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[PMID]:29169602
[Au] Autor:Shearin JW; Chapman TR; Miller A; Ilyas AM
[Ad] Endereço:Hand & Upper Extremity Surgery, Department of Orthopedic Surgery, Arnot Health, Elmira, NY, USA.
[Ti] Título:Ulnar Nerve Management with Distal Humerus Fracture Fixation: A Meta-Analysis.
[So] Source:Hand Clin;34(1):97-103, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ulnar nerve dysfunction following distal humerus fractures is a well-recognized phenomenon. There is no consensus regarding optimal handling of the ulnar nerve during surgical management of these fractures between in situ management and transposition. Using an electronic database to identify retrospective studies involving surgical fixation of distal humerus fractures yielded 46 studies, 5 trials meeting the authors' inclusion criteria, totaling 362 patients. An overall incidence of 19.3% for ulnar neuropathy was identified. Of those patients undergoing in situ release, the incidence was 15.3%. Of those who underwent transposition, there was a 23.5% incidence of ulnar neuropathy.
[Mh] Termos MeSH primário: Fixação de Fratura/efeitos adversos
Fraturas do Úmero/cirurgia
Neuropatias Ulnares/etiologia
Neuropatias Ulnares/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Fraturas do Úmero/complicações
Cuidados Intraoperatórios
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


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[PMID]:29169591
[Au] Autor:Chang G; Ilyas AM
[Ad] Endereço:Rothman Institute at Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: gerard.chang@gmail.com.
[Ti] Título:Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis.
[So] Source:Hand Clin;34(1):105-112, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Radial nerve palsies are a common complication associated with humeral shaft fractures. The authors propose classifying these injuries into 4 types based on intraoperative findings: type 1 stretch/neuropraxia, type 2 incarcerated, type 3 partial transection, and type 4 complete transection. The initial management of radial nerve palsies associated with closed fractures of the humerus remains a controversial topic, with early exploration reserved for open fractures, fractures that cannot achieve an adequate closed reduction requiring fracture repair, fractures with associated vascular injuries, and polytrauma patients. Outside of these recommendations, expectant observation for spontaneous recovery is recommended.
[Mh] Termos MeSH primário: Fraturas do Úmero/complicações
Fraturas do Úmero/cirurgia
Neuropatia Radial/classificação
Neuropatia Radial/cirurgia
[Mh] Termos MeSH secundário: Fixação Interna de Fraturas/efeitos adversos
Seres Humanos
Prognóstico
Nervo Radial/anatomia & histologia
Neuropatia Radial/diagnóstico
Neuropatia Radial/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


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[PMID]:29252638
[Au] Autor:Sameer MM; Bassetty KC; Singaravadivelu V
[Ad] Endereço:Institute of Orthopaedics and Traumatology, Madras Medical College, Chennai, Tamil Nadu, India.
[Ti] Título:Transcondylar Fracture-Dislocation of the Elbow: A Case Report.
[So] Source:JBJS Case Connect;6(3):e61, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: Transcondylar fracture of the distal part of the humerus with associated dislocation (Posadas fracture) is rare. Stabilization of this fracture is often difficult because the distal fragments are small and are predominantly composed of impacted articular cartilage. CONCLUSION: We report the case of a patient in whom this rare fracture, which was associated with a brachial artery injury, was successfully treated with internal fixation.
[Mh] Termos MeSH primário: Artéria Braquial/lesões
Articulação do Cotovelo/lesões
Fixação Interna de Fraturas
Fraturas do Úmero/cirurgia
[Mh] Termos MeSH secundário: Criança
Articulação do Cotovelo/diagnóstico por imagem
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00240


