Advanced Techniques in Musculoskeletal Surgery最新文献

Advanced Imaging of Pediatric Radial and Axillary Nerve Anatomy for Intraoperative Use 术中应用儿童桡神经和腋窝神经解剖的先进成像技术

Advanced Techniques in Musculoskeletal Surgery Pub Date : 2021-07-04 DOI: 10.36959/765/400

Koshinski Jessica, Mandel Mark, Cornell Max, Seeley Mark

{"title":"Advanced Imaging of Pediatric Radial and Axillary Nerve Anatomy for Intraoperative Use","authors":"Koshinski Jessica, Mandel Mark, Cornell Max, Seeley Mark","doi":"10.36959/765/400","DOIUrl":"https://doi.org/10.36959/765/400","url":null,"abstract":"Introduction: Lateral percutaneous pin placement, intramedullary screw placement, and plate placement during surgical fixation of distal humeral fractures all risk iatrogenic injury to the radial nerve as it crosses from the posterior to anterior compartment at the level of the mid-humeral shaft. Current literature describing the “safe zone” to avoid damaging the radial nerve at this location focuses on adult vascular anatomy. Radial nerve anatomy changes throughout childhood, and determination of age specific safe zones will help minimize iatrogenic nerve palsy in the pediatric population. Axillary nerve anatomy was also assessed. Methods: Electronic medical records were queried for humeral and shoulder MRIs that included the proximal humeral physis and the lateral epicondyle to assess the radial nerve or the lateral edge of the acromion and the upper 1/3 of the humeral diaphysis to assess the axillary nerve. Results/Discussion: Our study suggests the axillary nerve reaches its adult location around 14 years of age while the radial nerve does not reach its approximate adult location until 16 years of age. Before these ages extra precaution should be taken during surgical dissection and fracture fixation.","PeriodicalId":210341,"journal":{"name":"Advanced Techniques in Musculoskeletal Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128507343","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

Sudden Proximal Femoral Fracture on 7-Years-Old-Boy Poliostotic Fibrous Dysplasia and Mccune Albright Syndrome 7岁男童脊髓灰质炎纤维发育不良及麦丘-奥尔布赖特综合征的突然股骨近端骨折

Advanced Techniques in Musculoskeletal Surgery Pub Date : 2020-12-31 DOI: 10.36959/765/396

Godoy-Monzon Daniel, Pascual Manuel, González Ángel, Rozas Esther Fernandez-Sainz, J. Juan

{"title":"Sudden Proximal Femoral Fracture on 7-Years-Old-Boy Poliostotic Fibrous Dysplasia and Mccune Albright Syndrome","authors":"Godoy-Monzon Daniel, Pascual Manuel, González Ángel, Rozas Esther Fernandez-Sainz, J. Juan","doi":"10.36959/765/396","DOIUrl":"https://doi.org/10.36959/765/396","url":null,"abstract":"Introduction: Fibrous Dysplasia is a rare condition, affecting one (monostotic) or several bones (polyostotic) characterized by fibro osseous tissue in the bone causing pain, deformities and sometimes pathologic fractures. It is a result of a mutation in the GNAS that can have manifestation in different systems conforming a complex syndrome named McCune Albright (fibrous dysplasia, café au lait skin hyper pigmentation and endocrinopathies. Case report: A 7-years-old boy, presented at emergency unit due to sudden pain and limping without trauma. Radiographic evaluation showed a fractured proximal femur, within an unknow cist, and multiple lesions on tibia and fibula. During pediatric assessment a skin café e lait patch was observed, and a genetic profile was performed with a general screening detecting lesion on skull, mandibula. The fracture was treated by curettage, bone grafting and plating. Conclusion: By assessing the patient in an interdisciplinary team, we treated successfully the proximal femur fracture and detected a rare and complex syndrome. A review of the orthopaedic treatment options showed a lack of guidelines so the idea of patients tailored surgery is the best option.","PeriodicalId":210341,"journal":{"name":"Advanced Techniques in Musculoskeletal Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134614942","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

Chiari Osteotomy Plus Shelf Procedure in Neuromuscular Hip Dysplasia Chiari截骨加骨架手术治疗神经肌肉性髋关节发育不良

Advanced Techniques in Musculoskeletal Surgery Pub Date : 2020-12-28 DOI: 10.36959/765/397

M. GarciaBradley, Scharf Mike, G. GeorgiadisAndrew, A. SeeleyMark

引用次数: 0

Fracture-Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique 大结节骨折撕脱术:关节镜下经骨增强术

Advanced Techniques in Musculoskeletal Surgery Pub Date : 2020-11-25 DOI: 10.36959/765/395

Chillemi Claudio, P. Riccardo, Damo Marco, R. Marco, Castagna Alessandro

引用次数: 0

Operative Therapy of Achilles Tendon Rupture - A Critical Questioning of the Actual Literature 跟腱断裂的手术治疗-对实际文献的批判性质疑

Advanced Techniques in Musculoskeletal Surgery Pub Date : 2020-09-17 DOI: 10.36959/765/393

Simone Frunz, M. Knupp, B. Göpfert, L. Iselin

引用次数: 0

Distal Femoral Extension Osteotomy with a Retrograde Nail for Treatment of pediatric Crouch Gait 股骨远端延伸截骨逆行钉治疗小儿蹲伏步态

Advanced Techniques in Musculoskeletal Surgery Pub Date : 1900-01-01 DOI: 10.36959/765/401

Hayes Daniel S, Seeley Mark A

引用次数: 0