Articular Fractures of the Distal Scaphoid

1988 ◽  
Vol 13 (1) ◽  
pp. 87-91
Author(s):  
A. J. PROSSER ◽  
I. J. BRENKEL ◽  
G. B. IRVINE

We propose an anatomical classification of fractures involving the distal articular surface of the scaphoid. The predominant patterns, in the 37 patients reviewed, were avulsion fractures from the radio-volar tip of the tuberosity and impaction fractures of the radial half of the articular surface. The possible mechanisms of injury are discussed.

2012 ◽  
Vol 37 (8) ◽  
pp. 765-771 ◽  
Author(s):  
A. S. Gavaskar ◽  
S. Muthukumar ◽  
N. Chowdary

The goal was to evaluate the efficacy of 2.4 mm column-specific plating for intra-articular distal radius fractures. In total, 105 patients with AO type C distal radius fractures were operated on using the locking distal radius system, Synthes. Follow-up assessments including clinical (wrist and forearm range of motion, grip strength), radiological (articular step, radial length and inclination, volar tilt, and ulnar variance), and functional scores (Disabilities of the Arm, Shoulder, and Hand; Patient Rated Wrist Evaluation) were made at regular intervals until 1 year. Union was obtained in all patients. Articular surface was anatomically reconstructed in 74 patients (70.5%). Clinical and functional evaluation showed significant continuous improvements over the first year. C1 fractures had a better chance of anatomical reduction compared with C2 and C3 fractures. Fracture type, quality of reduction, and presence of degenerative changes did not show a significant effect on functional outcome scores. Column-specific fixation of the distal radius can achieve satisfactory results in complex intra-articular fractures.


Author(s):  
Mohammad Abu-Hegazy ◽  
Azza Elmoungi ◽  
Eman Eltantawi ◽  
Ahmed Esmael

Abstract Background Electrophysiological techniques have been used for discriminating myoclonus from other hyperkinetic movement disorders and for classifying the myoclonus subtype. This study was carried out on patients with different subtypes of myoclonus to determine the electrophysiological characteristics and the anatomical classification of myoclonus of different etiologies. This study included 20 patients with different subtypes of myoclonus compared with 30 control participants. Electrophysiological study was carried out for all patients by somatosensory evoked potential (SSEP) and electroencephalography (EEG) while the control group underwent SSEP. SSEP was evaluated in patients and control groups by stimulation of right and left median nerves. Results This study included 50 cases with myoclonus of different causes with mean age of 39.3 ± 15.7 and consisted of 23 males and 27 females. Twenty-nine (58%) of the patients were epileptics, while 21 (42%) were non-epileptics. Cases were classified anatomically into ten cases with cortical myoclonus (20%), 12 cases with subcortical myoclonus (24%), and 28 cases with cortical–subcortical myoclonus (56%). There was a significant difference regarding the presence of EEG findings in epileptic myoclonic and non-epileptic myoclonic groups (P = 0.005). Also, there were significant differences regarding P24 amplitude, N33 amplitude, P24–N33 peak-to-peak complex amplitude regarding all types of myoclonus. Primary myoclonic epilepsy (PME) demonstrated significant giant response, juvenile myoclonic epilepsy (JME) demonstrated no enhancement compared to controls, while secondary myoclonus demonstrated lower giant response compared to PME. Conclusion Somatosensory evoked potential and electroencephalography are important for the diagnosis and anatomical sub-classification of myoclonus and so may help in decision-making regarding to the subsequent management.


1986 ◽  
Vol 67 (3) ◽  
pp. 186-188
Author(s):  
I. A. Ibatullin ◽  
G. G. Ruppel

We studied the layer-by-layer anatomy of the gluteal region on 102 preparations (51 corpses) and performed a clinical analysis in 312 patients with postinjection infections of the gluteal regions treated by the traditional method.


2018 ◽  
Vol 92 (5) ◽  
pp. 911-919
Author(s):  
Adriana M. Candela ◽  
Nahuel A. Muñoz ◽  
César M. García-Esponda

AbstractExtinct Hydrochoerinae traditionally included within ‘Cardiomyinae’ (Cavioidea, Caviidae) are caviomorph rodents well represented in the late Miocene to late Pliocene of Argentina, but their paleobiology has received little scientific attention. The postcranium of these rodents is poorly known and has not been considered in morphofunctional or systematic studies. Here, we provide the first description of the postcranium of the basal hydrochoerineCardiomysAmeghino, 1885, based on a well-preserved specimen from the late Miocene of Central Argentina, and evaluate its paleobiological and systematic implications. A morphofunctional study and a character mapping analysis were performed. We concluded that most of its postcranial features are neither adaptations to a specialized cursoriality, as in some extant cavioids, nor major modifications associated with swimming, as in extant capybaras.Cardiomysexhibits several features (high humeral distal articular surface, perforated olecranon fossa, proximal portion of radius cranially located with respect to the ulna, subrectangular-shaped radial head with flattened ulnar facet, calcaneocuboid joint distally located with respect to the astragalonavicular joint) that allow us to interpret it as an ambulatory caviid. Among cavioids, some features ofCardiomysare more similar to those ofHydrochoerusBrisson, 1762 (lateral coronoid process reduced, humeral capitular tail well differentiated, capitular tail facet of the radial head well developed and relatively short craniodistally, plantar process of the navicular massive and short). Other postcranial features (relatively longer and more gracile third metatarsal and phalanges, straight caudal border of the ulna) suggest thatCardiomyswould have been a generalized hydrochoerine, as also indicated by its dental and cranial characters.