  4 / 6265 MEDLINE  
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[PMID]:29201310
[Au] Autor:El-Sobky TA; Haleem JF; Sakr HM; Aly AS
[Ad] Endereço:Division of Pediatric Orthopedics, Department of Orthopedic Surgery, Ain-Shams University Faculty of Medicine, Cairo, Egypt.
[Ti] Título:A Neglected Markedly Displaced Medial Epicondyle Fracture with Simultaneous Ulnar Nerve Palsy in an Adolescent.
[So] Source:Clin Orthop Surg;9(4):542-546, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Humeral medial epicondyle fractures constitute around 15% of pediatric elbow fractures. Up to 60% occur in association with elbow dislocations. Knowledge of potential imaging pitfalls when examining acute elbow fractures in children contributes significantly to accurate diagnosis. Nevertheless, management of missed pediatric medial epicondyle fractures has rarely been reported. We present an 11-year-old boy with a neglected and severely displaced medial epicondyle fracture with concurrent ulnar nerve palsy. We performed neural decompression, fragment excision, and muscular and capsuloligamentous reconstruction of the medial elbow. This study demonstrates that the surgical outcome of a late presenting fracture can be satisfactory in terms of function and neural recovery. It also underscores the importance of careful interpretation of elbow imaging including normal anatomic variants.
[Mh] Termos MeSH primário: Articulação do Cotovelo/cirurgia
Fraturas do Úmero/complicações
Fraturas do Úmero/cirurgia
Neuropatias Ulnares/complicações
Neuropatias Ulnares/cirurgia
[Mh] Termos MeSH secundário: Criança
Diagnóstico Tardio
Erros de Diagnóstico
Articulação do Cotovelo/lesões
Epífises
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.542


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[PMID]:29201304
[Au] Autor:Ko SH; Cha JR; Lee CC; Joo YT; Eom KS
[Ad] Endereço:Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
[Ti] Título:Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures.
[So] Source:Clin Orthop Surg;9(4):506-513, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: This study aims to compare the surgical outcomes of open reduction and internal fixation (ORIF) and minimally invasive plate osteosynthesis (MIPO) using a screw compression method in simple humeral shaft fractures. Methods: This retrospective study was performed with 50 patients who had surgical interventions for the treatment of simple humeral shaft fractures and had follow-ups of at least 12 months in Ulsan University Hospital between August 2008 and June 2015. Group 1 included 23 patients treated with ORIF and group 2 included 27 patients treated with the MIPO technique using a locking screw plate. The time to clinical/radiographic union, the joint range of motion (ROM), and function were evaluated. Results: The average time to clinical/radiographic bone union was shorter in group 2 (12.0 ± 3.7 weeks/14.8 ± 2.0 weeks in group 1 and 9.4 ± 1.3 weeks/12.0 ± 3.3 weeks in group 2; = 0.022/ = 0.034). Shoulder and elbow joint function evaluated by joint ROM and visual analogue scale (VAS), Korean Shoulder Elbow Society (KSS), American Shoulder and Elbow Surgeons (ASES), and the University of California at Los Angeles (UCLA) scores was excellent in both groups. On the average shoulder ROM at 12 months after the operation, group 1 had forward elevation of 160°, external rotation of 30° in adduction and lumbar vertebra 10 level in internal rotation and group 2 had forward elevation of 170°, external rotation of 35° in adduction and lumbar vertebra 9 level in internal rotation. The mean VAS, KSS, ASES, and UCLA scores were 2.8, 87.0 ± 0.9, 89.4 ± 0.9, and 31.0 ± 1.4, respectively, in group 1 and 1.7, 89.1 ± 2.7, 91.0 ± 1.6, and 32.4 ± 3.2, respectively, in group 2. There were statistically significant intergroup differences in VAS score ( = 0.011). There were significantly less postoperative infections in group 2 (three cases, 10.7% in group 1 and 0 case in group 2; = 0.041) although all of them were superficial infections and well-treated by an average 4-week course of antibiotics (range, 2 to 6 weeks). Conclusions: MIPO using a screw compression method in simple humeral shaft fractures demonstrated superior efficacy to ORIF in terms of the time to clinical/radiographic union, pain score, and postoperative infection rate.
[Mh] Termos MeSH primário: Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Redução Aberta
[Mh] Termos MeSH secundário: Adulto
Idoso
Placas Ósseas
Parafusos Ósseos
Diáfises/lesões
Diáfises/cirurgia
Articulação do Cotovelo/fisiopatologia
Feminino
Fixação Interna de Fraturas/instrumentação
Consolidação da Fratura
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Redução Aberta/efeitos adversos
Radiografia
Amplitude de Movimento Articular
Estudos Retrospectivos
Rotação
Articulação do Ombro/fisiopatologia
Infecção da Ferida Cirúrgica/etiologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.506


