CLINICAL CASE OF TREATMENT RESULT OF PATIENT WITH PRIMARY CHONDROSARCOMA OF THE DISTAL HUMERUS WITH THE USE OF THE ONCOLOGICAL MODULAR ENDOPROSTHESIS

Fractures of distal humerus on humen skeleton are rare and intraarticular fractions of distal part of humerus occur even less frequently, they comprise about 3% of fractures of humerus. However, these fractures can result in a functional deficiency of elbow joint and permanent disability. The main goal if our work was to present one of the surgical treatment options of this kind of fracture with minimal amount of fixation material. Treatment result were evaluated by Broberg-Morrey score system. Pilot study consisted of eight patient with comminuted type IV fracture of distal humerus during 2004-2005 time period. Comminuted fracture was fixed with minimal amount of material: a Kirchner needle and a screw. Patient treatment progress was evaluated initially and followed up after four, nine and twenty four months by B-M score after removal of cast and bone fixing material. The results of the B-M score after four months were: excellent in 0 patient, good in 2 patients, fair in 4 patients and poor in 2 patients. After physical therapy and follow up check- up at the end of nine months the result were: excellent in 3 patients, good in 3 patients, fair in 2 patients and no patients had shown poor result. This B-M score result was identical after 24 months follow up with minor deviations in range of motions of elbow, which did not influence the final result of B-M score.

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Limb-Sparing Resection for Tumors Involving the Distal Humerus and Reconstruction with a Modular Endoprosthesis

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2016.08.074 ◽

2016 ◽

Vol 223 (4) ◽

pp. e27

Author(s):

Joel R. Peterson ◽

Alexander P. Decilveo ◽

Ivan Golub ◽

James C. Wittig

Keyword(s):

Distal Humerus ◽

Modular Endoprosthesis

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The Variable Nature of Stuttering: A Clinical Case Study

NSSLHA Journal ◽

10.1044/nsshla_22_29 ◽

1995 ◽

Vol 22 ◽

pp. 29-35

Author(s):

Jennifer Gutierrez ◽

Anthony Caruso

Keyword(s):

Clinical Case ◽

Clinical Case Study ◽

Variable Nature

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Abstract #522: Calcitirol Mediated Hypercalcemia in A Patient with Silicone Granulomas dueto Cosmetic Injections: Clinical Case

Endocrine Practice ◽

10.1016/s1530-891x(20)42658-8 ◽

2015 ◽

Vol 21 ◽

pp. 108-109

Author(s):

Ana Abaroa-Salvatierra ◽

Arti Patel ◽

Mrunalini Deshmukh

Keyword(s):

Clinical Case

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Revision Surgery for Nonunion After Early Failure of Fixation of Fractures of the Distal Humerus

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/s1551-7977(08)70056-6 ◽

2006 ◽

Vol 2006 ◽

pp. 76

Author(s):

K.J. Renfree

Keyword(s):

Revision Surgery ◽

Distal Humerus ◽

Early Failure

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Open or Closed Pinning for Distal Humerus Fractures in Children?

Swiss Surgery ◽

10.1024/1023-9332.9.2.76 ◽

2003 ◽

Vol 9 (2) ◽

pp. 76-81 ◽

Cited By ~ 12

Author(s):

de Buys Roessingh ◽

Reinberg

Keyword(s):

Distal Humerus ◽

Neurological Involvement ◽

Cubitus Varus ◽

Cubitus Valgus ◽

Fractures In Children ◽

Motor Deficiency ◽

Humerus Fractures ◽

Distal Humerus Fractures ◽

With Screws ◽

Length Of Hospitalization

Introduction: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. Patients and methods: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. Results: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). Conclusions: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.

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Case Formulation and Design of Behavioral Treatment Programs

European Journal of Psychological Assessment ◽

10.1027//1015-5759.19.3.164 ◽

2003 ◽

Vol 19 (3) ◽

pp. 164-174 ◽

Cited By ~ 27

Author(s):

Stephen N. Haynes ◽

Andrew E. Williams

Keyword(s):

Functional Analysis ◽

Behavior Problems ◽

Behavioral Treatment ◽

Clinical Case ◽

Relative Magnitude ◽

Mechanisms Of Action ◽

Treatment Programs ◽

Case Formulation ◽

Functional Relations ◽

Causal Variables

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.

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