ELASTIC-STABLE INTRAMEDULLARY NAILING OF MIDCLAVICULAR FRACTURES IN ADULTS: A NOVEL TREATMENT OPTION

Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.

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Use of transcranial direct current stimulation in poststroke postural imbalance

BMJ Case Reports ◽

10.1136/bcr-2021-243212 ◽

2021 ◽

Vol 14 (6) ◽

pp. e243212

Author(s):

Tadayasu Tonomura ◽

Takeshi Satow ◽

Yuko Hyuga ◽

Tatsuya Mima

Keyword(s):

Subarachnoid Haemorrhage ◽

Treatment Option ◽

Direct Current ◽

Transcranial Direct Current Stimulation ◽

Gait Disturbance ◽

Direct Current Stimulation ◽

Non Invasive ◽

Novel Treatment ◽

Parietal Area ◽

Postural Imbalance

Independent gait following stroke is ultimate goal of rehabilitation. Non-invasive neuromodulation achieving it has never been reported. A 74-year-old woman suffered from subarachnoid haemorrhage, followed by hydrocephalus. Both were treated successfully. Even 1 year after the ictus, ambulation was difficult due to truncal instability with lateropulsion mainly to the left side. Transcranial direct current stimulation (tDCS) was applied to the parietal area (2mA for 20 min/day; anode on left side, cathode on right) for 16 days. The intervention improved her truncal instability and she achieved independent gait. tDCS of the parietal area could be a novel treatment option for gait disturbance due to postural instability following stroke.

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5-HT3 receptor influences the washing phenotype and visual organization in obsessive-compulsive disorder supporting 5-HT3 receptor antagonists as novel treatment option

European Neuropsychopharmacology ◽

10.1016/j.euroneuro.2013.07.003 ◽

2014 ◽

Vol 24 (1) ◽

pp. 86-94 ◽

Cited By ~ 15

Author(s):

Leonhard Lennertz ◽

Michael Wagner ◽

Hans Jörgen Grabe ◽

Petra E. Franke ◽

Vera Guttenthaler ◽

...

Keyword(s):

Obsessive Compulsive Disorder ◽

Treatment Option ◽

Receptor Antagonists ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Novel Treatment ◽

Visual Organization

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Can Kinesio-taping be a novel treatment option for emesis gravidarum? A randomized preliminary study

Eastern Journal Of Medicine ◽

10.5505/ejm.2018.54254 ◽

2018 ◽

Vol 23 (3) ◽

pp. 199-205

Author(s):

Erbil Karaman ◽

Şeyhmus Kaplan ◽

Mahmut Alpaycı ◽

Orkun Çetin ◽

Ali Kolusarı ◽

...

Keyword(s):

Treatment Option ◽

Kinesio Taping ◽

Novel Treatment ◽

Preliminary Study

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Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

Journal of Lumbini Medical College ◽

10.22502/jlmc.v4i1.82 ◽

2016 ◽

Vol 4 (1) ◽

pp. 11

Author(s):

Sandeep Gurung ◽

Dipendra KC ◽

Roshni Khatri

Keyword(s):

Intramedullary Nailing ◽

Demographic Data ◽

Elastic Stable Intramedullary Nailing ◽

Tibial Shaft ◽

Elastic Stable Intramedullary Nail ◽

Shaft Fractures ◽

Tibia Fractures ◽

One Year ◽

Skeletally Immature Patient ◽

Tibial Shaft Fractures

Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution. Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated. Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks (SD=2.65) for close and 14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, remanipulations, or refracture. Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.

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Clinical and radiological evaluation of minimally invasive intramedullary fixation by titanium elastic nails in paediatric long bone fractures of lower limb: a prospective study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20193592 ◽

2019 ◽

Vol 5 (5) ◽

pp. 816

Author(s):

A. Sandeep ◽

Jayant Jain

Keyword(s):

Intramedullary Nailing ◽

Complication Rate ◽

Bone Fractures ◽

Full Range ◽

Elastic Stable Intramedullary Nailing ◽

Long Bone ◽

Ankle Motion ◽

Soft Tissue Envelope ◽

Internal Support ◽

Diaphyseal Fractures

Background: Elastic stable intramedullary nailing for the treatment of paediatric femur and tibial diaphyseal fractures was introduced by Prevot and colleagues in 1979. It follows three-point fixation principle that provides internal support in presence of cortical contact and an intact soft-tissue envelope. This technique has many advantages, including better reduction, dynamic axial stabilization, shorter hospitalization with early rehabilitation and low complication rate.Methods: This is a prospective observational study done at Kauvery Medical Centre, Trichy between May 2017 to May 2018 consisting of 39 children between age 5 to 16 years with diaphyseal fractures of femur and tibia. The fractures were treated by closed reduction and internal fixation with titanium elastic intramedullary nailing. The patients were evaluated clinically and radiologically and followed for an average of 6 months. Outcome was assessed using transcutaneous electrical nerve stimulation (TENS) scoring system used by Flynn et al.Results: Our series consisted of 39 patients (22 cases with fracture shaft of femur and 17 cases with fracture shaft of tibia), 33 males and only 6 females. Average time for radiological union was 9.89 weeks. All patients had full range of hip and ankle motion and 2 (5.1%) patients had mild restriction in knee flexion at 12 weeks.Conclusions: Elastic stable intramedullary nailing is an ideal method for treatment of paediatric femoral and tibial diaphyseal fractures due to lower complication rate and good functional outcome in comparison to other methods of treatment.

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