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[PMID]:29310333
[Au] Autor:Lu X; Yan G; Lu M; Guo Y
[Ti] Título:Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population.
[So] Source:Medicine (Baltimore);96(48):e8595, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study was conducted to explore epidemiologic features of traumatic elbow dislocation with associated fractures in pediatric population following appropriate treatment options.Incidence of elbow dislocation with associated fractures was analyzed in 67 children using elbow radiographs. Treatment for the displaced elbow joint was performed by closed reduction and proper immobilization. Surgical intervention was applied to restore the correct alignment of the fracture. Mayo Elbow Performance Score (MEPS) was used to measure elbow joint function.Incidence of pure dislocation was observed in 7 of 67 children (10.45%). Elbow dislocation was typically accompanied by a single or multiple fractures in 39 (58.21%) and 21 (31.34%) of 67 children, respectively. In contrast, lateral humeral condyle fracture and medial humeral epicondyle fracture accounted for 35.90% and 30.77% of pediatric elbow fractures. All children with elbow fracture-dislocations received surgical intervention by open reduction and internal fixation. During follow-up, 56% to 92% of children displayed significant recovery of elbow function with improving MEPS after the displaced elbow and fractured fragments were reduced and held in place for weeks. There were statistical differences in MEPS between the types of fractures (P < .05 or P < .01).Incidence of isolated elbow dislocation without fracture is low; rather, it is frequently associated with fractures. Early surgical intervention achieves stable fixation and bony union with utility in improving elbow function in the pediatric population.
[Mh] Termos MeSH primário: Articulação do Cotovelo/cirurgia
Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
Luxações Articulares/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
China/epidemiologia
Articulação do Cotovelo/diagnóstico por imagem
Feminino
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Fraturas do Úmero/epidemiologia
Luxações Articulares/diagnóstico por imagem
Luxações Articulares/epidemiologia
Masculino
Amplitude de Movimento Articular
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008595


