Does early surgical repair of navicular stress fractures improve function compared to conservative management among active adults?

2020 ◽  
Vol 23 (10) ◽  
pp. 27-28
Author(s):  
Jill Kropa ◽  
Natasha Norville ◽  
Jason Womack ◽  
Jennifer Amico
Keyword(s):  
Conservative Management ◽  
Surgical Repair ◽  
Stress Fractures ◽  
Active Adults

Splenic Trauma

1980 ◽  
Vol 1 (7) ◽  
pp. 203-206
Author(s):  
Sara H. Sinal
Keyword(s):  
Conservative Management ◽  
Pneumococcal Vaccine ◽  
Splenic Injury ◽  
Surgical Repair ◽  
Nonoperative Management ◽  
Life Time ◽  
Modern Technology ◽  
Accurate Diagnosis ◽  
Splenic Trauma

Modern technology, specifically the splenic scan, aids in a quick and accurate diagnosis of splenic injury. Because children rarely exsanguinate from trauma to the spleen, splenectomy has been replaced by more conservative management as the treatment of choice in splenic trauma. Both nonoperative management and surgical repair of the spleen are alternatives. If splenectomy is necessary, the child is at greatly increased life time risk for an episode of overwhelming sepsis. Pneumococcal vaccine is indicated in children who must undergo splenectomy.

Pectoralis Major Rupture: Presentation of Two Cases and Review of 74 Cases

1997 ◽  
Vol 5 (2) ◽  
pp. 118-122
Author(s):  
Hubert YM Chao ◽  
Ralph T Manktelow
Keyword(s):  
Surgical Management ◽  
Conservative Management ◽  
English Language ◽  
Surgical Repair ◽  
Case Reports ◽  
Pectoralis Major ◽  
Review Of The Literature ◽  
The Past ◽  
Sporting Activities ◽  
Language Literature

Pectoralis major rupture is uncommon. Injury usually occurs from sporting activities. The incidence and management of pectoralis major rupture is not well known, despite 74 case reports in the English language literature over the past 34 years. Two cases of chronic pectoralis ruptures and their successful surgical management are described. A review of the literature shows that most injuries occur at the humeral insertion, and most are complete ruptures. Distinguishing between complete and partial ruptures is important. Complete ruptures are best treated surgically in the acute situation. When chronic complete ruptures present, surgical repair yields fair to good results. Acute partial ruptures can be effectively managed conservatively or with surgery. Chronic partial ruptures can be managed surgically with good results, following unsatisfactory conservative management in the acute situation.

Cervical Subarachnoid Drain for the Treatment of Cerebrospinal Fluid Leak: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Roberto J Perez-Roman ◽  
Timur Urakov
Keyword(s):  
Cerebrospinal Fluid ◽  
Conservative Management ◽  
Surgical Repair ◽  
Cerebrospinal Fluid Leak ◽  
Effective Alternative ◽  
Csf Leak ◽  
Common Phenomenon ◽  
Neurosurgical Procedure ◽  
Cerebrospinal Fluid Diversion ◽  
Fluid Leak

Abstract Cerebrospinal fluid (CSF) leak is a common phenomenon encountered by the neurosurgeon. It is most commonly come across after a neurosurgical procedure, but it can be seen idiopathically. Treatment usually ranges from conservative management through cerebrospinal fluid diversion to direct surgical repair. Continuous CSF drainage provides a path for diversion and allowing the site of the dural injury to heal effectively.1 Cervical subarachnoid drain is a safe and effective alternative when lumbar access is contraindicated or not achievable.2 Here we present a case of a 22-yr-old female with progressive symptomatic positional headaches due to a CSF leak from a prior deformity surgery treated with a cervical subarachnoid drain after a failed attempt at a direct repair. This 2-dimensional video illustrates the technique used for the placement of a cervical subarachnoid drain for the treatment of symptomatic CSF leak.  Patient consented to the procedure and for the publication of their image.

scholarly journals Athletic Population with Spondylolysis: Review of Outcomes following Surgical Repair or Conservative Management

2016 ◽  
Vol 6 (6) ◽  
pp. 615-625 ◽  
Author(s):  
Pavlos Panteliadis ◽  
Navraj S. Nagra ◽  
Kimberley L. Edwards ◽  
Eyal Behrbalk ◽  
Bronek Boszczyk
Keyword(s):  
Conservative Management ◽  
Surgical Repair ◽  
Athletic Population

Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?

2010 ◽  
Vol 124 (10) ◽  
pp. 1136-1138 ◽  
Author(s):  
D Biswas ◽  
S Majumdar ◽  
J Ray ◽  
P Bull
Keyword(s):  
Conservative Management ◽  
Tracheoesophageal Fistula ◽  
Surgical Repair ◽  
Spontaneous Closure ◽  
Chemical Burn ◽  
Unique Case ◽  
Secondary Intention ◽  
Interventional Management

AbstractObjective:We present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management.Method:The literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula.Results:Acquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted.Conclusion:Non-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.

Injuries to the Hallucal Sesamoids in the Athlete

Foot & Ankle ◽  
1987 ◽  
Vol 7 (4) ◽  
pp. 229-244 ◽  
Author(s):  
E. Greer Richardson
Keyword(s):  
Conservative Management ◽  
Stress Fractures ◽  
Great Toe ◽  
Recommended Treatment

The sesamoids of the great toe, which are small and seemingly insignificant bones, can be the site of disabling pathology for the athlete. Sesamoiditis, osteochondritis, partite sesamoids with stress fractures, displaced fractures, and osteomyelitis have all been reported in the athlete. Bursitis beneath the tibial sesmoid and flexor hallucis brevis tendonitis also occur in the athlete and may be confused with sesamoid injury. Excision of the involved bone is the recommended treatment for displaced fractures and for less severe conditions such as sesamoiditis, osteochondritis, and nondisplaced fractures, if conservative management fails to relieve symptoms.

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