ABCDE Evaluation, 155 Abscesses, 152 Foot, 152 Spinal Epidural

Total Page:16

File Type:pdf, Size:1020Kb

ABCDE Evaluation, 155 Abscesses, 152 Foot, 152 Spinal Epidural Cambridge University Press 978-1-107-69661-7 - Orthopedic Emergencies: Expert Management for the Emergency Physician Michael C. Bond, Andrew D. Perron and Michael K. Abraham Index More information Index ABCDE evaluation, 155 anterior posterior pelvic proximal humerus, 60–62 abscesses, 152 fracture, 88, 89, 90 arm slings, 268 foot, 152 anterior radial head dislocation, arterial injury, 69 spinal epidural, 159–160, 186 234, 235 brachial, 69 acetabular fractures, 89–93, anterior shoulder dislocations, knee, 110, 113 99, 223 44, 236, 237 arthritis, 150, 189, 200, See also Achilles tendon injuries, anterior sternoclavicular septic arthritis 142–143, 258, 269 dislocations, 55, 56, arthrocentesis, 178, 179, 180, acromioclavicular injuries, 213, 215 200–203 57–60 anterior superior iliac spine, arthroplasty, 94, 225 acromioclavicular joint, 213 82, 83 arthroscopy, 114, 115, 117, acute osteomyelitis, 183, 184 anteromedial knee dislocation, 120, 137 airway management, 155 112 aseptic technique, 203 Allis technique, 223, 225 anteroposterior radiography. ASIA impairment scale Allman Type fractures, 54 See AP view (AIS), 156 amoxicillin–clavulanate, 182 antibiotics, 18 avascular necrosis (AVN), 6 ampicillin–sulbactam, 181 amputations, 43 femoral neck fractures, 94, 100 amputation, 114 clenched fist injuries, 182 hip dislocation, 225 below knee, 151, 153 foot infections, 145, 152 hip fractures, 93, 223 hand and wrist, 38, 42–43 infectious tenosynovitis, 181 lunate, 9 anesthesia. See local anesthetics, metacarpal head fracture, proximal humerus fracture, 61 See regional anesthetics, 18, 20 scaphoid, 6, 8 See intra-articular open fractures, 186 talus, 148 anesthetic injections osteomyelitis, 184 avulsion fractures, 31, 33, 34, angular deformity, 206 septic arthritis, 179 35, 37, 82–84 angulation of fingers, 210 spinal epidural abscess, foot, 148, 149 ankle brachial index (ABI), 110, 159, 160 patella, 135, 138 112, 228 vertebral osteomyelitis, tibial spine, 118, 119 ankle fractures and 185, 186 axial compression of the dislocations, 145, 146, 153, AP view, 9 thumb, 7 192, See also foot and ankle acetabular fractures, 93 axillary nerve injuries, 44, 66, injuries carpal bone dislocations, 15 67, 236 reductions, 212 femoral neck fractures, 95 axonotmesis, 40, 41 ankylosing spondylitis, 154, 158 hip dislocations, 100, 223 Babinski response, 156 anterior ankle dislocations, 212 hip fractures, 96, 98 back pain, 185 anterior cruciate ligament non-accidental trauma, 172 bacteremia, 178 (ACL) injuries, 105, 107, normal arcs, 17 Bankart lesions, 236 117–120, 122, 226, 227 pelvic fractures, 84, 87 Barton fracture, 1, 2, 3, 4 anterior drawer test, 107, scapholunate dissociation, 12 Bennett fracture, 24 118, 121 SCFE, 174 Bier block, 193–194 anterior elbow dislocations, 68, triquetral fracture, 9, 10 bimalleolar fracture, 212 216, 218 Apley’s test, 107, 115 bipartite patella, 138, 139 anterior hip dislocations, apprehension sign, 107, 136 blood loss, 81 99, 223 arm fractures, 60 femoral shaft fractures, 101 anterior inferior iliac spine, 83 humeral shaft, 62–65 pelvic fractures, 81 270 © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-107-69661-7 - Orthopedic Emergencies: Expert Management for the Emergency Physician Michael C. Bond, Andrew D. Perron and Michael K. Abraham Index More information Index blood pressure management, cephalic tilt views, 54 scaphoid fracture, 8 158 cervical spine injuries, 66, 67, scapula fracture, 52 blood transfusion, 81 154, 155, 158 SCIWORA, 173 blunt aortic injury, 155 chair raise test, 74 spinal injuries, 157, 158 bone biopsy, 183, 184, 185 Charcot arthropathy, 152 