scholarly journals Osteochondritis dissecans of the humeral trochlea in two pediatric athletes: two cases and review of literature

2021 ◽  
Vol 1 (4) ◽  
pp. 175-189
Author(s):  
Ramakanth Yakkanti ◽  
Daniel Quintero ◽  
Cole Southworth ◽  
Lee Kaplan ◽  
Jean Jose

We herein report two unusual cases of osteochondritis dissecans (OCD) of the trochlea. The injury consisted of a focal alteration of subchondral bone secondary to repetitive micro trauma from overhead maneuvers (pitching) in two male adolescents. Only 23 other cases of OCD affecting the trochlea have been reported. We comment on this discrepancy, explore the radiographic features, and detail the non-operative management that was undertaken. We substantiate our report with a systematic review of all OCD cases of the trochlea and provide information on patient demographics, sport type, management, recuperation and finally significance of radiographic grading.

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028172
Author(s):  
Masahiro Kashiura ◽  
Noritaka Yada ◽  
Kazuma Yamakawa

IntroductionOver the past decades, the treatment for blunt splenic injuries has shifted from operative to non-operative management. Interventional radiology such as splenic arterial embolisation generally increases the success rate of non-operative management. However, the type of intervention, such as the first definitive treatment for haemostasis (interventional radiology or surgery) in blunt splenic injuries is unclear. Therefore, we aim to clarify whether interventional radiology improves mortality in patients with blunt splenic trauma compared with operative management by conducting a systematic review and meta-analysis.Methods and analysisWe will search the following electronic bibliographic databases to retrieve relevant articles for the literature review: Medline, Embase and the Cochrane Central Register of Controlled Trials. We will include controlled trials and observational studies published until September 2018. We will screen search results, assess the study population, extract data and assess the risk of bias. Two review authors will extract data independently, and discrepancies will be identified and resolved through a discussion with a third author where necessary. Data from eligible studies will be pooled using a random-effects meta-analysis. Statistical heterogeneity will be assessed by using the Mantel-Haenszel χ² test and the I² statistic, and any observed heterogeneity will be quantified using the I² statistic. We will conduct sensitivity analyses according to several factors relevant for the heterogeneity.Ethics and disseminationOur study does not require ethical approval as it is based on the findings of previously published articles. This systematic review will provide guidance on selecting a method for haemostasis of splenic injuries and may also identify knowledge gaps that could direct further research in the field. Results will be disseminated through publication in a peer-reviewed journal and presentations at relevant conferences.PROSPERO registration numberCRD42018108304.


The Surgeon ◽  
2020 ◽  
Vol 18 (2) ◽  
pp. 113-121 ◽  
Author(s):  
James M. Halle-Smith ◽  
James Hodson ◽  
Lewis Stevens ◽  
Darius F. Mirza ◽  
Keith J. Roberts

2017 ◽  
Vol 45 ◽  
pp. 58-66 ◽  
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Nilanjan Panda ◽  
Rao Muhammad Asaf Khan ◽  
Samik Kumar Bandyopadhyay ◽  
...  

Cureus ◽  
2020 ◽  
Author(s):  
Pinkal Patel ◽  
James Edward Massey Young ◽  
Mark McRae ◽  
Jenny Santos ◽  
Carolyn Levis ◽  
...  

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