scholarly journals MANAGEMENT OF LATERAL HUMERAL CONDYLAR FRACTURE IN CHILDREN

2019 ◽  
Vol 9 (1) ◽  
pp. 62-69
Author(s):  
A. I. Dorokhin ◽  
H. G. Bagomedov
Keyword(s):  
Computed Tomography ◽  
Treatment Method ◽  
Bone Fragment ◽  
Condylar Fracture ◽  
Treatment Experience ◽  
Oblique Projections ◽  
Condyle Fracture ◽  
Humeral Condyle ◽  
Suggested Classification ◽  
Selection Of

Analysis of literature related to treatment of children with humeral condyle fracture (HCF) showed that in 15–51% of cases the outcomes were unsatisfactory. Material and methods. Treatment experience of 486 children with acute HCF fractures aged 1 to 16 years is presented. The diagnostic uses additional oblique projections and computed tomography to detect the degree of dislocation and fragment mobility alongside with standard ultrasound examinations. Patients were distributed as follows considering the degree of HCF bone fragment dislocation: 170 (35%) patients with 1 degree of dislocation and 117 (24%) patients with 2 degree of dislocation, whereas 199 (41%) patients had 3 degree dislocation. Results. The patients were operated using the developed tactical scheme based on the suggested classification. It took into account both the degree of dislocation and fragment mobility in 1 degree fractures. Remote results were examined in 321 (66%) patients within 1–15 years after the trauma: the results were excellent in 278 (87%) cases, good in 29 (%) cases and satisfactory in 13 (4%) cases. Conclusions. Treatment of children with humeral condyle fractures was based on the differentiated approach to selection of treatment method depending on dislocation degree and mobility of a distal bone fragment.

scholarly journals Image Fusion of X-ray and Magnetic Resonance Imaging-Based Evaluation of the Stability of Pediatric Lateral Humeral Condyle Fracture

2021 ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lateral Condyle ◽  
Resonance Imaging ◽  
Condylar Fracture ◽  
X Ray ◽  
Fracture Displacement ◽  
The Stability ◽  
Condyle Fracture ◽  
Humeral Condyle

Background: Lateral humeral condyle fracture is the second most common intra-articular fracture in pediatric elbow. Objectives: The present study aimed to analyze the differences between X-ray and magnetic resonance imaging (MRI) in the evaluation of the stability of pediatric lateral humeral condyle fracture and the degree of fracture displacement. Methods: A total of 78 patients with acute elbow trauma were selected and hospitalized in our orthopedic department from July 2018-July 2019. All patients were examined with X-ray and MRI. The sensitivity and specificity of X-ray and MRI in the diagnosis of lateral humeral condyle fracture and the integrity of the trochlear cartilage chain fracture were calculated. The X-ray and MRI were examined respectively to check the value of lateral and posterior fracture space of lateral humeral condyle fracture. Results: Callus repair was observed according to the observation of fracture line during operation or the follow-up imaging examination of conservative treatment. It was confirmed that out of 78 patients with elbow joint trauma, 72 cases were diagnosed with the fracture of lateral condyle of humerus, and the other 6 patients were cured without fracture signs. The sensitivity of MRI in the diagnosis of pediatric lateral condylar fracture was 100%, which was significantly higher than that of X-ray (88.89%) (P<0.05). The results of X-ray and MRI in the diagnosis of pediatric lateral condylar fracture were generally consistent (kappa value = 0.465;< 0.01). Among the 72 confirmed cases, 35 subjects had a fracture of trochlear cartilage chain. The sensitivity of MRI in the diagnosis of pediatric fracture of lateral condyle of humerus was 97.14%, which was significantly higher than that of X-ray (62.86%) (P<0.05). The difference was statistically significant (P<0.05). The sensitivity of 3d-fs-fspgr or 3d-fspgr was significantly higher than that of fs-t2wi and fs-pdwi (P< 0.05). Conclusion: As evidenced by the obtained results, MRI was superior to X-ray in the diagnosis of pediatric humeral epicondylar fracture stability and evaluation of fracture displacement. Furthermore, 3d-fs-fspgr or 3d-fspgr was the best MR sequence to show the pediatric humeral epicondylar fracture. These findings can provide theoretical basis for the establishment of clinical treatment plan.

