Corner fracture type spondylometaphyseal dysplasia: Overlap with type II collagenopathies

There is disagreement in the literature about the most common fracture type at the base of the proximal phalanx of the thumb in children below the age of adolescence. In this prospective study, 58 consecutive children aged 10 years or less with isolated fractures of the base of the proximal phalanx of the thumb were included and their radiographs were reviewed. The study included 38 boys and 20 girls with a mean age of 8 (range 1–10) years. After excluding one patient, in whom the type of fracture could not be determined, the most common fracture in the remaining 57 cases was the Salter–Harris type II fracture (72%), followed by the juxta-epiphyseal type II fracture (18%).

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The Relative Incidence of Fractures at the Base of the Proximal Phalanx of the Fingers in Children

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193408090146 ◽

2008 ◽

Vol 33 (4) ◽

pp. 465-468 ◽

Cited By ~ 15

Author(s):

M. M. AL-QATTAN ◽

K. AL-ZAHRANI ◽

A. A. AL-BOUKAI

Keyword(s):

Prospective Study ◽

Proximal Phalanx ◽

Type I ◽

X Rays ◽

Type Ii ◽

Fracture Type ◽

Type Iv ◽

Salter Harris ◽

A Prospective Study ◽

Musculoskeletal Radiologist

There is debate regarding the most common fracture type at the base of the proximal phalanx of the fingers in children prior to closure of the epiphysis. In total, 100 consecutive children presenting with 103 fractures were included in a prospective study and their X-rays were reviewed by a consultant musculoskeletal radiologist. The study included 61 boys and 39 girls with a mean age of 10 (range 4–14) years. The most common fracture observed was the juxta-epiphyseal type II fracture (53%), followed by the Salter–Harris type II fracture (26%). Other fractures observed included Salter–Harris type I (4%), Salter–Harris type IV (5%), juxta-epiphyseal type I (8%), transverse metaphyseal (2%) and oblique metaphyseal (2%).

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Evidence-based analysis of odontoid fracture management

Neurosurgical FOCUS ◽

10.3171/foc.2000.8.6.2 ◽

2000 ◽

Vol 8 (6) ◽

pp. 1-6 ◽

Cited By ~ 103

Author(s):

Terrence D. Julien ◽

Bruce Frankel ◽

Vincent C. Traynelis ◽

Timothy C. Ryken

Keyword(s):

Selection Criteria ◽

Odontoid Fracture ◽

Evidence Based ◽

Type I ◽

Type Ii ◽

Fracture Type ◽

Class Iii ◽

Odontoid Fractures ◽

Type Iii ◽

Fracture Management

Object The management of odontoid fractures remains controversial. Evidence-based methodology was used to review the published data on odontoid fracture management to determine the state of the current practices reported in the literature. Methods The Medline literature (1966–1999) was searched using the keywords “odontoid,” “odontoid fracture,” and “cervical fracture” and graded using a four-tiered system. Those articles meeting selection criteria were divided in an attempt to formulate practice guidelines and standards or options for each fracture type. Evidentiary tables were constructed by treatment type. Ninety-five articles were reviewed. Five articles for Type I, 16 for Type II, and 14 for Type III odontoid fractures met selection criteria. All studies reviewed contained Class III data (American Medical Association data classification). Conclusions There is insufficient evidence to establish a standard or guideline for odontoid fracture management. Given the extent of Class III evidence and outcomes reported on Type I and Type III fractures, a well-designed case-controlled study would appear to provide sufficient evidence to establish a practice guideline, suggesting that cervical immobilization for 6 to 8 weeks is appropriate management. In cases of Type II fracture, analysis of the Class III evidence suggests that both operative and nonoperative management remain treatment options. A randomized trial or serial case-controlled studies will be required to establish either a guideline or treatment standard for this fracture type.

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Tetralogy of fallot in a patient with developmental coxa vara/spondylometaphyseal dysplasia-corner fracture type (DCV/SMD-CF) expanding the variability

American Journal of Medical Genetics Part A ◽

10.1002/ajmg.a.30704 ◽

2005 ◽

Vol 136A (4) ◽

pp. 395-397

Author(s):

Piergiorgio Franceschini ◽

Domenico Licata ◽

Federico Signorile ◽

Andrea Guala ◽

Giuseppe Ingrosso ◽

...

Keyword(s):

Tetralogy Of Fallot ◽

Coxa Vara ◽

Fracture Type ◽

Spondylometaphyseal Dysplasia

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The patterns of maxillofacial fractures in traumatic head injury patients in Songklanagarind hospital: a retrospective study.

10.21203/rs.2.21190/v1 ◽

2020 ◽

Author(s):

Orawan Chansanti ◽

Yaninee Anusitviwat ◽

Atthawit Mongkornwong

Keyword(s):

Retrospective Study ◽

Head Injury ◽

Coronoid Process ◽

Type Ii ◽

Fracture Type ◽

Traumatic Head Injury ◽

Le Fort ◽

Maxillofacial Fracture ◽

Maxillofacial Fractures ◽

Traumatic Head

Abstract Background: Maxillofacial injury was usually found in low to middle countries moreover it commonly associated with brain injury, the major etiological factors are traffic collision, violence, and fall from hight. The incidence and etiology was important to developed treatment moreover to improve patient care in the future. The aim of this study was to analyze the incidence of the pattern of maxillofacial fracture in a patient with a traumatic head injury and to measure the incidence of the cause of injury, age, and gender distribution Methods: This is a retrospective study in Songhklanagarind hospital. We evaluate all patients who presented with a concomitant maxillofacial and traumatic head injury in Songklanagarind hospital between 2007 and 2016. Results: 859 patients consisting of 73.3% male and 22.7% female. The mean age was 39.5 years.The severity of the traumatic head injury was mild traumatic head injury 70.15%. Moreover the alcohol consumption was significantly related to a mild and severe traumatic head injury (P < 0.05). The most frequent was maxilla bone. 33.9% of patients were undergone the operation. Conclusion: In this retrospective study, the maxilla bone fracture was the most frequent site involved. The patients with mild traumatic head injury are related to the coronoid process of mandible, Le Fort fracture type II and type III, moderate traumatic head injury is only related to the coronoid process of mandible and severe traumatic head injury are related to Le Fort fracture type II and III. Keyword: traumatic head injury, maxillofacial fracture