sternoclavicular injuries, 56 Boutonniere deformity, 36–37, Chauffer’s fracture, 1 tibial plateau fractures, 221 child abuse, 101, 171–172 127, 128 Boxer’s fracture, 20 chondral lesions, 136 upper extremity nerve brachial artery injury, 69 chronic osteomyelitis, 183, 184 injuries, 67 brachial plexus, 65 ciprofloxacin, 181, 184, 186 vertebral osteomyelitis, 185 brachial plexus injuries, 54, circulation management, 155 Cunningham technique, 237 66, 67 clavicle fractures, 53–55 debridement, 179, 183, 184, 186 bracing, 56 reduction, 213–215 deep trochanteric bursitis, 104 compression fractures, 161 clenched fist injuries, 12, 181–183 deep vein thrombosis, 268, 269 dynamic, 269 closed reduction, 18, 206 Destot’s sign, 81 epicondylitis, 74 fibula dislocations, 220 diabetes, 151, 152, 159 figure-of-8, 56, 57 hip dislocations, 100 diabetic foot infections, 152 knee braces, 268 metacarpal fractures, 21, 22, diastolic blood pressure, 187 patella, 137 25, 210–211 digital block, 43, 197 bradycardia, 155 patella dislocations, 229 digital nerves, 40, 42 breathing management, 155 pediatric fractures, 165 digital rectal exam, 155 buckle fractures, 165, 166 sternoclavicular injuries, DIP joint, 31, 221, 222 buddy-taping, 28 57, 214 amputations, 42, 43 bulbocavernosus reflex, 156 coaptation splint, 63, 64, 65 Boutonniere deformity, 36, 37 Burgess and Young system, coccyx fractures, 88 DIP joint dislocation, 33, 34, 35 82, 88 Colles fracture, 1, 2, 208 disability evaluation, 155 bursitis, 103–104 combined mechanical pelvic DISH patients, 158 calcaneus fractures, 146, 149, fracture, 88 displaced mid-shaft clavicle 150, 155 comminuted fractures, 101 fractures, 53, 55 calcifications, 74 femoral shaft, 101, 103 displaced pelvic fractures, 88–89 CAM boot, 143, 146, 269 patellar, 140 disseminated Neisseria Canadian C-spine rules, 157 tibial plateau, 129 gonorrhoeae, 178, 180, 181 capillary refill, 39 compartment syndrome, distal fibular fractures, 146 Captain Morgan technique, 225 187–189 distal phalanx fracture, 28–29 cardiac lidocaine, 191 compartment syndrome of the distal radioulnar joint (DRUJ) C-arm fluoroscopy, 243 lower leg, 112, 113, 114, injury, 5–6, 76 carpal bone dislocations, 11–18 127, 130, 131 distal radius fracture, 5, 166, carpal bone fractures, 6 coracoclavicular injuries, 57, 58 192, 243, 244 lunate fracture, 8–9 coronoid process fracture, 69 reduction, 208–209 pisiform fracture, corticosteroids, 73, 74, 75, 104 distal tibial fracture, 144, 168 10–11 counter-traction, 102, 206, dorsal angulation, 244 scaphoid fracture, 6–8 212, 223 dorsal Barton fracture, 1 triquetral fracture, 9–10 crystal-induced arthritis, 200 dorsal dislocations, 243 carpal tunnel syndrome, 18 CT angiography, 109, 113 DRUJ, 5 carpometacarpal (CMC) joint CT scans, 8 finger, 221, 222 dislocation, 27 acetabular fractures, 89 dorsal splint, 27, 30, 34, 36, 255 cast padding, 248, 265 femoral neck fractures, 96 dorsalis pedis artery, 212 casting, 165, 166, 167 foot, 149 double sugar tong splint, 249, cauda equina syndrome, hip fractures, 94, 96 256–252 158–159, 163 knee, 109 drop foot, 110, 125, 130 cefazolin, 103, 145, 187 lunate fracture, 9 dual pubic ramus fractures, 84 cefepime, 184, 186 myelogram, 160 dynamic braces, 269 cefotaxime, 179 non-accidental trauma, 172 dynamic splinting, 269 ceftazidime, 179 osteomyelitis, 184 Earle’s sign, 81 ceftriaxone, 179, 181, 182 pelvic fractures, 84, 87 elastic bandage, 248, 249 central slip injury, 37 pisiform fracture, 11 elbow dislocations, 68–70 271 © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-107-69661-7 - Orthopedic Emergencies: Expert Management for the Emergency Physician Michael C. Bond, Andrew D. Perron and Michael K. Abraham Index More information Index elbow injuries, 71 flexor digitorum profundus hematoma block, 193 