scholarly journals Actual features of express diagnostic of acetabular fractures. Part II. Complex fractures diagnostic algorithm

2019 ◽  
Vol 26 (4) ◽  
pp. 46-54
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Yu. G Gudushauri
Keyword(s):  
Diagnostic Algorithm ◽  
Acetabular Fractures ◽  
Fracture Type ◽  
Case Presentation ◽  
Complex Fractures ◽  
Rational Algorithm ◽  
Fracture Types

Authors shows rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on complex («associated») fracture types.

scholarly journals Express diagnostic of acetabular fractures (Part I)

2019 ◽  
Vol 26 (3) ◽  
pp. 37-48
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Ya. G Gudushauri ◽  
S. E Solod
Keyword(s):  
Acetabular Fractures ◽  
X Rays ◽  
Fracture Type ◽  
Case Presentation ◽  
Rational Algorithm ◽  
Fracture Types ◽  
Simple Fracture

This article describes main radiologic signs of bony structures that form acetabulum. The methods of poly projection x-rays study and evaluation of it are described. Also, authors show rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on simple fracture types.

scholarly journals Actual features of express diagnostic of acetabular fractures. Part III. Atypical fractures diagnostic algorithm. Associated local injuries

2020 ◽  
Vol 27 (1) ◽  
pp. 91-97
Author(s):  
S. S. Stoyukhin ◽  
A. F. Lazarev ◽  
Yu. G. Gudushauri
Keyword(s):  
Diagnostic Algorithm ◽  
Acetabular Fractures ◽  
Atypical Fracture ◽  
Atypical Fractures ◽  
Fracture Patterns ◽  
Rational Algorithm

Authors shows atypical fracture patterns and rational algorithm for express diagnostic of this fractures. Associated local injuries are described.

scholarly journals Effect of Osteoporosis on Proximal Humerus Fractures

2020 ◽  
Vol 11 ◽  
pp. 215145932098539
Author(s):  
Anil Taskesen ◽  
Ali Göçer ◽  
Kadir Uzel ◽  
Yüksel Uğur Yaradılmış
Keyword(s):  
Surgical Outcomes ◽  
Proximal Humerus ◽  
City Hospital ◽  
Proximal Humerus Fractures ◽  
Fracture Type ◽  
Age And Gender ◽  
Humerus Fractures ◽  
The Mean ◽  
And Gender ◽  
Fracture Types

Introduction: Proximal humerus fractures (PHF) constitute the majority of the most common osteoporotic fractures. Bone density measurements can affect treatment methods and outcomes. This study was aimed to investigate the effect of osteoporosis values, measured from direct radiographs, on fracture type, surgical outcomes. Methods: 248 patients over 50 years of age who presented to Mersin City Hospital between 2017 and 2020 with proximal humeral fractures were retrospectively evaluated. The age and gender of the patients and the fracture types were evaluated according to the AO classification system from the direct radiographs obtained at the time of admission were recorded. The Tingart cortical thickness and deltoid tuberosity index (DTI) measurements were used to assess osteoporosis status in all patients. Postoperative and follow-up radiographs of 45 patients, treated with fixed-angle proximal humeral locking plate, were evaluated for radiographic results and their correlations with osteoporosis measurements were examined. Results: According to the demographic characteristics of the patients, 171 patients were female and 77 patients were male (F/M: 3/1), and mean age was 69.2 ± 11.66 (50-95). Considering the bone quality parameters in all patients, the mean Tingart value was 5.8 ± 1.6 mm and the mean DTI was 1.43 ± 0.17, where there was a correlation between the Tingart value and DTI (r = 0.810 and p < 0.001). Although there was a statistically significant relationship between the osteoporosis parameters and age and gender (p < 0.001 and p = 0.023, respectively), main AO fracture types were not related to osteoporosis (p < 0.05). In the operated group (n = 48, 19%), 19 patients (42%) showed poor outcomes, which were not associated with age and osteoporosis parameters. Conclusion: This study was concluded that osteoporosis parameters differ between genders and age groups in patients with PHF, however osteoporosis is not the main factor affecting the fracture type and surgical outcomes.

scholarly journals Hip Fracture Types in Canadian Men and Women Change Differently with Age: A Population-Level Analysis

2016 ◽  
Vol 9 ◽  
pp. CMAMD.S38531 ◽  
Author(s):  
Richard G. Crilly ◽  
Marita Kloseck ◽  
Selam Mequanint
Keyword(s):  
Hip Fracture ◽  
Relative Proportion ◽  
Local Population ◽  
Population Level ◽  
Community Dwelling ◽  
Administrative Database ◽  
Fracture Type ◽  
Discharge Abstract Database ◽  
Fracture Types

