scholarly journals Comparative evaluation of operative versus non-operative management of midshaft displaced clavicle fractures: A case series

2017 ◽  
Vol 3 (2f) ◽  
pp. 594-599 ◽  
Author(s):  
Manish M Patel ◽  
Jignesh J Patel ◽  
Anshul K Gupta ◽  
Shaishav S Shah ◽  
Sunny Shethna
Keyword(s):  
Comparative Evaluation ◽  
Case Series ◽  
Operative Management ◽  
Clavicle Fractures ◽  
Non Operative Management

scholarly journals Case Series : Operative vs Non-Operative Management in Grade III Pancreatic Injury

Medicinus ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 199
Author(s):  
Andry Irawan ◽  
Clinton Clinton ◽  
Sutanto D ◽  
Agustina F
Keyword(s):  
Case Series ◽  
Operative Management ◽  
Pancreatic Injury ◽  
Clinical Findings ◽  
First Case ◽  
Non Operative Management ◽  
Left Abdomen ◽  
Grade Iii ◽  
Selection Of

<p><strong>Introduction</strong><strong>:</strong> Pancreatic injury is a rare case, caused by blunt or sharp trauma. Difficulty in making diagnose on pancreatic trauma cases are associated with high mortality, and the treatment can be either operative or conservatively. However, It is still unclear which treatment is more favorable.</p><p><strong>Case:</strong> We present 2 cases of Grade III pancreatic injury with stable hemodynamic who suffered bicycle accident. First case, 12-year-old boy complaining severe pain on the upper left abdomen (VAS 9-10) and get worsening by time, with vomiting. The patient underwent distal Pancreatectomy-Splenectomy. Second case, 8-year-old boy complaining of pain on the upper left abdomen (VAS 6-7) without extension on whole abdominal region with vomiting and fever. The patient was treated conservatively. In both cases, patient was discharged with improvement. However, about 3 months later patients who were treated conservatively developed into a pseudocyst.</p><p><strong>Conclusion:</strong> The selection of management in grade III pancreatic injury can be operative or conservative depending on clinical findings such as hemodynamic condition and the quality of abdominal pain. But the occurrence of pseudocysts pancreas is another surgical challenge.</p>

Non-union of Non-operatively Treated Displaced Olecranon Fractures

2012 ◽  
Vol 4 (4) ◽  
pp. 273-276 ◽  
Author(s):  
Wendy Bruinsma ◽  
Anneluuk Lindenhovius ◽  
Michael Mckee ◽  
George S. Athwal ◽  
David Ring
Keyword(s):  
Operative Treatment ◽  
Case Series ◽  
Operative Management ◽  
Olecranon Fracture ◽  
Loss Of Function ◽  
Non Union ◽  
Flexion Extension ◽  
Displaced Fracture ◽  
And Function ◽  
Non Operative Management

Background With this case series, we report the management of patients who present with non-union after no treatment or intentional non-operative management of a displaced olecranon fracture. We hypothesized that the majority of these patients would be satisfied with their symptoms and function. Methods Ten patients (six women and four men) with a mean age of 59 years (range 21 years to 94 years) presented to one of seven surgeons with non-union of a displaced fracture of the olecranon a mean of 17 months (range 3 months to 7 years) after injury. Results The mean flexion-extension arc at presentation was 117° (range 100° to 135°) with a mean flexion of 137° (range 120° to 150°) and a mean extension of 21° (range 10° to 40°). Forearm rotational arc was a mean of 172° (range 150° to 180°) with a mean pronation of 86° (range 75° to 90°) and a mean supination of 86° (range 75° to 90°). Two patients who had difficulty participating in daily activities because of pain or loss of function requested operative treatment. Eight patients declined operative treatment. Conclusions Patients who present with a non-union after a displaced olecranon fracture managed non-operatively have reasonable elbow function and uncommonly request operative treatment.

scholarly journals An unusual case of bipolar segmental clavicle fracture

2012 ◽  
Vol 4 (3) ◽  
pp. 26 ◽  
Author(s):  
Karishma Sethi ◽  
Simon D.S. Newman ◽  
Rajarshi Bhattacharya
Keyword(s):  
Unusual Case ◽  
Clavicle Fracture ◽  
Operative Management ◽  
Shaft Fracture ◽  
Optimal Method ◽  
Clavicle Fractures ◽  
Non Operative Management

Segmental clavicle fractures are uncommon injuries. When they do present, they tend to comprise a distal and mid-shaft fracture. A clavicular injury with proximal and distal fractures is a rarer presentation still which is sparsely covered in the literature. These injuries, which have been termed bipolar, are easily missed at presentation and due to their infrequency the optimal method of management for these patients is unclear. We describe the successful non-operative management of a bipolar clavicle fracture and review the existing literature.

Displaced midshaft clavicle fractures in adults – is non-operative management enough?

