102,008 results match your criteria orthopedic injuries

Agent-based model provides insight into the mechanisms behind failed regeneration following volumetric muscle loss injury.

PLoS Comput Biol 2021 May 10;17(5):e1008937. Epub 2021 May 10.

Biomedical Engineering, University of Virginia, Charlottesville, Virginia, United States of America.

Skeletal muscle possesses a remarkable capacity for repair and regeneration following a variety of injuries. When successful, this highly orchestrated regenerative process requires the contribution of several muscle resident cell populations including satellite stem cells (SSCs), fibroblasts, macrophages and vascular cells. However, volumetric muscle loss injuries (VML) involve simultaneous destruction of multiple tissue components (e. Read More

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Bilateral Hypoglossal Nerve Palsy After Occipitocervical Fusion.

J Am Acad Orthop Surg Glob Res Rev 2020 May;4(5):e1900127

From the Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska.

A 63-year-old man sustained a Jefferson fracture and was treated nonoperatively by a separate treating surgeon. Because of the symptomatic malalignment and nonunion after 6 months of nonsurgical management, the patient was seen for a second opinion. Occiput to C3 arthrodesis was performed. Read More

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A larger side-to-side difference in anterior knee laxity increases the prevalence of medial and lateral meniscal injuries in patients with ACL injuries.

Knee Surg Sports Traumatol Arthrosc 2021 May 10. Epub 2021 May 10.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Purpose: The objective of this study was to investigate factors that influence the prevalence of medial and lateral meniscal injuries at the time of anterior cruciate ligament (ACL) reconstruction in patients with ACL injuries.

Methods: Patients with ACL injuries at 9 institutions were enrolled in this multicentre study. Age, sex, duration between injury and surgery, pivot shift test grade, anterior knee laxity determined using the Kneelax 3 arthrometer, and other variables were assessed by logistic regression analysis. Read More

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Hip apophyseal injuries in soccer players: can MRI findings be useful to define when to return to play?

Skeletal Radiol 2021 May 10. Epub 2021 May 10.

Department of Radiology and Diagnostic Imaging, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Napoleão de Barros, 800, São Paulo, SP, 04024-002, Brazil.

Objective: To describe magnetic resonance imaging (MRI) findings in professional soccer players with acute apophyseal injury of the hip and to assess their relationship with return to sports.

Material And Methods: Adolescent soccer players with diagnosis of apophyseal injury in the anterosuperior and anteroinferior iliac spine were retrospectively evaluated between 2008 and 2016. All athletes underwent hip MRI examination within 4 days after onset of clinical complaint. Read More

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Acute injuries in American collegiate taekwondo competitions: a prospective study spanning four competitive seasons.

J Sports Med Phys Fitness 2021 May 10. Epub 2021 May 10.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA -

Background: Injury patterns are well-documented for taekwondo competitions prior to the use of an electronic chest protector for scoring tabulation. To see if injury rates and types changed following this rule change that transformed the fighting style in taekwondo, we investigated injuries in collegiate taekwondo competitions in the United States.

Methods: Data were collected at eight collegiate taekwondo tournaments from April 2018 to December 2019. Read More

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Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda.

Afr J Emerg Med 2021 Jun 15;11(2):299-302. Epub 2021 Apr 15.

Brown University Warren Alpert Medical School, Department of Emergency Medicine, 222 Richmond Street, Providence, RI 02912, USA.

Introduction: Traumatic injuries and their resulting mortality and disability impose a disproportionate burden on sub-Saharan countries like Rwanda. An important facet of addressing injury burdens is to comprehend injury patterns and aetiologies of trauma. This study is a cross-sectional analysis of injuries, treatments and outcomes at the University Teaching Hospital-Kigali (CHUK). Read More

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The Value of an Orthoplastic Approach to Management of Lower Extremity Trauma: Systematic Review and Meta-analysis.

Plast Reconstr Surg Glob Open 2021 Mar 22;9(3):e3494. Epub 2021 Mar 22.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.