Background We have previously reported a gender difference in the occurrence of hip fracture type with age in our local population. In the current report, we have explored this phenomenon in a Canadian population using five years of data from a national administrative database. We have compared community-dwelling and institutionalized individuals to determine if frailty is important and has a differential effect on the type of hip fracture experienced. Methods Hospitalization records from 2005 to 2009, in which the most responsible diagnosis, that is the diagnosis causing the admission to hospital, was a hip fracture, were obtained from the Discharge Abstract Database of the Canadian Institute for Health Information. Hip fracture type was identified using the Canadian Classification of Health Interventions and the International Classification of Diseases 10th Revision, Canada (ICD-10-CA). Hip fracture proportions were calculated for the study period and stratified by age group and sex. Results The relative proportion of intertrochanteric fractures in women rose from 35% in the youngest group (55–59 years) to 51% in the oldest group (84+ years; P < 0.0001). In men, the proportions remain relatively stable (47% and 44%, respectively). Community and institutionalized patients showed the same pattern. Conclusions The change in the proportion of the two hip fracture types that occur in women but not men may point to differences in the etiology and consequently the approaches to prevention for the two fracture types. Level of frailty did not seem to be important.

Determination of Indications to Surgical Treatment and Choice of Surgical Approaches in Complicated Complex Acetabular Fractures

2010 ◽  
Vol 17 (4) ◽  
pp. 30-37
Author(s):  
A V Beletskiy ◽  
A I Voronovich ◽  
Aleksandr Eduardovich Murzich ◽  
A V Beletskiy ◽  
A I Voronovich ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
Surgical Approaches ◽  
Acetabular Fractures ◽  
Treatment Results ◽  
Complex Fractures ◽  
Comminuted Fractures ◽  
Simultaneous Use

Experience in surgical treatment of 65 patients with complex fractures of the acetabulum is presented. All patients underwent open reposition with internal fixation of fragments by reconstructive plates. Basic moments of the performance of portals to acetabulum, steps of reposition and fixation in multi-segment comminuted fractures are described. Algorithm for determination of indications to surgical treatment of complex acetabular fractures was determined. Clinical and roentgenologic results were studied at terms from 1 to 9 years. Excellent results were established in 39.5%, good and satisfactory in 34.9%, poor in 25.6% of patients. It was shown that in complex bi-columned fractures the technique of open osteosynthesis was the most effective when used within the first 3 weeks after injury. Simultaneous use of anterior and posterior accesses considerably facilitated the performance of reposition and stabilization of multi-segment comminuted fractures and enabled to achieve favorable treatment results.

scholarly journals How Did the Restrictions Effect the Orthopaedic Trauma Surgery During Covid-19 Pandemic at a Level 1 Tertiary Trauma Hospital?

2020 ◽  
Author(s):  
Bulent Kilic ◽  
Deniz Gulabi ◽  
Anıl Agar ◽  
Halil Buyukdogan ◽  
Adem Sahin ◽  
...  
Keyword(s):  
Trauma Surgery ◽  
High Energy ◽  
Control Group ◽  
Time Interval ◽  
Orthopaedic Trauma ◽  
Fracture Type ◽  
Trauma Mechanism ◽  
Number Of Patients ◽  
Significant Difference ◽  
Fracture Types

Abstract BackgroundThe aim of the study was to evaluate and compare the demographic characteristics, the trauma mechanism, and fracture types between patients under 20 years of age, 20-65 years of age, and over 65 years of age between the COVID-19 pandemic and the pre-pandemic period.MethodsPatients who were hospitalized and treated for orthopedic treatment between 10 March and 1 June during the pandemic period were retrospectively analyzed. Control group consisted of patients admitted to the hospital in the same time interval in 2019.The patients were divided into three groups, under 20 years of age, between 20-65 years of age, and over 65 years of age. The patients’ data included age, gender, trauma mechanism, fracture type, any COVID-19 radiological or clinical symptoms.ResultsThe number of patients > 65 years old admitted to orthopaedic trauma center were high at pandemic interval compared to pre-pandemic time. When the groups were compared for patients of 20-65 years old; there was a significant difference for the fracture type (p<0.05). Lower extremity fractures were high at pre-pandemic group whereas multiple traumas were high at pandemic group. For sub-group 20-65 ages, low energy traumas were higher at pre-pandemic group whereas high energy traumas were more frequent at pandemic group.ConclusionWe observed a decrease in fracture admission to ortopaedic trauma centers during COVID-19 pandemic for subgroups of < 20 years old and 20-65 years old ages, whereas there was a significant increase for > 65 years old age, most of them related to the osteoporotic hip fractures. So that older age group should be encouraged to mobilized at home and have permission to walk and make physical activity to avoid osteoporosis for a limited time daily.

