Abstract:
:The literature on distal humeral supracondylar fractures does not systematically define relationships between patient characteristics and the severity or complications of these injuries. This study evaluated age, sex, height, and body mass index (BMI) in relation to fracture severity and posttreatment complications in a pediatric population. The medical records of 382 pediatric patients treated for distal humeral supracondylar fractures over a 5-year period at 1 institution were included. Variables included age, sex, height, weight, injury mechanism, fracture severity (Gartland Classification), treatment, follow-up duration, and treatment complications. Body mass index and BMI-for-age percentile were calculated. Descriptive statistics with univariate analyses and logistic regression analysis with odds ratios and 95% confidence intervals were used. Children sustaining Gartland type 3 fractures were significantly older and taller than those sustaining Gartland type 1 and 2 fractures. No significant difference existed in fracture occurrence between boys and girls. Fracture severity did not differ significantly due to sex, BMI, or BMI-for-age percentile. Severe fractures were associated with increased posttreatment complications. Complication rates did not vary significantly by age, sex, height, BMI, or BMI-for-age. Taller children aged 5 to 6 years were at the greatest risk for Gartland type 3 distal humeral supracondylar fractures. Severe fractures are associated with an increased complication risk. Sex, BMI, and BMI-for-age percentile had no effect on fracture severity or complication rates.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Mitchelson AJ,Illingworth KD,Robinson BS,Elnimeiry KA,Wilson CJ,Markwell SJ,Gabriel KR,McGinty J,Saleh KJdoi
10.3928/01477447-20130523-12subject
Has Abstractpub_date
2013-06-01 00:00:00pages
e700-6issue
6eissn
0147-7447issn
1938-2367journal_volume
36pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::This article examines a rare association of carpal tunnel syndrome and trigger finger produced by a single flexor tendon tumor. Examination and treatment is also discussed. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19810301-07
更新日期:1981-03-01 00:00:00
abstract::Hemiarthroplasty (HA) of the shoulder has several potential advantages over total shoulder arthroplasty (TSA), particularly in the elderly population. This study reviewed long-term results of HA and TSA in patients older than 70 years with glenohumeral osteoarthritis. During a 30-year period, 403 shoulders had undergo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180621-03
更新日期:2018-07-01 00:00:00
abstract::Nonunion is uncommon after proximal humerus fracture surgery. There is no agreement about preferred method of treatment. Traditional approaches have included laterally based locking plates, autogenous grafting, and endosteal support to provide improved biomechanical stability. Open reduction and internal fixation (ORI...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131120-22
更新日期:2013-12-01 00:00:00
abstract::External fixation is a temporizing measure that has a long history in the treatment of fractures. Thirty-eight newly designed large-frame external fixators were applied for acute lower-limb fractures and pelvis injuries in a level I trauma center. In 75% of cases, the frames were used for first-stage skeletal stabiliz...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-12
更新日期:2010-03-01 00:00:00
abstract::Acetabular labral tears or paralabral cysts in the hip are frequently detected using magnetic resonance imaging or arthrography. Unlike parameniscal cysts in the knee and paralabral cysts in the shoulder, reports of the outcomes of surgical treatment for paralabral cysts in the hip recalcitrant to conservative managem...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130222-29
更新日期:2013-03-01 00:00:00
abstract::Shoulder dislocation is an injury with potential long-term consequences that requires prompt diagnosis and treatment. Patient positioning and imperfect radiographic views may result in discomfort, added examination time, and problematic diagnosis. The scapular Y radiograph has been shown to be useful in diagnosing sho...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110317-15
更新日期:2011-05-01 00:00:00
abstract::Although navigation achieves better alignment results in total knee arthroplasty (TKA), it is generally assumed that navigation also needs more time and effort than conventional surgeries. After optimizing the treatment procedure of navigated TKA, the operation times needed for navigated surgeries were documented and ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::The second reported case of pyogenic arthritis due to Bacteroides fragilis infection is presented. Some aspects of diagnosis and management are discussed. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800401-05
更新日期:1980-04-01 00:00:00
abstract::Surgical models have best shown the relationship between ankle and mid-foot osteoarthritis, although findings regarding the calcaneocuboid joint have varied. To the authors' knowledge, no studies have evaluated the relationship between degenerative changes across the tibiotalar and calcaneocuboid joints. The goal of t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160819-04
更新日期:2016-11-01 00:00:00
abstract::Procedures and possible findings for physical examination of the shoulder are categorized and described. Discussion covers initial impressions, inspection, palpation, range of motion, neurological and strength testing, stability, special testing, and examination of joints above and below the shoulder. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19831001-04
更新日期:1983-10-01 00:00:00
abstract::Accurate sagittal alignment of the femoral component in total knee arthroplasty is crucial for prosthesis longevity, improved function, and patient satisfaction. However, there is variation in the techniques used to attain optimal sagittal femoral component placement in total knee arthroplasty. Femoral component flexi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161108-04
更新日期:2017-03-01 00:00:00
abstract::Treatment of both-bone forearm fractures remains a difficult dilemma for the orthopedist. We assessed the results of 33 children treated with closed reduction and a long-arm cast using traction with finger traps in neutral rotation. Patients were grouped according to age and analyzed for residual angulation and range ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::Tibial stems are necessary in most total knee revisions to share the load and protect the fixation interface of the tibial tray. Successful use of a tibial stem requires independent stability of the stem with or without cement. Some additional geometry on the undersurface of the tibial tray such as peripheral pegs or ...