Background: Management of traumatic lower extremity injuries requires a skill set of orthopedic surgery and plastic surgery to optimize the return of form and function. A systematic review and meta-analysis was performed comparing demographics, injuries, and surgical outcomes of patients sustaining lower extremity traumatic injuries receiving either orthoplastic management or nonorthoplastic management.

Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analysis, Cochrane, and GRADE certainty evidence guidelines were implemented for the structure and synthesis of the review. Read More

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Chronic Lateral Ankle Instability in Highly Active Patients: A Treatment Algorithm Based on the Arthroscopic Assessment of the Calcaneofibular Ligament.

Cureus 2021 Apr 5;13(4):e14310. Epub 2021 Apr 5.

Orthopaedics and Trauma Department, Ministry of Defence Hospital Unit (MDHU) Northallerton, Northallerton, GBR.

Background Ankle sprains are common injuries that may recur as chronic conditions. We aim to describe a treatment algorithm for chronic lateral ankle instability based on the arthroscopic findings of the calcaneofibular ligament (CFL). Methods We assessed 67 highly active patients with chronic lateral ankle instability. Read More

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Orthopaedic trauma during COVID-19: Is patient care compromised during a pandemic?

J Clin Orthop Trauma 2021 Jul 2;18:181-186. Epub 2021 May 2.

Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Background: The Coronavirus disease-2019 (COVID-19) placed unprecedented pressure on the healthcare system. Many institutions implemented a government-mandated restructured set of safety and administrative protocols to treat urgent orthopaedic trauma patients. The objective of this study was to compare two cohorts of patients, a COVID group and non-COVID control group, and to evaluate the effectiveness of safety measures outlined in the Rutgers Orthopaedic Trauma Patient Safety Protocol (ROTPSP). Read More

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Indoor Bouldering-A Prospective Injury Evaluation.

Wilderness Environ Med 2021 May 6. Epub 2021 May 6.

Department of Trauma, Hand, Plastics and Reconstructive Surgery, University Clinics Würzburg, Würzburg, Germany. Electronic address:

Introduction: Bouldering has become a sport of growing interest, but little prospective evidence exists about injury proportions and patterns. The purpose of this study was to prospectively evaluate the cause of injuries sustained during indoor bouldering, proportion of affected body location, and injury severity.

Methods: Proportions and patterns of injury among German-speaking indoor boulderers were evaluated prospectively in an explorative cohort study. Read More

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Finger Flexor Pulley Injuries in Rock Climbers.

Wilderness Environ Med 2021 May 6. Epub 2021 May 6.

Section Sportsorthopedics and Sportsmedicine, Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, Bamberg, FRG, Germany; Department of Trauma Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, FRG, Germany; Section of Wilderness Medicine, Department of Emergency Medicine, University of Colorado School of Medicine, Denver, CO; School of Clinical and Applied Sciences, Leeds Becket University, Leeds, UK.

Finger flexor pulley system injuries are the most common overuse injury in rock climbers. These injuries occur rarely outside of rock climbing, owing to the sport's unique biomechanical demands on the finger. As rock climbing continues to grow and earn recognition as a mainstream sport, an understanding of how to diagnose and treat these injuries also has become important. Read More

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Epidemiology of Acute Extensor Mechanism Injuries in Collegiate-Level Athletes in the United States.

Sports Health 2021 May 8:19417381211012969. Epub 2021 May 8.

Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Extensor mechanism injuries involving the quadriceps tendon, patella, or patellar tendon can be a devastating setback for athletes. Despite the potential severity and relative frequency with which these injuries occur, large-scale epidemiological data on collegiate-level athletes are lacking.

Study Design: Descriptive epidemiology study. Read More

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Comparison of supraclavicular nerve injuries after clavicle mid-shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fixation.

Arch Orthop Trauma Surg 2021 May 9. Epub 2021 May 9.