Injury ◽  
2020 ◽  
Author(s):  
Koushik Narayan Subramanyam ◽  
Abhishek Vasant Mundargi ◽  
K.U. Gopakumar ◽  
Thatipamula Bharath ◽  
Milind Vittal Prabhu ◽  
...  
Keyword(s):  
Operative Management ◽  
Clavicle Fractures ◽  
Non Operative Management

scholarly journals FLEXOR HALLUCIS LONGUS TENOLYSIS/TENOSYNOVECTOMY IN DANCERS

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0017
Author(s):  
Elizabeth I. Barchi ◽  
Donald Rose ◽  
Stephanie Swensen ◽  
Tracy Espiritu-McKay
Keyword(s):  
Hypertrophic Scar ◽  
Human Subjects ◽  
Case Series ◽  
Operative Management ◽  
Flexor Hallucis Longus ◽  
Retrospective Case ◽  
Subjective Satisfaction ◽  
Post Operative Pain ◽  
Superficial Wound ◽  
Non Operative Management

Purpose: The purpose of this study was to report on a series of dancers who had undergone Flexor Hallucis Longus (FHL) tenolysis/tenosynovectomy after having failed conservative management. Methods: Institutional human subjects committee approval was obtained prior to initiating this study. This study is a retrospective case series of 58 dancers and 63 ankles who underwent FHL tenolysis/tenosynovectomy via an open posteromedial approach by a single surgeon between 1993-2017. All patients were interviewed and charts reviewed retrospectively. Collected variables included: pre-operative and post-operative pain levels, time to return to dance, and subjective satisfaction with the procedure. Average age, primary dance form, level of dance were determined. Results: Average pre-operative pain level decreased significantly post-operatively. Average time to return to dance was 7.1 weeks. There was a 98% return to dance at some level while 97% of patients returned to dance symptom-free. There were no neurovascular or other major complications. Minor complications included superficial wound infection (3.1%) and hypertrophic scar (4.8%). Over 97% of dancers considered the procedure a success and 98% of dancers would repeat the procedure. Conclusions: This is one of the largest series reported of isolated FHL tenolysis/tenosynovectomy in dancers who have failed non-operative management. Satisfactory pain relief and return to dance with a low complication rate may be expected from this surgical procedure. The results of this study can be used to help dancers and their providers make informed decisions about treatment in isolated FHL tendinitis.

scholarly journals A comparison of case series comparing Non Operative Management vs Operative Management of splenic injury after blunt trauma.

2014 ◽  
Vol 20 (2) ◽  
pp. 91-96 ◽  
Author(s):  
Roberto Cirocchi ◽  
Alessia Corsi ◽  
Elisa Castellani ◽  
Francesco Barberini ◽  
Claudio Renzi ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Splenic Injury ◽  
Case Series ◽  
Operative Management ◽  
Non Operative Management

scholarly journals Non-operative Management of Adhesive Intestinal Obstruction in Children over a 12 year period at Waikato Hospital

2021 ◽  
Vol 21 (7) ◽  
pp. 433-439
Author(s):  
Aaron Ooi ◽  
Jitoko Kelepi Cama ◽  
Udaya Samarakkody ◽  
Askar Kukkady ◽  
Stuart Brown
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Case Series ◽  
Operative Management ◽  
Initial Surgery ◽  
Time Period ◽  
Case Series Study ◽  
Significant Difference ◽  
Adhesive Intestinal Obstruction ◽  
Non Operative Management

Title: Non-Operative Management of Adhesive Intestinal Bowel Obstruction in Children over a 12year Period at Waikato HospitalIntroduction: Post-operative small bowel adhesions causing bowel obstruction is common in adults but is uncommon in the paediatric age group. The incidence of adhesive intestinal obstruction (AIO) requiring surgical intervention ranges between 2-8% in paediatric patients and majority would occur within the first 2 years after surgery. Aim: To review our experience at a tertiary centre in children under 15years who were admitted with adhesive intestinal obstruction over a 12 year time period and to compare this with other international reports Methodology: This retrospective case series study of all paediatric surgical patients (aged between 1-15 years) admitted with adhesive intestinal obstruction to Waikato Hospital over a 12 year time period were identified by ICD-10-AM codes. Their demographic variables, information of previous surgery and the admissions details including particulars of management were tabulated. Results: Out of 66 admissions, 10 were excluded and 56 admissions were analysed. 35 patients were successfully managed non-operatively and 21 patients proceeded for operative management (7 early and 14 late). Of the operative group, 3 underwent bowel resections (2 early and 1 late). There was no statistically significant difference between length of stay (LOS) among patients with non-operative and operative management. There was also no statistically significant difference between LOS among patients with early (≤24 hours) operative management and late (>24 hours) operative management. In assessing secondary aims, statistically significant differences in the time of presentation from initial surgery was noted for patients who underwent appendectomy who trended towards earlier presentation compared to other laparotomies. Conclusion: This study demonstrated that there could still be a role of non-operative management of children with adhesive bowel obstruction but decision on further management should be clearly defined within 24hours to prevent development of complications.

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