scholarly journals Fractures of the Scapula

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Pramod B. Voleti ◽  
Surena Namdari ◽  
Samir Mehta
Keyword(s):  
Surgical Treatment ◽  
Critical Role ◽  
Operative Management ◽  
Axial Skeleton ◽  
High Energy ◽  
Glenoid Fossa ◽  
Traumatic Injuries ◽  
Scapular Fractures ◽  
Force Mechanism ◽  
Scapular Body

The scapula plays a critical role in the association between the upper extremity and the axial skeleton. Fractures of the scapula account for 0.4% to 1% of all fractures and have an annual incidence of approximately 10 per 100,000 inhabitants. Scapular fractures typically result from a high-energy blunt-force mechanism and are often associated with other traumatic injuries. The present review focuses on the presentation, diagnosis, and treatment of fractures of the scapula. Indications for surgical treatment of glenoid fossa, scapular neck, and scapular body fractures are presented in detail. Finally, the authors’ preferred surgical technique, including positioning, approach, reduction, fixation, and post-operative management, is described.

Case report of an unusual extra-articular scapular malunion: Rare indication for surgery

2020 ◽  
pp. 175857322090655
Author(s):  
Bhanu Mishra ◽  
N Grocott ◽  
K Smith ◽  
D McClelland
Keyword(s):  
Surgical Intervention ◽  
Polar Angle ◽  
High Energy ◽  
Dorsal Side ◽  
Concomitant Injuries ◽  
Multiple Rib Fractures ◽  
Poor Outcome ◽  
Scapular Fractures ◽  
Body Fracture ◽  
Scapular Body

Introduction Scapular fractures are relatively rare injuries usually associated with high-energy trauma and multiple concomitant injuries. Most of scapular fractures do not require surgical intervention. Patient and clinical history A 42-year-old male sustained an extra-articular scapular body fracture along with multiple rib fractures with flail segments and right pneumothorax treated with intercostal drain. The scapula fracture was treated non-operatively initially, which resulted in very poor outcome. Operative intervention was planned following scans which showed a bony spike from the ventral surface impinging on the chest wall. Surgical technique Bony spur was approached from dorsal side using a three-dimensional anatomical model as a guide for accurate localization. Results The patient’s symptoms including shoulder stiffness and pain on deep inspiration settled down completely following removal of the spur. Discussion This case presents a new indication for surgical intervention in scapular body fracture which has not been published before. All the relevant measurements related to the fracture namely gleno-polar angle, lateral border offset and angulation were within published limits of indications for conservative treatment. Despite this, it resulted in poor outcome necessitating surgical intervention.

scholarly journals Importance of a Follow-Up Ultrasound Protocol in Monitoring Posttraumatic Spleen Complications in Children Treated with a Non-Operative Management

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 734
Author(s):  
Ivona Djordjevic ◽  
Dragoljub Zivanovic ◽  
Ivana Budic ◽  
Ana Kostic ◽  
Danijela Djeric
Keyword(s):  
Splenic Abscess ◽  
Operative Management ◽  
High Energy ◽  
Significant Difference ◽  
Injury Grade ◽  
Grade Ii ◽  
The Mean ◽  
Non Operative Management ◽  
Grade Iii

Background and objectives: For the last three decades, non-operative management (NOM) has been the standard in the treatment of clinically stable patients with blunt spleen injury, with a success rate of up to 95%. However, there are no prospective issues in the literature dealing with the incidence and type of splenic complications after NOM. Materials and methods: This study analyzed 76 pediatric patients, up to the age of 18, with blunt splenic injury who were treated non-operatively. All patients were included in a posttraumatic follow-up protocol with ultrasound examinations 4 and 12 weeks after injury. Results: The mean age of the children was 9.58 ± 3.97 years (range 1.98 to 17.75 years), with no statistically significant difference between the genders. The severity of the injury was determined according to the American Association for Surgery of Trauma (AAST) classification: 7 patients had grade I injuries (89.21%), 21 patients had grade II injuries (27.63%), 33 patients had grade III injuries (43.42%), and 15 patients had grade IV injuries (19.73%). The majority of the injuries were so-called high-energy ones, which were recorded in 45 patients (59.21%). According to a previously created posttraumatic follow-up protocol, complications were detected in 16 patients (21.05%). Hematomas had the highest incidence and were detected in 11 patients (14.47%), while pseudocysts were detected in 3 (3.94%), and a splenic abscess and pseudoaneurysm were detected in 1 patient (1.31%), respectively. The complications were in a direct correlation with injury grade: seven occurred in patients with grade IV injuries (9.21%), five occurred in children with grade III injuries (6.57%), three occurred in patients with grade II injuries (3.94%), and one occurred in a patient with a grade I injury (1.31%). Conclusion: Based on the severity of the spleen injury, it is difficult to predict the further course of developing complications, but complications are more common in high-grade injuries. The implementation of a follow-up ultrasound protocol is mandatory in all patients with NOM of spleen injuries for the early detection of potentially dangerous and fatal complications.