scholarly journals Matta’s criteria may be useful for evaluating and predicting the reduction quality of simultaneous acetabular and ipsilateral pelvic ring fractures

2021 ◽  
Author(s):  
Yi-Hsun Yu ◽  
Chang-Heng Liu ◽  
Yung-Heng Hsu ◽  
Ying-Chao Chou ◽  
I-Jung Chen ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Univariate Analysis ◽  
Acetabular Fractures ◽  
X Rays ◽  
X Ray ◽  
Pelvic Ring Fractures ◽  
Potential Factors ◽  
Fracture Types ◽  
Similar Risk

Abstract Background Although the incidences, fracture types, and radiological outcomes for simultaneous ipsilateral pelvic ring and acetabular fractures were reported, there have been no reports on factors that may affect reduction quality of an acetabular fracture. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the reduction quality of acetabular fractures.Methods We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 2016 to 2020. Potential factors were analyzed to predict inadequate reduction of the acetabular fractures.Results Data from 27 hips of 26 patients were collected. AO B2.2 and anterior columnar fractures were the most common fracture types of the pelvic ring and acetabular fractures, respectively. Univariate analysis revealed that Matta’s criteria for pelvic ring fracture may be useful for predicting fair to poor reduction quality of acetabular fractures on X-rays. Furthermore, associated fractures identified by Letournel’s classification system on CT scan may be factors for predicting greater step-offs.Conclusions The associated fractures identified via Letournel’s classification may be factors that contribute to inadequate reduction for such fractures. Matta’s criteria for pelvic ring fractures may also be useful for predicting the similar risk of inadequate reduction of the acetabulum on X-ray scans. These findings may be applied intraoperatively by fluoroscopy before the beginning of osteosynthesis for acetabular fractures.

An adrenocortical oncocytoma with unusual mitochondrial inclusions and cytoplasmic crystals

1994 ◽  
Vol 52 ◽  
pp. 250-251
Author(s):  
W.T. Gunning ◽  
G.D. Haselhuhn ◽  
E.R. Phillips ◽  
S.H. Selman
Keyword(s):  
Adrenal Gland ◽  
Salivary Glands ◽  
Mitotic Activity ◽  
Diagnostic Criteria ◽  
Vascular Invasion ◽  
Benign Neoplasm ◽  
Benign Tumors ◽  
Nuclear Morphology ◽  
Case Presentation ◽  
Microscopic Evidence

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).

Single Hemicerclage for Lateral Type B Malleolar Fracture - A Novel, Minimal and Reliable Osteosynthesis

Swiss Surgery ◽  
2003 ◽  
Vol 9 (6) ◽  
pp. 283-288
Author(s):  
Maurer ◽  
Stamenic ◽  
Stouthandel ◽  
Ackermann ◽  
Gonzenbach
Keyword(s):  
Ankle Joint ◽  
Weight Bearing ◽  
Fracture Type ◽  
Type B ◽  
Malleolar Fracture ◽  
Metallic Wire ◽  
Long Term Outcome ◽  
X Ray ◽  
Upper Ankle Joint ◽  
Upper Ankle

Aim of study: To investigate the short- and long-term outcome of patients with isolated lateral malleolar fracture type B treated with a single hemicerclage out of metallic wire or PDS cord. Methods: Over an 8-year period 97 patients were treated with a single hemicerclage for lateral malleolar fracture type B and 89 were amenable to a follow-up after mean 39 months, including interview, clinical examination and X-ray controls. Results: The median operation time was 35 minutes (range 15-85 min). X-ray controls within the first two postoperative days revealed an anatomical restoration of the upper ankle joint in all but one patient. The complication rate was 8%: hematoma (2 patients), wound infection (2), Sudeck's dystrophy (2) and deep vein thrombosis (1). Full weight-bearing was tolerated at median 6.0 weeks (range 2-26 weeks). No secondary displacement, delayed union or consecutive arthrosis of the upper ankle joint was observed. All but one patient had restored symmetric joint mobility. Ninety-seven percent of patients were satisfied or very satisfied with the outcome. Following bone healing, hemicerclage removal was necessary in 19% of osteosyntheses with metallic wire and in none with PDS cord. Conclusion: The single hemicerclage is a novel, simple and reliable osteosynthesis technique for isolated lateral type B malleolar fractures and may be considered as an alternative to the osteosynthesis procedures currently in use.

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