Department of Orthopaedic Surgery, Shoulder and Elbow Clinic, College of Medicine, Kyung Hee University Hospital At Gangdong, Seoul, Republic of Korea.

Introduction: Only a few previous studies have evaluated the factors related to supraclavicular nerve (SCN) injury after clavicle mid-shaft fracture surgery. We analyzed the frequency and risk factors for SCN injury after clavicle mid-shaft fracture surgery via open reduction and internal fixation (ORIF) versus minimally invasive plate osteosynthesis (MIPO) MATERIALS AND METHODS: We retrospectively reviewed the cases from 59 patients who had undergone surgery for clavicle mid-shaft fractures between January 2018 and April 2019. Twenty-nine patients had undergone ORIF and 30 had undergone MIPO. Read More

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Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States.

J Surg Res 2021 May 6;265:297-302. Epub 2021 May 6.

Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Department of Surgery, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, Tennessee. Electronic address:

Background: Management of children with snakebites may vary based on subjective criteria, geographic, and climatic factors. We reviewed the incidence and management of snakebite injuries in children at two tertiary referral centers in separate geographic and climatic location to assess differences in management and outcomes of these patients.

Methods: After institutional review board approval, a retrospective chart review was performed for patients ≤18 years with snakebite injuries at emergency departments (ED) of two American College of Surgeons verified trauma centers (2006-2013). Read More

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Is lateral ankle sprain of the child and adolescent a myth or a reality? A systematic review of the literature.

Foot Ankle Surg 2021 May 1. Epub 2021 May 1.

Department of Orthopedics and Traumatology, Ambroise-Paré Hospital, AP-HP, Île-de-France Ouest University, 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France; Department of Orthopedic Surgery, Clinique du Sport, 36 Boulevard Saint-Marcel, 75005 Paris, France.

Background: Ankle trauma in children and adolescents is the most common orthopedic injury encountered in pediatric trauma. It has long been recognized that a lateral ankle injury in this population is often a Salter and Harris type I fracture of the distal fibula (SH1). The purpose of this study is to confirm the existence of a lateral ankle sprain and to report the incidence of each pathology of the lateral ankle compartment: SH1 fracture, ATFL injury, and osteochondral avulsions. Read More

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Effects of a neuromuscular training program using external focus attention cues in male athletes with anterior cruciate ligament reconstruction: a randomized clinical trial.

BMC Sports Sci Med Rehabil 2021 May 8;13(1):49. Epub 2021 May 8.

Orthopedic Department Chair, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Athletes who have undergone anterior cruciate ligament (ACL) reconstruction often exhibit persistent altered biomechanics and impaired function. Neuromuscular training programs appear to be effective for reducing high-risk landing mechanics and preventing primary ACL injuries; however, there have been few attempts to examine their effects in athletes who have undergone ACL reconstruction. The purpose of our study was to examine the effects of a neuromuscular training program that emphasizes external focus of attention cuing on biomechanics, knee proprioception, and patient-reported function in athletes who had undergone ACL reconstruction and completed conventional post-operative rehabilitation. Read More

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Predictors of Traumatic Nerve Injury and Nerve Recovery following Humeral Shaft Fractures: Short title: Traumatic Nerve Palsy after Humeral Shaft Fracture.

J Shoulder Elbow Surg 2021 May 5. Epub 2021 May 5.

Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH, USA. Electronic address:

Introduction: Nerve palsy is common after humeral shaft fracture with the radial nerve being the most commonly injured nerve. Isolated nerve injuries usually recover spontaneously and operative intervention is rarely indicated. Our goal was to study the predictors of traumatic nerve injury and recovery in a large cohort of patients with humeral shaft fractures. Read More

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An increased posterior slope of the medial and lateral meniscus posterior horn is associated with anterior cruciate ligament injuries.

Arthroscopy 2021 May 5. Epub 2021 May 5.

Department of Anatomy, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa; Department of Anatomy and Cellular Biology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.

