Journal of the Southern Orthopaedic Association最新文献_第3页

Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. 无症状患者的超声诊断与年龄、肩峰形态及肩袖撕裂病理的关系。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

R L Worland, D Lee, C G Orozco, F SozaRex, J Keenan

{"title":"Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients.","authors":"R L Worland, D Lee, C G Orozco, F SozaRex, J Keenan","doi":"","DOIUrl":"","url":null,"abstract":"The importance of acromial morphology in the pathogenesis of rotator cuff tears remains controversial. Some surgeons place great emphasis on acromial morphology and others feel that acromial shape is a result of cuff tear pathology rather than the cause. The purpose of this study was to determine if there was an association between acromial morphology, age, and rotator cuff tears found by ultrasound in asymptomatic volunteer subjects with no past history of shoulder symptoms. One hundred eighteen outlet x-rays and ultrasound scans were performed in 59 asymptomatic patients in various age groups. Acromial morphology and the age of the patients were then correlated with the ultrasound findings. Older patients were noted to have a high incidence of type II and type III acromions (93% of those over 70). Full- and partial-thickness tears were more commonly seen in patients with type II or type III acromions compared with type I. Patients over 50 years had a high incidence of full-thickness tears (40%), but the incidence did not increase with increasing age past 50. These findings lend credence to the multifactorial etiology of rotator cuff tears. The patient's age (degeneration) and acromial morphology (impingement) are two of the factors involved in causing rotator cuff tears. The incidence of cuff tears and type III acromions was high in this group of entirely asymptomatic volunteer subjects. Surgeons should interpret radiologically hooked or curved acromions as well as rotator cuff tears diagnosed with ultrasound or other modalities with caution. It may well be that both of these findings should be regarded as part of the natural ageing process.","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 1","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22375840","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

Orthopaedic malpractice claims in the VA medical system. 退伍军人医疗系统的矫形医疗事故索赔。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Gary Rubin, Alan Dean, Herbert S Schwartz

{"title":"Orthopaedic malpractice claims in the VA medical system.","authors":"Gary Rubin, Alan Dean, Herbert S Schwartz","doi":"","DOIUrl":"","url":null,"abstract":"This study was undertaken to delineate the outcome of orthopaedic malpractice claims in the Veterans Affairs Medical Center (VAMC) system compared with the private sector. All orthopaedic administrative tort (malpractice) claims handled by the Office of Regional Counsel in Nashville, Tennessee during the 5-year period (8/93-7/98) were analyzed. Attention was directed at: 1) the number and type of claims, 2) the disposition of the claims, 3) the average award or settlement and range in size of awards (indemnity), and 4) the length of time required to process and dispose of each claim. These data were compared to those compiled in that segment of the private sector represented in the database of Physician Insurers Association of America (PIAA) for a similar five years (1/90-12/94). Twenty-six claims were filed in the 5-year study period and 22 were adjudicated by December 1999. Fourteen of 22 (64%) were defended successfully and eight (36%) resulted in an award to the claimant plaintiff. In the private sector those figures were 69% and 31%, respectively. The VAMC average indemnity was 20,404 dollars (range, 3500-100,000 dollars) versus 145,200 dollars in the private sector. Approximately 1% of all awards in the private sector were greater than 1,000,000 dollars. The length of time required by the VAMC to process and dispose of each claim ranged from 6 to 59 months and averaged 15.2 months. The settlement rate of orthopaedic medical malpractice claims involving the VAMC and the private sector is similar. It appears that the average award is greater in the private sector. This may reflect more claims and lesser awards in the VAMC. In both systems, most claims do not result in an indemnity.","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 2","pages":"56-9"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22500611","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 cementless femoral stem revisited. 重新检查了无骨水泥股骨干。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

George S Macari, Rida A Kassim, Patrick Yoon, Khaled J Saleh

引用次数: 0

Systemic complications following total hip arthroplasty. 全髋关节置换术后的全身并发症。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Rida A Kassim, Khaled J Saleh, George Almacari, Mohamed Badra, Kevin Young, Justin L Esterberg

