Objective: The aim of this study was to investigate the prevalence and distribution of accessory bones of the foot by age and gender in a Turkish patient group.Methods: Dorsoplantar and lateral foot radiographs acquired from the data related to outpatient clinics patients in 2014 were retrospectively examined for the presence of accessory bones. The computed radiography images were evaluated via a picture archiving and communication system. A total of 8204 radiographs were assessed and 6779 radiographs were found to be eligible for inclusion in the study.Results: 47.4% of the radiographs were from males and 52.5% females. The prevalence of accessory bones in the whole study group was found to be 18.1%. Gender analysis showed that 17.5% of the female radiographs and 16.4% of the male radiographs had accessory bones. Among all the accessory bones found in the study group, os tibiale externum was found to be the most common accessory bone (32.1%). Conclusion:In the present study, no significant difference was detected in terms of gender. Os tibiale externum was found to be the most common accessory bone of the foot. Os peroneum and os trigonum were found to be the second and third most common, respectively.
Schwannomas are benign neurogenic tumors of peripheral nerves that originate from neural sheath. The aim of this case report is to bring to mind the schwannoma in the patient with knee pain. A 39-year-old woman presented with a complaint of knee pain of three months history. After surgical intervention, the patient’s complaints completely disappeared in the post-operative period. This should come to mind in the differential diagnosis of knee pain.
Objective: To compare antirotator proximal femoral nail (A-PFN) with antirotator dynamic hip screw (A-DHS). Methods: Fourteen proximal femur models with type 31/A2 fracture, according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification, were separated into two groups. Group 1 bones (n = 7) were fixed with A-PFN and Group 2 (n = 7) with A-DHS. A 5 mm/min axial load was applied to femur heads using a testing device. Results: Two of the seven models in the A-PFN group fractured at the proximal, and the other five at distal locking screw level. All models in the A-DHS group fractured at the tightened distal screw region. The median fracture load for the A-PFN group was 132.1 N (97.1-173.69 N range), and for the A-DHS group it was 81.7 N (75.15-89.12 N range). Conclusion: A-PFN-treated unstable intertrochanteric fractured models resisted to higher levels of axial load than the A-DHS-treated group, with statistically significant difference. However, clinical studies are required to support these results. Level of Evidence V, Biomechanical study.
The aim of this study is to compare the radiological and functional results of newly designed radius and ulna intramedullary nails (IMNs) with those of titanium elastic nails (TENs) for forearm fractures in adolescents requiring surgery. Patients aged between 10 and 17 years who underwent surgery for forearm fractures between January 2011 and January 2018 were retrospectively evaluated. Of the 45 patients who met the study criteria, 18 patients received IMNs and 27 patients received TENs. The clinical results were evaluated according to the Price criteria. The mean age, mean follow-up period, fracture type, postoperative period, length of hospital stay, surgical reduction type, union time, implant diameter and radiological findings were evaluated. No differences were found between the groups in terms of mean age, mean follow-up time, type of fracture, length of hospitalization, reduction quality, complications or union time (P > 0.05). Significant differences were observed in implant diameter, angulation on early radiological examination and the formation of large bone calluses (P < 0.05). According to the Price criteria, among the patients who received IMNs, 16 patients had excellent results, while two patients had good results, and among the patients who received TENs, 20 patients had excellent results, while seven patients had good results. According to our study, radius and ulna locked intramedullary nailing treatments for adolescent forearm fractures are as safe and reliable as TEN treatment.
Coracoid fractures are usually seen with other shoulder injuries. Isolated fractures of this prominence are rare conditions. Herein we present two isolated coracoid fractures after a motorcycle accident and a fall onto the shoulder respectively. Conservative treatment with sling and passive-active shoulder exercises is accepted approach in these fractures. We also prefer conservative treatment at our cases and both of them have good results.
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