arthrocentesis, 202 (FDP), 33, 34 hemorrhagic shock, 155 epicondylitis, 72–75 floating elbow, 62, 63 Hill–Sachs lesions, 236 nursemaid’s elbow, 71–72, fluid bulge sign, 106, 115 hind foot injuries, 146–150 73, 229–231 fluid resuscitation, 155, 158 hinged knee braces, 268 radial head, 75–78 fluoroquinolone, 142, 151 hip dislocations, 99–101 radial nerve block, 195 fluoroscopy, 151, 243 reduction, 223–225 splint, 249, 252, 256 foley catheter, 159 hip fractures, 93–99 traction, 208 foot and ankle injuries. See also hot microcautery unit, 205 ulnar nerve block, 194 ankle fractures and humeral shaft fractures, 62–65 elbow reduction, 70, 71, 72, dislocations Hutchinson fracture, 1, 2, 3, 5 216–219, 220, 245 Achilles tendon, 142–143 hydrocodone/acetaminophen, 84 electromyogram (EMG) arthrocentesis, 203 hyperextension, knee, 124, testing, 52 foreign bodies, 150–151 226, 229 electromyogram/nerve hind and mid-foot, 146–150 hyperpronation method, 71, 72, conduction velocity infections, 151–153 73, 232 studies (EMG/NCV), 67 posterior leg splint, 258 hypotension, 101, 155, 158 emergency decompression, 158 stirrup splint, 260 ibuprofen, 83, 174 epicondylitis, 72–75 foot drop, 112, 226 idiopathic avascular necrosis of epinephrine, 191 foreign bodies, 151 the lunate, 8 eversion stress, 143, 148 frozen shoulder, 268 iliac wing fractures, 86 exposure evaluation, 155 Garden system, 95 iliopsoas bursitis, 104 exsanguination, 193 gentamicin, 187 ilium fractures, 86–87 extensor carpi radialis brevis glenohumeral dislocations, immobilization, 102, 206, (ECRB), 73 44–48 269, See also splint extensor pollicis longus glenohumeral reduction, 48, ankle, 146 (EPL), 201 49, 51 distal radius, 208 extensor tendon injury, 182 glenoid fracture, 48, 52 knee, 109, 113, 118, 123, 126 external rotation dial test, gout, 104 patella, 138 107, 125 Gram-negative bacilli, 178, 179, spinal injuries, 154, 155 external rotation method, 48, 180, 181 tibial fractures, 131 49, 51, 238, 239 greenstick fractures, 165, immobilization devices, 268–269 external rotation recurvatum 166, 167 immunocompromised
Recommended publications
  • Clinical Excellence Series Volume V an Evidence-Based Approach to Traumatic Emergencies
    Clinical Excellence Series n Volume V An Evidence-Based Approach To Traumatic Emergencies Inside Neck Trauma: Don’t Put Your Neck On The Line Orthopedic Sports Injuries: Off The Sidelines And Into The Emergency Department Blunt Abdominal Trauma: Priorities, Procedures, And Pragmatic Thinking Wrist Injuries: Emergency Imaging And Management Brought to you exclusively by the publisher of: An Evidence-Based Approach To Traumatic Emergencies CEO: Robert Williford President & Publisher: Stephanie Ivy Associate Editor & CME Director: Jennifer Pai • Associate Editor: Dorothy Whisenhunt Director of Member Services: Liz Alvarez • Marketing & Customer Service Coordinator: Robin Williford Direct all questions to EB Medicine: 1-800-249-5770 • Fax: 1-770-500-1316 • Non-U.S. subscribers, call: 1-678-366-7933 EB Medicine • 5550 Triangle Pkwy Ste 150 • Norcross, GA 30092 E-mail: [email protected] • Web Site: www.ebmedicine.net The Emergency Medicine Practice Clinical Excellence Series, Volume V: An Evidence-Based Approach To Traumatic Emergencies is published by EB Practice, LLC, 5550 Triangle Pkwy Ste 150, Norcross, GA 30092. Opinions expressed are not necessarily those of this publication. Mention of products or services does not constitute endorsement. This publication is intended as a general guide and is intended to supplement, rather than substitute, professional judgment. It covers a highly technical and complex subject and should not be used for making specific medical decisions. The materials contained herein are not intended to establish policy, procedure, or standard of care. Emergency Medicine Practice, The Emergency Medicine Practice Clinical Excel- lence Series, and An Evidence-Based Approach to Traumatic Emergencies are trademarks of EB Practice, LLC.
