Shoulder and humerus

Author(s):  
Jim Hughes

Surgical intervention is sometimes required to ensure correct reduction and functionality of the limb. Due to the location of the shoulder and humerus next to the torso and the relative infrequency of such procedures, they can represent a challenge for the radiographer. This chapter covers a selection of orthopaedic procedures involving the shoulder and proximal humerus, covering clavicle plating, tuberosity fracture fixation with screws, plating of the proximal humerus and shoulder, plating of the humeral shaft, and antegrade and retrograde intramedullary nailing of the humerus. Each procedure includes images that demonstrate the position of the C-arm, patient, and surgical equipment, with accompanying radiographs demonstrating the resulting images.

Author(s):  
Jim Hughes

The ankle and distal tibia can often be damaged through inversion injuries, or from twisting trauma at the foot. Fractures to the tibial plateau will reduce the functioning of the limb and articulation of the knee. It is often the lateral side of the plateau that is damaged, the fixation of which will be covered in this chapter, reviewing a selection of orthopaedic procedures involving the tibia and ankle, covering tibial plateau screws; tibial plating; tibial intramedullary nailing; and fixation of the medial, lateral, and posterior malleolus of the ankle. Each procedure includes images that demonstrate the position of the C-arm, patient, and surgical equipment, with accompanying radiographs demonstrating the resulting images.


2021 ◽  
Vol 8 (17) ◽  
pp. 1100-1104
Author(s):  
Tarak Chandra Halder ◽  
Divyanshu Kumar ◽  
Biplab Chatterjee

BACKGROUND Radial neck fractures in children are serious injuries with frequent sequelae when the tilt exceeds 60 degrees. Conservative treatment is often inadequate in such cases and open reduction may produce iatrogenic complications. Displaced radial neck fractures in the paediatric population can be treated with retrograde intramedullary nailing of the radius (the Metaizeau technique). This method allows early post-operative movement and thus has high functional outcome. The purpose of this case series was to evaluate the functional outcome of Metaizeau technique. METHODS This is a prospective study in which follow-up of 9 cases with radial neck fracture treated with Metaizeau technique was done. Clinical and radiological evaluation was done at 2 weeks, 4 weeks, 6 weeks and 6 months. Active range of motion of flexion and extension at elbow and forearm rotation was noted at 6 weeks along with pain score and Mayo Elbow Performance Score (MEPS). Radiological assessment was also done at 6 weeks regarding union. RESULTS 8 out of 9 cases had radiological union at 6 weeks. 1 case was lost to follow-up. Excellent result was obtained in all 8 cases. Range of flexion-extension, supinationpronation were identical in all 8 cases. 1 case developed pressure bursitis at entry site. CONCLUSIONS Metaizeau technique for radial neck fracture fixation is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complication. KEYWORDS Metaizeau Technique, Retrograde Intramedullary Nailing, Radial Neck Fracture, MEPS


2019 ◽  
Vol 72 (8) ◽  
pp. 1559-1565
Author(s):  
Viktor Konoplitskyi ◽  
Ruslan Shavliuk ◽  
Dmytro Dmytriiev ◽  
Kostiantyn Dmytriiev ◽  
Oleksii Kyrychenko ◽  
...  

Data from Web of Science, SCOPUS, Pub Med, Medline, E-library, and other sources was used in writing this article. The main focus was directed towards literature written in English. The selection of literature was based on such concepts as: etiopathogenesis, historical principles of treatment, methods of surgical and non-surgical intervention. Data from metanalysis publications and randomized clinical trials pertaining to the treatment of the pilonidal sinus at various stages of its formation was used, as well.


Author(s):  
Wesam Abo Sena ◽  
Ahmed Mostafa Elkhalafy ◽  
Mohamed Samir Rashed Shaheen ◽  
Mina Nabil Grace

2021 ◽  
Vol 5 (2) ◽  
pp. 205-211
Author(s):  
Eric B. Wilkinson ◽  
Johnathan F. Williams ◽  
Kyle D. Paul ◽  
Jun Kit He ◽  
Justin R. Hutto ◽  
...  

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