<p>Fracture of the acromion process is an uncommon injury. The most common mechanism of injury is direct trauma to the acromion. Isolated acromion fractures are rare as usually they are associated with concomitant skeletal and soft tissue injuries of the shoulder. We present a case of a 45-year-old male with a type 3 fracture of acromion process with reduction of subacromial space. Patient was managed surgically and fracture was fixed using tension band wiring. Patient was followed up using UCLA, DASH and VAS scores and showed good radiological and functional outcomes. Minimally displaced fractures should be regularly followed up for displacement and sub-acromial space compromise. Although acromion fractures are usually treated conservatively, albeit a higher non-union rate, they should be treated surgically in the event of displacement or sub-acromial space reduction, in order to achieve good functional recovery.</p><p><strong> </strong></p>
Introduction: A cadaveric study for comparison of dorsal pedicular diameters in Indian males and females. Morphometric study of pedicles of spine of dorsal region is thus relevant and critical for proper placement of the transpedicular screw to avoid inadvertent penetration of pedicular wall. Material and Methods: It's a observational study done at a tertiary health care centre in which 30 cadavers were studied using posterior midline approach. Direct measurements were taken on the vertebra with using a sliding vernier caliper Results: Thirty cadavers were studied out of which 23 were males and seven wee females. I studied vertical as well as horizontal diameter at the middle of pedicle and calculate mean of these two and did comparison between Indian males and females. When compared with males of the same height, females have thinner pedicles. This means the average diameter of the pedicular screws which is safe for the males at the particular level cannot be considered safe for females of the same height and age. Conclusion:On the basis of this study we have idea about average screw size for male and female at particular level to avoid untoward complication of current pedicular system. In males average diameter goes on increasing from D1to D12 with highest at D12 -5.6mm while lowest at D2 and D3 i.e. 4.5 mm. In females we found average diameter goes on increasing from D1to D12 with highest diameter at D9 i.e, 5.2mm and lowest at D2 i.e. 4.2 mm. As compared to the males females have thinner pedicles.
Introduction: An inflammatory disorder known as lateral epicondylitis develops where the common extensor tendon of the forearm originates over the lateral epicondyle. It is the most prevalent chronic, debilitating, and painful elbow condition. 1 to 3 percent of the overall population experiences symptoms. Aim And Objectives: to assess the results of a brief follow-up study after a single dose of autologous platelet-rich plasma injection for the treatment of lateral epicondylitis. Materials And Methods:This is a prospective study of about 25 patients includes 17 females and 8 males who were diagnosed as lateral epicondylitis. Platelet rich plasma group was injected with 3-4 ml platelet rich plasma, using a “peppering” technique in a clock wise manner to better cover the affected area of lateral epicondyle. Results: All the relevant data were analysed. The average Visual Analogue Scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores of pre injection, 4th week, 8th week and 12th week post injection Discussion: Currently, platelet rich plasma (PRP) is considered as the optimal biological component produced from autologous blood. In addition, platelet rich plasma has high antimicrobial potency and this property may prevent infections. Conclusion: Pain and decreased functional activities in lateral epicondylitis are significantly improved by a single autologous platelet-rich plasma injection.
Introduction: Madelung deformity is a developmental progressive deformity, usually bilateral, of the distalradioulnar joint and the radiocarpal joint in which the distal articular surface of the radius faces volarly and ulnarly secondary to a growth aberration in the corresponding distal radial physis with associated proximal subsidence and triangular deformation of the carpals. It becomes clinically evident in the post pubertal growth spurt in adolescence, more common in females. Although MRI is advocated for identifying associated thickened Vicker's ligament, clinically and plain radiograph examination usually sufces. Depending on age of presentation, degree of functional impairment and pain , numerous treatment options are described. 20 year old gentleman presented to the out patient departm Case Report: ent with mechanical pain in the dominant right wrist with painful and restricted movements especially supination and dorsiexion. Plain radiographs showed features consistent with Madelung deformity and a skeletal maturity. A Sauve-Kapandji procedure was performed. Two year follow-up shows good bony union between ulnar head and radius with improvement in functional range of motion and grip strength in a painless wrist. Madelung deformity is a rare Conclusion: deformity which causes considerable pain and functional limitation across the wrist joint. Management should to tailored to patients symptoms and age of presentation. Sauve-Kapandji is an easy and rewarding procedure if done in correctly selected patients
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.