Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Apr 2003
Case ReportsExcision of a bony spike without fixation of the fractured clavicle in a jockey.
Various modalities are available for treatment of a clavicle fracture. Conservative treatment is successful in most cases. Open reduction, when indicated, usually is accompanied by fixation of the fracture. ⋯ The fracture was opened and a bony spike was excised extraperiosteally without doing internal fixation of the fracture to avoid skin necrosis and allow early return to work. The patient returned to his profession 2 weeks after surgery. Radiologic and clinical examinations revealed a satisfactory outcome at the 6-month followup.
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Clin. Orthop. Relat. Res. · Apr 2003
Comparative StudyWrist injuries in guarded versus unguarded first time snowboarders.
In 1999, a study was done examining the injury risk and pattern in first time snowboarders versus first time skiers. Although these rates were similar, snowboarders sustained a higher percentage of injuries to the upper extremity, particularly wrist sprains and fractures. As an extension of this previous study, the protective value during snowboarding of an off-the-shelf wrist guard originally designed for inline skating was tested. ⋯ Five hundred fifty-one snowboarders wore wrist guards and a control group of more than 1800 snowboarders did not wear wrist guards. Forty wrist injuries were sustained in the control group (2.2%), compared with no injuries (0%) in the snowboarders who wore wrist guards. Importantly, there was no increase in more proximal or distal upper extremity injuries in the group of snowboarders who wore wrist guards.
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Clin. Orthop. Relat. Res. · Apr 2003
Laboratory monitoring in pediatric acute osteomyelitis and septic arthritis.
The purpose of the current study was to determine the usefulness of erythrocyte sedimentation rate and C-reactive protein in pediatric bone and joint infections treated with and without surgery. The medical records of 50 patients admitted for acute osteomyelitis, septic arthritis, or both were reviewed retrospectively. There were 22 patients with septic arthritis, 20 with osteomyelitis, and eight with osteomyelitis with adjacent septic arthritis. ⋯ The mean days to peak and normalization for erythrocyte sedimentation rate and C-reactive protein were twice as long in the surgical group as compared with the nonsurgical group. Complete recovery was achieved by all patients. This information should help the clinician in the diagnosis and treatment of children having surgery for acute osteomyelitis and septic arthritis.