    [Show full text]
  • Tension Band Wiring Is As Effective As a Compression Screw in a Neglected, Medial Maleolus Non-Union
    Case Report Journal of Orthopaedic Case Reports 2017 Jul-Aug: 7(4):Page 72-75 Tension Band Wiring Is As Effective As A Compression Screw In A Neglected, Medial Maleolus Non-Union: A Case-Based Discussion & Literature Review Rakesh John¹, Mandeep Singh Dhillon¹, Ankit Khurana², Sameer Aggarwal¹, Prasoon Kumar¹ Learning Points for this Article: Compression screw fixation has been the workhorse implant for medial malleolar nonunions; however, tension band wiring may be a better technique for such nonunions, as seen in this rare case of isolated, medial malleolus gap nonunion. Abstract Introduction: Isolated, neglected medial malleolus nonunion cases are a rare entity in orthopedic literature. All studies (except one) have described the use of compression screws (with or without plates) for medial malleolar nonunion management. In acute fractures, tension band wiring (TBW) has shown excellent results both in biomechanical and in clinical studies. On the contrary, it has seldom been used in nonunion or in neglected cases. Case Report: We describe a 6-month-old neglected medial malleolus gap nonunion case who presented with progressive pain and limp. TBW with a monoblock, inlay, tricortical, and iliac crest bone graft for the defect was performed. The fracture united within 12 weeks and patient went back to his normal work routine; on the latest follow-up at 3 years, the patient was asymptomatic with no clinicoradiologic signs of secondary osteoarthritis of the ankle joint. Conclusion: TBW may be better than screw fixation in the management of medial malleolus nonunion as it is technically straightforward and cost-effective, can provide equal or more compression than a screw; it does not damage the sandwiched inlay bone graft, and the amount of compression is surgeon-controlled.
    [Show full text]
  • Case Report Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee Following Tension Band Wiring of a Patellar Fracture
    Hindawi Publishing Corporation Case Reports in Orthopedics Volume 2015, Article ID 827140, 5 pages http://dx.doi.org/10.1155/2015/827140 Case Report Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture Yasuaki Tamaki, Takashi Nakayama, Kenichiro Kita, Katsutosi Miyatake, Yoshiteru Kawasaki, Koji Fujii, and Yoshitsugu Takeda Department of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, Japan Correspondence should be addressed to Yoshitsugu Takeda; [email protected] Received 25 November 2014; Accepted 22 January 2015 Academic Editor: Dimitrios S. Karataglis Copyright © 2015 Yasuaki Tamaki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Tension band wiring with cerclage wiring is most widely used for treating displaced patellar fractures. Although wire breakage is not uncommon, migration of a fragment of the broken wire is rare, especially migration into the knee joint. We describe here a rare case of migration of a wire fragment into the posterior septum of the knee joint after fixation of a displaced patellar fracture with tension band wiring and cerclage wiring. Although it was difficult to determine whether the wire fragment was located within or outside the knee joint from the preoperative plain radiographs or three-dimensional computed tomography (3D CT), we found it arthroscopically through the posterior transseptal portal with assistance of intraoperative fluoroscopy. Surgeons who treat such cases should bear in mind the possibility that wire could be embedded in the posterior septum of the knee joint.
