scholarly journals The Structure of the Causes of Primary Prosthetics of the Shoulder Joint

2021 ◽  
pp. 42-48
Author(s):  
S.S. Strafun ◽  
I.S. Zanko
Keyword(s):  
Shoulder Joint ◽  
General Structure ◽  
High Energy ◽  
Acute Injury ◽  
Clinical Group ◽  
Aseptic Necrosis ◽  
Traumatic Injuries ◽  
Female Patients ◽  
Number Of Patients ◽  
Post Traumatic

Relevance. Shoulder prosthetics is the method of choice in the treatment of patients with traumatic injuries that significantly impair joint function and are accompanied by prolonged pain. Objective: to investigate the main causes of injuries of the shoulder joint that led to its prosthetics. Materials and Methods. The clinical group consisted of 162 patients who underwent shoulder prosthetics in the Department of Microsurgery and Reconstructive Surgery of the Upper Limb of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine”. There were 44.4% male and 55.5% female patients. The average age of male patients was 62±11.4 years; the average age of female patients was 66±10.1 years. The average period of seeking specialized medical care after an acute injury was 24±10.9 days and 50.6±81.1 months in patients with post-traumatic consequences. In most cases, patients underwent unipolar prosthetics of the shoulder joint (126 patients, 78.7%); 27 patients (15.6%) underwent reversible prosthetics and 9 (5.6%) – total prosthetics, respectively. Results. In most cases, shoulder prosthetics were performed in patients with acute (up to 3 weeks from the date of injury) and old fractures and fractures of the proximal epimetaphysis of the humerus – 35 (21.6%) and 48 (29.6%) patients, respectively. The number of patients with posttraumatic aseptic necrosis of the humeral head was 49 (30.2%) (p<0.005), which indicates a high frequency of complications after osteosynthesis etc. The number of patients with massive traumatic injuries of the tendons of the rotator cuff who needed shoulder prosthetics was 18 (11.1%) and with false joints – 12 (7.4%). Unipolar prosthesis systems predominated in the general structure of the prosthesis type (126 patients, 78.7%), since reversible and total prosthesis in Ukraine were registered not so long ago. Conclusions. The analysis of our observations showed that the causes of shoulder prosthetics are severe injuries that occur with high-energy injuries (101 patients, 62.3%) and post-traumatic aseptic necrosis (49 patients, 30.2%). Acute and old fractures and fractures of the proximal metaepiphysis of the humerus are one of the most common injuries according to the analysis (35 patients, 21.6% and 48 patients, 29.6%), and their number and complexity continues to increase with age. Understanding the etiological factors that led to shoulder endoprosthetics makes it possible to predict long-term functional results and work to reduce the number of such patients.

scholarly journals Analysis of the Сauses of the Development of Osteoarthrosis of the Shoulder Joint in Patients After Fractures of the Proximal Epimetaphysis of the Humerus

2020 ◽  
pp. 15-24
Author(s):  
S.S. Strafun ◽  
S.V. Bohdan ◽  
L.M. Yuriichuk ◽  
R.O. Serhiienko
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Shoulder Joint ◽  
Daily Life ◽  
Clinical Group ◽  
Type B ◽  
Aseptic Necrosis ◽  
Group A ◽  
Post Traumatic ◽  
Group B

Summary. Posttraumatic (secondary) arthrosis of the shoulder joint, which develops as a result of fractures of the proximal epimetaphysis of the humerus, accounts for about 10% of all arthrosis cases of the shoulder joint, regardless of therapeutic tactics. Objective: to investigate the main causes of the development of post-traumatic arthrosis of the shoulder joint in patients with fractures of the proximal epimetaphysis of the humerus. Materials and Methods. The clinical group consisted of 295 patients with fractures of the proximal epitaphysis of the humerus, who from 2009 to 2020 were treated at the departments of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine” (Kyiv). Of these, 55 (18.64%) were patients who had post-traumatic arthrosis of the shoulder joint. The age of the patients ranged from 27 to 68 years (mean age 42.7±9.5 years); men were 155 (52.5%), women 140 (47.5%). The presence of post-traumatic omarthrosis was determined in terms of 3 to 5 years after the fracture. All patients with post-traumatic osteoarthrosis of the shoulder joint, depending on the treatment, were divided into two groups: group A – patients after metal osteosynthesis of the proximal epimetaphysis of the humerus, group B – patients who underwent conservative treatment. Group A included 35 (63.6%) patients, group B – 20 (36.4%) patients. A general AS/ASIF classification was used to determine the type of a fracture. Conclusions. The highest number of cases of post-traumatic omarthrosis after conservative treatment was found in patients with type A1 fractures – 10.9% and A2 – 14.6%; after surgical treatment, post-traumatic omarthrosis was developed in patients with type C3 fractures – 12.6% and A3 – 14.6% (p≥0.05). The main reason for the development of post-traumatic omarthrosis is aseptic necrosis of the shoulder head – 61.8% (p≤0.05), which is more common in patients with type B and C fractures according to AO. The greatest impact on the development of omarthrosis in patients with fractures of the proximal epimetaphysis of the humerus is the load on the shoulder joint, both during rehabilitation and in daily life, and the presence of contracture in the shoulder joint.

