Parallel plating for a sternomanubrial dislocation.

Abstract:

:Sternomanubrial dislocations are rare injuries. Although few cases of this injury have been reported in the literature, the etiology has varied widely: trampoline injury, seizures, falls from height, sporting injuries, gradual deformities from spine fractures, and motor vehicle collisions. This injury has been classified into 2 types: in type I, the sternal body is displaced posteriorly to the manubrium, and in the more common type II, the sternal body is displaced anteriorly. The sternomanubrial joint is an amphiarthroidal joint that bears hyaline cartilage on both surfaces connected by a fibrocartilage meniscus. It serves a protective role to vital thoracic structures and is an anterior stabilizing strut to the thorax, assisting the thoracic spine in upright stability. It is important to not ignore type I dislocations because posterior sternum displacement is a harbinger of injury to the pulmonary tree, heart, and esophagus. Chronic instability at this joint can lead to dyspnea and dysphasia due to sternum displacement. In the right scenario, type II injuries are occasionally treated conservatively with palliative treatment until the sternum heals with malformation. This article describes the case of a 20-year-old man who was treated surgically for symptomatic type II sternomanubrial dislocation with dual anterior locked plating. Locked plating gives the benefit of unicortical fixation, with the screws and plate acting as a unit to resist motion. Screw pullout and failure is less common, and the construct is more resistant for this application. The patient returned to full participation in activities of daily living and military duty 4 months postoperatively.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Gaines RJ,Wilson A,Antevil J,Demaio M

doi

10.3928/01477447-20120725-34

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

e1276-8

issue

8

eissn

0147-7447

issn

1938-2367

journal_volume

35

pub_type

杂志文章
  • Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids.

    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

    authors: Schultzel MM,Johnson MH,Rosenthal HG

    更新日期:2014-09-01 00:00:00

  • Antifibrinolytic therapy in complex spine surgery: a case-control study comparing aprotinin and tranexamic acid.

    abstract::A case-control study was performed to determine the impact of aprotinin or tranexamic acid use on reducing intraoperative blood loss and transfusion needs in complex spine surgery. Sixty-nine patients undergoing complex spine surgery received aprotinin or tranexamic acid. The aprotinin group contained 30 patients (8 m...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Colomina MJ,Bagó J,Vidal X,Mora L,Pellisé F

    更新日期:2009-02-01 00:00:00

  • The effect of computer navigation on blood loss and transfusion rate in TKA.

    abstract::The blood loss that accompanies total knee arthroplasty (TKA) can be substantial. Many patients need perioperative blood transfusions. To avoid anemia and transfusion-related complications, the amount of blood loss and need for blood transfusions must be reduced. If standard jig instruments are used, an opening of the...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100526-08

    authors: Schnurr C,Csécsei G,Eysel P,König DP

    更新日期:2010-07-13 00:00:00

  • Limited Medial and Lateral Approaches to Treat Stiff Elbows.

    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

    authors: Wang W,Liu S,Jiang SC,Ruan HJ,He N,Fan CY

    更新日期:2015-06-01 00:00:00

  • Radiologic case study. Intraspinal lumbar synovial cyst.

    abstract::In conclusion, intraspinal lumbar synovial cysts are uncommon causes of sciatic pain. Intraspinal synovial cysts are associated with degenerative arthritis of the lumbar spine. The radiographic findings on myelography are non-specific, but CT and MRI are helpful in establishing the diagnosis and in differentiating syn...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Budris DM

    更新日期:1991-05-01 00:00:00

  • Reconstruction of large defects of the long bones with free vascularized bone grafts: functional results after minimum 5-year follow-up.

    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

    authors: Bauwens K,Stengel D,Höpfner JI,Weber U,Eisenschenk A

    更新日期:2008-04-01 00:00:00

  • Rotational alignment of the tibial component in total knee arthroplasty.

    abstract::This study compares two different methods of aligning the tibial component in a total knee arthroplasty, one by aligning the component with the border between the medial one third and lateral two thirds of the tibial tubercle and the other by allowing the component to seek its own position as the knee is taken through...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Bindelglass DF

    更新日期:2001-11-01 00:00:00

  • Ankle arthroscopy: approaches and technique.

    abstract::ABSTRACT; Arthroscopic visualization of the ankle is outlined, with particular attention to establishment of portals. ...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19830901-11

    authors: Gollehon DL,Drez D

    更新日期:1983-09-01 00:00:00

  • Dramatic increase in total knee replacement utilization rates cannot be fully explained by a disproportionate increase among younger patients.

    abstract::The incidence of total knee replacement in the United States more than doubled between 1999 and 2008, increasing from approximately 263,000 to 616,000 cases. The purpose of this study is to evaluate the claim that there has been a disproportionate increase in knee replacements among younger patients owing to expanding...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140626-58

    authors: Bernstein J,Derman P

    更新日期:2014-07-01 00:00:00

  • MRI evaluation of the tibial tunnel/screw/tendon interface after ACL reconstruction using a bioabsorbable interference screw.

