Pattern and Distribution of Fractures in the William M. Bass and Hamann-Todd Osteological Collections
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2 DMA’S Most Anticipated One Liners 1
Orthopedics 1 Authors: M.Balakrishnana, S.Sakthivel & Roshan Akthar www.dmaedu.com www.dmaedu.com 2 DMA’s Most Anticipated One Liners 1. S.aureus is the Mc organism causing osteomyelitis 2. Quadriceps femoris is the Mc muscle involved in osteoarthritis of knee 3. Mc bone malignancy is metastasis 4. Nasal bone is the Mc bone to get fractured in face and also is the 3rd Mc fracture of the body 5. Housemaid’s knee- prepatellar bursitis 6. Ankle is involved in Cotton’s fracture 7. In children, Ewings sarcoma is the Mc sarcoma of bone 8. Fibrous dysplasia- shepherd crook deformity 9. TB spine causes bony ankyloses 10. Injury to long thoracic nerve affects serratus anterior muscle, causes scapular wing- ing 11. ACL prevents tibia from getting anteriorly dislocated 12. Popliteal artery is the Mc peripheral artery to get damaged in trauma 13. Radial nerve is involved in humerus shaft fracture 14. Ortoloni test is done for Developmental Displasia of Hip 15. Uric acid crystals are deposited in gout 16. In RA, MCP joint is involved and DIP is spared 17. Intranasal calcitonin is given for the treatment of Osteoporosis 18. osteoporosis 19. Wimberger ring sign is seen in scurvy Codfish vertebra is seen in 20. IOC for stress fracture is MRI 21. Garden classification is used for NOF fractures 22. In monteggia fracture, posterior interroseal nerve is involved 23. Strontium 90 isotope is used for treating bone cancer 24. Hanging cast is used for humerus shaft fracture 25. Myositis ossificans is treated by immobilisation and cast application 26. -
CASE REPORT Injuries Following Segway Personal
UC Irvine Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Injuries Following Segway Personal Transporter Accidents: Case Report and Review of the Literature Permalink https://escholarship.org/uc/item/37r4387d Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 16(5) ISSN 1936-900X Authors Ashurst, John Wagner, Benjamin Publication Date 2015 DOI 10.5811/westjem.2015.7.26549 License https://creativecommons.org/licenses/by/4.0/ 4.0 Peer reviewed eScholarship.org Powered by the California Digital Library University of California CASE REPORT Injuries Following Segway Personal Transporter Accidents: Case Report and Review of the Literature John Ashurst DO, MSc Conemaugh Memorial Medical Center, Department of Emergency Medicine, Benjamin Wagner, DO Johnstown, Pennsylvania Section Editor: Rick A. McPheeters, DO Submission history: Submitted April 20, 2015; Accepted July 9, 2015 Electronically published October 20, 2015 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2015.7.26549 The Segway® self-balancing personal transporter has been used as a means of transport for sightseeing tourists, military, police and emergency medical personnel. Only recently have reports been published about serious injuries that have been sustained while operating this device. This case describes a 67-year-old male who sustained an oblique fracture of the shaft of the femur while using the Segway® for transportation around his community. We also present a review of the literature. [West J Emerg Med. 2015;16(5):693-695.] INTRODUCTION no parasthesia was noted. In 2001, Dean Kamen developed a self-balancing, zero Radiograph of the right femur demonstrated an oblique emissions personal transportation vehicle, known as the fracture of the proximal shaft of the femur with severe Segway® Personal Transporter (PT).1 The Segway’s® top displacement and angulation (Figure). -
Management of the Traumatized Airway