Deformity secondary to bilateral incomplete ossification of the humeral condyle in a German Shorthaired Pointer dog

2010 ◽  
Vol 23 (06) ◽  
pp. 468-471 ◽  
Author(s):  
C. E. DeCamp ◽  
C. Agnello ◽  
B. A. Steficek ◽  
D. J. F. von Pfeil
Keyword(s):  
Computed Tomography ◽  
Microscopic Examination ◽  
Elbow Joint ◽  
Medial Aspect ◽  
Heavy Exercise ◽  
Condylar Fracture ◽  
Non Union ◽  
Active Life ◽  
Thoracic Limb ◽  
Humeral Condyle

SummaryA five-month-old male, German Shorthaired Pointer dog was presented for severe, bilateral, thoracic-limb-lameness, with elbow swelling, pain, and crepitus. Radiography and computed tomography confirmed bilateral incomplete ossification of the humeral condyles (IOHC), with a non-displaced incomplete fracture of the left medial epicondylar crest and condylar deformity, characterised by enlargement of the trochleas with extension of the disto-medial aspect of the bone below the normal elbow joint level, and a deformed proximo-medial aspect of the ulna and radius. Transcondylar lag screws were placed bilaterally in an attempt to prevent fracture. Microscopic examination of biopsies, harvested from both humeral condyles, was supportive of IOHC. Six years after surgery, radiographs showed severe osteoarthritis and it appeared that fusion of the humeral condyles had not occurred. The dog followed an active life style until 10 years after surgery when the elbows showed almost no observable range-of-motion. However, discomfort was evident only after heavy exercise. Incomplete ossification of the humeral condyles may be associated with osteoarthritis, risk for non-union, implant failure, or secondary condylar fracture. This dog maintained good limb function despite these concerns, and despite bilateral humeral condylar deformity as well as development of severe osteoarthritis. This is the first report of a German Shorthaired Pointer dog with IOHC and the first histological description supportive of this condition in a five-month-old dog.

scholarly journals Carotid chemodectoma: treatment experience

2019 ◽  
Vol 06-07 (1-2) ◽  
pp. 18-21
Author(s):  
G.P. Ruzin ◽  
V.M. Vasilenko ◽  
E.N. Vakulenko
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Selective Angiography ◽  
Treatment Experience ◽  
National Medical ◽  
Results Of Treatment ◽  
Medical University ◽  
Selection Of

The article presents the results of the examination and treatment of 6 patients with carotid chemodectomies who were treated at the clinic of maxillofacial surgery at Kharkov National Medical University. An analysis of the results of treatment. On the example of the results obtained for the differential diagnosis and selection of the optimal nature of surgical intervention when patients approach the maxillofacial surgeons, it is necessary to use ultrasound and computed tomography, and in doubtful cases selective angiography.

Prevalence of incomplete ossification of the humeral condyle in the limb opposite humeral condylar fracture: 14 dogs

2010 ◽  
Vol 23 (03) ◽  
pp. 168-172 ◽  
Author(s):  
L. Crews ◽  
T. Saveraid ◽  
M. G. Conzemius ◽  
R. B. Martin
Keyword(s):  
Computed Tomography ◽  
Clinical Significance ◽  
Diagnostic Tool ◽  
Kappa Coefficient ◽  
Clinical Suspicion ◽  
Condylar Fracture ◽  
Contralateral Limb ◽  
Plain Radiographs ◽  
Radiographic Diagnosis ◽  
Humeral Condyle

Summary Objective: The objectives of this study were to determine the frequency of incomplete ossification of the contralateral humeral condyle (IOHC) in mature dogs with unilateral, atraumatic humeral condylar fracture (HCF), and to determine the sensitivity of radio-graphs as a diagnostic tool for IOHC. Methods: Computed tomography and radio-graphs were obtained for both elbows of 14 dogs with unilateral HCF. The images were evaluated by two boarded radiologists and the prevalence of IOHC in the limb contralaterla to the HCF was identified. Sensitivity and specificity of the radiographic diagnosis of IOHC were determined. Results: Incomplete ossification of the humeral condyle was present in six of 14 dogs, however IOHC was incomplete in three of the six affected dogs. Plain radiographs had a sensitivity of 0.83 (CI 95%: 0.36 to 0.99) and specificity of 1 (CI 95%: 0.60 to1). The Kappa coefficient between radiologists for radio-graphic examination was 0.714. Of the Spaniel breeds, four out of eight had IOHC in the limb contralateral to the HCF. Clinical significance: Computed tomography evaluation is more sensitive than radiographs for diagnosis of IOHC, particularly when assessing partial or incomplete IOHC. However, sensitivity of radiographic diagnosis is good and should be adequate in most cases. Clinical suspicion of IOHC in the contralateral limb to the unilateral HCF should be present however overall frequency may not be as high as previously reported.