    abstract::This article describes the complex relationship between graft, bone, and biologic interference screw. Orthopedic surgeons have just begun to understand this complex biologic relationship. Clinical outcome measurements tell very little about the biology in bone tunnels. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20080601-31

    authors: Singhal MC,Holzhauer M,Powell D,Johnson DL

    更新日期:2008-06-01 00:00:00

  • Delayed-Onset Paraplegia Due to Spinal Cord Infarction After Repeated Tumor Excision Surgeries of the Thoracic Spine.

    abstract::Tumor excision surgeries of the spine present a distinct challenge regarding the maintenance of spinal cord blood supply because they often require preoperative embolization of segmental arteries, ligation of the corresponding nerve roots, and circumferential exposure of the dural sac. The authors present a case of de...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181023-07

    authors: Kobayashi M,Kato S,Murakami H,Demura S,Yoshioka K,Yonezawa N,Takahashi N,Shimizu T,Tsuchiya H

    更新日期:2019-01-01 00:00:00

  • Topically Applied Epsilon-Aminocaproic Acid Reduces Blood Loss and Length of Hospital Stay After Total Knee Arthroplasty.

    abstract::Perioperative blood loss after total knee arthroplasty (TKA) affects postoperative recovery. Tranexamic acid is safe and efficient in reducing blood loss without increasing thromboembolic events. Epsilon-aminocaproic acid (ε-ACA) is less expensive than and as safe as tranexamic acid. Its efficiency when locally applie...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20170925-07

    authors: Harper RA,Sucher MG,Giordani M,Nedopil AJ

    更新日期:2017-11-01 00:00:00

  • Biomechanical verification that PCL reconstruction is unnecessary in the muscle-stabilized knee.

    abstract::Treatment of isolated posterior cruciate ligament (PCL) injuries is controversial. This is due in part to the discrepancy between clinical and biomechanical studies in the literature. Clinically, isolated PCL injuries are treated nonoperatively, and patients do well as long as they have adequate quadriceps function. B...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100329-12

    authors: Sohn DH,Balasubramanian S,Demetropoulos C,Yang K,Guettler J,Jurist KA

    更新日期:2010-05-12 00:00:00

  • Bilateral simultaneous femoral diaphyseal fractures in a patient with long-term ibandronate use.

    abstract::Bisphosphonates are the most common medication used to treat patients with documented osteoporosis. Recently, reports have associated long-term bisphosphonate use with low-energy femur fractures. While no definitive mechanism has been associated, bisphosphonate use has been strongly implicated. This article presents t...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100826-31

    authors: Patel VC,Lazzarini AM

    更新日期:2010-10-11 00:00:00

  • Plaster and synthetic cast temperatures in a clinical setting: an in vivo study.

    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

    authors: Ahmed SS,Carmichael KD

    更新日期:2011-01-01 00:00:00

  • Femoral neck shortening after internal fixation of a femoral neck fracture.

    abstract::This study assesses femoral neck shortening and its effect on gait pattern and muscle strength in patients with femoral neck fractures treated with internal fixation. Seventy-six patients from a multicenter randomized controlled trial participated. Patient characteristics and Short Form 12 and Western Ontario and McMa...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20130624-13

    authors: Zielinski SM,Keijsers NL,Praet SF,Heetveld MJ,Bhandari M,Wilssens JP,Patka P,Van Lieshout EM,FAITH Trial Investigators.

    更新日期:2013-07-01 00:00:00

  • Ultrasonography Provides a Diagnosis Similar to That of Nerve Conduction Studies for Carpal Tunnel Syndrome.

    abstract::Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy. Its diagnosis is based on clinical symptoms and neurophysiological evaluation. Recently, ultrasonography has been introduced as a promising noninvasive diagnostic alternative. In this study, the authors compared ultrasonography with neur...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20190604-02

    authors: Drakopoulos D,Mitsiokapa E,Karamanis E,Kontogeorgakos V,Mavrogenis AF

    更新日期:2019-09-01 00:00:00

  • Hospital Resource Utilization Associated With Endoprosthetic Reconstruction Versus Primary Arthroplasty.

    abstract::Endoprosthetic reconstructions of the hip and knee are currently reimbursed as primary hip and knee arthroplasty according to Current Procedural Terminology (CPT) coding guidelines. The purpose of this study was to compare hospital resources consumed by patients undergoing endoprosthetic reconstruction with those cons...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20201012-02

    authors: Hoedt CW,Kellish AS,Frisby JC,Rivera-Pintado C,Kim TW,Gutowski CJ

    更新日期:2021-01-01 00:00:00

  • Applications of a resorbable interbody spacer via a posterior lumbar interbody fusion technique.

    abstract::Polyhydroxyacids are a promising class of bioresorbable materials withpotential applications in spinal surgery. One such polymer, MacroPore (MacroPore Biosurgery Inc, San Diego, Calif), offers a balance of strength, predictable degradation, lack of stimulus of foreign body reaction, and biocompatibility with neural ti...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Alexander JT,Branch CL Jr,Subach BR,Haid RW Jr