引用次数: 0

Anterior inferior iliac spine apophyseal avulsion fracture. 髂前下棘棘突撕脱性骨折。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Cemil Yildiz, Taner Aydin, Yavuz Yildiz, Tunc Alp Kalyon, Mustafa Basbozkurt

引用次数: 0

High ulnar nerve compression by a triceps branch schwannoma. 肱三头肌神经鞘瘤压迫高尺神经。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Robert J Spinner, Robert L Tiel

引用次数: 0

Volunteerism. 志愿服务。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Edward Anthony Rankin

引用次数: 0

The duPont kyphosis brace for the treatment of adolescent Scheuermann kyphosis. 杜邦后凸支架治疗青少年舒尔曼后凸。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Eric C Riddle, J Richard Bowen, Suken A Shah, Edward F Moran, Harry Lawall

{"title":"The duPont kyphosis brace for the treatment of adolescent Scheuermann kyphosis.","authors":"Eric C Riddle, J Richard Bowen, Suken A Shah, Edward F Moran, Harry Lawall","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to evaluate the effectiveness of a newly designed brace in the treatment of adolescent Scheuermann thoracic kyphosis. Twenty-two children who met the roentgenographic criteria of Scheuermann kyphosis and were compliant with treatment were followed until skeletal maturity. Sixteen patients (73%) showed nonprogression of their kyphosis (nine patients demonstrated an improvement, seven patients remained unchanged), and had a mean improvement of 9 degrees (64 degrees to 55 degrees). Six patients (27%) demonstrated progression of the kyphosis and had a mean increase in their kyphosis of 9 degrees (59 degrees to 68 degrees). One patient underwent posterior spinal fusion for progressive thoracic kyphosis despite bracing. It was recommended that this brace be worn until skeletal maturity; in this study this time period was determined to be at least 16 months to induce improvement or halt progression of this disease. Flexible curves are a positive predictor of a successful outcome of bracing with the kyphosis brace. These results are comparable to previous reports in the literature describing the effectiveness of the modified Milwaukee brace in the treatment of Scheuermann thoracic kyphosis prior to skeletal maturity, and the kyphosis brace has the advantage of concealability under normal attire.","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 3","pages":"135-40"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24044212","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 biomechanical comparison of suture constructs used for coracoclavicular fixation. 用于喙锁骨固定的缝合结构的生物力学比较。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

M Quinn Wickham, Douglas J Wyland, Richard R Glisson, Kevin P Speer

{"title":"A biomechanical comparison of suture constructs used for coracoclavicular fixation.","authors":"M Quinn Wickham, Douglas J Wyland, Richard R Glisson, Kevin P Speer","doi":"","DOIUrl":"","url":null,"abstract":"There is no consensus regarding surgical treatment for severely dislocated acromioclavicular joints. Although many treatments are suture-based, the suture materials and resulting suture-bone constructs have been subjected to limited systematic evaluation. This study identifies the strongest and least deforming suture construct among those commonly used for such repairs. Each suture-based repair was tested on a simulated clavicle and coracoid process with the skeletal components distracted until the suture failed to obtain tensile strength. Additional groups of sutures were subjected to cyclic loading to determine resistance to deformation. Panacryl braid had significantly greater tensile strength than all other constructs: Polydioxanone (PDS) braid, Mersilene tape, and Ethibond #5. Deformation after cyclic loading of Panacryl braid, PDS braid, and two strands of Mersilene tape was significantly less than that of the other constructs. A bioabsorbable suture loop, such as Panacryl, can act as a temporary internal splint, maintaining acromioclavicular joint reduction long enough for ligamentous healing during rehabilitation, and can avoid complications associated with permanent fixation materials. Panacryl braid deserves serious consideration for coracoclavicular fixation because of its strength, resistance to deformation, and bioabsorbable properties.","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 3","pages":"143-8"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24044214","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

Surgical approaches to total hip arthroplasty. 全髋关节置换术的手术入路。

Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01

Daniel Kelmanovich, Michael L Parks, Raj Sinha, William Macaulay

引用次数: 0