Orthopaedic review最新文献

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Penetrating wounds of the extremities. Methods of identifying arterial injury. 四肢的穿透伤。动脉损伤的鉴别方法。
Orthopaedic review Pub Date : 1994-11-01
J D Gates
{"title":"Penetrating wounds of the extremities. Methods of identifying arterial injury.","authors":"J D Gates","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Controversy surrounds the optimal management of a wound in proximity to a major vascular structure without clinical evidence of arterial injury. Current data suggest that physical examination alone can detect significant arterial injuries. If an arterial lesion is clinically silent on initial presentation, the natural history is most likely benign. In the rare case in which the arterial lesion degenerates into a more significant lesion, then it will do so slowly and can be repaired electively. In certain instances, there may be a penetrating wound that presents with a pulse deficit that resolves completely with observation. At this time, this is considered a hard sign of vascular injury and warrants aggressive preoperative evaluation.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Professor Emile Letournel. 埃米尔·莱图内尔教授。
Orthopaedic review Pub Date : 1994-11-01
D L Helfet
{"title":"Professor Emile Letournel.","authors":"D L Helfet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scaphoid fractures and scaphoid nonunion. Diagnosis and treatment. 舟状骨骨折和舟状骨不连。诊断和治疗。
Orthopaedic review Pub Date : 1994-11-01
S H Kuschner, C S Lane, W W Brien, H Gellman
{"title":"Scaphoid fractures and scaphoid nonunion. Diagnosis and treatment.","authors":"S H Kuschner,&nbsp;C S Lane,&nbsp;W W Brien,&nbsp;H Gellman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Scaphoid nonunion can cause pain, loss of wrist motion, and loss of grip strength. Because initial roentgenograms are not always definitive, patients suspected of having a scaphoid fracture despite negative initial radiographs should undergo bone scan. Treatment of acute nondisplaced fracture of the scaphoid generally nonoperative, involving immobilization in a cast. Treatment of scaphoid nonunion is generally operative, and many procedures and their associated risks are reviewed. There is no consensus about the clinical implications of scaphoid malunion.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"861-71"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Synovial chondromatosis of the biceps tendon sheath. 二头肌肌腱鞘滑膜软骨瘤病。
Orthopaedic review Pub Date : 1994-11-01
D J Covall, C D Fowble
{"title":"Synovial chondromatosis of the biceps tendon sheath.","authors":"D J Covall,&nbsp;C D Fowble","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case presented is a 22-year-old man with previously treated synovial chondromatosis of the shoulder. He subsequently presented with pain and tenderness above the biceps tendon. Magnetic resonance imaging and radiographs revealed recurrent synovial chondromatosis in the biceps tendon sheath. The patient underwent an open procedure to remove the loose bodies and partial tenosynovectomy. The patient has subsequently done well and resumed normal activities. To our knowledge there are no reported cases of synovial chondromatosis involving the biceps tendon sheath in the literature.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"902-5"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18681242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The medial tibial syndrome. The role of surgery. 胫骨内侧综合征。手术的作用。
Orthopaedic review Pub Date : 1994-11-01
A J Abramowitz, A Schepsis, C McArthur
{"title":"The medial tibial syndrome. The role of surgery.","authors":"A J Abramowitz,&nbsp;A Schepsis,&nbsp;C McArthur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Among authors over the past 35 years, medial tibial syndrome, or \"shin splints,\" has been interpreted to mean many different things. We present a review of the literature to attempt to ascribe one definition to this clinical entity, and to clearly define its symptoms, signs, pathophysiology, biomechanics, and treatment. In addition, we describe our results with five patients whose seven affected limbs eventually required surgery for this condition, and we compare them to the results in the literature.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"875-81"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral spontaneous patellar tendon rupture in the absence of concomitant systemic disease or steroid use. 双侧自发髌骨肌腱断裂,无全身性疾病或使用类固醇。
Orthopaedic review Pub Date : 1994-11-01
B Greenbaum, J Perry, J Lee
{"title":"Bilateral spontaneous patellar tendon rupture in the absence of concomitant systemic disease or steroid use.","authors":"B Greenbaum,&nbsp;J Perry,&nbsp;J Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of bilateral patellar tendon rupture in an otherwise healthy 41-year-old man is presented. This is the 15th case reported in the literature. The mechanism of injury is attributed to a flexion moment coupled with a contraction of the quadriceps muscle in nearly all reported cases. Surgical repair produces excellent results.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"890-3"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18852381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minifragmentation plating for comminuted distal patella fractures. A report of three cases. 微创钢板治疗髌骨远端粉碎性骨折。三个病例的报告。
Orthopaedic review Pub Date : 1994-11-01
J C Tani, L Kurth
{"title":"Minifragmentation plating for comminuted distal patella fractures. A report of three cases.","authors":"J C Tani,&nbsp;L Kurth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A new technique using a minifragmentation plate to assist in the open reduction and internal fixation of displaced, comminuted distal-pole patella fractures was used in three patients with good results. This technique adds to the choices of treatment available to the orthopaedic surgeon who manages these difficult fractures.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Localization of the acromioclavicular joint. 肩锁关节定位。
Orthopaedic review Pub Date : 1994-11-01
W G Harding, D J Karns, B R Holladay, R S Heidt
{"title":"Localization of the acromioclavicular joint.","authors":"W G Harding,&nbsp;D J Karns,&nbsp;B R Holladay,&nbsp;R S Heidt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Localizing the acromioclavicular joint can be difficult. Using bony landmarks--the clavicle and the spine of the scapula--the acromioclavicular joint can be consistently localized for physical examination, injections, and surgery.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"898-900"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18852384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral femoral head fracture with posterior hip dislocation. 双侧股骨头骨折伴髋后脱位。
Orthopaedic review Pub Date : 1994-11-01
S H Kozin, D J Kolessar, C A Guanche, E C Marmar
{"title":"Bilateral femoral head fracture with posterior hip dislocation.","authors":"S H Kozin,&nbsp;D J Kolessar,&nbsp;C A Guanche,&nbsp;E C Marmar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bilateral posterior hip dislocations with femoral head fractures are rare. We report the case of a 71-year-old woman who was an unrestrained driver involved in a head-on motor vehicle collision. The right hip was stable after reduction, while the left hip was felt to be unstable. Bilateral bipolar endoprostheses were inserted via standard posterior approaches. Fracture fragments composed approximately 35% of the femoral head in both hips. We believe an elderly polytrauma patient with a significant femoral head fracture may benefit from primary arthroplasty as a treatment option, especially in cases of bilateral injury.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18853165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 16-year-old boy with a swollen knee after a skateboarding accident. 一个16岁的男孩在一次滑板事故后膝盖肿胀。
Orthopaedic review Pub Date : 1994-11-01
G S Shapiro
{"title":"A 16-year-old boy with a swollen knee after a skateboarding accident.","authors":"G S Shapiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. The final clinical and differential diagnoses can be found on the following pages.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 11","pages":"894-7"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18852383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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