    更新日期:2002-10-01 00:00:00

  • Distal radius fractures in adults.

    abstract::Although distal radius fractures are a common injury in the elderly and young adult population, the classification, treatment options, and assessment of outcomes of these fractures remain controversial. Since there is no uniform fracture classification system, it is difficult to compare studies. An evidence-based mode...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Krishnan J

    更新日期:2002-02-01 00:00:00

  • Clinical Characteristics and Long-term Outcomes After Septic Arthritis of the Native Glenohumeral Joint: A 20-Year Retrospective Review.

    abstract::Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181227-01

    authors: Sweet MC,Sheena GJ,Liu S,Fisk FE,Lynch JR,Muh SJ

    更新日期:2019-01-01 00:00:00

  • Arthroscopic transosseous rotator cuff repair: technical note, outcomes, and complications.

    abstract::The goal of this study was to review the authors' initial experience with arthroscopic transosseous rotator cuff repair. Thirty-one patients with full-thickness rotator cuff tears underwent arthroscopic transosseous rotator cuff repair over a 15-month period. Preoperatively, demographics and subjective scores were rec...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150504-50

    authors: Black EM,Lin A,Srikumaran U,Jain N,Freehill MT

    更新日期:2015-05-01 00:00:00

  • Humeral head plasty for a chronic locked anterior shoulder dislocation.

    abstract::This article presents the case of a 52-year-old man with a chronic anterior shoulder dislocation accompanied by a massive Hill-Sachs lesion. The dislocation occurred 6 weeks prior to presentation as the result of a seizure. At the time of the initial injury, the patient was treated in the emergency department and told...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090101-15

    authors: Mehta V

    更新日期:2009-01-01 00:00:00

  • Calcaneocuboid Joint Arthritis of the Midfoot Precedes Tibiotalar Joint Arthritis.

    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

    authors: Dugarte A,Bharwani S,Yoo H,Boiwka AV,Yu CC,Bajwa NS,Toy JO,Tang JE,Ahn U,Ahn N

    更新日期:2016-11-01 00:00:00

  • The Correlation Between PROMIS Pain Interference and VAS Pain in Ambulatory Orthopedic Patients.

    abstract::The purpose of this study was to investigate the correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference (PI) score with traditionally collected visual analog scale (VAS) scores and to determine the influence of patient demographics on PROMIS PI and VAS scores. Patient demogr...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20180912-06

    authors: Jildeh TR,Lizzio VA,Meta F,Fidai MS,Kaat AJ,Makhni EC

    更新日期:2018-11-01 00:00:00

  • An injectable calcium sulfate-based bone graft putty using hydroxypropylmethylcellulose as the plasticizer.

    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:

    authors: Urban RM,Turner TM,Hall DJ,Infanger SI,Cheema N,Lim TH,Richelsoph K

    更新日期:2004-01-01 00:00:00

  • A rare case of acetabulum osteomyelitis mimicking bone sarcoma.

    abstract::A 57-year-old man presented to the authors' department with pain over the right hip joint over a 3-month period. External magnetic resonance imaging showed a structure in the right acetabulum that was highly suspicious for a bone sarcoma. External 3-phase bone scintigraphy substantiated the suspected diagnosis. A comp...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140728-94

    authors: Anagnostakos K,Schmitt E,Orth P

    更新日期:2014-08-01 00:00:00

  • Safe Positioning for Sexual Intercourse After Proximal Femoral Replacement.

    abstract::Hip arthroplasty is a common procedure used for the treatment of fractures and degenerative processes affecting the hip. Proximal femoral replacement is an uncommon type of hip arthroplasty used for reconstruction after extensive bone loss. Proximal femoral replacement is used most commonly after the resection of the ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20170918-09

    authors: Couch CG,Nicholas RW,Montgomery CO

    更新日期:2018-03-01 00:00:00

  • Morphological characteristics of posterolateral articular fragments in tibial plateau fractures.

    abstract::Treatment of posterolateral tibial plateau fractures is controversial, and information regarding this specific fracture pattern is lacking. The purpose of this study was to elucidate the frequency and morphological features of posterolateral articular fragments in tibial plateau fractures. A retrospective radiographic...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130920-16

    authors: Xiang G,Zhi-Jun P,Qiang Z,Hang L

    更新日期:2013-10-01 00:00:00

  • The in vitro elution characteristics of antifungal-loaded PMMA bone cement and calcium sulfate bone substitute.

    abstract::The use of antimicrobial-loaded delivery vehicles, most often as antibiotic beads, is common practice for the treatment of deep musculoskeletal infections. The elution of antibacterial drugs from various bone cements has been extensively studied. However, much less is known about the elution of other antimicrobials fr...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110627-05

    authors: Grimsrud C,Raven R,Fothergill AW,Kim HT

    更新日期:2011-08-08 00:00:00