Purpose: The purpose of this study was to measure slope of both the medial and lateral posterior horn of the meniscus, and its contribution to the overall resulting posterior tibial slope (bone and meniscus combined slope) in ACL-intact (ACLI) and ACL-deficient (ACLD) knees.

Methods: MR images of patients with intact menisci aged between 16-60 years were included. Posterior tibial bone slope (PTS) and meniscus slope (MS) were measured at 25%, 50%, and 75% from the medial and lateral borders of the tibial plateau. Read More

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Chronic hyperglycemia, hypercholesterolemia and metabolic syndrome are associated with risk of tendon injury.

Scand J Med Sci Sports 2021 May 8. Epub 2021 May 8.

Institute of Sports Medicine Copenhagen, Department of Orthopedic Surgery M, Copenhagen University Hospital - Bispebjerg and Frederiksberg and Center for Healthy Aging, Institute for Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Tendon injury is a considerable problem affecting both physically active and sedentary people. The aim of this study was to examine the relationship between markers for metabolic disorders (hyperglycemia, hypercholesterolemia and metabolic syndrome) and the risk of developing tendon injuries requiring referral to a hospital. The Copenhagen City Heart Study is a prospective study of diabetic and nondiabetic individuals from the Danish general population with different physical activity levels. Read More

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Dual-Energy Computed Tomography in Spine Fractures: A Systematic Review and Meta-Analysis.

Int J Spine Surg 2021 May 7. Epub 2021 May 7.

Department of Orthopaedic Surgery and Traumatology, Uszoki Hospital, Budapest, Hungary.

Background: The purpose of this study was to perform a systematic literature review and meta-analysis to evaluate the sensitivity, specificity, and accuracy of dual-energy computed tomography (DE-CT) of bone marrow edema and disc edema in spine injuries.In vertebral injuries, prompt diagnosis is essential to avoid any delays in treatment. Conventional radiography may only reveal indirect signs of fractures, such as when it is displaced. Read More

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Taser barb penetration causing phalangeal fracture.

BMJ Case Rep 2021 May 7;14(5). Epub 2021 May 7.

Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK

We present an unusual case of phalangeal fracture resulting from direct penetration by the barb of a conducted electrical weapon (Taser). When a Taser is triggered, compressed gas propels two barbs with trailing insulated wires which deliver a pulsed electrical discharge on contact. A 51-year-old man presented with a single barb of the Taser embedded in the diaphysis of the proximal phalanx and an associated open fracture. Read More

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First-time anterior cruciate ligament injury in adolescent female elite athletes: a prospective cohort study to identify modifiable risk factors.

Knee Surg Sports Traumatol Arthrosc 2021 May 7. Epub 2021 May 7.

Human Movement Analysis Laboratory, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.

Purpose: To identify modifiable biomechanical and neuromuscular anterior cruciate ligament (ACL) injury risk factors for first-time ACL injury in adolescent female elite football and team handball players.

Methods: Adolescent female elite football and handball players with no previous ACL injury participated in the present study. At baseline, players were tested during side-cutting manoeuvres performed in a 3-dimensional motion analysis laboratory with concomitant electromyography (EMG) measurements. Read More

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[Diagnosis, Treatment and Complications of Knee Dislocation: a Retrospective Study].

Acta Chir Orthop Traumatol Cech 2021 ;88(2):107-116

Klinika ortopedie a traumatologie pohybového ústrojí a Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Plzeň.

PURPOSE OF THE STUDY Acute knee dislocation is a less common injury of the knee joint. It is, however, a serious injury with a high rate of nerve and vascular damage and it is considered a limb threatening injury with long-term functional disability, which can ultimately lead to amputation. Knee dislocations constitute less than 0. Read More

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January 2021

[Features of surgical treatment of urinary incontinence in women with urethral destruction].

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

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Effect of Hand Dominance on Functional Outcomes in Pediatric Patients with Flexor Tendon Injuries: A cross-sectional study.