scholarly journals Application of cone-beam computed tomography (CBCT) for diagnosis and management of mandibular condyle fractures

2017 ◽  
Vol 13 (3) ◽  
pp. 73-81
Author(s):  
Pradip Acharya ◽  
G Ren ◽  
MR Jaisani ◽  
A Dongol ◽  
RP Yadav ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Mandibular Condyle ◽  
Supplementary Information ◽  
Cone Beam ◽  
Condylar Fracture ◽  
Diagnosis And Management ◽  
Condylar Head ◽  
Condyle Fracture ◽  
Condylar Fractures

 Background: Cone beam computed tomography (CBCT) provides precise imaging of temporomandibular joint anatomy without superimposition and distortion. CBCT is relatively a new imaging modality and used commonly in dental practice.Objective: The aim of this study is to present detailed imaging of   emporomandibular joint in case of condyle fracture using CBCT for its use in diagnosis, surgical planning and evaluation of treatment.Method: In our study, we evaluated 3D - CBCT (three dimensional Cone beam computed tomography) examinations of 18 patients with mandibular condyle fractures. All of the fractures in our cases were overlooked on CBCT, thus providing axial, coronal and para-sagittal imaging of condylar head including 3D dimensional volumetric images of the condyle and surrounding structures.Result: Out of 18 condylar fracture patient’s CBCT, 8 radiographs showed condylar head (intracapsular) fracture, 2 condylar neck, 8 subcondylar fracture. 13 condylar fractures were unilateral and 5 were bilateral fracture. 9 of the condylar fractures were not associated with the mandible fracture. Out of the 9 associated condylar fractures; 3 were associated with symphysis fracture, 4 associated with parasymphysis fracture, 1 associated with body fracture and remaining 1 associated with mandibular angle fracture. 6 of the condylar fracture showed no signs of displacement of the fractured part and among 12 displaced condylar fracture parts 8 medially and 4 laterally displaced recorded in CBCT. All of the patients were given treatment on the basis of CBCT diagnosis and the results obtained from it was clinical satisfactory without complaints.Conclusion: We concluded that CBCT is the latest sophisticated technology which provides clear image of condylar head without superimposition of other structures, presented supplementary information for a more effective diagnosis and management of mandibular condyle fractures. Health Renaissance 2015;13 (3): 73-81

Effect of Induced Incomplete Ossification of the Humeral Condyle on Ex Vivo Humeral Condylar Biomechanics

2020 ◽  
Author(s):  
Logan M. Scheuermann ◽  
Michael G. Conzemius
Keyword(s):  
Mechanical Testing ◽  
Study Design ◽  
Ex Vivo ◽  
Peak Load ◽  
Testing System ◽  
Condylar Fracture ◽  
Naturally Occurring ◽  
Left And Right ◽  
Condylar Fractures ◽  
Humeral Condyle

Abstract Objective The aim of this study was to investigate the effects of an induced incomplete ossification of the humeral condyle (IOHC) lesion on ex vivo canine humeral condylar biomechanics. Study Design Nine paired cadaveric elbows were collected from mature dogs weighing between 20 and 25 kg. Left and right limbs were randomized to IOHC or normal groups. Limbs were prepared for mechanical testing; ligaments were preserved and an IOHC lesion was created. Elbows were potted, positioned into a biomaterials testing system at an angle of 135 degrees and axially loaded to failure at a rate of 30 mm/minute. Results Induced IOHC lesions reduced peak load (p = 0.02) when compared with an intact humerus. There was no difference between stiffness (p = 0.36) of intact humeri or humeri with an induced IOHC lesion. An induced IOHC lesion increased (p = 0.012) the probability of intracondylar fracture under load. Conclusion Cadaveric humeri are weakened by the creation of an intracondylar osteotomy and fractures secondary to induced IOHC are similar to spontaneous humeral condylar fractures. These findings support the hypothesis that naturally occurring IOHC weakens the humeral condyle and may predispose to humeral condylar fracture.

scholarly journals Jones Fractures Identified at the National Football League Scouting Combine: Assessment of Prognostic Factors, Computed Tomography Findings, and Initial Career Performance

2018 ◽  
Vol 6 (8) ◽  
pp. 232596711879074 ◽  
Author(s):  
Robert C. Spang ◽  
Daniel B. Haber ◽  
Brendin R. Beaulieu-Jones ◽  
Kristen L. Stupay ◽  
George Sanchez ◽  
...  
Keyword(s):  
Computed Tomography ◽  
National Football League ◽  
Treatment Method ◽  
Level Of Evidence ◽  
Significant Difference ◽  
Specific Performance ◽  
Incomplete Healing ◽  
Bony Healing ◽  
The Mean ◽  
Career Performance