scholarly journals Atypical clinical course of cerebral arachnoid cyst

2015 ◽  
Vol 17 (2) ◽  
pp. 77
Author(s):  
A. L. Krivoshapkin ◽  
A. V. Gorbatykh ◽  
A. S. Gaytan ◽  
P. A. Semin ◽  
V. V. Kobozev
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Female Patient ◽  
Arachnoid Cyst ◽  
Clinical Course ◽  
Operative Management ◽  
Middle Cranial Fossa ◽  
Raised Intracranial Pressure ◽  
Cranial Fossa ◽  
Aggressive Clinical Course

In this publication we report a case of atypical, aggressive clinical course of arachnoid cyst in 19-year old female patient, which caused raised intracranial pressure and disruption of bony structures of the middle cranial fossa and the orbit. It also describes peculiarities of operative management and results of surgical treatment of this patient.

scholarly journals The Structure of the Causes of Primary Prosthetics of the Shoulder Joint

2021 ◽  
pp. 42-48
Author(s):  
S.S. Strafun ◽  
I.S. Zanko
Keyword(s):  
Shoulder Joint ◽  
General Structure ◽  
High Energy ◽  
Acute Injury ◽  
Clinical Group ◽  
Aseptic Necrosis ◽  
Traumatic Injuries ◽  
Female Patients ◽  
Number Of Patients ◽  
Post Traumatic

Relevance. Shoulder prosthetics is the method of choice in the treatment of patients with traumatic injuries that significantly impair joint function and are accompanied by prolonged pain. Objective: to investigate the main causes of injuries of the shoulder joint that led to its prosthetics. Materials and Methods. The clinical group consisted of 162 patients who underwent shoulder prosthetics in the Department of Microsurgery and Reconstructive Surgery of the Upper Limb of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine”. There were 44.4% male and 55.5% female patients. The average age of male patients was 62±11.4 years; the average age of female patients was 66±10.1 years. The average period of seeking specialized medical care after an acute injury was 24±10.9 days and 50.6±81.1 months in patients with post-traumatic consequences. In most cases, patients underwent unipolar prosthetics of the shoulder joint (126 patients, 78.7%); 27 patients (15.6%) underwent reversible prosthetics and 9 (5.6%) – total prosthetics, respectively. Results. In most cases, shoulder prosthetics were performed in patients with acute (up to 3 weeks from the date of injury) and old fractures and fractures of the proximal epimetaphysis of the humerus – 35 (21.6%) and 48 (29.6%) patients, respectively. The number of patients with posttraumatic aseptic necrosis of the humeral head was 49 (30.2%) (p<0.005), which indicates a high frequency of complications after osteosynthesis etc. The number of patients with massive traumatic injuries of the tendons of the rotator cuff who needed shoulder prosthetics was 18 (11.1%) and with false joints – 12 (7.4%). Unipolar prosthesis systems predominated in the general structure of the prosthesis type (126 patients, 78.7%), since reversible and total prosthesis in Ukraine were registered not so long ago. Conclusions. The analysis of our observations showed that the causes of shoulder prosthetics are severe injuries that occur with high-energy injuries (101 patients, 62.3%) and post-traumatic aseptic necrosis (49 patients, 30.2%). Acute and old fractures and fractures of the proximal metaepiphysis of the humerus are one of the most common injuries according to the analysis (35 patients, 21.6% and 48 patients, 29.6%), and their number and complexity continues to increase with age. Understanding the etiological factors that led to shoulder endoprosthetics makes it possible to predict long-term functional results and work to reduce the number of such patients.

scholarly journals Surgical Treatment of the Fracture of the Scapular Body

2008 ◽  
Vol 11 (2) ◽  
pp. 150-157 ◽  
Author(s):  
In-Hyeok Rhyou ◽  
Bo-Gun Suh ◽  
Chae-Ik Chung ◽  
Kyung-Chul Kim
Keyword(s):  
Surgical Treatment ◽  
Scapular Body

Cold Chain Logistics in India

2016 ◽  
pp. 159-172 ◽  
Author(s):  
Swapnil Saurav ◽  
Ravi Potti
Keyword(s):  
Supply Chain ◽  
Fruits And Vegetables ◽  
Critical Role ◽  
High Energy ◽  
Cold Chain ◽  
Temperature Sensitive ◽  
Horticultural Crops ◽  
Perishable Goods ◽  
Power Deficit ◽  
Marine Products

