scholarly journals Current concepts in the treatment of midshaft clavicle fractures in adults

2021 ◽  
Vol 24 (3) ◽  
pp. 189-198
Author(s):  
Hyun Seok Song ◽  
Hyungsuk Kim
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Treatment Options ◽  
Clavicle Fracture ◽  
Functional Results ◽  
Review Article ◽  
Fracture Classification ◽  
Surgical Options ◽  
Clavicle Fractures

Midshaft clavicle fractures are the most common fracture of the clavicle accounting for 80% of all clavicle fractures. Traditionally, midshaft clavicle fractures are treated with conservative treatment even when prominent displacement is observed; however, recent studies revealed that nonunion or malunion rate may be higher with conservative treatment. Moreover, recent studies have shown better functional results and patient satisfaction with surgical treatment. This review article provides a review of clavicle anatomy, describes the current clavicle fracture classification system, and outlines various treatment options including current surgical options for clavicle fracture in adults.

scholarly journals Exploring patient satisfaction after operative and nonoperative treatment for midshaft clavicle fractures: a focus group analysis

2020 ◽  
Author(s):  
Eric Danjel Tutuhatunewa ◽  
Martin Stevens ◽  
Olivier C. Dams ◽  
Jeffrey van Son ◽  
Rebecca D. Louhanepessy ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Focus Group ◽  
Focus Groups ◽  
Treatment Options ◽  
Clavicle Fracture ◽  
Group Analysis ◽  
Nonoperative Treatment ◽  
Web Based ◽  
Face To Face ◽  
Clavicle Fractures

Abstract BackgroundThere is no consensus on the optimal treatment for displaced midshaft clavicle fractures. Several studies indicate superior patient satisfaction in favour of operative reconstruction. It is unknown what drives superior satisfaction in this treatment group. The aim of this study was to explore patient satisfaction and identify contributors to patient satisfaction after operative and nonoperative treatment for displaced midshaft clavicle fractures in adults using a focus group approach.MethodsFour face-to-face and two web-based focus groups were hosted. A total of 24 participants who were treated nonoperatively (n = 14) or operatively (n = 10) agreed to participate. Participants were selected using purposive sampling, ensuring variation in gender, age, treatment complications and outcomes. A question script was developed to systematically explore patient expectations, attitudes and satisfaction with different dimensions of care. All focus groups were voice-recorded and transcribed at verbatim. Thematic analysis was conducted on all face-to-face and web-based transcripts. ResultsThe main emerging themes across treatment groups were; need for more information, functional recovery, speed of recovery and patient-doctor interaction. There was no difference in themes observed between operative and nonoperative focus groups. The lack of information was the most important complaint in dissatisfied patients. Conclusion Our study shows that informing patients about their injury, treatment options and expectations for recovery is paramount for overall patient satisfaction after treatment for a displaced midshaft clavicle fracture.

scholarly journals Diagnosis and treatment of calcific tendinitis of the shoulder

2020 ◽  
Vol 23 (4) ◽  
pp. 203-209
Author(s):  
Min-Su Kim ◽  
In-Woo Kim ◽  
Sanghyeon Lee ◽  
Sang-Jin Shin
Keyword(s):  
Conservative Treatment ◽  
Shoulder Pain ◽  
Treatment Options ◽  
Review Article ◽  
Calcific Tendinitis ◽  
Diagnosis And Treatment ◽  
Appropriate Treatment ◽  
Acute Calcific Tendinitis ◽  
Calcific Deposits ◽  
Pain Patients

Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%–20% are asymptomatic, and 35%–45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

Atrial fibrillation surgery with a focus on patients with reduced left ventricular function and heart failure

EP Europace ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 517-521
Author(s):  
Johannes Petersen ◽  
Hermann Reichenspurner ◽  
Simon Pecha
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Left Ventricular Function ◽  
Treatment Options ◽  
Left Ventricular ◽  
Review Article ◽  
Surgical Ablation ◽  
Ablation Therapy ◽  
Patients With Heart Failure

Abstract This review article aims to give an overview on the different surgical treatment options for atrial fibrillation It includes concomitant- as well as stand-alone surgical ablation therapy and outlines the main issues in patients with heart failure and reduced LVEF.

scholarly journals Percutaneous Management of Enterocutaneous Fistulae and Abscess–Fistula Complexes

2018 ◽  
Vol 02 (02) ◽  
pp. 131-140 ◽  
Author(s):  
Abigail Erickson ◽  
Chaitanya Ahuja ◽  
Romulo Vea ◽  
Guillermo Sangster ◽  
Horacio D'Agostino ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Percutaneous Drainage ◽  
Treatment Options ◽  
Management Strategies ◽  
Treatment Strategies ◽  
Review Article ◽  
Abdominal Abscesses ◽  
Percutaneous Catheter