Prospective PC-interactive Pressure Algesimetry of Post-Traumatic Neck pain after Whiplash Injury

Cephalalgia ◽  
2005 ◽  
Vol 25 (3) ◽  
pp. 205-213 ◽  
Author(s):  
K Nebel ◽  
P Stude ◽  
C Lüdecke ◽  
H Wiese ◽  
H-C Diener ◽  
...  
Keyword(s):  
Muscle Pain ◽  
Whiplash Injury ◽  
Acute Stage ◽  
Acute Injury ◽  
Systematic Analysis ◽  
Pressure Pain ◽  
Healthy Control ◽  
Post Traumatic ◽  
Recovery Dynamics ◽  
Whiplash Syndrome

Cervical pain is a prominent symptom in both acute whiplash injury and late whiplash syndrome. However, no systematic analysis of post-traumatic pain development covering several weeks has yet been performed in whiplash patients. It was the aim of the present study to analyse the duration and course of post-traumatic muscle pain due to whiplash injury in a prospective follow-up examination with short investigation intervals. A recovery of initially increased muscle pain after whiplash injury within 1 month was hypothesized. Pressure pain of the splenius and trapezius muscles was recorded using PC-interactive pressure algesimetry. Whiplash patients were investigated during the acute injury stage and after 3, 4, and 6 weeks and compared with matched controls. We found significantly increased pressure pain of the splenius and trapezius muscles in the acute stage of whiplash injury. After 4 weeks patients' scores of pain parameters were comparable to those of healthy control subjects. Within the patient group the first changes of pressure pain were observed within 3 (splenius) and 4 weeks (trapezius). For most patients the recovery dynamics lasted 4-6 weeks. A minority of patients did not show any improvement after 6 weeks. The present study shows that the dynamics of pressure pain due to whiplash injury can be quantified by means of PC-interactive pressure algesimetry. Our results confirm the clinical experience that the acute post-traumatic cervical syndrome normally subsides within weeks.

Traumatic Hand-Me-Downs: The Holocaust, Where Does it End?

2000 ◽  
Vol 81 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Mayer Waxman
Keyword(s):  
Mental Health Professionals ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Maladaptive Behavior ◽  
Clinical Group ◽  
Children Of Holocaust Survivors ◽  
Post Traumatic Stress ◽  
Survivor Syndrome ◽  
The Holocaust ◽  
Post Traumatic

The author looks at children of Holocaust survivors as a distinct clinical group. These patients often display symptoms resembling those found in concentration-camp-survivor syndrome. Common symptoms include depression, anxiety, maladaptive behavior, and symptoms of personality disorder and even post traumatic stress disorder. The author reviews theories explaining the phenomenon and discusses treatment implications for both mental-health professionals and for clergy.

scholarly journals Posttraumatic Growth through Quran and Sunna: Islamic Perspective

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Sadaf Anjum Masoodi ◽  
Prof. Shahina Maqbool
Keyword(s):  
Posttraumatic Growth ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Mental Condition ◽  
Post Traumatic Stress ◽  
Kashmir Valley ◽  
The People ◽  
Number Of Patients ◽  
Post Traumatic