    [Show full text]
  • Variability in Olecranon Ao Fracture Fixation: a Radiological Study V.M
    Original Article East African Orthopaedic Journal VARIABILITY IN OLECRANON AO FRACTURE FIXATION: A RADIOLOGICAL STUDY V.M. Mutiso*, MBChB, MMed(Surg), FCS(ECSA), Department of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, P. O. Box 19676 – 00202, Nairobi, Kenya and J. Chigumbura, MBBS (University of Warwick), GPST1, UHNS *At the time of writing the author was a Clinical Fellow ( Arthroscopy & Arthroplasty) in the Directorate of Orthopaedics and Trauma at the University of North Staffordshire in United Kingdom Correspondence to: Dr. V.M. Mutiso, Department of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, P. O. Box 19676 – 00202, Nairobi, Kenya. Email: [email protected] ABSTRACT Background: Tension Band Wire(TBW) fixation of olecranon fracture is a commonly used technique by orthopaedic surgeons. However surgeons do not strictly adhere to the AO standard. Objectives: To determine the use and variability of this technique by surgeons at the hospital. Design: A hospital based retrospective study using anonymous radiological records. Setting: North Staffordshire University Hospital in United Kingdom. Materials and Methods: Computer software was used to retrieve, review and measure pre and postoperative radiographs of olecranon fracture cases. All identifying information was electronically masked. Results: The mean age was 50.1 years with a median of 56 years. 16.9% were open fractures. Fifty percent of the TBW met the AO standard. INTRODUCTION The triceps muscle attaches to the ulna proximally and it articulates with the distal humerus. It is Olecranon fractures are a relatively common acute subcutaneous along most of its length and is thus injury worldwide and are commonly treated operatively.
    [Show full text]
  • Comparison of Two Types of Fixation for Proximal Tibial Epiphysiodesis: an Experimental Study in a Rabbit Model
    Jt Dis Relat Surg Joint Diseases and 2021;32(2):468-477 Related Surgery ORIGINAL ARTICLE Comparison of two types of fixation for proximal tibial epiphysiodesis: An experimental study in a rabbit model Alkan Bayrak, MD1, Altuğ Duramaz, MD1, Cemal Kızılkaya, MD2, Malik Çelik, MD3, Cemal Kural, MD1, Serdar Altınay, MD4, Alev Kural, MD5, Serdar Hakan Başaran, MD1 1Department of Orthopedics and Traumatology, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey 2Department of Orthopedics and Traumatology, Bahçelievler State Hospital, Istanbul, Turkey 3Department of Orthopedics and Traumatology, Batman State Hospital, Batman, Turkey 4Department of Pathology, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey 5Department of Biochemistry, University of Health Sciences, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey Growth plate or the physis is a cartilage structure ABSTRACT that occurs at the distal part of the long bones and provides bone elongation. Physeal injuries are Objectives: In this study, we describe a novel hemiepiphysiodesis technique to prevent implant-related perichondrial ring injury in a difficult to treat and cause complications such as rabbit model. growth arrest, progressive angular deformities, and Materials and methods: Proximal tibial epiphyseal plates of a limb length discrepancy after childhood physeal total of 16 white New Zealand rabbits were used for this animal damage.[1] After traumatic epiphyseal injuries, a physeal model. The subjects were divided into three equal groups as bar may occur that may lead to progressive angular follows: Group 1 (Kirschner wire [K-wire]/cerclage), Group 2 deformities or limb shortness during the fracture (8-plate) right-hind legs, Group 3 (Control) left hind legs.