2013 ◽  
Vol 132 (6) ◽  
pp. 1028e-1039e ◽  
Author(s):  
Zhidian Hou ◽  
Jiyao Zou ◽  
Zengtao Wang ◽  
Shizhen Zhong

2020 ◽  
Vol 30 (5) ◽  
pp. 666-670
Author(s):  
Ilaria Chirichilli ◽  
Francesco Giosuè Irace ◽  
Luca Paolo Weltert ◽  
Andrea Salica ◽  
Lorenzo Guerrieri Wolf ◽  
...  

Abstract OBJECTIVES The shape of the aortic annulus is still under debate. Recent findings suggest a possible gradual spectrum of circularity from tricuspid aortic valves (TAVs), to type 1 bicuspid aortic valves (BAVs) to type 0 BAVs. BAVs have been recently classified in a symmetrical (type A), asymmetrical (type B) or very asymmetrical (type C) phenotype according to the commissural orientation (CO) (160°–180°, 140°–159° and 120°–139°, respectively). The aim of this study is to verify in BAVs the correlation between the aortic annular shape and the CO of valve cusps and to suggest a new anatomical and geometric classification of BAVs based on CO and annular shape. METHODS We retrospectively selected 191 consecutive patients who underwent both electrocardiography-gated computed tomography scan of the aortic root and transthoracic echocardiography between January 2016 and June 2019. The population was divided into 2 groups: 54 BAVs and 137 TAVs. We analysed the subgroup of BAV patients and divided them into group A, group B and group C depending on the CO. The shape of the aortic annulus was considered ‘circular’ or ‘elliptic’ according to the ellipticity index (EI).We studied the possible correlation between CO and annular shape in BAVs. We also analysed the subgroup of TAV patients studying their annular shape and EI. RESULTS After univariate linear regression, BAV patients showed a significant correlation between the CO and the EI (R = −0, 445, R2 = 0, 198, P = 0.001). As the CO decreases, the EI increases and approaches an elliptical shape. After grouping BAVs according to the CO, a mean EI of 1.10 ± 0.07 was found in group A, 1.13 ± 0.08 in group B, 1.18 ± 0.07 in group C, P = 0.0097 indicating a gradual spectrum of ellipticity with the decrease of CO. TAVs subgroup showed a mean EI of 1.27 ± 0.09, suggesting that the more the CO is reduced in BAVs, the more the annulus probably tends towards the very elliptical shape of TAVs. CONCLUSIONS This study shows a linear correlation between CO and annular shape in BAVs. In particular, the aortic annulus follows a continuous spectrum of ellipticity depending on the CO. These findings lay the groundwork for a new anatomical classification of BAVs based on CO and annular shape.


2019 ◽  
Vol 4 (4) ◽  
pp. 247301141988534
Author(s):  
Baofu Wei ◽  
Brian C. Lau ◽  
Annunziato Amendola

Background: The Cotton osteotomy, or dorsal-opening wedge osteotomy of the medial cuneiform (MC), is used to address medial column alignment to restore the static-triangle of support. There are many described techniques regarding the incision and osteotomy. Successful completion of the osteotomy requires knowledge of the anatomy, particularly the location of the medial dorsal cutaneous nerve (MDCN). This study describes the relationship between MDCN, tibialis anterior, extensor-hallucis-longus tendon, and ligamentous attachments to the MC. A technique to determine a safe location for the osteotomy is also described. Methods: Twelve fresh-frozen adult foot specimens were used for this study (7 male and 5 female). The MDCN and its branches were dissected and its relationship with the MC was documented. Osteotomy tilt angle and relationship to structures around the MC were measured. Results: MDCN traveled medially and distally over the dorsum of the MC, and a small branch to the MC was observed. The tilt angle was 80.1 ±1.4 degrees. There was no significant difference between the distance from the distal-articular surface to the midline of the cuneiform and to the interosseous ligament ( P = .69), or between the distance from the distal-articular surface to the second tarsometatarsal joint and to the origin of the Lisfranc ligament ( P = .12). Conclusions: The dorsal-medial-oblique incision effectively protected MDCN and the MC. We believe the osteotomy should be performed in the safe zone to maintain the stability of the opening wedge. Clinical relevance: The dorsal-medial-oblique incision could reduce the risk of injury to the MDCN and the tibialis-anterior tendon.


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