There has been a worrying trend in Kashmir i.e. the growth of posttraumatic stress disorder, a mental condition which is affecting people for more than two decades. The continuous political uncertainty, insecurity from armed forces; natural calamities are the contributory factors.  And it is found that Post Traumatic Stress Disorder (PTSD) is on the rise in Kashmir Valley after the worst ever floods hit the state few months back. Psychiatrists in Srinagar opine that there has been a remarkable increase in the number of patients who were suffering from “early symptoms” of PTSD.  Post Traumatic Stress Disorder is a condition that develops after an individual expose through a terrifying ordeal that involves physical harm or the threat of a physical harm. The condition develops amongst the people who may have gone through some physical harm or might have witnessed their loved ones or the people around them being harmed. The trauma affects people in three ways: negative, neutral and positive. Under the positive category, the affected person somehow gets encouraged and takes up challenges. Their condition does not make any difference to them. Highly stressful events or major life traumas (such as serious illness, road traffic accident, death of a relative or loved one, unemployment, divorce, etc.) can lead to a variety of  behavioral, psychological and emotional negative outcomes to the disruptive and aversive conditions (Taku, Cann, Tedeschi, & Calhoun, 2009). The positive side of the trauma is that it also leads to growth. This phenomenon has been recognized as a distinct construct – posttraumatic growth (Tedeschi & Calhoun, 1996), implying ‘‘positive psychological change experienced as a result of the struggle with highly challenging life circumstances’’ (Tedeschi & Calhoun, 2004, p. 1). Positive change has been noted in the literature by various authors and referred to in diverse terms – among others, benefit-finding (Affleck & Tennen, 1996), stress-related growth (Park, Cohen, & Murch, 1996), adversarial growth (Linley & Joseph, 2004), flourishing (Ryff & Singer, 1998), and thriving (O’Leary & Ickovics, 1995).  The main objective of the paper is to discuss the role of Islam with special reference to Qur’an and Sunna in posttraumatic Growth among violence victims in Kashmir valley India. Islamic practices such as prayer and listening Qur’an plays important role in coping with traumatic disorders. Islamic values and beliefs can be beneficial in overcoming traumatic life events and seeking posttraumatic Growth. The Holy Qur’an teaches us “The truly righteous — are those who endure with fortitude misfortune, hardship and peril. That is, who are patient in poverty and affliction, and in time of war” (2:178).

scholarly journals POST-INFLATED GLENOHUMERAL PAIN

2019 ◽  
pp. 76-81
Author(s):  
T. M. Muratova ◽  
D. M. Khramtsov ◽  
S. A. Kotov
Keyword(s):  
Shoulder Joint ◽  
Preventive Measures ◽  
Diagnosis And Treatment ◽  
Clinical Effects ◽  
Complete Control ◽  
Number Of Patients

The aim of the study was to assess the prevalence of post-storoke glenohumeral pain and the effectiveness of its diagnosis and treatment in a university clinic. It was shown that pain in the shoulder joint of the parectic limb is recorded in 28.3% of inpatients and 20.3% during the first weeks after discharge. At controlled visits 3 and 6 months later, in 61.5% of cases, satisfactory clinical effects were achieved by reducing the intensity of pain to 1.8 ± 0.1 scores, and in the rest of the patients to achieve complete control of the pain. It was established that the use of preventive measures can reduce the number of patients with post-venous glomerular syndrome, moral pain.

scholarly journals DETERMINATION OF THE STRUCTURE OF ACUTE INJURY OF TEMPORARY AND PERMANENT FRONTAL TEETH IN CHILDREN, ANALYSIS OF DIAGNOSTIC AND TREATMENT MEASURES AND THEIR EFFECTS

2020 ◽  
Vol 73 (4) ◽  
pp. 737-742
Author(s):  
Valentina P. Trufanova ◽  
Olha V. Sheshukova ◽  
Natalia A. Lyakhova ◽  
Tetiana V. Polishchuk ◽  
Sofia S. Bauman ◽  
...  
Keyword(s):  
Self Regulation ◽  
Pediatric Dentistry ◽  
Permanent Tooth ◽  
Acute Injury ◽  
Permanent Teeth ◽  
Traumatic Injuries ◽  
Acute Injuries ◽  
Jaw Apparatus ◽  
Treatment Measures

The aim: To determine the structure of acute injuries of temporary and permanent frontal teeth in children, to analyze the applied diagnostic and treatment measures for acute tooth trauma and to investigate their effectiveness. Materials and methods: The subject of the study were 31 children aged 2-12 years with acute temporary and permanent tooth trauma. Methods: clinical (radiological, thermodiagnosis), medical and statistical. Results: The number of injured permanent teeth was greater than the number of injured temporary teeth. The pattern of temporary and permanent tooth injuries differed, so in temporary teeth dislocations were observed, and in permanent teeth fractures prevailed over dislocations. In our opinion, this is due to the peculiarities of the anatomy of the temporary teeth. Usually, the therapeutic tactics of acute temporary teeth injuries is to remove them, despite their important role in the growth and development of jaws, physiological formation and eruption of permanent teeth. The therapeutic tactics of dynamic observation in the case of intrusive dislocation of the temporary tooth were selected in the clinic of the Department of Pediatric Dentistry. In some cases, with a slight change in the position of the temporary tooth, self-regulation of its position was observed, in other cases the tooth remained dystopic, but its viability remained in 50% of cases. Therapeutic tactics of acute injuries of permanent teeth were selected according to the type of trauma. In the case of permanent tooth dislocation, with a slight change in its position, tooth immobilization was carried out by splinting with fiberglass tape and photopolymer composite material. Conclusions: Our observations have shown that the complex of modern specialized medical care for the affected children with acute traumatic injuries of the teeth should be guided by their preservation, which ensures the subsequent normal formation of the dental-jaw apparatus. To ensure these conditions, a long, reliable immobilization of the damaged tooth is required as soon as possible after injury.