CLINICAL CONCEPTS AND COMMENTARY Jerrold H. Levy, M.D., F.A.H.A., F.C.C.M., Editor Management of the Traumatized Airway Uday Jain, M.D., Ph.D., Maureen McCunn, M.D., M.I.P.P., Charles E. Smith, M.D., Jean-Francois Pittet, M.D. IRWAY injury is a major cause of early death in Anatomy of Trauma to the Airway 1,2 A trauma. The incidence of traumatic airway injuries is Airway injuries can be divided into three types: maxillofa- 3,4 low, although it is recently increasing. In contrast, mortal- cial, neck, and laryngeal injury. ity due to traumatic airway injuries is high, in part, because of associated injuries to other organs, which are present in Maxillofacial Trauma about one half of the cases of blunt or penetrating airway Blunt or penetrating trauma to the face can affect the max- 1,2 trauma. Patients with a significant injury severity (scored illary/mandibular or mid-facial region and extend intra- 5 on a scale of 0 to 75, which accounts for the most severely cranially12–14 (table 1). Maxillofacial trauma can result in traumatized body systems) have a higher predicted mortality. life-threatening airway and hemorrhage problems and lead In a retrospective review of 12,187 civilian patients treated to significant ocular, nasal, and jaw dysfunction. Bleeding at a regional trauma center in Toronto from 1989 to 2005, may complicate airway management. Swallowing of blood 36 patients (0.3%) had blunt airway trauma (injury sever- clears the airway and is facilitated with the patient in the sit- ity score, 33; mortality, 36%) and 68 patients (0.6%) had ting position. -
Study of Operative Modalities for Tibial Plateau Fractures
Scholars Journal of Applied Medical Sciences (SJAMS) ISSN 2320-6691 (Online) Sch. J. App. Med. Sci., 2016; 4(5B):1554-1558 ISSN 2347-954X (Print) ©Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources) www.saspublisher.com Original Research Article Study of operative modalities for tibial plateau fractures Pradip Patil1, Adarsh Kumbar2, Salim Lad3, Ravindra Kachare4, P.V Naveenkumar5, Ravindra Patil6 1Associate professor, 2Junior Resident, 3Professor and HOD, 4Associate professor, 5junior Resident, 6Assistant Professor Dept. of Orthopaedics, D. Y. Patil Medical College, D. Y. Patil University, Kolhapur, Maharashtra - 416 006, India *Corresponding author Pradip Patil Email: [email protected] Abstract: The management of tibial plateau fractures has remained a controversy with a variety of procedures described in this prospective study conducted at Dept. of Orthopaedics, D. Y. Patil Medical College &Hospital, Kolhapur from May 2014 to November 2015. We studied 15 cases of tibial condylar fractures. They were classified according to Schatzker system and underwent management by LCP, reconstruction plates, Buttress plate or screws. The results with each operative modality were compared. We have found the locking compression plating to be superior to others. Keywords: tibial condyle Fracture, Complication, CC screws, buttress plate, LCP INTRODUCTION: METHODOLOGY: Tibial plateau fractures show a wide variety of In this prospective study, 50 patients of tibial fracture patterns. The classic mechanism of injury is plateau fractures admitted in our institute were studied. either a Valgus („bumper fracture‟) or a varus force in combination with axial compression (fall from height). Inclusion criteria: Due to special anatomic configuration of knee (Valgus 1. -
Regional Injuries
REGIONAL INJURIES Dr. Anu Singh ROAD TRAFFIC ACCIDENTS In road traffic accidents , injuries may be sustained to: 1. Pedestrian 2. Cyclist/ motorcyclist 3. Occupants of a vehicle Injuries to pedestrian: • A pedestrian may sustain following types of injuries , this mechanism of injury is called as Waddle's triad. 1. Primary impact injuries. 2. Secondary impact injuries 3. Secondary injuries. 1.Primary impact injuries: • These are injuries caused by vehicle when it first struck or hit the person (pedestrian). • The importance of primary impact injury is that the body of victim may bear design / pattern of vehicle in form of imprint abrasion or patterned bruise. • Common part of vehicle which may struck or hit a person includes: 1. Bumper 2. Wing 3. Grill 4. Headlight 5. Fender 6. Radiator 7. Door handle The body part which bears the injury depends upon the position of person such as: 1. Was the pedestrian struck by front of car / vehicle? 2. Was the pedestrian struck by side of car / vehicle? 3. Was the pedestrian standing on the road ? 4. Was the pedestrian walking on road? 5. Was the pedestrian lying on road ? • If the victim is struck by front of the vehicle them the person may sustain bumper injuries on legs . • The injury comprises of damage to skin & fracture of bone (Bumper fracture). • Bumper fracture usually involves tibia. • The fracture is wedge shaped with base of triangular fragment indicating the site of impact and apex pointing the direction of vehicle. Bumper injuries: 1. If bumper injuries are at different levels on the two legs or absent on one leg , it indicates that the person was walking or running when hit by car / vehicle. -
