253,867 results match your criteria fractures

Bone mineral density surveillance for childhood, adolescent, and young adult cancer survivors: evidence-based recommendations from the International Late Effects of Childhood Cancer Guideline Harmonization Group.

Lancet Diabetes Endocrinol 2021 Jul 30. Epub 2021 Jul 30.

Department for Pediatric Hematology and Oncology CHU Nord, University Hospital Saint-Etienne, Saint-Priest en Jarez, France; 28U1059 Sainbiose, University Jean Monnet, Saint-Etienne, France.

Childhood, adolescent, and young adult cancer survivors are at increased risk of reduced bone mineral density. Clinical practice surveillance guidelines are important for timely diagnosis and treatment of these survivors, which could improve bone mineral density parameters and prevent fragility fractures. Discordances across current late effects guidelines necessitated international harmonisation of recommendations for bone mineral density surveillance. Read More

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Three-Dimensional Computer-Aided Analysis of 293 Isolated Blowout Fractures - Which Radiological Findings Guide Treatment Decision?

J Oral Maxillofac Surg 2021 Jul 1. Epub 2021 Jul 1.

Head of Department, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Purpose: Our study purpose was to clarify the extent of isolated unilateral orbital blowout fracture in relation to surgical treatment and other factors behind the treatment decision. The specific aim was to determine which computer-aided measurements based on radiological images associate with treatment choice.

Methods: A retrospective cohort study was implemented on patients with an isolated unilateral orbital blowout fracture. Read More

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Geomorphology of the Mirador-Calakmul Karst Basin: A GIS-based approach to hydrogeologic mapping.

PLoS One 2021 2;16(8):e0255496. Epub 2021 Aug 2.

Mirador Conservation Fund, Redwood City, California, United States of America.

This paper classifies the karst landscapes of the Petén Plateau and defines the Mirador-Calakmul Karst Basin by illustrating the distribution of its karst hydrologic features. Archaeological and spatial research of the Mirador-Calakmul area of Guatemala and Mexico has shown it to be a karst basin with geopolitical implications. Current research characterizes the karst landscapes of the Petén Plateau, maps the distribution of karst hydrologic features, and delineates the basin in geomorphological terms. Read More

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Trampoline Injuries in Children and Adolescents: A Jumping Threat.

Pediatr Emerg Care 2021 May 13. Epub 2021 May 13.

Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.

Objective: As trampoline use grows more popular in the United States, the frequency of injuries continues to climb. We hypothesized that toddlers would be at the highest risk for trampoline injuries requiring hospitalization.

Methods: The National Electronic Injury Surveillance System database was examined for trampoline injuries from 2009 to 2018. Read More

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Estimating the future clinical and economic benefits of improving osteoporosis diagnosis and treatment among women in China: a simulation projection model from 2020 to 2040.

Arch Osteoporos 2021 Aug 2;16(1):118. Epub 2021 Aug 2.

Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Annual osteoporotic fractures is projected to increase by 135% from 6.9 M (2020) to 16.2 M (2040), increasing the economic burden by 121% from $29. Read More

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Instability and results after non-operative treatment of large anterior glenoid rim fractures: is there a correlation between fragment size or displacement and recurrence?

Arch Orthop Trauma Surg 2021 Aug 2. Epub 2021 Aug 2.

Department of General and Trauma Surgery, University Bergmannsheil Bochum, Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.

Introduction: There is little data available on non-operative treatment of anterior glenoid rim fractures (GRF). Nothing is known about fracture size and displacement in comparison to clinical outcomes and instability in a mainly middle-aged patient population. The aim of this study was to demonstrate the results of non-operative treatment in anterior glenoid rim fractures with the special focus on potential instability/recurrence. Read More

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Lessons learned with the Cobra prosthesis in elderly patients with complex distal radius fractures-a retrospective follow-up study.

Arch Orthop Trauma Surg 2021 Aug 2. Epub 2021 Aug 2.

Department of Orthopaedics and Traumatology, University Hospital Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Introduction: Recently, the Cobra prostheses were introduced in the treatment of distal radius fractures (DRF) of elderly patients. Fracture prostheses provide an alternative treatment option for complex fractures where conservative therapy seems not acceptable and osteosynthesis seems not possible. Data reporting the feasibility of the Cobra prosthesis are sparse. Read More

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Occipital condylar avulsion fractures in the acute trauma setting: Stable or unstable injury?

