Injury
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Ankle sprain lesions are the most common ligament lesions in humans. One particularly dangerous consequence of this pathology is an inability to quickly and sufficiently depress the brake pedal when driving a car. The high incidence of the lesion, in the context of a society that is highly automobile-dependent, makes the question "When can a patient safely drive a car again?" of particular socioeconomic importance. ⋯ Four weeks post injury, patients generally had a sufficient BRT to drive in traffic safely. Some patients could achieve sufficient BRTs at an earlier stage. All patients with sufficient BRTs had an AOFAS-AHS score of ≥81 points. The AOFAS-AHS score can therefore be regarded as an adequate screening tool to evaluate which patients are ready to safely operate motor vehicles earlier.
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Biodegradable magnesium-based alloy implants represent a promising option in orthopedic surgery, as the clinical outcomes have been reported to be comparable to those of titanium implants and no surgical interventions are required for removal. To date, little is known about the results of the use of these implants in children and adolescents. Therefore, the aim of the present study was to analyze the safety and performance of these implants in children and adolescents. ⋯ Magnesium-based implants in children and adolescents results in good clinical outcomes when used for fracture stabilization, osteotomy and osteochondral defect refixation. Future studies are needed to further analyze the significance of the transient appearance and temporal development of radiolucent zones in the growing skeleton as well as the long-term performance of these implants.
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The sudden increase of questionable or predatory journals has raised concerns in the medical literature. The aims of this study were to identify potentially legitimate and questionable trauma journals and to assess the applicability of criteria previously proposed in the literature to distinguish them. ⋯ Eighty-four active English trauma journals were identified. Among 27 criteria, 10 were found to determine trauma journals status related to their scientific legitimacy. Though no single criteria is foolproof, these criteria may be helpful to authors, readers, and reviewers when assessing potential legitimacy of scientific trauma journals.
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The technique for placing iliosacral screws typically involves the surgeon using an inlet and outlet view as the primary means for assessing the anteroposterior and craniocaudal position of the guidewire, respectively. However, because these views are rarely, if ever, orthogonal to one another, this technique will inevitably lead to unintentional biplanar movements. ⋯ Here we calculate the degree and magnitude of these unintentional movements. Additionally, we provide a simple technique for minimizing or eliminating them altogether.
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The purpose of this study was to construct a rat caudal vertebral body fracture model and to analyze the association and histological characteristics of vertebral body fracture with endplate injury and adjacent intervertebral disc degeneration. ⋯ In rat caudal vertebral body fractures, a fracture with endplate injury is more likely to induce or accelerate degeneration of adjacent intervertebral discs.