Int J Clin Pract 2021 May 7:e14323. Epub 2021 May 7.

Department of Orthopedics, Marmara University Pendik Education and Research Hospital, Istanbul, Turkey.

Introduction: There are limited data in the literature about the short- to mid-term results of children with flexor tendon injuries. We aim to evaluate the short- to mid-term functional outcomes of children with flexor tendon injuries and to disclose whether the injured side affects the results.

Materials And Methods: Patients who had undergone primary flexor tendon repair were included into the study. Read More

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Infrared Thermal Imaging for Evaluation of Clubfoot After the Ponseti Casting Method-An Exploratory Study.

Front Pediatr 2021 20;9:595506. Epub 2021 Apr 20.

School of Biomedical Engineering, University of Technology Sydney, Sydney, NSW, Australia.

Conservative treatment, Ponseti method, has been considered as a standard method to correct the clubfoot deformity among Orthopedic society. Although the result of conservative methods have been reported with higher success rates than surgical methods, many more problems have been reported due to improper casting, casting pressure or bracing discomfort. Nowadays, infrared thermography (IRT) is widely used as a diagnostic tool to assess musculoskeletal disorders or injuries by detecting temperature abnormalities. Read More

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Predictors of clinical outcomes after non-operative management of symptomatic full-thickness rotator cuff tears.

World J Orthop 2021 Apr 18;12(4):223-233. Epub 2021 Apr 18.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48106, United States.

Background: Previous studies have shown that non-surgical management can be an effective treatment strategy for many patients with rotator cuff tears. Despite the prevalence of rotator cuff disease, few studies have examined the patient and tear related factors that predict outcomes of nonsurgical management in this cohort of patients.

Aim: To identify factors that are associated with changes in patient reported outcomes over time in individuals with full-thickness rotator cuff tears treated without surgery. Read More

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Loading mechanisms of the anterior cruciate ligament.

Sports Biomech 2021 May 7:1-29. Epub 2021 May 7.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.

This review identifies the three-dimensional knee loads that have the highest risk of injuring the anterior cruciate ligament (ACL) in the athlete. It is the combination of the muscular resistance to a large knee flexion moment, an external reaction force generating knee compression, an internal tibial torque, and a knee abduction moment during a single-leg athletic manoeuvre such as landing from a jump, abruptly changing direction, or rapidly decelerating that results in the greatest ACL loads. While there is consensus that an anterior tibial shear force is the primary ACL loading mechanism, controversy exists regarding the secondary order of importance of transverse-plane and frontal-plane loading in ACL injury scenarios. Read More

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Lisfranc injuries in adolescents: A case report and literature review.

Foot (Edinb) 2021 Apr 18;47:101812. Epub 2021 Apr 18.

Section of Orthopedics and Trauma Surgery, Ospedale Salvini, viale Forlanini 95, 20024 Garbagnate Milanese, Milano, Italy.

Lisfranc injuries result if bones or ligaments that support the midfoot are torn. In children and adolescents these injuries are not only rare, but are also similar to adult Lisfranc injuries, in that they are often mistaken especially if the injury is a result of a straightforward twist and fall. The goal of surgical treatment is to realign the joints. Read More

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Return to Play and Re-Injury Rates in NCAA Division I Football Players Following Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft.

Arthroscopy 2021 May 3. Epub 2021 May 3.

LSU Team Doctor - Baton Rouge Orthopaedic Clinic, 8080 Bluebonnet Blvd #1000 Baton Rouge, LA 70810.

Purpose: The purpose of this study was to examine the outcomes of ACL reconstruction using quadrupled hamstring (QH) autograft in a cohort of National Collegiate Athletic Association (NCAA) Division I football players.

Methods: A retrospective analysis was performed on NCAA Division I football players at a single institution who had transtibial ACL reconstruction using QH autograft from 2001 to 2016. Primary outcomes were ACL re-injury and return to play (RTP). Read More

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