scholarly journals Elective amputation of the upper limb is an option in the treatment of traumatic injuries of the brachial plexus?

2017 ◽  
Vol 75 (9) ◽  
pp. 667-670 ◽  
Author(s):  
Mário Gilberto Siqueira ◽  
Roberto Sérgio Martins ◽  
Carlos Otto Heise ◽  
Luciano Foroni
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Limb Amputation ◽  
Brachial Plexus Palsy ◽  
Traumatic Injuries ◽  
Upper Limb Amputation ◽  
Pros And Cons ◽  
Post Traumatic ◽  
Active Patients

ABSTRACT The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.

Wrist Arthroscopy in Traumatic and Post-Traumatic Injuries

2012 ◽  
pp. 173-202
Author(s):  
Ferdinando Battistella ◽  
Grzegorz Adamczyk ◽  
Maciej Miszczak ◽  
Christophe Rizzo ◽  
Christophe Mathoulin ◽  
...  
Keyword(s):  
Wrist Arthroscopy ◽  
Traumatic Injuries ◽  
Post Traumatic

scholarly journals Surgical excision of post-traumatic myositis ossificans of the adductor longus in a football player

2020 ◽  
Vol 13 (3) ◽  
pp. e233504
Author(s):  
Gijs Herman Joseph de Smet ◽  
Steven E Buijk ◽  
Adam Weir
Keyword(s):  
Conservative Treatment ◽  
Myositis Ossificans ◽  
Surgical Excision ◽  
Football Player ◽  
Acute Injury ◽  
Background Information ◽  
Activity Levels ◽  
Longus Muscle ◽  
Post Traumatic ◽  
Adductor Longus

A football player was diagnosed with myositis ossificans of his right adductor longus muscle after an acute injury. Conservative treatment failed and 1 year after the initial trauma the patient underwent surgical excision of a large ossification. Seven months postoperatively, the patient was fully recovered and returned to his preinjury activity levels. We present our approach to this case and discuss our considerations, referring to background information about this rare disease.

Dorsal Dislocation of the Trapezoid with Metacarpal Instability: A Boxing Injury

2020 ◽  
Author(s):  
Oren I. Feder ◽  
Joseph P. Letzelter ◽  
Jacques H. Hacquebord
Keyword(s):  
Motor Vehicle ◽  
Treatment Strategies ◽  
High Energy ◽  
Acute Injury ◽  
Long Term Results ◽  
Steering Wheel ◽  
Return To Sports ◽  
Joint Dislocations ◽  
Anatomic Reduction ◽  
Wide Range

Abstract Background The second and third metacarpals are firmly attached, immobile structures which for the stable pillar of the hand. The trapezoid has been described as the keystone of the wrist, allowing a wide range of functional motion as well as inherent anatomic and biomechanical stability to the carpus. Case Description We describe a novel boxing injury with a 180-degree in situ dislocation of the right trapezoid with concomitant second and third carpometacarpal (CMC) joint dislocations. Open anatomic reduction of the trapezoid was obtained, and subsequent percutaneous pinning of the metacarpals allowed for a full functional recovery and return to sports at 6 months. Literature Review Combined trapezoid and CMC dislocations are extremely rare and have only been previously described in high-energy mechanism injuries, involving a direct dorsal force such as from the steering wheel in a motor vehicle collision. There are no previous reports of this injury occurring in the setting of direct axial load along the metacarpals in a clenched fist such as in a punch or fighting injury. Clinical Relevance The rare nature of this combined injury, its novel mechanism, and the difficulty in interpreting acute injury and postreduction radiographs require that the treating physician have a high degree of clinical suspicion for associated injuries when CMC dislocations are identified. Treatment strategies incorporating intraoperative fluoroscopy, open anatomic reduction of the trapezoid under direct visualization along with closed reduction, and pinning of the metacarpals reestablish carpal stability and provide excellent long-term results.

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