Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jan 2001
Comparative Study Clinical TrialThe role of computed tomography in cervical spinal injury due to diving.
We studied both the clinical features and computed tomography (CT) findings in 25 patients with a cervical spinal injury related to diving. In all patients the X-rays, including anteroposterior, lateral and open mouth views, were normal. ⋯ In 4 of them, the mechanism of the trauma was a direct injury to the head when it hit the bottom of the pool; in 1 patient, the mechanism was indirect injury transmitted from the stretched hands to the cervical spine. We conclude that the cervical spinal injury caused by diving should be evaluated selectively by CT spinal scan in patients with direct cervical injury, even if the clinical and roentgenographic results appear negative.
-
Arch Orthop Trauma Surg · Jan 2001
A review of serious injuries and deaths among car occupants after motor vehicle crashes in Sweden from 1987 to 1994.
Car occupants injured in motor vehicle crashes (MVC) are a common problem in emergency departments. The aims of this study were to determine the incidence over time, according to the type of injury, age and sex distribution, mortality rate and geographical differences among all patients admitted to Swedish hospitals because of MVC injuries. Between 1987 and 1994, Swedish hospitals admitted 37,871 persons (51,348 admissions) who had been involved in MVC as drivers or passengers. ⋯ Injuries to the head and neck were particularly frequent (39%). Older persons, males, and passengers had a poor survival outcome. The incidence of injured car occupants was significantly higher in sparsly populated areas of Sweden.
-
Arch Orthop Trauma Surg · Jan 2001
Comparative StudyResults of open repair of the rotator cuff--a long-term review of 79 shoulders.
In 72 patients with 79 tears of the rotator cuff that had been completely repaired by open surgery, the outcome was evaluated on the basis of history, Constant functional score and radiography. At a mean follow-up period of 6.75 years, the Constant score was 71.5 points on average, showing a high correlation with the patients' subjective satisfaction, but the score was not a reliable indicator of recurrence. The larger the cuff tear, the poorer the result was. ⋯ The presence of acromioclavicular arthrosis also had no influence on the overall result. A comparison of follow-up radiographs with those obtained immediately after surgery revealed (despite postoperative flat subacromial resection) evidence of heterotopic bone formations or ossifications in nearly half of the patients. However, except for individual cases, this had no significant influence on the clinical result or the Constant score.
-
Arch Orthop Trauma Surg · Jan 2001
Evaluation of hydroxyapatite implants in vertebral bodies and extremities by contrast-enhanced magnetic resonance imaging.
This pilot study evaluated hydroxyapatite (HA) implants (Endobon) into bone with magnetic resonance imaging (MRI). Nineteen patients (median age 57 years; range 18-67 years) have been evaluated. Eight received granulated HA into vertebral bodies after trauma, while 11 received HA blocks into extremity bones after trauma (n = 8) or fibrous dysplasia (n = 2). ⋯ During insertion of HA, the granulated form is compressed more and is therefore more compact than the HA block. This might hinder integration into the bone structure and the blood supply. SNR of the HA margin was higher than centrally, which might be due to granulomatous tissue after trauma and/or operation or beginning marginal integration.
-
Arch Orthop Trauma Surg · Jan 2001
Case ReportsThe role of mini-fragment screw fixation in volar dislocations of the proximal interphalangeal joint.
Palmar fracture-dislocations of the proximal interphalangeal (PIP) joint are uncommon injuries, which can be associated with long-term complications if sub-optimally treated. We report two cases of palmar fracture-dislocations of the PIP joint treated by open reduction and internal fixation using a single mini-fragment screw. The long term results of hand and finger function were excellent.