Orthopedic Reviews最新文献_第2页

Comminuted, displaced, and angulated distal radial and ulnar metaphyseal fractures after a trampoline park accident.

IF 1.4

Orthopedic Reviews Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.52965/001c.125898

Ekansh Parekh, Daniel Z Zhao, Latha Ganti

引用次数: 0

History of the Nerve Block.

IF 1.4

Orthopedic Reviews Pub Date : 2024-11-11 eCollection Date: 2024-01-01 DOI: 10.52965/001c.125260

Daniel Go, Murdoc Gould, Latha Ganti

引用次数: 0

Distal Radius Fracture with Dorsal Angulation.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.52965/001c.125163

Ronith Bokkisam, Nofel Iftikhar, Latha Ganti

引用次数: 0

Erector Spinae Plane Block for Chronic Lumbosacral Pain: A Case Report.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124769

Jamal Hasoon, Syed Mahmood, Anvinh Nguyen, Vwaire Orhurhu

{"title":"Erector Spinae Plane Block for Chronic Lumbosacral Pain: A Case Report.","authors":"Jamal Hasoon, Syed Mahmood, Anvinh Nguyen, Vwaire Orhurhu","doi":"10.52965/001c.124769","DOIUrl":"https://doi.org/10.52965/001c.124769","url":null,"abstract":"Chronic low back pain is a prevalent and debilitating condition that often resists traditional management strategies such as physical therapy, pharmacotherapy, and interventional procedures. The erector spinae plane (ESP) block, a relatively new regional anesthesia technique, has shown promise in managing various types of pain, including chronic conditions. This case report details the use of the ESP block in a male patient in his late 60's with chronic low back pain unresponsive to conventional treatments, including acetaminophen, muscle relaxants, gabapentin, epidural steroid injections, diagnostic medial branch blocks, and sacroiliac joint injections. Given the refractory nature of his pain, a right-sided lumbar ESP block was performed under fluoroscopic guidance. This case highlights the potential of the ESP block as an effective treatment for chronic lumbar pain, particularly in patients who have not responded to other interventional modalities. The safety profile of the ESP block, coupled with its efficacy in this case, supports its consideration as a viable option in chronic pain management. Further studies and clinical experience will be essential in defining its role and establishing standardized protocols for its use in chronic pain settings.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124769"},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distal Phalanx Fracture Secondary to Nail Gun Injury.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.52965/001c.125161

Onix Bonilla-Irizarry, Murdoc Gould, Latha Ganti

引用次数: 0

Revisiting Therapeutic Facet Joint Injections for Chronic Spinal Pain: A Case Series.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124771

Jamal Hasoon, Syed Mahmood, Anvinh Nguyen, Ranganathan Govindaraj, Christopher L Robinson

引用次数: 0

Optimizing Cervical Epidural Steroid Injections: A Case Report.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124767

Jamal Hasoon, Kenzie Chu, Wesley Chu, Ranganathan Govindaraj

{"title":"Optimizing Cervical Epidural Steroid Injections: A Case Report.","authors":"Jamal Hasoon, Kenzie Chu, Wesley Chu, Ranganathan Govindaraj","doi":"10.52965/001c.124767","DOIUrl":"10.52965/001c.124767","url":null,"abstract":"Cervical radiculopathy is characterized by pain, numbness, and weakness in the upper limbs. This is typically caused by nerve root compression. While conservative treatments like physical therapy and oral analgesics are often used, they may not be effective in more severe cases. Cervical epidural steroid injections (CESIs), particularly through the interlaminar approach, may be considered when these initial treatments fail. This case report discusses a female patient with severe left upper extremity pain consistent with C5/6 and C6/7 radiculopathy who did not respond to conservative therapies. An interlaminar CESI was initially performed at the C7/T1 level, but the contrast flow was inadequate for effective drug delivery. Repositioning the needle at the C6/C7 interspace improved contrast distribution, successfully targeting the affected levels. The patient experienced a 90% reduction in symptoms three weeks after the procedure, underscoring the importance of accurate contrast flow assessment and needle placement in CESIs. This case highlights the effectiveness of CESI in treating cervical radiculopathy and the critical role of precise technique in achieving positive patient outcomes.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124767"},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post Dural Puncture Headache After Spinal Cord Stimulator Lead Insertion Successfully Treated with Occipital Nerve Blocks.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124339

