scholarly journals Ipsilateral Pediatric Supracondyar Humerus Fracture and Radial Head Dislocation

2018 ◽  
Vol 1 (1-3) ◽  
pp. 62-66
Author(s):  
Daniel C. Kim ◽  
Adam J. Handwerger ◽  
John T. Riehl
Keyword(s):  
Radial Head ◽  
Closed Reduction ◽  
Pediatric Patients ◽  
Humerus Fracture ◽  
Radial Head Dislocation ◽  
Supracondylar Humerus Fracture ◽  
Left Elbow ◽  
One Year

Case: A 5-year-old boy presented with left elbow pain after a fall. Radiographs revealed a radial head dislocation without ulnar involvement which was treated with closed reduction in the emergency department. Two-week follow-up radiographs revealed a periosteal reaction along the medial epicondyle at the supracondylar region, consistent with a type 1 supracondylar humerus fracture. The elbow was treated with closed reduction and casting for 2 weeks. One year after injury, the patient had full painless range of motion. Conclusion: This case report highlights an injury pattern not previously described in the literature, and no previous recommendations exist regarding treatment. Although rare, radial head dislocation with simultaneous supracondylar humerus fracture can occur in pediatric patients. Our patient obtained a good result without surgical treatment.

Use and Perception of Telemedicine in People with Type 1 Diabetes during the COVID-19 Pandemic: A One Year Follow-Up

2021 ◽  
Author(s):  
Sam Scott ◽  
Federico Fontana ◽  
Simon Helleputte ◽  
Jordan Pickles ◽  
Markus Laimer ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
One Year

scholarly journals Characteristics, Treatment Patterns, Healthcare Resource Use, and Costs among Pediatric Patients Diagnosed with Neurofibromatosis Type 1 and Plexiform Neurofibromas: A Retrospective Database Analysis of a Medicaid Population

2020 ◽  
Author(s):  
Xiaoqin Yang ◽  
Kaushal Desai ◽  
Neha Agrawal ◽  
Kirti Mirchandani ◽  
Sagnik Chatterjee ◽  
...  
Keyword(s):  
Resource Use ◽  
Neurofibromatosis Type 1 ◽  
Pediatric Patients ◽  
Healthcare Resource ◽  
Neurofibromatosis Type ◽  
Treatment Patterns ◽  
Healthcare Resource Use ◽  
The Mean

Abstract Background: Neurofibromatosis type 1 (NF1)-related plexiform neurofibromas (PN) can cause substantial morbidity by disfigurement and compression of vital structures. Real-world data on the burden and cost of disease among pediatric patients with NF1 and PN is limited. The objectives of this study were to describe the characteristics, treatment patterns, healthcare resource use (HCRU), and costs of these patients.Results: A total of 383 patients were included in the retrospective analysis of patients aged ≤18 with at least 1 ICD-10-CM diagnosis code for both NF1 and PN enrolled in the MarketScan® Multistate Medicaid database from October 1, 2014 to December 31, 2017. The mean follow-up was 448 days. The mean age was 11.4 years and 52.0% of patients were male. Most patients were diagnosed by a specialist (63.5%). During the follow-up period, pain medications were used by 58.5% of patients, 25.1% were treated with chemotherapy, 7.1% received surgery for PN, 1.6% received MEK inhibitors, and 0.8% received radiation. Mean per patient per year inpatient, outpatient, emergency room, pharmacy, and other visits were 1.4, 17.3, 1.6, 13.6, and 25.8, respectively. Mean ±SD (median) total per patient per year healthcare costs (2018 USD) were $17,275 ±$61,903 ($2,889), with total medical costs of $14,628 ±$56,203 ($2,334) and pharmacy costs of $2,646 ±$13,303 ($26). Inpatient costs were the largest drivers of medical cost, with a mean per patient per year cost of $6,739.Conclusions: This study showed that many pediatric patients diagnosed with NF1 and PN were treated with supportive care only, highlighting a substantial unmet medical need. This study also highlights the considerable economic burden among patients with NF1 and PN.

