ABSTRACT
Hoverboards pose a significant risk of musculoskeletal injury to pediatric riders. A prospectively enrolled cohort yielded 9 pediatric patients injured while riding hoverboards in 2016. Eight of the injuries involved the upper extremity, and one involved the lower extremity. No riders wore any safety equipment and injury patterns modeled those seen in skateboard riders.
Subject(s)
Athletic Injuries/etiology , Fibula/injuries , Radius Fractures/etiology , Ulna Fractures/etiology , Adolescent , Athletic Injuries/diagnosis , Athletic Injuries/prevention & control , Athletic Injuries/surgery , Child , Female , Fibula/surgery , Fracture Fixation , Humans , Male , Prospective Studies , Radius Fractures/diagnosis , Radius Fractures/prevention & control , Radius Fractures/surgery , Skating/injuries , Ulna Fractures/diagnosis , Ulna Fractures/prevention & control , Ulna Fractures/surgeryABSTRACT
We report three cases of complete rupture of the flexor pollicis longus (FPL) tendon, one case of complete rupture of the index and middle finger flexor digitorum profundus tendons and one case of rupture of the flexor digitorum profundus tendon to the index finger after placement of a volar plate for distal radius fracture. We review the literature and discuss the aetiology of tendon ruptures and techniques to prevent tendon attition.
Subject(s)
Bone Plates/adverse effects , Fingers , Fracture Fixation, Internal/adverse effects , Radius Fractures/surgery , Tendon Injuries/etiology , Adult , Aged, 80 and over , Causality , Device Removal , Equipment Design , Equipment Failure , Female , Fracture Fixation, Internal/instrumentation , Fracture Fixation, Internal/methods , Hand Strength , Humans , Male , Middle Aged , Radiography , Radius Fractures/diagnostic imaging , Radius Fractures/etiology , Range of Motion, Articular , Rupture , Tendon Injuries/diagnostic imaging , Tendon Injuries/surgery , Tendons/transplantationSubject(s)
Antimalarials/therapeutic use , Fever/etiology , Malaria, Vivax/diagnosis , Pain/etiology , Radius Fractures/etiology , Adult , Animals , Female , Fever/parasitology , Honduras , Humans , Malaria, Vivax/drug therapy , Mefloquine/therapeutic use , Plasmodium vivax/isolation & purification , Primaquine/therapeutic use , Radius Fractures/parasitology , Texas , Treatment OutcomeABSTRACT
OBJECTIVE: To determine whether boys with distal forearm fractures differ from fracture-free control subjects in bone mineral density (BMD) or body composition. STUDY DESIGN: A case-control study of 100 patients with fractures (aged 3 to 19 years) and l00 age-matched fracture-free control subjects was conducted. Weight, height, and body mass index were measured anthropometrically. BMD values and body composition were determined by dual-energy x-ray absorptiometry. RESULTS: More patients than control subjects (36 vs l4) were overweight (body mass index >85th percentile for age, P <.001). Patients had lower areal (aBMD) and volumetric (BMAD) bone mineral density values and lower bone mineral content but more fat and less lean tissue than fracture-free control subjects. The ratios (95% CIs) for all case patients/control subjects in age and weight-adjusted data were ultradistal radius aBMD 0.94 (0.91-0.97); 33% radius aBMD 0.96 (0.93-0.98) and BMAD 0.95 (0.91-0.99); spinal L2-4 BMD 0.92 (0.89-0.95) and BMAD 0.92 (0.89-0.94); femoral neck aBMD 0.95 (0.92-0.98) and BMAD 0.95 (0.91-0.98); total body aBMD 0.97 (0.96-0.99), fat mass 1.14 (1.04-1.24), lean mass 0.96 (0.93-0.99), and total body bone mineral content 0.94 (0.91-0.97). CONCLUSIONS: Our results support the view that low BMC, aBMD, and BMAD values and high adiposity are associated with increased risk of distal forearm fracture in boys. This is a concern, given the increasing levels of obesity in children today.
Subject(s)
Absorptiometry, Photon , Body Composition/physiology , Bone Density/physiology , Radius Fractures/physiopathology , Ulna Fractures/physiopathology , Adipose Tissue/physiopathology , Adolescent , Adult , Case-Control Studies , Child , Child, Preschool , Exercise/physiology , Hip Joint/diagnostic imaging , Hip Joint/physiopathology , Humans , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/physiopathology , Male , Nutritional Physiological Phenomena/physiology , Obesity/complications , Puberty/physiology , Radius/diagnostic imaging , Radius/physiopathology , Radius Fractures/diagnostic imaging , Radius Fractures/etiology , Risk Factors , Ulna Fractures/diagnostic imaging , Ulna Fractures/etiologyABSTRACT
El presente estudio, realizado en el Hospital Antonio Lenín Fonseca (H.A.L.F) en el período de julio 1998 a junio de 1999 es de tipo observacional, descriptivo, transversal y prospectivo acerca de los resultados de manejo de las fracturas distales de radio que según la clasificación utilizada en nuestro servicio deberan ser manejadas quirúrgicamente y se decidieron manejar conservadoras y quirúrgicas. Se estudiaron un total de 49 pacientes con diagnóstico de fracturas Distal de Radio atendidos en el servicios de Ortopedia del Hospital antes mencionado y que cumplían con los criterios diagnósticos para ser manejados quirúrgicamente. Se utilizó como fuente de información, expedientes clínicos y libros de registros del departamento de estadísticas del H.A.L.F. El grupo etáreo mas afectado fueron los mayores de 61 años con 24.5 porciento y 31 - 40 años con 20.4 porciento, el sexo masculino fue el más afectado pero su frecuenciadisminuyó con el aumento de la edad, al contrario ocurrió con el sexo femenino que a mayor edad incremento su frecuencia. El manejo conservador fue el más utilizado con 59.1 porciento y quirúrgico es 40.8 porciento, el miembro toráxico izquierdo fue el mas afectado 59.1 porcienot y las acaídas con apoyo en flexión dorsal fue el principal mecanismo de producción de la fractura. Según la clasificación de Hasting de las fracturas la tipo IIB fue la mas frecuente cn 55 porciento y la complejidad de las fracturas no tuvo relación con le edad...
Subject(s)
Arthroplasty , Academic Dissertations as Topic , External Fixators , Fracture Fixation/classification , Internal Fixators , Ligaments , Radius Fractures/classification , Radius Fractures/etiologyABSTRACT
Recentemente, uma classificaçao para fraturas distais do rádio foi criada por Fernandes(7), baseada no tipo de mecanismo de produçao do trauma. As fraturas foram classificadas por ele em cinco tipos numerados em algarismos romanos, aumentando conforme o grau da violência do traumatismo. Nosso trabalho destina-se a rever a classificaçao citada e trocar a graduaçao pelas letras A, B, C, D e E. As letras sao mais fáceis de memorizar porque foram retiradas do nome do tipo de trauma, isto é, representam as iniciais das palavras: angulaçao, Barton, compressao, destacamento e energia. Esta nova classificaçao é didática, possibilita reconhecer imediatamente o tipo de mecanismo de fratura e é de fácil assimilaçao para novos especialistas, geralmente empenhados na memorizaçao de numerosas classificaçoes das diversas fraturas do esqueleto.