RESUMEN
A technique that has proven highly predictable and successful for arthrodesis of the wrist involves combining rigid internal fixation with concomitant removal of the proximal carpal row bones, which are then morselized and used for bone graft. Advantages of this procedure are (1) no distant bone graft site is required and (2) rigid internal fixation allows virtually immediate rehabilitation.
Asunto(s)
Artrodesis/métodos , Trasplante Óseo/métodos , Huesos del Carpo/cirugía , Articulación de la Muñeca/cirugía , Placas Óseas , Tornillos Óseos , Hueso Grande del Carpo/cirugía , Humanos , Complicaciones Posoperatorias/etiologíaRESUMEN
The medical literature is replete with case reports of thromboembolic events related to high altitude exposure. Studies have shown an increased risk of thromboembolic events at high and very high altitudes. Most of these case reports and studies have been documented at altitudes between 3,000 m and 8,000 m (9,843-26,247 ft). The U.S. Air Force Academy (USAFA) rests at moderate altitude of 7,250 ft (2,210 m). This study was designed to quantify the incidence of thromboembolic events in USAFA cadets over a 5-year period and then compare the incidence of events to those in the age-matched, similarly screened midshipmen and cadet populations of the U.S. Naval and U.S. Military Academies living at sea level. Our study showed an increased incidence of thromboemoblic events in USAFA cadet outpatients compared with that in the U.S. Military Academy cadets and U.S. Naval Academy midshipmen. This implicates moderate altitude as a potential risk factor for thrombosis.
Asunto(s)
Altitud , Personal Militar/estadística & datos numéricos , Tromboembolia/epidemiología , Adulto , Femenino , Humanos , Incidencia , Masculino , Factores de Riesgo , Estados Unidos/epidemiologíaRESUMEN
Ulnar-sided wrist pain can be a challenging entity for the hand surgeon and even more so in the athletic population. The authors present 8 causes of ulnar-sided wrist pain in an athlete (hook of hamate fracture, pisiform fracture, hypothenar hammer syndrome, triangular fibrocartilage complex injuries, ulnocarpal impaction syndrome, lunotriquetral ligament tears, extensor carpi ulnaris tendinitis, subluxation of extensor carpi ulnaris) and their associated imaging and treatment options.