Orthopaedics and Trauma最新文献_第8页

Acromioclavicular joint injuries: a review of pathoanatomy, assessment and current management approaches 肩锁关节损伤:病理解剖，评估和目前的治疗方法的回顾

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI: 10.1016/j.mporth.2023.07.004

Natasha Maher, Jessica Holdsworth, Simon J. Fogerty

{"title":"Acromioclavicular joint injuries: a review of pathoanatomy, assessment and current management approaches","authors":"Natasha Maher, Jessica Holdsworth, Simon J. Fogerty","doi":"10.1016/j.mporth.2023.07.004","DOIUrl":"10.1016/j.mporth.2023.07.004","url":null,"abstract":"<div>Acromioclavicular joint (ACJ) injuries represent approximately 10% of all shoulder girdle injuries and their assessment and management can be clinically challenging. This may be for several reasons, including a lack of consensus concerning the reliability of the classification systems, contributing to suboptimal clinical outcomes. A paucity of literature regarding predictive factors for ACJ pathology may also be a factor. Controversy regarding conservative versus surgical management to provide optimal care also continues to be a factor in this clinical challenge, as similar results have been shown with both approaches. There is consensus that low-grade injuries can be treated with non-operative management, but some will go on to have long-term complications. However, the risks of surgical intervention may not out-weigh the benefits. In higher grade injuries there is further controversy over conservative versus surgical management. Improved classification systems and shared decision-making to individualize treatment plans are likely to improve patient outcomes. This review provides an overview of current assessment and management of ACJ injuries in adults.</div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 5","pages":"Pages 285-290"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42680002","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

CME questions on Shoulder Trauma 肩部创伤的CME问题

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI: 10.1016/j.mporth.2023.07.008

引用次数: 0

The sternoclavicular joint: a review of anatomy, injury and management 胸锁关节:解剖学、损伤和治疗综述

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI: 10.1016/j.mporth.2023.07.010

Rosie Helen Broadbent, Sarah Mary Barkley, Margo Dirckx, Hassaan Sheikh

{"title":"The sternoclavicular joint: a review of anatomy, injury and management","authors":"Rosie Helen Broadbent, Sarah Mary Barkley, Margo Dirckx, Hassaan Sheikh","doi":"10.1016/j.mporth.2023.07.010","DOIUrl":"10.1016/j.mporth.2023.07.010","url":null,"abstract":"<div>The sternoclavicular joint is the only true joint connecting the upper limb with the axial skeleton and is reliant on its capsular and ligamentous attachments for stability. Injuries to the sternoclavicular joint are uncommon and include sprains, dislocations, and fractures. Dislocations and medial clavicle fractures are often associated with high-energy trauma and can lead to life-threatening complications secondary to mediastinal injuries, particularly with posterior sternoclavicular joint dislocations. Given the rarity of these injuries, there are multiple case reports and retrospective studies detailing novel surgical techniques for managing injuries of the sternoclavicular joint and no single option has been implemented. We conducted a literature search on Medline, EMBASE and CINAHL to identify relevant articles focusing on sternoclavicular joint dislocation and subluxation, and medial clavicle fractures in adults. This review article aims to describe: the anatomy of the sternoclavicular joint; injuries including dislocation and medial clavicle fractures; and current investigation and management options including closed and open reduction techniques.</div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 5","pages":"Pages 314-319"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42028819","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

Evidence-based management of clavicle fractures 锁骨骨折的循证治疗

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI: 10.1016/j.mporth.2023.07.005

Rosemary Jane Hackney, Christopher Michael Robinson

引用次数: 0

Answers to the CME questions on Principles of Orthopaedics CME骨科原理问答

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI: 10.1016/j.mporth.2023.07.007

引用次数: 0

Avascular necrosis of the femoral head: management remains controversial 股骨头缺血性坏死：治疗方法仍有争议