Jamal Hasoon, Christopher L Robinson, Syed Mahmood, Cyrus Yazdi

{"title":"Post Dural Puncture Headache After Spinal Cord Stimulator Lead Insertion Successfully Treated with Occipital Nerve Blocks.","authors":"Jamal Hasoon, Christopher L Robinson, Syed Mahmood, Cyrus Yazdi","doi":"10.52965/001c.124339","DOIUrl":"https://doi.org/10.52965/001c.124339","url":null,"abstract":"Post-dural puncture headache (PDPH) is a common and debilitating complication that can arise after spinal or epidural anesthesia, or following the placement of spinal cord stimulation leads due to inadvertent dural puncture. We report the case of a 54-year-old female who developed severe PDPH following a spinal cord stimulator trial, complicated by a failed EBP performed by an outside physician. The patient presented to the emergency department with debilitating bilateral occipital headaches exacerbated by an upright position. Given the failure of the EBP, she was treated with bilateral occipital nerve blocks, which resulted in near-complete and rapid resolution of her symptoms. This case highlights the effectiveness of occipital nerve blocks as a therapeutic option for PDPH, especially in challenging cases where other treatments have proven inadequate. Given the positive outcome observed, occipital nerve blocks should be considered a viable treatment option in the management of PDPH, warranting further study to better understand its role in clinical practice.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124339"},"PeriodicalIF":1.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How do Rates of Return to Sports Following Direct Anterior Approach Total Hip Arthroplasty Compare to Other Approaches? A Systematic Review and Meta-analysis.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124486

Xuankang Pan, Sean C Clark, Karissa N Simon, Jacob F Oeding, Cory G Couch, Michael J Taunton, Mario Hevesi

{"title":"How do Rates of Return to Sports Following Direct Anterior Approach Total Hip Arthroplasty Compare to Other Approaches? A Systematic Review and Meta-analysis.","authors":"Xuankang Pan, Sean C Clark, Karissa N Simon, Jacob F Oeding, Cory G Couch, Michael J Taunton, Mario Hevesi","doi":"10.52965/001c.124486","DOIUrl":"https://doi.org/10.52965/001c.124486","url":null,"abstract":"Background: There is a paucity of literature analyzing data for return to sport (RTS) and return to work (RTW) in the setting of direct anterior approach (DAA) total hip arthroplasty (THA).Objective: The aims of this systematic review are to identify existing literature and to aggregate rates of RTS/RTW following DAA THA in a meta-analysis.Methods: A query of major databases yielded 1819 initial studies. A random-effects model approach was implemented for meta-analysis. Moderator effects were assessed with respect to patient demographics and functional outcomes.Results: Five studies reporting RTS after DAA THA were identified, representing a total of 204 patients with a mean age of 60.2±7.5 years and mean follow up of 31.8±9.5 months. Pooled rate of RTS was 76%(95% confidence interval [CI], 63%-86%;range 58%-100%). Pooled rate of return to the same sport was 77%(95%CI, 64%-86%;range of 62%-100%). Pooled rate of RTS to the same intensity was 58%(95%CI, 48%-68%;range of 41%-68%). Meta-regression demonstrated no significant correlations between independent variables and RTS characteristics. Three studies reported RTW rates. Rates of RTW within 3-months were 30%, 45%, and 60%. One study reported rate of RTW of 79% at 6-months and 87% at 12-months. One study demonstrated a mean time to RTW of 38±24.8 days.Conclusion: Pooled rate of RTS is satisfactory following DAA THA and are comparable to rates of RTS aggregated without delineating surgical approach. Data supporting RTW rates following DAA THA limited, and thus more primary studies are needed to establish if this approach confers an advantage of faster RTS/RTW.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124486"},"PeriodicalIF":1.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pre-Operative Management of the Penicillin Allergic Patient: A Narrative Review.

IF 1.4

Orthopedic Reviews Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.52965/001c.124336

Ashley Hernandez, Yahir Davila, Jason Nikirk, Cesar Ramirez, Krysta Caudle, Porter Young

引用次数: 0