibial tubercle provides attachment to the anterior tibiofibular syndesmosis. It may be considered an anterior or "fourth" malleolus. Fixation of a displaced anterior tibial fragment in the treatment of malleolar fractures aims at providing a bone-to-bone fixation of the anterior tibiofibular ligament and restoring the integrity of the tibial incisura. Read More

View Article and Full-Text PDF

Surgical Reconstruction of Isolated Upper Trunk Brachial Plexus Birth Injuries in the Presence of an Avulsed C5 or C6 Nerve Root.

J Bone Joint Surg Am 2021 Mar 18. Epub 2021 Mar 18.

Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children and the University of Toronto, Toronto, Ontario, Canada.

Background: Avulsion of either the C5 or C6 root with intact middle and lower trunks in brachial plexus birth injury is rare. In these cases, only 1 proximal root is available for intraplexal reconstruction. The purpose of the present study was to determine the outcomes of these patients when single-root reconstruction was balanced across the anterior and posterior elements of the upper trunk. Read More

View Article and Full-Text PDF

Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability.

Tech Coloproctol 2021 Mar 20. Epub 2021 Mar 20.

Proctology Unit and Pelvic Floor Unit, Division of Digestive Surgery, Department of Surgery, Geneva University Hospitals and Medical School, 4 rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland.

Background: Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated anal sphincter damage. Patients with puborectalis muscle and levator ani rupture may present some form of incontinence or evacuation disorder, sexual dysfunction or pelvic organ descent. However, the literature on this subject is scarce. Read More

View Article and Full-Text PDF

Medial Patellofemoral Complex Advancement for Recurrent Lateral Patellar Instability and Selective Acute Primary Patellar Dislocations.

Arthrosc Tech 2021 Mar 8;10(3):e767-e774. Epub 2021 Feb 8.

Advance Knee and Shoulder Hospital, Ahmedabad, Gujarat, India.

Medial patellofemoral complex (MPFC) is considered as the primary medial patellar restraint and has a static, as well as dynamic, component. MPFL reconstruction (MPFL-R) restores only the static component of MPFC, is associated with multiple technical concerns, and has a steep learning curve. Need for physeal sparing techniques and relatively high rates of complications including patella fracture are some other concerns with MPFL-R. Read More

View Article and Full-Text PDF

Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament for Anterior Shoulder Instability.

Arthrosc Tech 2021 Mar 2;10(3):e653-e658. Epub 2021 Feb 2.

Department of Surgery, Faculty of Medicine, Dalhousie University, Nova Scotia, Canada.

Humeral avulsion of the glenohumeral ligament (HAGL) is a rare cause of anterior shoulder instability. Recurrent instability and anterior shoulder pain could be caused by an unrepaired HAGL; therefore, making the diagnosis is crucial. Only a few articles describe arthroscopic HAGL repair. Read More

View Article and Full-Text PDF

Isolated distal adductor magnus tendon avulsion as a rare cause of medial knee pain. A case report.

Indian J Radiol Imaging 2020 Oct-Dec;30(4):507-509. Epub 2021 Jan 13.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.

Avulsion injuries of adductor frequently involve the proximal origin. We report the first case of avulsion fracture of adductor magnus at its insertion and discuss the relevant anatomy. Read More

View Article and Full-Text PDF
January 2021