Clinical Review: Facial Fracture
CLINICAL Fracture, Facial REVIEW Indexing Metadata/Description › Title/condition: Fracture, Facial › Synonyms: Facial fracture › Anatomical location/body part affected: Face/mandible, orbit floor, maxilla, zygomatic arch, nose, cranial base, occiput › Area(s) of specialty: Orthopedic Rehabilitation › Description: Traumatic fractures of the midface and jaw, excluding skull/cranial fractures • Head and neck trauma is increasing in frequency in modern combat and is thought to be due to the increased use of improvised explosive devices and the increased likelihood of surviving severe wounds(8) › ICD-10 codes: • S07.0 crushing injury of face • S02.1 fracture of base of skull • S02.11 fracture of occiput • S02.2 fracture of nasal bones • S02.3 fracture of orbital floor • S02.4 fracture of malar, maxillary, and zygoma bones • S02.41 LeFort fracture • S02.6 fracture of mandible • S02.9 fracture of unspecified skull and facial bones (ICD codes are provided for the reader’s reference only, not for billing purposes) › Reimbursement: Reimbursement for therapy will depend on insurance contract coverage; no special agencies or specific issues regarding reimbursement have been identified for this condition. If the patient is an athlete with multiple facial fractures, a custom-made face mask might be required prior to return to athletic participation. Unfortunately, insurance might not cover the device, making it cost prohibitive and thus forcing an athlete to return to athletic competition at a much later time(1) Author › Presentation/signs and symptoms -
Nasal Bone Fractures and the Use of Radiographic Imaging: an Otolaryngologist Perspective Running Title: Nasal Bone Fractures and Radiology
Journal Pre-proof Nasal Bone Fractures and the Use of Radiographic Imaging: An Otolaryngologist Perspective Running Title: Nasal bone fractures and Radiology Edward Westfall, MD1,2 Benton Nelson, MD1,2 Dominic Vernon, MD1,2 Mohamad Z. Saltagi, MD1,2 Avinash V. Mantravadi, MD1,2 Cecelia Schmalbach, MD1,2 Jonathan Y. Ting, MD, MS, MBA1,2 Taha Z. Shipchandler, MD1,2 Author Affiliations: 1Department of Otolaryngology—Head and Neck Surgery 2Indiana University School of Medicine Corresponding Author: Taha Z. Shipchandler, MD, FACS Division Director – FacialJournal Plastic, Aesthetic, Pre-proof & Reconstructive Surgery Associate Professor Vice-Chair and Residency Director Department of Otolaryngology—Head and Neck Surgery, Indiana University Health Physicians, Indiana University School of Medicine 1130 W. Michigan Street, Suite 400, Indianapolis, IN 46202 Telephone: 317-278-1258 Fax: 317-274-8285 [email protected] Financial disclosures: none Authors disclose no conflict of interest ____________________________________________________ This is the author's manuscript of the article published in final edited form as: Westfall, E., Nelson, B., Vernon, D., Saltagi, M. Z., Mantravadi, A. V., Schmalbach, C., … Shipchandler, T. Z. (2019). Nasal bone fractures and the use of radiographic imaging: An otolaryngologist perspective. American Journal of Otolaryngology, 102295. https://doi.org/10.1016/j.amjoto.2019.102295 Journal Pre-proof Abstract Objective: To determine radiologic preferences of practicing otolaryngologists regarding isolated nasal bone fractures. Study Design: An 8-question survey on isolated nasal bone fractures was designed. Setting: Surveys were sent to all otolaryngology residency program directors for distribution among residents and faculty. Additional surveys were distributed to private practice otolaryngology groups. Subjects and Methods: Practicing academic (residents & faculty) and private-practice otolaryngologists. -
Extremity X-Ray Review Avascular Necrosis Avascular Necrosis: Adult
