Abstract:
:This study reviewed the clinical history and management of acquired growth arrest in the upper extremity in pediatric patients. The records of all patients presenting from 1996 to 2012 with radiographically proven acquired growth arrest were reviewed. Records were examined to determine the etiology and site of growth arrest, management, and complications. Patients with tumors or hereditary etiology were excluded. A total of 44 patients (24 boys and 20 girls) with 51 physeal arrests who presented at a mean age of 10.6 years (range, 0.8-18.2 years) were included in the study. The distal radius was the most common site (n=24), followed by the distal humerus (n=8), metacarpal (n=6), distal ulna (n=5), proximal humerus (n=4), radial head (n=3), and olecranon (n=1). Growth arrest was secondary to trauma (n=22), infection (n=11), idiopathy (n=6), inflammation (n=2), compartment syndrome (n=2), and avascular necrosis (n=1). Twenty-six patients (59%) underwent surgical intervention to address deformity caused by the physeal arrest. Operative procedures included ipsilateral unaffected bone epiphysiodesis (n=21), shortening osteotomy (n=10), lengthening osteotomy (n=8), excision of physeal bar or bone fragment (n=2), angular correction osteotomy (n=1), and creation of single bone forearm (n=1). Four complications occurred; 3 of these required additional procedures. Acquired upper extremity growth arrest usually is caused by trauma or infection, and the most frequent site is the distal radius. Growth disturbances due to premature arrest can be treated effectively with epiphysiodesis or osteotomy. In this series, the specific site of anatomic growth arrest was the primary factor in determining treatment. [Orthopedics. 2017; 40(1):e95-e103.].
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Gauger EM,Casnovsky LL,Gauger EJ,Bohn DC,Van Heest AEdoi
10.3928/01477447-20160926-07subject
Has Abstractpub_date
2017-01-01 00:00:00pages
e95-e103issue
1eissn
0147-7447issn
1938-2367journal_volume
40pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Although virtual reality simulators have established construct validity, no studies have proven transfer of skills from a simulator to improved in vivo surgical skill. The current authors hypothesized that simulation training would improve residents' basic arthroscopic performance and safety. Twenty-two orthopedic sur...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20160427-02
更新日期:2016-05-01 00:00:00
abstract::Incorrect bone tunnel position, particularly on the femoral side, is a frequent cause of failed anterior cruciate ligament reconstruction. Several studies have reported that drilling the femoral tunnel through the anteromedial portal allows a more anatomical placement on the lateral femoral condyle and higher knee sta...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-14
更新日期:2012-08-01 00:00:00
abstract::As nonfatal firearm-related injuries continue to increase, calculating the financial cost these injuries have on an urban trauma center may help justify funding for intervention programs. The impact these injuries have on orthopedic resident education may lead to changes in the training of some urban-based programs. T...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151228-02
更新日期:2016-01-01 00:00:00
abstract::Open arthrolysis is an effective way to treat elbow stiffness. However, previous approaches led to significant surgical trauma. The goal of the current study was to evaluate the outcome of open arthrolysis with limited medial and lateral approaches combined with hinged external fixation to treat elbow stiffness. A tot...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150603-55
更新日期:2015-06-01 00:00:00
abstract:EDUCATIONAL OBJECTIVES:As a result of reading this article, physicians should be able to: 1. Identify the available types of reconstruction for failed total hip arthroplasty. 2. Summarize the preoperative workup of patients with failed total hip arthroplasty and massive proximal femoral bone loss. 3. Assess the surgica...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20140924-07
更新日期:2014-10-01 00:00:00
abstract::Perioperative blood management remains a challenge during total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of this study was to systematically examine the relationship between body mass index (BMI) and perioperative blood transfusion during THA and TKA while attempting to resolve conflicting...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160509-04
更新日期:2016-09-01 00:00:00
abstract::Recently introduced tibial intramedullary nails allow a number of distal screws to be used to reduce the incidence of malalignment and loss of fixation of distal metaphyseal fractures. However, the number of screws and the type of screw configuration to be used remains obscure. This biomechanical study was performed t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160129-02
更新日期:2016-03-01 00:00:00
abstract::This study evaluated the clinical and radiographic results of 44 patients (26 men and 18 women) who underwent reconstruction of large defects of the long bones with free vascularized bone grafts. Mean patient age was 29+/-15 years and mean follow-up was 8.6+/-2.1 years. Mean Enneking index was 78.6% (95% confidence in...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20080401-01
更新日期:2008-04-01 00:00:00
abstract::The addition of a plasticizer to synthetic bone graft substitutes can improve handling characteristics, injectability, and the ability to uniformly fill defects. Restoration of large medullary bone defects using an injectable calcium sulfate-based putty using hydroxypropylmethylcellose as the plasticizer was compared ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::Obtaining complete medication histories from patients and reinitiating home medications on hospital admission or when clinically appropriate will help prevent unnecessary complications secondary to abrupt discontinuation. ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20060501-16
更新日期:2006-05-01 00:00:00
abstract::Aspirin and unfractionated heparin (UH) are accepted options for venous thromboembolism (VTE) prophylaxis after total joint arthroplasty (TJA). The use of aspirin in addition to UH in preventing VTE after TJA has yet to be studied. The primary objective of this study was to determine VTE rates in patients receiving as...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180320-08
更新日期:2018-05-01 00:00:00