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Analysis on Risk Factors for Neck Shortening After Internal Fixation for Pauwels II Femoral Neck Fracture in Young Patients

10.21203/rs.3.rs-37195/v1 ◽

2020 ◽

Author(s):

Fulong Zhao ◽

Lijuan Guo ◽

xuefei wang ◽

Yakui Zhang

Keyword(s):

Risk Factors ◽

Femoral Neck ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

Young Patients ◽

Type Ii ◽

Fracture Type ◽

Medial Cortex ◽

Neck Fracture ◽

Cancellous Screws

Abstract Background:Femoral neck shortening can occur in in young patients receiving internal fixation for Pauwels type II femoral neck fracture. The risk factors for neck shortening, which can affect hip function, are not clear. This study aimed to retrospectively identify risk factors for neck shortening after internal fixation with parallel partially threaded cannulated cancellous screws for Pauwels type II femoral neck fracture in relatively young patients. Methods: Clinical data from 122 cases with Pauwels type II femoral neck fracture from February 2014 to February 2019 were reviewed and analyzed, and causes of neck shortening were statistically analyzed. And the chi-squared test or Fisher’s exact test was used to compare indicators. Multivariate analysis was conducted with non-conditional logistic regression analysis. Results: Statistically significant differences were found in age, sex, BMD, BMI, fracture type, posterior medial cortex comminution, and reduction quality between patients with femoral neck shortening and those without femoral neck shortening. Logistic regression analysis showed that fracture type, posterior medial cortex comminution, and reduction quality were the main risk factors for neck shortening. Conclusion：Fracture type, posterior medial cortex comminution, and reduction quality can be used as important reference indexes to predict the possibility of neck shortening after internal fixation with parallel, partially threaded, cannulated cancellous screws for Pauwels type II femoral neck fracture in young patients.BMD and BMI may be also risk factors.

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Spondylometaphyseal dysplasia, corner fracture type

10.53347/rid-8505 ◽

2010 ◽

Author(s):

Yair Glick ◽

Hani Salam

Keyword(s):

Fracture Type ◽

Spondylometaphyseal Dysplasia

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Analysis on risk factors for neck shortening after internal fixation for Pauwels II femoral neck fracture in young patients

European Journal of Medical Research ◽

10.1186/s40001-021-00531-9 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Fulong Zhao ◽

Lijuan Guo ◽

Xuefei Wang ◽

Yakui Zhang

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Femoral Neck ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

Young Patients ◽

Type Ii ◽

Fracture Type ◽

Medial Cortex ◽

Neck Fracture

Abstract Background Femoral neck shortening can occur in young patients receiving internal fixation for Pauwels type II femoral neck fracture. The risk factors for neck shortening, which can affect hip function, are not clear. This study aimed to retrospectively identify risk factors for neck shortening after internal fixation with parallel partially threaded cannulated cancellous screws (FPTCS) for Pauwels type II femoral neck fracture in relatively young patients. Methods Clinical data from 122 cases with Pauwels type II femoral neck fracture from February 2014 to February 2019 were reviewed and analyzed, and causes of neck shortening were statistically analyzed. And the Chi-squared test or Fisher’s exact test was used to compare indicators. Multivariate analysis was conducted with non-conditional logistic regression analysis. Results Statistically significant differences were found in age, sex, BMD, BMI, fracture type, posterior medial cortex comminution, and reduction quality between patients with femoral neck shortening and those without femoral neck shortening. Logistic regression analysis showed that fracture type, posterior medial cortex comminution, and reduction quality were the main risk factors for neck shortening. Conclusion Fracture type, posterior medial cortex comminution, and reduction quality can be used as important reference indexes to predict the possibility of neck shortening after internal fixation with FPTCS for Pauwels type II femoral neck fracture in young patients. BMD and BMI may be also risk factors.

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Spinal Trauma: a case report

Neurologico Spinale Medico Chirurgico ◽

10.15562/nsmc.v1i2.94 ◽

2018 ◽

Vol 1 (2) ◽

pp. 16

Author(s):

Nasrullah Mustamir

Keyword(s):

Case Report ◽

Pedicle Screws ◽

Odontoid Fracture ◽

Type Ii ◽

Cervical Spine Trauma ◽

Lateral Mass ◽

Fracture Type ◽

Spine Trauma ◽

X Ray ◽

Car Accident

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.

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Spinal Trauma: a case report

Neurologico Spinale Medico Chirurgico ◽

10.15562/nsmc.v1i2.63 ◽

2018 ◽

Vol 1 (2) ◽

Author(s):

Nasrullah Mustamir

Keyword(s):

Case Report ◽

Pedicle Screws ◽

Odontoid Fracture ◽

Type Ii ◽

Cervical Spine Trauma ◽

Lateral Mass ◽

Fracture Type ◽

Spine Trauma ◽

X Ray ◽

Car Accident

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.

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