Eur Spine J 2021 Aug 2. Epub 2021 Aug 2.

Department of Neurosurgery, University of Florida Health - Jacksonville, 655 West 8th Street, Jacksonville, FL, 32209, USA.

Background And Purpose: Occipital condylar avulsion fractures are considered potentially unstable, associated with craniocervical dissociation spectrum injuries, and thought to carry a relatively high mortality rate based on the current literature. The purpose of this study was to identify patient with acute, occipital condylar avulsion fractures and evaluate for the incidence of concomitant cervical osteoligamentous trauma and craniocervical dissociation spectrum injury on cervical spine CT and MRI.

Materials And Methods: Patients who suffered an inferomedial occipital condylar avulsion fracture were identified retrospectively using Nuance mPower software. Read More

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[Harvesting cancellous bone or composite corticocancellous bone grafts from the posterior iliac crest].

Oper Orthop Traumatol 2021 Aug 2. Epub 2021 Aug 2.

Klinik für Unfall‑, Hand- & Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Objective: Harvesting bone-either cancellous bone or composite corticocancellous bone grafts-from the iliac crest is an efficient method for filling or bridging bony defects commonly encountered in comminuted epimetaphyseal fractures (e.g., tibial head fractures), in nonunions or during reconstructive measures as in arthrodesis of major joints or spondylodesis, bone defects due to tumor resection or following eradication of chronic infection. Read More

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The horizontal shear fracture of the pelvis.

Eur J Trauma Emerg Surg 2021 Aug 2. Epub 2021 Aug 2.

Discipline of Surgery, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.

Purpose: Various classification systems describe fractures of the acetabulum and pelvis separately. Horizontal shear fractures involve the pelvic ring and both acetabula and have not been previously described. The aim of this study is to describe the horizontal shear fracture of the pelvis. Read More

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Implant removal associated complications after ESIN osteosynthesis in pediatric fractures.

Eur J Trauma Emerg Surg 2021 Aug 2. Epub 2021 Aug 2.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Tübingen, Germany.

Purpose: ESIN (elastic stable intramedullary nailing) is considered the gold standard for various pediatric fractures. The aim of this study was to analyze the incidence and type of complications during or after TEN (titanium elastic nail) removal.

Methods: A retrospective data analysis was performed. Read More

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Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis.

Eur J Trauma Emerg Surg 2021 Aug 2. Epub 2021 Aug 2.

UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Objective: To review current literature on treatment of closed femoral shaft fractures in children of 2-10 years old, with subgroup analysis of children aged 2-6 years, comparing intramedullary nailing (IMN) to conservative treatment modalities.

Methods: We included clinical trials and observational studies that compared traction and subsequent casting (TSC), spica casting and IMN for treatment of femur shaft fractures in children of 2-10 years of age. Subgroup analysis of children aged 2-6 years was performed. Read More

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Self-reported and actigraphic short sleep duration in older adults.

J Clin Sleep Med 2021 Aug 2. Epub 2021 Aug 2.

Yale School of Medicine, Department of Internal Medicine, New Haven, CT.

Study Objectives: Persons > 65 years with short sleep duration (≤ 6 hours) are at risk for adverse outcomes, but the accuracy of self-reported sleep duration may be affected by reduced symptom awareness. We evaluated the performance characteristics of self-reported versus objectively-measured sleep duration in this age group.

Methods: In 2,980 men from the Osteoporotic Fractures in Men Sleep Study (MrOS) and 2,855 women from the Study of Osteoporotic Fractures (SOF), we examined the agreement and accuracy of self-reported versus actigraphy-measured short and normal (> 6 but < 9 hours) sleep duration. Read More

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Accelerated surgery for hip fractures-the HIP ATTACK results discussed - Authors' reply.

Lancet 2020 Oct;396(10259):1332

Department of Medicine, McMaster University, Hamilton, ON L8L 2X2, Canada; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON L8L 2X2, Canada; Population Health Research Institute, Hamilton, ON, Canada. Electronic address:

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October 2020

Accelerated surgery for hip fractures-the HIP ATTACK results discussed.

Lancet 2020 Oct;396(10259):1331

Department of Anesthesiology and Pain Medicine, Ottawa Hospital, University of Ottawa, Ottawa, ON K1H 8M5, Canada. Electronic address:

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October 2020

Accelerated surgery for hip fractures-the HIP ATTACK results discussed.

