Radiographic evaluation in three dimensions of condylar fractures with closed treatment in children and adolescents

Author(s):  
Changxin Du ◽  
Bing Xu ◽  
Min Zhu ◽  
Yanfei Zhu
2005 ◽  
Vol 63 (9) ◽  
pp. 1304-1309 ◽  
Author(s):  
Meike Stiesch-Scholz ◽  
Stephan Schmidt ◽  
André Eckardt

2020 ◽  
Author(s):  
MARCO ANTONIO ARRUDA ◽  
Renato Arruda ◽  
Luis Anunciacao

Executive functions (EF) are a set of high order mental abilities that regulate cognition, emotions, and behavior. This study aims to report the construction and validation of a rating scale instrument for EF in children and adolescents aged from 5 to 18 years (EFICA), as well as to report the results of a comparison between children with ADHD and their peers without it. Thus, we conducted a population-based cross-sectional study relying on a sample composed of 3,284 typical children and adolescents accessed to study the psychometric properties of the parents’ inventory (EFICA-P) and the teacher’s inventory (EFICA-T) within a Structural Equation Modeling framework (SEM). Exploratory and confirmatory analyses were fitted, as well as the Cronbach’s alpha and the McDonald’s omega reliability indices. The known-groups method was carried out by independent Welch t-tests between untreated ADHD children and their peers. We concluded that the parents’ inventory is composed of three dimensions (Cool Index 1, Cool Index 2, and Hot Index): v2 (1,649) = 4,607.852 p<.01, CFI = .965, TLI .963, RMSEA = .053, whereas the teachers inventory is composed of two dimensions (Cool Index and Hot Index): v2 (1,273) = 5,158.240, p<.01, CFI =.991,TLI = .991, RMSEA = .077. The internal consistency of both inventories was >.9. Significant differences between the ADHD groups were found in all domains accessed. These findings indicate that both inventories have a high degree of validity regarding their internal structures, as well as supporting their clinical utility.


2016 ◽  
Vol 126 (11) ◽  
pp. 2423-2425 ◽  
Author(s):  
Renata Khelemsky ◽  
Sami P. Moubayed ◽  
Daniel Buchbinder

2016 ◽  
Vol 9 (3) ◽  
pp. 229-234 ◽  
Author(s):  
K.M. Sudheesh ◽  
Rajendra Desai ◽  
K. Sn Siva Bharani ◽  
S. Subhalakshmi

There are no clearly defined guidelines for when an open or closed treatment is indicated for treatment of mandibular condylar fractures. The aim of the study is to analyze the mandibular function after nonsurgical treatment of unilateral subcondylar fractures, in a prospective study. A prospective study was conducted on 30 patients with unilateral mandibular subcondylar fracture undergoing nonsurgical treatment. Clinical and radiographic examinations were done prior to treatment and at 12-month follow-up. Pain, perceived occlusion, mouth opening, protrusion, and horizontal movements of the mandible were evaluated by clinical examination. Radiologic evaluation was done using Panoramic and Reverse Towne's radiographs. At 12-month follow-up, there was minimal pain in the temporomandibular joint region, there was an improvement in the perceived occlusion, and mouth opening did not reduce. There was insignificant absolute difference between left and right lateral mandibular movements. The amount of increase in the protrusion of mandible was insignificant. On radiographic evaluation, the degree of coronal and sagittal displacement was insignificant at follow-up. Mean ramus height pretreatment and 12 months posttreatment were 0.98 ± 0.50 and 0.87 ± 0.47, respectively. Based on this study, patients had adequate mandibular function and minimal pain after nonsurgical treatment. Unilateral subcondylar fractures of the mandible can be treated nonsurgically in patients with minimal occlusal discrepancies, adequate mouth opening, minimal displacement of condyle, and minimal ramus height shortening.


Foot & Ankle ◽  
1988 ◽  
Vol 8 (4) ◽  
pp. 180-197 ◽  
Author(s):  
Michael M. Romash

A series of 22 calcaneal fractures operated over 4 yr is presented. Radiographic evaluation of these fractures using axial, lateral, anteroposterior, and oblique medial projection (Broden's view) with varying tube angulation toward the head and computerized axial tomography in two planes, coronal and transverse, were done. This repeatedly demonstrated intra-articular splitting fractures along the axis of the os calcis through the posterior facet, extending to the calcaneocuboid joint. These fractures were surgically reduced as described by McReynolds with sequential medial and lateral approaches. Intraoperative X-rays demonstrate the three-dimensional nature of this injury. Bohler's angle may be reconstituted with apparent reduction of the posterior facet when projected laterally; however, Broden's and axial views show persistent widening and split of the posterior facet. The 22 patients have been followed from 12 to 46 mo. All have heels of normal width and wear standard shoes. The first two cases, done only medially, have less than anatomic reconstruction of the subtalar joint. Functional results have been encouraging. Of six active duty members so treated, three returned to full duty, a second who was medically retired as a result of other injuries had minimal heel problems, and fifth had a contralateral open pilon fracture which hampers him, and the sixth patient is now 4 mo postbilateral calcaneal fractures with return to duty anticipated. Most of the 22 have some decrease in subtalar motion without apparent gait abnormality. No cases of medial or lateral impingement or tendinitis are present. Fractures of the calcaneus are amendable to open reduction and internal fixation. Sequential medial and anterolateral exposure allow anatomic reconstruction in three dimensions, avoiding pitfalls of two-dimensional analysis and treatment.


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