AbstractAbscess–fistula complexes and enterocutaneous fistulae are due to postoperative, spontaneous, and inflammatory etiologies. Conservative, percutaneous, endoscopic, and surgical treatment options are available options. Interventional radiologists have an array of different treatment strategies, often starting with percutaneous drainage of associated intra-abdominal abscesses. This review article details different percutaneous management strategies, focusing on percutaneous catheter strategies for abscess-fistula complexes along with tract closures strategies for enterocutaneous fistulae.

scholarly journals Additional fixation using a metal plate with bioresorbable screws and wires for robinson type 2B clavicle fracture

2020 ◽  
Vol 23 (4) ◽  
pp. 198-202
Author(s):  
Woo Jin shin ◽  
Young Woo Chung ◽  
Seon Do Kim ◽  
Ki-Yong An
Keyword(s):  
Conservative Treatment ◽  
Clavicle Fracture ◽  
Shaft Fracture ◽  
Metal Plate ◽  
Bone Screw ◽  
Non Union ◽  
Shaft Fractures ◽  
Clavicle Fractures ◽  
Clavicle Shaft Fracture ◽  
Additional Fixation

Simple clavicle shaft fracture typically achieves satisfactory union after treatment and does not result in complication with conservative treatment. Non-union or malunion can occur in displaced clavicle fractures or comminuted shaft fractures. Treatment of displaced comminuted clavicle shaft fractures is performed by holding together the free fragments with interfragmentary screws or wires and fixing them to the clavicle with a plate. Therefore, we performed interfragmentary fixation using open reduction and internal fixation with bioresorbable screws (Mg-Ca alloy, Resomet Bioresorbable bone screw; U&I Corp.) and bioresorbable wires (Mg-Ca alloy, Resomet Bioresorbable K-wire and pin, U&I Corp.) for displaced comminuted clavicle fractures (Robinson type 2B) and additionally used a metal plate. We expected decreased irritation and infection due to absorption after surgery. We report four cases that were treated in this way.

scholarly journals Case Report: Abomasum Impaction in Beef Cattle Due to High Intake of Distillers' Grain and Treatment Options in Southwest China

2021 ◽  
Vol 8 ◽  
Author(s):  
Kang Yong ◽  
Zhengzhong Luo ◽  
Qinwen Yang ◽  
Chuanshi Zhang ◽  
Qianlan Zhou ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Beef Cattle ◽  
Southern China ◽  
Treatment Options ◽  
Treatment Success ◽  
Solid Content ◽  
High Intake ◽  
Surgical Options ◽  
Distillers Grain ◽  
Non Surgical Treatment

In Southern China, distillers' grain is the main feed ingredient for small beef cattle farms. High intake of distillers' grain may lead to abomasum impaction, a disorder caused by the accumulation of solid content within the organ. For treatment, there are non-surgical and surgical options. In this study, we aimed to describe the clinical presentation, diagnosis, and treatment of beef cattle with abomasum impaction due to high intake of distillers' grain. Forty-nine Simmental beef cattle from 13 farms in Chongqing, China, were diagnosed with abomasum impaction. Animals were male, aged ≤2 years, and weighed between 200 and 350 kg. In this retrospective study, information on distillers' grain intake and clinical data were collected for 49 beef cattle diagnosed with abomasum impaction. The animals were treated between 2011 and 2019 with either non-surgical therapy or surgery. Animals diagnosed with mild abomasum impaction (n = 14) fully recovered after non-surgical treatment. Among moderate cases (n = 19), 12 cattle recovered after non-surgical treatment (63%), while the remaining seven did not respond well and underwent surgery. Three of those animals were subsequently cured (3/7). Among the severe cases (n = 16), four cattle were cured after non-surgical treatment (25%) (4/16). Of the remaining 12 cattle, six were slaughtered, and six died after surgery. Non-surgical treatment is efficient for mild abomasum impaction caused by a high intake of distillers' grain and may be considered for both moderate and severe cases. However, the treatment success rate for more severe cases decreases as the disease severity worsens.

scholarly journals Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods

2020 ◽  
Vol 23 (1) ◽  
pp. 48-58
Author(s):  
Jangwoo Kim ◽  
Yunki Ryu ◽  
Sae Hoon Kim
Keyword(s):  
Rotator Cuff ◽  
Conservative Treatment ◽  
Rotator Cuff Repair ◽  
Review Article ◽  
Rotator Cuff Tears ◽  
Surgical Options ◽  
Patients Experience ◽  
Cuff Repair

