Current Issue : April - June Volume : 2018 Issue Number : 2 Articles : 5 Articles
Introduction and Aimsââ?¬â?The Growth stage of a patient can have considerable\ninfluence on diagnosis, treatment goals, timing and planning and the\neventual outcome of orthodontic/orthopedic treatment. The purpose of this\nstudy was to analyze associations between the cervical vertebrae maturation\nscore (CVMS) and skeletal maturation index (SMI). The second objective was\nto determine the reproducibility of the measurements on lateral cephalograms\nand hand-wrist radiographs. Materials and Methodsââ?¬â?Lateral cephalometric\nand left hand-wrist radiographs of 92 untreated subjects (44 females and 48\nmales) aged from 8 to 17 years were obtained from the files of the Columbia\nUniversity, Division of Orthodontics and measured for growth stage using\ncervical vertebrae and hand-wrist methods. Resultsââ?¬â?A high correlation was\nrevealed between the hand-wrist and cervical vertebrae measurements. The\nSpearmanââ?¬â?¢s rho correlation coefficient was 0.925 and significant at the 0.01\nlevel. The correlation between hand-wrist and age (0.665, p < 0.01) was\nslightly greater than that of the CVMS (0.611, p < 0.01). Intra rater reliability\nwas high. When the three categorically modified methods of the Fishmanââ?¬â?¢s 11\nskeletal maturation stages in hand and wrist analysis were used to compare\nwith CVMS, methods 2 and 3 were both statistically significantly different according\nto the Wilcoxon signed ranks test and the Sign test at a significance\nlevel of less than 0.05. However, for method 1, the tests showed probability\nscores of 0.028 and 0.151, respectively, showing no significant difference at the\n0.01 level in the Wilcoxon Signed Ranks Test, and no significant difference in\nthe 0.01 and 0.05 level in the Signed Test. Conclusionsââ?¬â?The Fishmanââ?¬â?¢s hand\nand wrist skeletal maturation index and Bacettiââ?¬â?¢s cervical vertebrae maturation\nstages are both useful tools in evaluating growth stages. Fishmanââ?¬â?¢s handwrist\nmethod is slightly more accurate....
Objective. C2 fractures are a common injury in the elderly population. Treatment is often complicated due to osteoporosis and\npatient comorbidity.This study aims to investigate the incidence and treatment trend of C2 fractures in Sweden. Methods. Patients\nwith the principal and secondary diagnosis of fracture of the second vertebrae (ICD-10: S12.1) between 1997 and 2014 were identified\nin the Swedish National Patient Registry (NPR). Results. Between 1997 and 2014, 6,370 patients with a C2 fracture (51% male; age:\n72 �± 18) were identified in the NPR.The incidence of C2 fractures increased from 3 to 6 per 100,000 (...
Spinal Cord Injury without Radiographic Abnormality�(SCIWORA) is a term that denotes objective clinical signs of post traumatic\nspinal cord injury without evidence of fracture or malalignment on plain radiographs and computed tomography (CT) of the spine.\nSCIWORA is most commonly seen in children with a predilection for the cervical spinal cord due to the increased mobility of the\ncervical spine, the inherent ligamentous laxity, and the large head-to-body ratio during childhood. However, SCIWORA can also\nbe seen in adults and, in rare cases, the thoracolumbar spinal cord can be aected too. Magnetic resonance imaging (MRI) has\nbecome a valuable diagnostic tool in patients with SCIWORA because of its superior ability to identify soft tissue lesions such as\ncord edema, hematomas and transections, and discoligamentous injuries that may not be visualized in plain radiographs and CT.\nthe mainstay of treatment in patients with SCIWORA is nonoperative management including steroid therapy, immobilization, and\navoidance of activities that may increase the risk of exacerbation or recurrent injury. Although the role of operative treatment in\nSCIWORA can be controversial, surgical alternatives such as decompression and fusion should be considered in selected patients\nwith clinical and MRI evidence of persistent spinal cord compression and instability....
Background: Spontaneous heparin induced thrombocytopenia (HIT) is a\nmedical phenomenon whereby patients develop clinical and laboratory features\nof HIT without prior exposure to heparin. Aim: We present a patient\nwho underwent bilateral total knee replacement complicated by spontaneous\nHIT causing bilateral adrenal hemorrhage and deep vein thrombosis. Our patient\nhad no prior history of heparin exposure. We reconcile our patient�s\npresentation with other case reports of spontaneous HIT in patients who had\northopaedic surgery. Conclusion: Spontaneous HIT is a rare but potentially\ndevastating complication associated with total knee arthroplasty....
Background: Intra articular elbow fractures are considered to be one of the\nmost complex injuries in orthopedic trauma. Some are too comminuted for\nopen reduction and internal fixation. Recently total elbow replacement (TER)\nhad gained popularity for the treatment of comminuted elbow trauma when\nother treatment options are not possible. Methods: Since 2007-2013 we treated\n18 patients with TER due to comminuted distal humeral fractures. We used\nthe Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to\nevaluate the patient�s satisfaction. In addition, we evaluated the elbow range of\nmotion and collateral stability. Results and Conclusions: Functional range of\nmotion was achieved with high patient�s satisfaction. Based on the results, we\nconclude that TER is a reasonable option for complex elbow fractures when\nopen reduction and internal fixation is not suitable....
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