Extremity X-ray Review Avascular Necrosis Avascular Necrosis: Adult • Idiopathic, trauma, steroids, alcoholism, sickle cell disease, Gaucher’s disease, cassion disease, radiation, SLE, and pancreatitis • Most common location is femoral head • Pain with weight bearing, decreased ROM • Sclerosis, subchondral fracture (crescent sign), flattening and bone deformity (step sign). Secondary DJD may occur. • Post traumatic AVN: Femoral head, lunate, proximal scaphoid, body of talus Avascular Necrosis: Adult • SLE and sickle cell: Humeral head and talus • AVN vertebral body: Increased density and collapse. Gas within vertebral body is pathognomonic. • MRI is the most sensitive modality Legg-Calvé-Perthes Disease • Males, between the ages of 3 and 12 years (peak age 4- 8). It is bilateral in approximately 10% of cases. Rare in blacks • The onset may be insidious or sudden. The patients have pain, develop a limp and have limitation of motion of the hip joint. The symptoms are worsened by activity and relieved by rest. It is a self-limiting disease of 2-6 years in duration. • Stage 1 is the avascular stage. The early x-ray findings include: joint effusion with distention of the joint capsule. The joint space may be widened (tear drop distance). Lateral displacement of the head of the femur (Waldenstrom’s sign). Legg-Calvé-Perthes Disease • Stage 2 is the necrotic stage: - The earliest osseous manifestation is a radiolucent line (crescent or rim sign). This is an arc-like translucent zone that develops in the subchondral bone close to the articular surface. - There will be an apparent increase in the density of the epiphysis and is referred to as a “snow cap” appearance. -
Improving the Quality of Assessment and Management of Nasal Trauma in a Major Trauma Centre (MTC): Queen Elizabeth Hospital, Birmingham
Open access Quality improvement report BMJ Open Qual: first published as 10.1136/bmjoq-2019-000632 on 27 November 2019. Downloaded from Improving the quality of assessment and management of nasal trauma in a major trauma centre (MTC): Queen Elizabeth Hospital, Birmingham Apoorva Khajuria ,1 Max Sallis Osborne ,1 Lisha McClleland,1 Sandip Ghosh2 To cite: Khajuria A, Osborne MS, ABSTRACT no specific guidelines to provide a standard McClleland L, et al. Improving Background Nasal fractures present in 39% of patients of care for nasal fracture patients. Therefore, the quality of assessment and with facial trauma. These patients are assessed in the management of nasal trauma junior doctors with little prior ENT experi- emergency department followed by outpatient review in a major trauma centre (MTC): ence may find themselves perplexed when Queen Elizabeth Hospital, in the senior house officer- led emergency ear, nose and assessing such injuries. Birmingham. BMJ Open Quality throat (ENT) clinic. Inadequate treatment of nasal trauma Violent crime and antisocial behaviour in can result in debilitating functional and aesthetic problems. 2019;8:e000632. doi:10.1136/ Birmingham is on the rise; we found assault bmjoq-2019-000632 Inexperienced junior doctors may be apprehensive in and violence the most common causes of assessing nasal trauma resulting in time pressured clinics 1 ► Additional material is and suboptimal management. nasal injuries in our patient cohort. The ENT published online only. To view Measures A retrospective review of clinical noting over senior house officer (SHO) on-call would please visit the journal online 3 months was carried out to gauge the extent of the book nasal trauma patients into the SHO- (http:// dx. -
Outpatient Surgical Procedures – Site of Service: CPT/HCPCS Codes