Orthopaedics and Trauma Pub Date : 2023-08-01 DOI: 10.1016/j.mporth.2023.05.003

Louise Howse, Stephen Bendall

{"title":"Avascular necrosis of the femoral head: management remains controversial","authors":"Louise Howse, Stephen Bendall","doi":"10.1016/j.mporth.2023.05.003","DOIUrl":"10.1016/j.mporth.2023.05.003","url":null,"abstract":"<div>Management of pre-collapse atraumatic avascular necrosis of the femoral head remains a controversial topic. We conduct this scoping literature review to discuss current perspectives on management. Avascular necrosis of the femoral head (AVNFH) is a progressive pathology of the hip. If left untreated, 80% of cases progress to collapse of the femoral head and require total hip arthroplasty (THA). It is the third commonest reason for THA in the UK (and this proportion is even higher in other parts of the world) and, compared to other indications for THA, affects a disproportionately young population. Successful management demands early diagnosis and interventions to prolong native hip-joint preservation and delay femoral head collapse. Pathophysiology is poorly understood and aetiologies are varied. The ultimate cause of the disease is loss of blood supply to the proximal femur. AVNFH can be traumatic (fracture or dislocation) or atraumatic (80% due to corticosteroid use or alcohol excess). Traumatic causes of AVNFH require accurate and expedient management to prevent AVNFH post-injury. Fixation of fractures requires anatomical reduction to reduce the risk of AVNFH. Dislocation of the proximal femur requires reduction within 12 hours. Hips reduced after this time are much more likely (5.627 odds ratio) to suffer AVNFH. Atraumatic AVNFH can be managed conservatively, pharmacologically or surgically. Surgical interventions such as core decompression or osteotomy have a large body of evidence demonstrating that they can improve symptoms, delay progression and reduce the need for conversion to THA. There are many emerging augmentation procedures, and variations to established procedures, that utilize non-vascularized bone grafts, vascularized bone grafts and bone morphogenetic protein. There is a growing body of evidence to suggest that these augmentations improve outcomes.</div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 4","pages":"Pages 246-252"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47656925","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

Elementary biomechanics for the orthopaedic trainee 骨科实习生基本生物力学

Orthopaedics and Trauma Pub Date : 2023-08-01 DOI: 10.1016/j.mporth.2023.05.006

David Limb

引用次数: 0

The role of robotics in trauma and orthopaedics 机器人在创伤和骨科中的作用

Orthopaedics and Trauma Pub Date : 2023-08-01 DOI: 10.1016/j.mporth.2023.05.001

Michael L. Robinson, Benedict A. Rogers

{"title":"The role of robotics in trauma and orthopaedics","authors":"Michael L. Robinson, Benedict A. Rogers","doi":"10.1016/j.mporth.2023.05.001","DOIUrl":"10.1016/j.mporth.2023.05.001","url":null,"abstract":"<div>Whilst robotics have been used in surgery since their first application in neurosurgical biopsies in 1985, many surgeons have limited familiarity or experience with robotics through access or exposure to current or developing applications, particularly the systems that have brought robotics to orthopaedics. This paper reviews the well-established applications of operative orthopaedic robotics, developing and future applications, and extraoperative surgical robotics, with due consideration to their limitations. This review describes the different types of fundamental robotic systems, including master–slave, passive, semi-active and active systems. Its discussion of system types gives the reader insight into the different relationships between surgeon and robot, varying from full active systems, autonomous image-based surgical operating, through to the master–slave direct relationship with the surgeon, with the robot's replication of the surgeon's live tracked movements. A review of widely adopted systems within arthroplasty and developing concepts allows the reader to develop their understanding of how these systems operate and their future potential, giving a broad understanding of robotics. This narrative review discusses the fundamentals of orthopaedic robotics, as systematic reviews of each application, their data sets and evidence have been documented elsewhere. The paper concludes by highlighting the advantages of robotic systems in orthopaedic surgery, such as precision and reproducibility, and insight into the future of orthopaedic robotics and provides a useful basis for understanding the role of robotics in orthopaedics and their potential applications for surgeons.</div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 4","pages":"Pages 239-245"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651554","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

Hyperbaric oxygen therapy for acute spinal cord injury and other orthopaedic conditions 高压氧治疗急性脊髓损伤及其他骨科疾病

Orthopaedics and Trauma Pub Date : 2023-08-01 DOI: 10.1016/j.mporth.2023.05.009

Myung-Sang Moon

引用次数: 0

What is the current evidence for antibiotic prophylaxis in orthopaedic surgery? 骨科手术中抗生素预防的现有证据是什么?

Orthopaedics and Trauma Pub Date : 2023-08-01 DOI: 10.1016/j.mporth.2023.05.007

Benjamin Holmes, Ghiath Ismayl, Sohail Nisar

引用次数: 0