    [Show full text]
  • Os Acromiale, a Cause of Shoulder Pain, Not to Be Overlooked
    Orthopaedics & Traumatology: Surgery & Research (2013) 99, 465—472 View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Available online at www.sciencedirect.com ORIGINAL ARTICLE Os acromiale, a cause of shoulder pain, not to be overlooked ∗ O. Barbier , D. Block, C. Dezaly, F. Sirveaux, D. Mole Emile Gallé Surgical Center, 49, rue Hermitte, 54000 Nancy, France Accepted: 5 October 2012 KEYWORDS Summary Acromion; Introduction: Os acromiale is a failure of fusion of the acromial process. It is usually asymp- tomatic and discovered by chance. When it is painful a differential diagnosis must be made in Iliac graft; relation to the subacromial impingement syndrome. Internal fixation Hypothesis: Unstable os acromiale is the cause of atypical scapulalgias. Stabilization by tension band wiring and an embedded slot shaped graft achieves union and relieves pain. Patients et methods: This series includes 10 patients mean age 43 years old presenting with shoulder pain resistant to a mean 15 months of conservative treatment. Pain followed trauma in three cases. Three patients had a history of acromioplasty, which had not relieved pain. All had pain during palpation of the superior aspect of the acromion. The diagnosis was confirmed in eight patients by positive results to local injection of the os acromiale. The mean preop- erative Constant score was 53.4. The procedure included open reduction and fixation of the acromion by tension band wiring and pinning associated with an embedded iliac crest graft without acromioplasty. Results: The mean follow-up was 48 months. Pain was relieved in seven cases and all patients had improved and were satisfied.
    [Show full text]
  • Knee Injuries
    6/11/2019 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e Chapter 274: Knee Injuries Rachel R. Bengtzen; Jerey N. Glaspy; Mark T. Steele ANATOMY The knee consists of two joints, the tibiofemoral joint and the patellofemoral joint. Within the tibiofemoral joint, the distal femur (comprised of the medial and lateral femoral condyles) articulates with the proximal tibia (comprised of the medial and lateral tibial condyles) (Figure 274-1). The medial and lateral menisci are situated between the articular surfaces, and the menisci provide cushion, lubrication, and resistance to articular wear (Figure 274-2). In the patellofemoral joint, the patella articulates with the distal femur along the anterior depression called the patellofemoral groove during flexion and extension of the knee. The patella is stabilized by the patellar tendon and medial retinaculum. FIGURE 274-1. The supracondylar and condylar areas of the femur, and the medial and subcondylar areas of the tibia. 1/29 6/11/2019 FIGURE 274-2. Ligaments of the right knee joint. The articular capsule and the patella have been removed. 2/29 6/11/2019 There are four ligaments in the knee: the anterior cruciate ligament, the posterior cruciate ligament, and the medial and lateral collateral ligaments (Figure 274-2). These ligaments provide strength and stability to the knee. The posterior aspect of the knee, the popliteal fossa, contains the popliteal artery and vein, the common peroneal nerve, and the tibial nerve (Figure 274-3). FIGURE 274-3. Posterior knee: popliteal fossa anatomy. 3/29 6/11/2019 CLINICAL FEATURES Determine the mechanism of knee injury and review all prior orthopedic injuries or surgical procedures.
    [Show full text]
  • Bimalleolar Fracture of Ankle Joint Managed by Tension Band Wiring Technique: a Prospective Study Dr
    Scholars Journal of Applied Medical Sciences (SJAMS) ISSN 2320-6691 (Online) Sch. J. App. Med. Sci., 2014; 2(1D):428-432 ISSN 2347-954X (Print) ©Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources) www.saspublisher.com Research Article Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study Dr. Maruthi CV*1, Dr.Venugopal N2, Dr. Nanjundappa HC2, Dr. Siddalinga swamy MK2 1Assistant Professor, Department of Orthopaedics, MVJ MC and RH, Hoskote, Bangalore, India 2Professor, Dept of Orthopaedics, MVJ MC and RH, Hoskote, Bangalore, India 3MVJ Medical College & Research Hospital, Hoskote, Bangalore -562 114, India *Corresponding author Dr. Maruthi CV Email: Abstract: Ankle fractures are the most commonly encountered by most of the orthopaedic surgeons. According to the lauge Hansen’s classification five different types can be seen. The surgical treatment of adduction, abduction and supination external rotation type of injuries leading to bimalleolar fractures can be fixed with either tension band technique or cancellous screws. Here we are done a study to evaluate the benefits of tension band wiring technique in the management of bimalleolar fractures of the ankle. In our study, 40 cases of bimalleolar fracture of ankle joint of above mentioned types were admitted in Department of Orthopaedics, between February 2009 and November 2013 was included. We included patients above 20 and below 58 years. We excluded patients with pronation external rotation, vertical compression and trimalleolar fractures, pathological fractures, compound fractures and who are medically unfit and at extremely high anaesthesia risk. All the patients, operated by open reduction and internal fixation using tension band wiring technique.