UnitedHealthcare® Commercial Policy Appendix: Applicable Code List Outpatient Surgical Procedures – Site of Service: CPT/HCPCS Codes This list of codes applies to the Utilization Review Guideline titled Effective Date: August 1, 2021 Outpatient Surgical Procedures – Site of Service. Applicable Codes The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. The listing of a code does not imply that the service described by the code is a covered or non-covered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies and Guidelines may apply. This list contains CPT/HCPCS codes for the following: • Auditory System • Female Genital System • Musculoskeletal System • Cardiovascular System • Hemic and Lymphatic Systems • Nervous System • Digestive System • Integumentary System • Respiratory System • Eye/Ocular Adnexa System • Male Genital System • Urinary System CPT Code Description Auditory System 69100 Biopsy external ear 69110 Excision external ear; partial, simple repair 69140 Excision exostosis(es), external auditory canal 69145 Excision soft tissue lesion, external auditory canal 69205 Removal foreign body from external auditory canal; with general anesthesia 69222 Debridement, mastoidectomy cavity, complex (e.g., with anesthesia or more -
Appendix 2 OSICS Version 10.1 (Continued)
Dovepress Sports Injury Classification System Appendix 2 OSICS version 10.1 OSICS10 code Specific Detail OSICS9 HXXX Head injuries Head injuries HHXX Head/facial bruising/haematoma Head/facial bruising/haematoma HH1 HHOX Eye bruising/haematoma Eye bruising/haematoma HHO HHOO Eye bruising/haematoma Periorbital bruising/haematoma HHOC Eye bruising/haematoma Conjunctival haematoma HHSX Scalp bruising/haematoma Scalp bruising/haematoma HHS HHNX Nose bruising/haematoma Nose bruising/haematoma HHN HHNE Nose bruising/haematoma Epistaxis HV1 HHNS Nose bruising/haematoma Septal haematoma HHMX Mouth bruising/haematoma Mouth bruising/haematoma HHM HHEX Ear bruising/haematoma Ear bruising/haematoma HHE HHEC Ear bruising/haematoma Cauliflower ear (chronic) HHJX Jaw bruising/haematoma Jaw bruising/haematoma HHZX Other bruising/haematoma not Other bruising/haematoma not otherwise specified otherwise specified HKXX Head laceration/abrasion Head laceration/abrasion HKXQ Complication of head laceration/ Complication of head laceration/ abrasion including infection abrasion including infection HKXS Head laceration location Head laceration location unspecified/or multiple requiring unspecified/or multiple requiring suturing suturing HKXN Head laceration location Head laceration location unspecified/or multiple not requiring unspecified/or multiple not suturing requiring suturing HKHX Forehead laceration/abrasion Forehead laceration/abrasion HKF HKHS Forehead laceration/abrasion Forehead laceration requiring suturing HKHN Forehead laceration/abrasion Forehead -
Outcome of Proximal Tibia Fractures Treated with Dual Plating - a Retrospective Study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 8 Ver. 13 (August. 2018), PP 61-71 www.iosrjournals.org Outcome of Proximal Tibia Fractures Treated With Dual Plating - A Retrospective Study Dr. Nagendra Singh,1 Dr Zellio D‟mello,2 Dr Millind Deshpande,3 1 Postgraduate MS Orthopaedics, Department of Orthopaedics, Goa medical College, Goa India 2 Associate professor, Department of Orthopaedics, Goa medical College, Goa India 3Lecturer, Department of Orthopaedics, Goa medical College, Goa India Corresponding Author: Dr. Nagendra Singh Abstract: The management of bicondylar fracture of the proximal tibia is a challenging task and the aim of management is to achieve stable, painless and mobile joint and also to prevent the secondary degeneration of the joint. Open reduction and internal fixation with dual plating in such fractures is beneficial to address fracture fragments in different planes and also to achieve anatomical reduction under direct vision. It also allows to stabilize the fracture which helps in early mobilization of the patient. Early post-op rehabilitation is one the most important factor that play a vital role in outcome of the operated knees by preventing the post- operative stiffness and achieving good range of motion. This study analyses the outcome of bicondylar proximal tibia fracture treated with dual plating in 68 patients. In our series we found 63 % excellent results and 28 % good results, while 7 % and 2% fair and poor outcome respectively. Keywords: Bicondylar, Tibia, --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 15-08-2018 Date Of Acceptance: 03-09-2018 ----------------------------------------------------------------------------------------------------------------------------- --------- I.