Lancet 2020 Oct;396(10259):1331-1332

Trauma Department, Hannover Medical School, 30625 Hannover, Germany.

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October 2020

Accelerated surgery for hip fractures-the HIP ATTACK results discussed.

Lancet 2020 Oct;396(10259):1330

University of Toronto Faculty of Medicine, Toronto, ON M5S 1A8, Canada.

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October 2020

Accelerated surgery for hip fractures-the HIP ATTACK results discussed.

Lancet 2020 Oct;396(10259):1330-1331

Department of Anesthesiology and Intensive Care Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.

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October 2020

Management of lateral condyle fractures of the humerus in children.

Br J Hosp Med (Lond) 2021 Jul 13;82(7):1-6. Epub 2021 Jul 13.

Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London, UK.

Lateral condyle fracture of the humerus is the second most common paediatric elbow fracture and is often missed, which can result in severe consequences including malunion, growth arrest and tardy ulnar nerve palsy. The difficulty in managing this fracture stems from a lack of awareness and the often subtle findings on radiographs. Patients can also present with quite vague symptoms; clinicians who do not have a high index of suspicion may not investigate beyond the initial clinical assessment and could miss vital cues. Read More

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Efficacy of intravenous perioperative parecoxib administration in the surgical fixation of unstable ankle fracture: a prospective, double-blinded, randomized, placebo-controlled trial.

Eur Rev Med Pharmacol Sci 2021 Jul;25(14):4779-4784

Division of Digital and Innovative Medicine, Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok, Thailand.

Objective: Little is known about the efficacy of perioperative intravenous (IV) non-opioid medication administration in patients undergoing orthopedic surgery. The objective of this study was to determine the efficacy of perioperative parecoxib in patients with unstable ankle fractures who were scheduled to undergo surgery.

Patients And Methods: In this double-blinded, prospective, randomized controlled trial, 40 patients who underwent open reduction and internal fixation for unstable ankle fractures were randomly allocated to the parecoxib group (parecoxib 40 mg IV 30 min before surgery and then 40 mg IV every 12 h for the initial 48 h postoperatively [n=20]) or the placebo group (saline [n=20]). Read More

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Incident bone fracture and mortality in a large HIV cohort outpatient study, 2000-2017, USA.

Arch Osteoporos 2021 Aug 2;16(1):117. Epub 2021 Aug 2.

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

We evaluated the association of bone fracture with mortality among persons with HIV, controlling for sociodemographic, behavioral, and clinical factors. Incident fracture was associated with 48% greater risk of all-cause mortality, underscoring the need for bone mineral density screening and fracture prevention.

Purpose/introduction: Low bone mineral density (BMD) and fracture are more common among persons with HIV (PWH) than those without HIV infection. Read More

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Trends in fractures in patients with spondyloarthritis: a nationwide population-based study (TREND-EspA study).

Osteoporos Int 2021 Aug 2. Epub 2021 Aug 2.

Rheumatology Department, Hospital Universitario La Princesa, 28006, Madrid, Spain.

Our aim was to analyze trends in fracture rates in SpA patients over an extended time period. Only an increase of axial fractures, more specifically vertebral fractures, is observed in SpA.

Purpose: To analyze fracture incidence and trend in patients with spondyloarthritis (SpA) over an extended time period. Read More

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Internal Rotation Stress Test Reduces Cross-Pinning and Improves Outcomes in Displaced Pediatric Supracondylar Humeral Fractures.

JB JS Open Access 2021 Jul-Sep;6(3). Epub 2021 Jul 28.

Division of Pediatric Orthopaedics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.

Stabilization of the medial column is vital in preventing the loss of fixation and malunion in displaced pediatric supracondylar humeral fractures (SCHFs). The preferred percutaneous pin configuration for medial column fixation remains controversial between medial pinning (cross-pinning) and additional lateral-based pinning. The intraoperative internal rotation stress test (IRST) has been proposed to reliably determine the optimal fixation strategy for each unique fracture. Read More

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Pressure Transient Analysis and Transient Inflow Performance Relationship of Multiple-Fractured Horizontal Wells in Naturally Fractured Reservoirs by a Trilinear Flow Model.

ACS Omega 2021 Jul 15;6(29):19222-19232. Epub 2021 Jul 15.