    [Show full text]
  • Scientific Programme
    10TH EFORT CONGRESS VIENNA, AUSTRIA 3 – 6 JUNE 2009 OFFICIAL PROGRAMME Level –1: Rooms D, G, H, K, P Level 0: Rooms E1, E2, F1, F2 Level 1: Rooms L, N, J EFORT – JOINT EFFORTS CONTENTS WELCOME ADDRESS INDUSTRY & EXHIBITION Message from the President of EFORT 3 Industry partners of the 10th EFORT Congress 155 Message from the Chairman of the Local Organising Exhibition Floor Plans 156 – 157 Committee 4 Exhibitors List 159 – 160 Welcome Address from the Chairman of the Scientifi c Committee 5 Company descriptions and contact details 161 – 202 OVERVIEW & HIGHLIGHTS SOCIETIES Colour guide per topic 7 National Member Societies 205 – 206 Collaborating Speciality Societies and SESSION OVERVIEW & ABSTRACT INFORMATION Affi liated Organisations with own Sessions 207 Symposia 9 – 10 Instructional course lecture 10 – 11 GENERAL CONGRESS INFORMATION Controversial case discussion 12 Social programme 209 ExMEx 12 – 13 About the host city 210 Guest societies and other sessions 13 – 14 General congress information 211 – 213 Satellite symposia 15 – 16 City map 214 Free paper sessions 16 – 20 Public transportation map 215 Number of abstracts by category 21 Floor plans 216 – 217 Number of abstracts by country 22 Abstract reviewers 23 – 24 ABOUT EFORT EFORT Committees 219 – 220 WEDNESDAY 3 JUNE 09 About EFORT 221 – 222 Programme of the day 27 – 61 EFORT Advanced Training Programme 223 EFORT Fora 224 THURSDAY 4 JUNE 09 Programme of the day 63 – 95 E-POSTERS & INDEX List of e-posters 225 – 331 FRIDAY 5 JUNE 09 Index of authors 332 – 361 Programme of the day 97 – 131 SATURDAY 6 JUNE 09 Programme of the day 133 – 152 Published by textbildtechnik.ch 1 MESSAGE FROM THE PRESIDENT OF EFORT Karl-Göran Thorngren EFORT President Dear Colleagues, This year we will all meet for the EFORT Congress in Vienna.
    [Show full text]
  • Screw Fixation Versus Tension Band Wiring in Treatment of Closed
    International Journal of Surgery Science 2020; 4(4): 137-141 E-ISSN: 2616-3470 P-ISSN: 2616-3462 © Surgery Science Screw fixation versus tension band wiring in Treatment www.surgeryscience.com 2020; 4(4): 137-141 of closed displaced horizontal oblique medial malleolar Received: 07-08-2020 Accepted: 09-09-2020 fracture Dr. Abbas Silman Altaei Kerbala Health Directorate, Iraq Dr. Abbas Silman Altaei, Dr. Abdulameer Raheem Hussein and Dr. Aamer Naji Shaalan Dr. Abdulameer Raheem Hussein Kerbala Health Directorate, Iraq DOI: https://doi.org/10.33545/surgery.2020.v4.i4c.549 Dr. Aamer Naji Shaalan Kerbala Health Directorate, Iraq Abstract Background: Fractures of the medial malleolus are part of the ankle injures which require an orthopedic care. Most of these injuries are low energy, rotational injuries. Many modalities of treatment are present, including non-operative or operative treatment to restore normal anatomical alignment and to resume normal fictional ability of the ankle. Aim of study: To determine the outcome of surgical treatment of the medial malleolar fractures by tension band wiring versus screws fixation techniques. Patients and Methods: Randomized controlled trial conducted to study two groups of patients at Department of Orthopedic surgery in Al- Hussain medical city teaching hospital from July 2017 to July 2020, to evaluate the outcome of 36 patients with closed displaced horizontal oblique medial malleolar fractures. All the patients admitted to the emergency department of the hospital and operated within 24 hours. The study is based on 36 patients including males and females having closed displaced medial malleolar fractures of skeletally mature patients, divided in to two groups; group (A) managed by tension band wiring and group (B) with screws fixation, and followed for a maximum period of 20 weeks looking for union rate, infection, loss of reduction and the reoperation rate.