journal_title:Orthopedics
pub_type: 评论,杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::Historically, extra-articular scapular body fractures were treated nonsurgically, but displaced fractures of the glenoid neck can lead to dysfunction. Controversy exists regarding which extra-articular scapular fractures should be treated surgically; however, nonsurgical management of severely displaced scapular body ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200314-05
更新日期:2020-05-01 00:00:00
abstract::Femoral head fractures often result in damage to the articular cartilage. This article describes a patient who sustained a femoral head fracture-dislocation with significant damage to the articular cartilage of the weight-bearing portion of his femoral head (A). After anatomic reduction of the fracture, a 2×4-cm osteo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121217-27
更新日期:2013-01-01 00:00:00
abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161208-02
更新日期:2017-03-01 00:00:00
abstract::Previous studies have reported thermal injuries with thick cast materials and warm dip water temperatures, often much higher than is clinically applicable. The goal of this study was to assess the temperature produced in vivo by current casting techniques and materials. The study was done using clinically applicable m...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101221-11
更新日期:2011-01-01 00:00:00
abstract::A basic closed loop control system is described for controlling movement of paralyzed skeletal muscle in humans. The system is based around a Z80 microprocessor with 20K of memory. The system involves sensors to detect the amount of movement in muscle or the tension generated by that muscle, a computer-controlled stim...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19840801-12
更新日期:1984-08-01 00:00:00
abstract::The value of primary knee radiographs was examined in 144 cases with acute anterior cruciate ligament rupture to determine the ability of the films to reveal or confirm the correct diagnosis. In 15% of the patients, the radiographs were found to give significant diagnostic help by revealing typical avulsion fractures ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-11-01 00:00:00
abstract::Comprehensive and timely documentation on orthopedic ward rounds continues to be problematic, leading to delayed or inappropriate patient care and miscommunication between health care providers. The authors introduced a simple checklist to improve the documentation on orthopedic ward rounds in their institution. A pro...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170509-01
更新日期:2017-07-01 00:00:00
abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140825-92
更新日期:2014-09-01 00:00:00
abstract::Individuals experiencing post-polio sequelae (PPS) are usually advised to make significant lifestyle changes to lessen symptoms and prevent further decline in function. These individuals have spent most of their lives equating success with over-achievement and find it difficult to implement such recommendations. As sp...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::The purpose of this study is to demonstrate that the percentage of obese individuals initially presenting to total joint arthroplasty clinics in a public, tertiary hospital is greater than the proportion of obese individuals in the general population. In a retrospective, comparative study of patients seen in total joi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151222-12
更新日期:2016-01-01 00:00:00
abstract::Many studies have described the diversity of synovial sarcoma in terms of its biological characteristics and clinical features. Moreover, much effort has been expended on the identification of prognostic factors because of unpredictable behaviors of synovial sarcomas. However, with the exception of tumor size, publish...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090922-12
更新日期:2009-11-01 00:00:00
abstract::The recently developed magnetically controlled growing rod (MCGR) system has gained popularity because it limits additional surgical lengthening procedures and promises reduction of the complication rate previously reported for the traditional growing rods. A retrospective single-center study was performed. Demographi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200910-04
更新日期:2020-11-01 00:00:00
abstract::Toe phalanges with attached periosteum can be transferred to hands with congenital aphalangia, constructing rudimentary digits with growth potential. Using a volar technique, rather than the traditional dorsal method, allows stabilization of the constructed metacarpophalangeal joint and maximizes flexor function. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-12-01 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::A technique for recording the myoelectric activity of electrically stimulated muscle through its motor nerve without the interference of stimuli artifacts has been developed and tested. The technique consists of a wide band differential amplifier with fine intramuscular wire electrodes. The amplified signal is passed ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::Knee pain is one of the most frequent complaints evaluated by orthopedic surgeons. It encompasses a broad range of pathology and can present in a variety of ways. Most of this pain can be attributed to essential structures of the knee, including the menisci, cruciate or collateral ligaments, and articular cartilage. H...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20151218-06
更新日期:2016-01-01 00:00:00
abstract::This study evaluated the expanding role of freestanding ambulatory surgery centers in pediatric fracture care based on the only national ambulatory surgery database within the United States. Released by the Centers for Disease Control and Prevention in 1996 and again in 2006, these reports were used to estimate the vo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151002-52
更新日期:2015-10-01 00:00:00