Background: Jones fractures result in subsequent dysfunction and remain an issue for athletes. Purpose: To (1) describe the epidemiology, treatment, and impact of Jones fractures identified at the National Football League (NFL) Scouting Combine on players’ early careers and (2) establish the value of computed tomography (CT) to determine bony healing after a fracture in prospective players. Study Design: Cohort study; Level of evidence, 3. Methods: All players who attended the combine between 2009 and 2015 were retrospectively reviewed to identify their history of Jones fractures. The playing position, treatment method, and number of missed collegiate games were recorded. The mean overall draft pick number, number of games started and played, snap percentage, and position-specific performance scores (fantasy score) over the first 2 years in the NFL were compared between players with fractures and controls. An imaging classification system was applied based on grading of each quadrant of the fifth metatarsal (plantar, dorsal, medial, lateral), with a score of 0 for not healed or 1 for healed. Results: Overall, the number of Jones fractures identified was 72 in 2285 athletes (3.2%), with all treated via intramedullary screw fixation. The mean overall draft pick number for players with fractures was 111.2 ± 67.9 compared with 99.0 ± 65.9 for controls ( P = .12). Performance scores for players with fractures were lower than those for controls across all positions, with a significant difference in running backs (2.6 vs 4.0, respectively; P < .001) and defensive linemen (1.4 vs 2.3, respectively; P = .02). The mean CT score was 2.5 ± 1.3. Of the 32 athletes who underwent imaging, 16 Jones fractures (50.0%) were healed or nearly healed, 12 (37.5%) were partially healed, and 4 (12.5%) showed little or no healing. The plantar cortex demonstrated the least healing (18/32; 56.3%), followed by the lateral cortex (15/32; 46.9%). Players with a mean score <1 were found to have fewer games started (2.7 ± 2.5) than those with 1 to 3 cortices healed (17.4 ± 10.4) or all cortices healed (8.7 ± 11.2). Conclusion: Based on CT, 50% of all players with a previous Jones fracture demonstrated incomplete healing. Moreover, position-specific performance scores over the first 2 years of a player’s career were lower across all positions for those with fractures compared with controls. Players with CT scores <1 were found to start fewer games and were drafted later than controls.

Imaging for approach selection of TAVI: assessment of the aorto-iliac tract diameter by computed tomography-angiography versus projection angiography

2013 ◽  
Vol 30 (2) ◽  
pp. 399-405 ◽  
Author(s):  
E. M. A. Wiegerinck ◽  
H. A. Marquering ◽  
N. Y. Oldenburger ◽  
M. A. Elattar ◽  
R. N. Planken ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Selection Of

scholarly journals Effects of the condylar process fracture on facial symmetry in rats submitted to protein undernutrition

2011 ◽  
Vol 26 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Lucimar Rodrigues ◽  
Luciana Corrêa ◽  
João Gualberto de Cerqueira Luz
Keyword(s):  
Serum Proteins ◽  
Mandibular Condyle ◽  
Median Line ◽  
Condylar Fracture ◽  
Fracture Group ◽  
Facial Symmetry ◽  
Maxilla And Mandible ◽  
The Right ◽  
Condyle Fracture ◽  
Cephalometric Measurements

PURPOSE: To investigate the facial symmetry of rats submitted to experimental mandibular condyle fracture and with protein undernutrition (8% of protein) by means of cephalometric measurements. METHODS: Forty-five adult Wistar rats were distributed in three groups: fracture group, submitted to condylar fracture with no changes in diet; undernourished fracture group, submitted to hypoproteic diet and condylar fracture; undernourished group, kept until the end of experiment, without condylar fracture. Displaced fractures of the right condyle were induced under general anesthesia. The specimens were submitted to axial radiographic incidence, and cephalometric mensurations were made using a computer system. The values obtained were subjected to statistical analyses among the groups and between the sides in each group. RESULTS: There was significative decrease of the values of serum proteins and albumin in the undernourished fracture group. There was deviation of the median line of the mandible relative to the median line of the maxilla, significative to undernutrition fracture group, as well as asymmetry of the maxilla and mandible, in special in the final period of experiment. CONCLUSION: The mandibular condyle fracture in rats with proteic undernutrition induced an asymmetry of the mandible, also leading to consequences in the maxilla.

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