    [Show full text]
  • Review Laminectomy for Cervical Myelopathy
    Spinal Cord (2003) 41, 317–327 & 2003 International Spinal Cord Society All rights reserved 1362-4393/03 $25.00 www.nature.com/sc Review Laminectomy for cervical myelopathy NE Epstein*,1,2,3,4 1The Albert Einstein College of Medicine, Bronx, NY, USA; 2The North Shore-Long Island Jewish Health System, Manhasset, NY, USA; 3New Hyde Park, NY, USA; 4Winthrop University Hospital, Mineola, NY, USA Study design: Cervical laminectomy with or without fusion, or laminoplasty, successfully address congenital or acquired stenosis, multilevel spondylosis, ossification of the posterior longitudinal ligament (OPLL), and ossification of the yellow ligament (OYL). To optimize surgical results, however, these procedures should be applied to carefully selected patients. Objectives: To determine the clinical, neurodiagnostic, appropriate posterior cervical approaches to be employed in patients presenting with MR- and CT-documented multilevel cervical disease. To limit perioperative morbidity, dorsal decompressions with or without fusions should be performed utilizing awake intubation and positioning and continuous intraoperative somatosensory- evoked potential monitoring. Setting: United States of America. Methods: The clinical, neurodiagnostic, and varied dorsal decompressive techniques employed to address pathology are reviewed. Techniques, including laminectomy, laminoforaminotomy, and laminoplasty are described. Where preoperative dynamic X-rays document instability, simultaneous fusions employing wiring or lateral mass plate/screw or rod/screw techniques may be employed. Nevertheless, careful patient selection remains one of the most critical factors to operative success as older individuals with prohibitive comorbidities or fixed long-term neurological deficits should not undergo these procedures. Results: Short- and long-term outcomes following dorsal decompressions with or without fusions vary. Those with myelopathy over 65 years of age often do well in the short-term, but demonstrate greater long-term deterioration.
    [Show full text]
  • Imaging Review: Modalities and Practice Guidelines Bryan M
    Imaging Review: Modalities and Practice Guidelines Bryan M. Bond, BSc, BS, DC, MS, PhD April 7th, 2017 Wichita, Kansas 1 Objectives……. 1. Recognize how the study of human imaging can make the clinician’s evaluation and management of the patient more comprehensive. 2. Discuss and describe the clinical impact of imaging technologies used in musculoskeletal conditions. 3. Describe, compare and contrast the major roles of conventional radiography, magnetic resonance imaging, computed tomography, ultrasound, and bone scintigraphy in clinical decision making. 2 Objectives……. 4. Acquire an ability to transform visually three-dimensional anatomy into two-dimensional radiographic anatomy to enable identification of normal and abnormal anatomical structures on radiographs. 5. Describe and discuss the evidence-informed clinical practice guidelines to promote appropriate imaging or treatment decisions. 3 Goals……… • NOT to teach you A through Z, but….. – Review some information – Add some new knowledge – Stimulate further thinking……………… 4 General Outline • Integration of Imaging into • Diagnostic Imaging Clinical PT Practice Prediction Rules (CPRs) • Special Imaging Techniques • Case-Based Learning • General Principles and Evaluation • Summary of Tissue 5 Integration of Imaging into Physical Therapy Practice 6 Changing Perspectives on Diagnostic Imaging in PT Education 7 The Traditional Model • PT gradually evolved into profession with specialized areas of practice, including primary care, requiring considerable expertise in MSK evaluation – In response,
    [Show full text]