Cold Chain refers to the transportation of temperature sensitive products like perishable goods from the point of origin to point of consumption in the food supply chain, which keeps it fresh and edible for a much longer period than in normal conditions. Cold Chain helps in transporting seasonal products and also making it available throughout the year. Two main parts of cold chain are transportation and storage systems. The key Indian industries where cold chain logistics play very important role are fruits and vegetables, milk and milk products (ice cream), Poultry and processed meat, marine products, pharmaceutical (mainly vaccines) and chemicals. An efficient cold chain industry ensures availability of food products as well as prevents spoilage of medicines. Country like India, where infrastructure is one of the major challenges, cold chain plays a critical role. Analysis for this study shows that cold supply chain network does not differ significantly from products to products at least in Indian scenario. Some of the challenges to the growth of sector in India are high energy cost, power deficit, rising real estate cost, lack of logistical support and uneven distribution of capacity. All these challenges bring down the operating margin of a company and makes it not so attractive business sector. But during last couple of years there is a positive environment being created for this sector in India. The growth in organized retail, growing interest in horticultural crops, demand for cold chain logistics from Pharmaceutical industry and various initiatives by government are some of the reasons why there is a renewed interest in this sector especially by private sector players. This study, which is focused on Indian cold chain logistics, analyzes the industry on PEST (Political, Economy, Social and Technology) model and presents top 3 factors on each of these 4 parameters.

scholarly journals The critical role of carbon in marrying silicon and graphite anodes for high‐energy lithium‐ion batteries

Carbon Energy ◽  
2019 ◽  
Vol 1 (1) ◽  
pp. 57-76 ◽  
Author(s):  
Jingxing Wu ◽  
Yinliang Cao ◽  
Haimin Zhao ◽  
Jianfeng Mao ◽  
Zaiping Guo
Keyword(s):  
Lithium Ion Batteries ◽  
Critical Role ◽  
Lithium Ion ◽  
High Energy ◽  
Graphite Anodes

scholarly journals All chemical YBa2Cu3O7 superconducting multilayers: Critical role of CeO2 cap layer flatness

2009 ◽  
Vol 24 (4) ◽  
pp. 1446-1455 ◽  
Author(s):  
M. Coll ◽  
J. Gàzquez ◽  
R. Huhne ◽  
B. Holzapfel ◽  
Y. Morilla ◽  
...  
Keyword(s):  
Critical Role ◽  
High Energy ◽  
Buffer Layers ◽  
Solution Deposition ◽  
Ybco Films ◽  
Force Microscopy ◽  
Atomic Force ◽  
Current Densities ◽  
Atomically Flat

New advances toward microstructural improvement of epitaxial CeO2 films grown by chemical solution deposition and their use as buffer layers for YBa2Cu3O7 (YBCO) films are presented. We demonstrate that the degree of epitaxy and the fraction of (001) atomically flat surface area are controlled by the incorporation of tetravalent (Zr4+) or trivalent (Gd3+) cations into the ceria lattice. The degree of epitaxy has been investigated by means of Rutherford backscattering spectroscopy-channeling and reflection high-energy electron diffraction, and a new methodology is also presented to quantify the fraction of (001) atomically flat area from atomic force microscopy images. Results are further correlated with the superconducting properties, microstructure, and texture of YBCO films grown by the trifluoroacetate route. A comparison with pulsed laser deposition and YBCO films grown on the same ceria layers is also presented. This growth procedure has allowed us to obtain all chemical multilayer films with controlled microstructure and critical current densities above 4 MA cm−2 at 77 K.

scholarly journals Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Anoop N. Das ◽  
Krishnamohan Geetha ◽  
Ajay Varghese Kurian ◽  
Radhakrishnan Nair ◽  
K. Nandakumar
Keyword(s):  
Surgical Treatment ◽  
Root Development ◽  
Tricalcium Phosphate ◽  
Surgical Intervention ◽  
Interdisciplinary Approach ◽  
Complete Healing ◽  
Traumatic Injuries ◽  
Platelet Rich Fibrin

Traumatic injuries in childhood may disrupt root development leading to a tooth with open apex. Apexification procedures in such cases aim at root end closure after reasonable period of time. In some chronic cases, complete healing of the periapical area does not occur resulting in development of a nonhealing sinus. Failure of nonsurgical approach in such cases needs surgical intervention permitting thorough periapical curettage. In the present case, apexification procedure with MTA achieved root end closure but failed to heal the sinus for which surgical treatment was completed with thorough periapical curettage and application of platelet rich fibrin (PRF) and a combination ofβ-tricalcium phosphate and hydroxyapatite resulted in healing.

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