Although the prevalence of rotator cuff tears is dependent on the size, 11% to 94% of patients experience retear or healing failure after rotator cuff repair. Treatment of patients with failed rotator cuff repair ranges widely, from conservative treatment to arthroplasty. This review article attempts to summarize the most recent and relevant surgical options for failed rotator cuff repair patients, and the outcomes of each treatment, except arthroplasty.

scholarly journals Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

2019 ◽  
Vol 8 (7) ◽  
pp. 980
Author(s):  
Fátima Frade ◽  
Juan Gómez-Salgado ◽  
Lia Jacobsohn ◽  
Fátima Florindo-Silva
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Literature Review ◽  
Brachial Plexus ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
Brachial Plexus Palsy ◽  
Injured Limb ◽  
Neonatal Brachial Plexus Palsy ◽  
Type Of Injury

This integrative literature review has been carried out with the aim of analyzing the scientific literature aimed at identifying and describing existing rehabilitation treatments/therapies for neonatal brachial plexus palsy (NBPP). NBPP is a frequent consequence of difficult birthing, and it impairs the function of the brachial plexus in newborns. This is why knowledge on rehabilitation strategies deserves special attention. The data collection was carried out in January 2019, in the EBSCOhost and BVS (Biblioteca Virtual em Saúde) platforms, in the CINAHL Complete, MEDLINE Complete, LILACS and PubMed databases. Thirteen articles were included in this integrative literature review, based on a literature search spanning title, abstract and full text, and considering the inclusion criteria. Two main treatments/therapies for NBPP rehabilitation were identified: conservative treatment and surgical treatment. Conservative treatment includes teamwork done by physiatrists, physiotherapists and occupational therapists. These professionals use rehabilitation techniques and resources in a complementary way, such as electrostimulation, botulinum toxin injection, immobilizing splints, and constraint induced movement therapy of the non-injured limb. Professionals and family members work jointly. Surgical treatment includes primary surgeries, indicated for children who do not present any type of spontaneous rehabilitation in the first three months of life; and secondary surgeries, recommended in children who after primary surgery have some limitation of injured limb function, or in children who have had some spontaneous recovery, yet still have significant functional deficits. Treatment options for NBPP are defined by clinical evaluation/type of injury, but regardless of the type of injury, it is unanimous that conservative treatment is always started as early as possible. It should be noted that there was no evidence in the literature of other types of rehabilitation and techniques used in clinical practice, such as preventive positioning of contractures and deformities, hydrotherapy/aquatic therapy, among others, so we consider there is a need for further studies at this level in this area.

scholarly journals Neglected intrauterine bilateral congenital knee dislocation

2021 ◽  
Vol 32 (2) ◽  
pp. 542-545
Author(s):  
Sevgi Çıraklı ◽  
Alper Çıraklı
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Rare Case ◽  
Treatment Options ◽  
Early Period ◽  
Knee Dislocation ◽  
Congenital Knee Dislocation ◽  
Musculoskeletal Abnormalities ◽  
Retrospective Examination ◽  
High Chance

Bilateral congenital knee dislocation is a rare deformity which may present with other musculoskeletal abnormalities. In the early period, conservative treatment options have a high chance of success. However, in later stages, surgical treatment is indicated in neglected or unresponsive cases to manipulation in the early period. Herein, we present a rare case of bilateral congenital knee dislocation which was diagnosed after birth. Retrospective examination revealed that it occurred in the antenatal period and neglected.

scholarly journals Hip arthroscopy for femoroacetabular impingement

2018 ◽  
Vol 3 (4) ◽  
pp. 121-129 ◽  
Author(s):  
Rima Nasser ◽  
Benjamin Domb
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Conservative Treatment ◽  
Learning Curve ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Dynamic Condition ◽  
Treatment Options ◽  
Femoral Offset ◽  
Chondral Damage

The purpose of this article is to give a general overview of femoroacetabular impingement (FAI) and how it could be treated arthroscopically, with some details about indications, the procedure itself and some of the complications associated with the surgery. FAI is a dynamic condition of the hip that can be a source of pain and disability and could potentially lead to arthritis. When symptomatic, and if conservative treatment fails, FAI can be addressed surgically. The goal of surgical treatment for FAI is to recreate the spherical contour of the femoral head, improve femoral offset, normalize coverage of the acetabulum, repair/reconstruct chondral damage and repair/reconstruct the labrum to restore normal mechanics and joint sealing. Advances in equipment and technique have contributed to an increase in the number of hip arthroscopy procedures performed worldwide and have made it one of the more common treatment options for symptomatic FAI. Hip arthroscopy is a procedure with an extremely steep and long learning curve. Cite this article: EFORT Open Rev 2018;3:121-129. DOI: 10.1302/2058-5241.3.170041

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