scholarly journals Ipsilateral Radial Head Dislocation And Proximal One-Third Radial Shaft Fracture In An Adult: A Case Report

2018 ◽  
Vol 12 (1) ◽  
pp. 189-195 ◽  
Author(s):  
Jagdeep Singh ◽  
Anoop Kalia ◽  
Anshul Dahuja
Keyword(s):  
Functional Outcome ◽  
Radial Head ◽  
Shaft Fracture ◽  
Radial Head Dislocation ◽  
Rare Injury ◽  
Case Presentation ◽  
X Ray ◽  
Good Functional Outcome ◽  
Traumatic Dislocation

Introduction: Dislocation of the radial head in adults is quite uncommon. A simultaneous dislocation of the radial head with a fracture of ipsilateral shaft radius without any other associated injury is even rare. Case Presentation: We are reporting a case of a young adult male who was operated for proximal one-third radial shaft fracture at some peripheral centre by Open Reduction and Internal Fixation (ORIF), but came to our centre on the fourth post-operative day with complaints of painful restricted movements of the elbow joint. On careful look at the postoperative x-ray, radial head was found to be dislocated. Radial head dislocation was reduced under general anesthesia and at 2 years follow up, patient fracture has fully united having good functional outcome. Conclusion: Traumatic dislocation of radial head with ipsilateral fracture shaft radius is a rare injury in adults and it is very important to timely diagnose it and manage it appropriately in order to give good functional outcome to the patient.

scholarly journals Ipsilateral supracondylar humerus fracture and Monteggia lesion with a 5-year follow-up: a rare injury in a young girl

2015 ◽  
Vol 2015 (apr29 1) ◽  
pp. bcr2014206313-bcr2014206313 ◽  
Author(s):  
M. Cobanoglu ◽  
S. O. Savk ◽  
E. Cullu ◽  
F. Duygun
Keyword(s):  
Young Girl ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture ◽  
Rare Injury ◽  
Monteggia Lesion

scholarly journals Utility of uroflowmetry during the follow-up of children affected by balanitis xerotica obliterans (BXO)

2018 ◽  
Vol 90 (2) ◽  
pp. 123 ◽  
Author(s):  
Salvatore Arena ◽  
Tiziana Russo ◽  
Pietro Impellizzeri ◽  
Saveria Parisi ◽  
Patrizia Perrone ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Voiding Dysfunction ◽  
Clobetasol Propionate ◽  
Histological Diagnosis ◽  
Balanitis Xerotica Obliterans ◽  
Urethral Stenosis ◽  
Urethral Dilatation ◽  
One Year

Introduction: To evaluate the outcome of circumcised patients with balanitis xerotica obliterans (BXO) using uroflowmetry (UF). Methods: Between 2011 and 2013, 180 children underwent a circumcision for phimosis. The foreskin was examined on microscopy. Patients with an histological diagnosis of BXO were included in the study. Patients with BXO underwent UF two weeks after surgery and treatment with clobetasol propionate ointment. Patients were re-evaluated at 6, 12, 18 and 24 months postoperatively clinically and using UF. Results: 75 of 180 circumcised patients (41.6%) were included. At two weeks, Thirtytwo of 75 patients (42.7%) displayed a pathological UF. At six months, 15 patients (20%) had pathological UF and a new cycle of clobetasol was prescribed. At one year, 10 patients (13.3%) displayed patholgocial UF and underwent progressive urethral dilatation or meatoplasty. At 18 months, 71 patients (94.7%) displayed regular UF, 3 underwent a meatoplasty and one a staged urethroplasty for a severe urethral stenosis. At two years, UF was normal in 74 out of 75 (98.7%). Conclusions: We recommend to send for hystological examination all foreskins excised after circumcision. We believe that a clinical and uroflowmetric follow-up of pediatric patients with BXO is mandatory for a prompt identification of post-voiding dysfunction.

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