  7 / 6265 MEDLINE  
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[PMID]:29205983
[Au] Autor:Launonen AP; Sumrein BO; Lepola V
[Ti] Título:Treatment of proximal humerus fractures in the elderly.
[So] Source:Duodecim;133(4):353-8, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:A proximal humerus fracture typically occurs when an elderly woman falls directly onto her shoulder or on her outstretched arm. Local pain in the shoulder and immobility of the upper arm raise a suspicion of a significant injury. Other bone and tendon injuries in the shoulder region as well as dislocation of the shoulder should be considered on differential diagnosis. Diagnosis is achieved by plain X-ray. Most fractures can be treated conservatively. Consultation with an orthopedist is needed, if there are several fracture fragments with extensive dislocation.
[Mh] Termos MeSH primário: Fraturas do Úmero/diagnóstico por imagem
Fraturas do Úmero/etiologia
Fraturas do Úmero/terapia
[Mh] Termos MeSH secundário: Acidentes por Quedas
Idoso
Tratamento Conservador
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  8 / 6265 MEDLINE  
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[PMID]:29182142
[Au] Autor:Corominas L; Sanpera J; Rodriguez de la Rubi E
[Ti] Título:An atypical case of elbow fracture Bilateral Capitellum Humeri Fracture in a Teenage.
[So] Source:Acta Orthop Belg;82(4):930-935, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Fractures of the capitellum are rare injures of the elbow rarely seen in adolescents. We report a case of a 14 year-old boy who sustained a bilateral Hahn-Steinthal type fracture of his capitelum humeri. To our knowledge, such bilateral injury has not been reported before in teenagers. This paper reviews the literature regarding the epidemiology, classification and management of this rare pediatric capitellar fracture.
[Mh] Termos MeSH primário: Ciclismo/lesões
Articulação do Cotovelo/lesões
Fixação Interna de Fraturas
Fraturas do Úmero/cirurgia
Redução Aberta
[Mh] Termos MeSH secundário: Acidentes por Quedas
Adolescente
Articulação do Cotovelo/diagnóstico por imagem
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Masculino
Radiografia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  9 / 6265 MEDLINE  
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[PMID]:29182136
[Au] Autor:Jones S; Khandekar S; Siraj F; Talaseela B; Mohammed SA; Kamhawy A
[Ti] Título:Titanium elastic nailing in femoral diaphyseal fractures in children of 6-14 years age.
[So] Source:Acta Orthop Belg;82(4):896-900, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study is to report our experience of fractures in children riding Hoverboards. METHODS: We undertook a prospective review of all children attending our hospital who sustained fractures whilst riding a Hoverboard. Data such as patient demographics, type of fracture sustained, treatment received, complications and outcome were collected. RESULTS: Twelve children, 5 males and 7 females with ages ranging from 5.5 to 15.3 years were included in this study. All patients sustained upper limb fractures and the distal radius was the commonest fracture site (30%). Surgery was required in 6 (50%) out of the 12 patients because the respective fractures were displaced. No patient had any ongoing complaints or disability at the last clinic review.   Conclusion : Children riding Hoverboards are predisposed to upper limb fractures and parents who purchase Hoverboards should be warned about this.
[Mh] Termos MeSH primário: Fraturas do Úmero/epidemiologia
Fraturas do Rádio/epidemiologia
Patinação/lesões
[Mh] Termos MeSH secundário: Adolescente
Fios Ortopédicos
Moldes Cirúrgicos
Criança
Pré-Escolar
Redução Fechada
Feminino
Fixação Interna de Fraturas
Seres Humanos
Fraturas do Úmero/terapia
Imobilização
Masculino
Redução Aberta
Estudos Prospectivos
Fraturas do Rádio/terapia
Extremidade Superior/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  10 / 6265 MEDLINE  
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[PMID]:29182135
[Au] Autor:Frongia G; Janosi C; Mehrabi A; Schenk JP; Günther P
[Ti] Título:Long-term outcome in displaced lateral humeral condyle fractures following internal screw fixation in children.
[So] Source:Acta Orthop Belg;82(4):889-895, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to investigate the long-term clinical outcome following open reduction and internal screw fixation of displaced lateral condyle fractures (LCFs) of the distal humerus and compare the outcome of primary and secondary LCFs. METHODS: The clinical outcome in 31 children (mean age 5.8±2.4 years) operated for primary or secondary LCFs was retrospectively analyzed by standardized clinical examination and compared using the Mayo score, Morger score, and Patients Satisfaction score. RESULTS: The scores did not differ significantly between the primary and secondary displacement groups (Mayo score: 99.3±3.3 vs. 100±0, p=0.852; Morger score: 3.8±0.5 vs. 3.9±0.3, p=0.852; Patients Satisfaction score: 3.7±0.6 vs. 3.9±0.3, p=0.546). Deficits in range of motion and joint axis deviation were minor (< 10°) and no elbow instabilities were observed. CONCLUSIONS: Surgical treatment of a secondary displaced LCF with open reduction and internal screw fixation leads to a favorable long-term outcome. The long-term outcome is similar between primary and secondary displaced LCFs.
[Mh] Termos MeSH primário: Parafusos Ósseos
Articulação do Cotovelo/lesões
Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Articulação do Cotovelo/cirurgia
Feminino
Seguimentos
Seres Humanos
Masculino
Satisfação do Paciente
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE



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