Orthopedics

Article Critical Care Medicine

Analysis of dental traumatic patterns in standing electric scooter-related accidents

Youngmin Kwon, Jihye Lim, Chunui Lee

Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Operative outcomes and fracture patterns in dysmorphic sacrums

Alejandro Alejandrez, Motasem Refaat, Yeng Vue

Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Review Critical Care Medicine

Compression screw internal fixation versus non-weight-bearing cast immobilization for Jones fractures in children

Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng

Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Review Critical Care Medicine

Calcaneal tuberosity avulsion fractures - A review

Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li

Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Orthopedics

Posterior lateral meniscal overhang is associated with ACL tears: A retrospective case-control study

Henry DeBell, Joseph W. Elphingstone, Mathew Hargreaves, Garrett Jebeles, Benjamin Euwer, Carl Narducci, Wilson Narducci, Eugene Brabston, Thomas Evely, Aaron Casp, Amit Momaya

Summary: Patients with ACL injuries show a higher frequency of posterior lateral meniscal overhang (LMO) compared to uninjured controls. This suggests a potential association between LMO and ACL injuries, but further research is needed to better understand its clinical significance.

JOURNAL OF ORTHOPAEDICS (2024)

Article Orthopedics

The role of implant retention and conservative management in the management of fracture-related infection

Shao-Ting Jerry Tsang, Nando Ferreira

Summary: The management of fracture-related infection (FRI) has advanced in recent years, with debridement, antibiotics, and implant retention (DAIR) procedures showing promise in early FRI treatment. This article discusses the principles and indications of DAIR, emphasizing the importance of meticulous debridement and dead space management. The outcomes of DAIR, including varying fracture union rates, are discussed, as well as the role of antimicrobial suppression. Further research is needed to establish optimal treatment strategies, but DAIR offers valuable treatment for FRI when specific criteria are met.

JOURNAL OF ORTHOPAEDICS (2024)

Article Critical Care Medicine

Cost of U.S emergency department and inpatient visits for fall injuries in older adults

Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy

Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Fragility spinal fractures among cirrhotic liver transplant candidates in Croatia

Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic

Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Orthopedics

Distal Radius Nonunions A Rare Entity?

Sofia Bougioukli, Kevin C. Chung

Summary: Although distal radius fractures are common, nonunion is rare. Nonunion is associated with factors such as comminution, ulna fracture, inadequate immobilization, and patient-related factors. Treatment options depend on infection, joint condition, and previous surgeries. Surgical techniques include fixation with or without bone graft, as well as wrist arthrodesis.

HAND CLINICS (2024)

Article Orthopedics

Role of Three-Dimensional Guides in Management of Forearm and Wrist Malunions

Geert Alexander Buijze, Andreas Verstreken, Frederik Verstreken

HAND CLINICS (2024)

Article Orthopedics

Scaphoid Nonunions Local Vascularized Bone Flaps

Justin C. McCarty, Ryoko Hamaguchi, Kyle R. Eberlin

Summary: If left untreated, scaphoid nonunions can lead to advanced collapse and may require salvage procedures. Different techniques, including vascularized bone flaps, have been used to address this condition, with faster union time compared to nonvascularized grafts. Vascularized bone flaps should be considered by hand surgeons to achieve high union rates.

HAND CLINICS (2024)

Article Orthopedics

Management of Ulnar Styloid Nonunions

Maximilian A. Meyer, Fraser J. Leversedge

Summary: Ulnar styloid fractures commonly occur in conjunction with distal radius fractures, but can also occur in isolation. Most proximal fractures progress to asymptomatic nonunion with minimal effect on functional outcomes. Surgical intervention is warranted when symptomatic or causing persistent DRUJ instability. Advanced imaging and/or diagnostic wrist arthroscopy can provide critical information for TFCC repair.

HAND CLINICS (2024)

Article Orthopedics

Forearm Nonunions-From Masquelet to Free Vascularized Bone Grafting

Marc J. Richard, Catphuong L. Vu

HAND CLINICS (2024)

Article Orthopedics

Metacarpal and Phalangeal Malunions-Is It all About the Rotation?

Jeremy E. Raducha, Warren C. Hammert

HAND CLINICS (2024)

Article Neurosciences

Reactive postural adjustment in response to predictable and unpredictable perturbations in healthy adults: A comparison between swayback, hyperlordotic and erect postures

Sharon M. H. Tsang, Evest H. W. Chan, Jason Y. H. Chan, Gladys P. Y. Huang, Kelly K. T. Lam, Eunice W. Y. Lam, Allan C. L. Fu, Eliza R. Sun

Summary: This study examined the differences in postural adjustments between erect, hyperlordotic, and swayback postures when facing external perturbations. The findings suggest that adopting hyperlordotic and swayback postures alters the contributions of the active and passive subsystems of the spine in postural control, potentially reducing the spine's ability to withstand loading and shear forces.

GAIT & POSTURE (2024)

Article Orthopedics

Traditional Bone Grafting in Scaphoid Nonunion

Erin A. Miller, Jerry I. Huang

Summary: Scaphoid nonunion remains a challenging problem for hand surgeons, and attention to technical details is crucial. Aggressive debridement before grafting is considered the most critical step in the operation. Repairing scaphoid collapse can improve postoperative wrist function, although it is not necessary for achieving union.

HAND CLINICS (2024)

Article Critical Care Medicine

Socioeconomic status is associated with greater hazard of post-discharge mortality than race, gender, and ballistic injury mechanism in a young, healthy, orthopedic trauma population

Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer

Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Neurosciences

Do increasingly unstable balance devices provide a graded challenge to bipedal stance in total hip arthroplasty patients?

Nina Gras, Torsten Brauner, Scott Wearing, Thomas Horstmann

Summary: This study aimed to investigate the challenge posed by progressively unstable balance devices to bipedal stance during early functional rehabilitation in THA patients. The results showed that increasingly compliant balance pads provided a progressive challenge, while the challenge posed by the oscillating platform was lower and independent of the ability to stand independently.

GAIT & POSTURE (2024)

Article Neurosciences

Evaluation of lumbar and hip movement characterization and muscle activities during gait in patients with knee osteoarthritis

Hsin-yi Wang, Cheng-Yi Ho, Min-Chun Pan

Summary: This study investigated the differences in lumbar and hip movements during gait and muscle activities related to knee osteoarthritis (KOA) patients and healthy participants. The results showed that KOA patients used a hyperlordotic lumbar and hip flexed strategy, leading to excessive stress on the lower extremity joints during gait.

GAIT & POSTURE (2024)

Article Critical Care Medicine

Comparison of the operation safety and biomechanical stability of sacral alar-iliac vs. sacroiliac screws in the fixation of sacroiliac joint in simulated models of low bone density

Shihao Du, Xin Li, Changbao Wei, Yunhong Ma, Jun Liu, Yongwe Wu

Summary: The stability of S1AIS and S2AIS is similar, both stronger than that of SIS and TSTIS. However, the safety zone of S2AIS at the insertion point is smaller than that of S1AIS. Therefore, considering both safety and stability, S1AIS is the preferred choice for fixation of sacroiliac joint dislocation in simulated models of low bone density.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)