State Key Laboratory of Petroleum Resources and Prospecting, China University of Petroleum-Beijing, 18 Fuxue Road, Changping District, Beijing 102249, China.

Trilinear flow model is an effective method to reproduce the flow behavior for horizontal wells with multistage hydraulic fracture treatments in unconventional reservoirs. However, models developed so far for transient analysis have rarely considered the inflow performance of wells. This paper introduces a new composite dual-porosity trilinear flow model for the multiple-fractured horizontal well in the naturally fractured reservoirs. Read More

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Free Hand Drilling Technique to Enhance Central Position of Tunnels in Arthroscopic Acromioclavicular Joint Fixation Using TightRope System.

Arthrosc Tech 2021 Jul 22;10(7):e1829-e1837. Epub 2021 Jul 22.

Instituto Nacional de Rehabilitación, Orthopaedic, Sports Medicine and Arthroscopy, México City, México.

Acromioclavicular joint (ACJ) dislocations represent one of the most common lesions in the shoulder. Arthroscopic reduction and ACJ fixation with the button system is one of the most used techniques for displaced and unstable dislocations. Difficulties with placing the tunnels in the central and correct position of the clavicular and coracoid can occur with the use of a guide, which can result in fractures, eccentric tunnel position, cortical rupture, prolongation of surgical times with its complications as bleeding, tissue infiltration, difficult visualization, and increased risk of infection. Read More

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APACHE-Anterior Plating of the Acetabulum in Hemi-Endoscopic Technique: An Alternative Method for Internal Fixation of the Acetabulum.

Arthrosc Tech 2021 Jul 20;10(7):e1815-e1819. Epub 2021 Jun 20.

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Bonn.

Injuries of the acetabulum are often challenging in treatment and aftercare. One reason is the required surgical approach, which has high complication rates, including vascular lesion, hernias, and wound infection. We present an alternative endoscopic-assisted approach for the internal fixation of acetabular fractures to avoid the Pfannenstiel incision. Read More

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Arthroscopic Assisted Treatment of Thumb Metacarpal Base Articular Fractures.

Arthrosc Tech 2021 Jul 20;10(7):e1783-e1792. Epub 2021 Jun 20.

Rimini Hand and Upper Limb Surgery & Rehabilitation Center, Rimini, Italy.

Fracture of the base of the thumb metacarpal (M1) is a common finding in hand trauma. Closed reduction and K-wire fixation and open reduction-internal fixation are traditional treatments of choice. The arthroscopic assisted technique has been introduced to improve intra-articular fragment reduction and to preserve fragment vascularization and capsular and ligamentous integrity along with joint stability. Read More

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Arthroscopic Fixation of Anterior Cruciate Ligament Avulsion Fracture Using FiberWire Suture With Suture Disc.

Arthrosc Tech 2021 Jul 20;10(7):e1709-e1715. Epub 2021 Jun 20.

Joint Reconstruction Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Controversy still exists regarding how to reduce and fix a displaced tibial avulsion fracture. Open reduction and internal fixation may lead to morbidity due to soft-tissue injury and arthrotomy. As a result, arthroscopic techniques are increasing in popularity. Read More

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Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis.

Cureus 2021 Jun 29;13(6):e16030. Epub 2021 Jun 29.

Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, GBR.

Introduction Open and closed nailing are the two reduction methods used for the fixation of femoral shaft fractures. The study aims to assess the clinical and functional outcomes of open and closed nailing for closed femoral shaft fractures. Methodology A total of 398 patients who underwent intramedullary nailing fixation of nonpathological femoral shaft fracture between January 2016 to December 2019 were reviewed retrospectively. Read More

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Bilateral crescent fracture-dislocation of the sacroiliac joint: a case-based discussion and review of literature.

Int J Burns Trauma 2021 15;11(3):260-266. Epub 2021 Jun 15.

Department of Orthopaedic Surgery, Postgraduate Institute of Medical Education and Research Chandigarh 160012, India.

Background: Crescent fractures are a subset of lateral compression injuries associated with high energy trauma and are rotationally unstable. These fractures are rare bilaterally, and we present one such rare case of a bilateral crescent fracture.

Case Description: A 56-year-old male presented with run-over injury and was diagnosed with bilateral crescent fracture-dislocation of the Sacroiliac joint. Read More

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