abstract::Different biomechanical designs are incorporated into various total knee arthroplasty (TKA) implants. The posterior-stabilized prosthesis design utilizes a polyethylene post and femoral cam in place of the posterior cruciate ligament. This produces a more stable component interface, increased range of motion, and pote...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160509-19
更新日期:2016-05-01 00:00:00
abstract::Soft tissue balance during total knee arthroplasty (TKA) procedures may be challenging to achieve in knees with severe valgus or varus deformities. The purpose of this study was to evaluate the role of navigation in predicting soft tissue release during 90 computer-assisted TKA procedures performed within a 2-year per...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract::Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130426-34
更新日期:2013-05-01 00:00:00
abstract::Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140124-27
更新日期:2014-02-01 00:00:00
abstract::The types and prevalence of soft tissue constraint injuries associated with complex elbow instability have been rarely investigated. The purpose of this study was to analyze the intraoperative findings of soft tissue constraint injuries in complex elbow instability and provide a comprehensive classification of these l...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121120-18
更新日期:2012-12-01 00:00:00
abstract::Little is known about the mid-term results of nonsurgical treatment for shoulder osteoarthritis (OA), especially in a Chinese population. This study sought to determine the efficacy of nonsurgical management in older patients with shoulder OA. A total of 129 conservatively treated unilateral shoulder OA patients who w...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160606-02
更新日期:2016-07-01 00:00:00
abstract::Clinical experience with a poroussurfaced modified Moore prosthesis designed for biological fixation is described. Principles of noncemented arthroplasty including details of patient selection, implant design and selection, and surgical technique are emphasized. Analysis of the first 100 patients with a minimum follow...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19840201-15
更新日期:1984-02-01 00:00:00
abstract::The number of primary anterior cruciate ligament (ACL) tears is rapidly increasing. In patients who wish to return to their preoperative level of function, specifically as it pertains to participation in sports, the gold standard of treatment following an ACL tear remains an anterior cruciate ligament (ACL) reconstruc...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160324-01
更新日期:2016-05-01 00:00:00
abstract::Perioperative blood loss associated with 89 cases of major orthopedic surgery was compared with that of a control group of 89 to determine the effectiveness of intraoperative autologous transfusion. Volume of banked blood transfused and hematocrit change were used to determine total blood loss. The orthopedic cases co...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::Various methods have been used for soft tissue coverage of Gustilo-Anderson type IIIB open fractures. These injuries are often contaminated and, by definition, are associated with extensive periosteal stripping and inadequate soft tissue coverage. These characteristics predispose the patient to infection, delayed unio...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130122-31
更新日期:2013-02-01 00:00:00
abstract::This article describes a case of femoral stem displacement during closed reduction of a redislocated bipolar hemiarthroplasty of the hip in a 72-year-old woman who had undergone bipolar hemiarthroplasty using a polished, tapered cemented femoral stem. The polished, tapered cemented femoral stem is vulnerable to displa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100104-28
更新日期:2010-02-01 00:00:00
abstract::As an alternative to a limited vendor/volume discount approach, our hospital employed a physician-driven free market strategy aimed at reducing joint implant costs. Surgeons were provided with vendor pricing and peer profile comparisons of implant cost data and asked to select implants providing the best value based o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::Damage from spinal cord injury (SCI) may be complicated by concomitant hemodynamic alterations within hours to months of the initial insult. Neurogenic shock, symptomatic bradycardia, autonomic dysreflexia, and orthostatic hypotension are specific conditions occurring commonly with SCI. Early recognition and appropria...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20090502-07
更新日期:2009-05-01 00:00:00
abstract::The prevention of osteolysis is a complex problem with multiple variables. Polyethylene represents one half of the bearing surface. Femoral head size, component congruency, and bearing material play a dominant role in the generation of particulate debris. In addition to all of these variables, there is a significant i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::Inferior glenoid baseplate tilt relative to the coronal axis of the scapular body has been associated with improved results and fewer postoperative complications in reverse shoulder arthroplasty. However, the native glenoid surface is not always a reliable reference for the true scapular axis. Digital preoperative pla...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160610-04
更新日期:2016-07-01 00:00:00
abstract::The Charité III (DePuy Spine, Inc, Raynham, Massachusetts) and ProDisc II (Synthes Spine, West Chester, Pennsylvania) artificial disk replacements were approved for use by the United States Food and Drug Administration in October 2004 and January 2006, respectively. The purpose of this study was to retrospectively rev...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090624-08
更新日期:2009-08-01 00:00:00
abstract::Between April 1999 and February 2000, femoral component rotation and asymmetry (universal versus anatomic) were studied in a prospective randomized control trial in 101 consecutive patients undergoing total knee replacement. Patients were randomly assigned to four groups. The same surgical technique was used in all pa...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2002-10-01 00:00:00
abstract::The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 17...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130523-29
更新日期:2013-06-01 00:00:00
abstract::Infantile tibia vara (infantile Blount's disease) is a condition in which progressive varus of the knee develops due to diminished physeal growth of the medial aspect of the proximal tibia. A 6-year-old boy with severe bilateral infantile tibia vara (Langenskiold stage V) underwent operative correction of his deformit...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080501-10
更新日期:2008-05-01 00:00:00