Effect of Soft-Tissue Trauma on the Early Periosteal Response of Bone to Injury

2000 ◽  
Vol 48 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Patricia S. Landry ◽  
Andrew A. Marino ◽  
Kalia K. Sadasivan ◽  
James A. Albright
1994 ◽  
Vol 07 (04) ◽  
pp. 180-182
Author(s):  
N. Gofton ◽  
Joanne Cockshutt

The AO wire passer can be used as an effective guide for passage of obstetrical saw wire for osteotomy. Use of the wire saw and passer reduces soft tissue trauma by minimizing tissue dissection, and promoting positioning of the saw in close contact with the bone.


1992 ◽  
Vol 8 (04) ◽  
pp. 233-241 ◽  
Author(s):  
Fred Stucker ◽  
Denis Hoasjoe

1978 ◽  
Vol 10 (6) ◽  
pp. 404-414 ◽  
Author(s):  
M. Silberschmid ◽  
C. Lund ◽  
K. Szczepanski ◽  
S. Lyager

1974 ◽  
Vol 6 (4) ◽  
pp. 233-246 ◽  
Author(s):  
J. Sandegård ◽  
J. Nolte ◽  
D.H. Lewis ◽  
T. Seeman

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0015 ◽  
Author(s):  
Nicholas Bellas ◽  
Carl Cirino ◽  
Mark Cote ◽  
Vinayak Sathe ◽  
Lauren Geaney

Category: Other Introduction/Purpose: Patient reported outcome measures serve as an invaluable tool in both the clinical and research setting to monitor a patient’s condition and efficacy of treatments over time. We aim to validate the Single Assessment Numeric Evaluation (SANE) score for disorders of the lower extremity using the revised Foot Function Index (rFFI) as a reference. The rFFI is a validated 34-question survey tool utilized in the evaluation of patients with foot and ankle related pathology [1-4], while the SANE score consists of a patient’s single numerical rating of the status of their extremity [5]. Given its ease of use and prior validation with shoulder pathology, the SANE score has potential as a practical and effective outcome measure in foot and ankle pathology. Methods: Patient age, sex, visit diagnosis by ICD-10 code, SANE score, and FFI score were collected retrospectively from 218 initial patient encounters between January 2015 through July 2017. Patients were included if they were 18 years and older presenting for outpatient evaluation to the University of Connecticut Foot and Ankle Orthopedic Department. Patients were excluded if they had incomplete SANE or rFFI data. The rFFI is a 34-question survey with subscales including pain (7 questions), stiffness (7 questions), activity limitation (3 questions), difficulty (11 questions), and social issues (6 questions). Results of the two scores were compared using the Pearson or Spearman correlation coefficients with correlation defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (0.2-0.39) [6]. Diagnoses were categorized into 9 subgroups that were analyzed including: forefoot, plantar fasciitis, arthritis, deformity, fracture, tendinitis, OCD, soft tissue trauma and “other”. Results: The SANE score had good correlation with the overall rFFI score (r=0.51, p<0.001). When comparing the SANE score to the rFFI subscores, there was good correlation with pain (r=0.42, p<0.001), good correlation with stiffness (r=0.44, p<0.001), poor correlation with activity (r=0.36, p<0.001), good correlation with difficulty (r=0.52, p<0.001), and poor correlation with social issues (r=0.39, p<0.001). Sub-analysis showed an excellent to good correlation between SANE and rFFI score for forefoot pathology (r=0.67, p<0.001), “other” pathologies (r=0.65, p<0.001), and plantar fasciitis (r=0.63, p<0.016), good correlation for arthritis (r=0.49, p<0.038), deformity (r=0.60, p<0.010), fracture (r=0.50, p<0.004), and tendinitis (r=0.47, p<0.017), and no significant correlation for OCD of the talus (r=0.56, p<0.145) and soft tissue trauma (r=0.19, p<0.319). Conclusion: The SANE score demonstrates good correlation with the rFFI overall. However, its correlation varies depending on the subscore of the rFFI and the presenting pathology of the patient. The SANE score correlates best with the rFFI pain, stiffness, and difficulty subscore, and poorly with activity and social issues. In addition, the SANE score correlates best with forefoot pathologies, plantar fasciitis, and “other” pathologies but does not correlate with patients presenting for OCD of the talus or soft tissue trauma.


2007 ◽  
Vol 292 (1) ◽  
pp. G268-G274 ◽  
Author(s):  
Takeshi Matsutani ◽  
Shih-Ching Kang ◽  
Masao Miyashita ◽  
Koji Sasajima ◽  
Mashkoor A. Choudhry ◽  
...  

Although studies have indicated that hemorrhagic shock and resuscitation produces hepatic damage by mechanisms involving adhesion molecules in endothelial cells and hepatocytes, it is not known if there is any difference in the extent of hepatic damage following bone fracture, soft tissue trauma, and hemorrhage (Fx-TH) between young and middle-aged animals. To study this, young (6–8 wk) and middle-aged (∼12 mo) C3H/HeN male mice were subjected to a right lower leg fracture, soft tissue trauma, (i.e., midline laparotomy), and hemorrhage (blood withdrawal to decrease the blood pressure to 35 ± 5 mmHg for 90 min) followed by resuscitation with four times the shed blood volume in the form of lactated Ringer solution. Mice were euthanized 24 h later, and liver tissues were harvested. Total bilirubin levels in the hepatocyte extract increased markedly following Fx-TH in both groups of mice; however, the increase in middle-aged mice was significantly higher compared with young mice. TNF-α and IL-6 levels in the hepatocyte extract following Fx-TH increased significantly in middle-aged mice but remained unchanged in young mice. IL-10 levels significantly decreased in middle-aged mice following Fx-TH but remained unchanged in young mice. Kupffer cells from middle-aged mice produced significantly higher IL-6 and IL-10 levels compared with young mice. Protein levels and mRNA expression of ICAM-1 in hepatocytes were also significantly higher in middle-aged mice compared with young mice following Fx-TH. These results collectively suggest that the extent of hepatic damage following Fx-TH is dependent on the age of the subject.


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