ABSTRACT
Dynamic splinting is a well-known method for maintaining finger movement after ruptures of the extensor tendons. We describe a simple, inexpensive and easy-to-construct modification of a dynamic splint, called the "Sparti" splint, suitable for a six-week period of rehabilitation of injured extensor tendons in zones V-VII.
Subject(s)
Finger Injuries , Splints , Tendon Injuries , Finger Injuries/therapy , Humans , Tendon Injuries/therapySubject(s)
Anterior Compartment Syndrome/chemically induced , Heroin Dependence/complications , Intra-Abdominal Hypertension/chemically induced , Musculoskeletal Pain/chemically induced , Anterior Compartment Syndrome/diagnosis , Decompression, Surgical/methods , Diagnosis, Differential , Emergency Service, Hospital , Humans , Intra-Abdominal Hypertension/diagnosis , Intra-Abdominal Hypertension/surgery , Lower Extremity/physiopathology , Male , Musculoskeletal Pain/diagnosis , Risk Assessment , Treatment Outcome , Young AdultABSTRACT
Although ACL reconstruction remains a complex procedure with possible complications, affecting mainly the knee function, but no complications affecting the hip function have been already mentioned in the literature. Here in, we discuss the demographics, clinical course and outcomes of a rare complication such as hip abductors tendinitis, developed in soccer amateur athletes after ACL reconstruction with patellar tendon graft.
Subject(s)
Anterior Cruciate Ligament Injuries/surgery , Anterior Cruciate Ligament Reconstruction/adverse effects , Postoperative Complications/etiology , Soccer/injuries , Tendinopathy/etiology , Adult , Hip Joint , Humans , Male , Muscle Strength , Muscle, Skeletal/physiopathology , Musculoskeletal Pain/etiology , Patellar Ligament/transplantation , Tendinopathy/physiopathology , Young AdultABSTRACT
Fractures of the pubic ramus are commonly seen in the emergency room, but they are thought to be minor injuries. Occasionally, these fractures might be associated with massive haemorrhage. Here we report a case of bilateral obturator artery damage due to minimal displaced pubic ramus fracture.
Subject(s)
Embolization, Therapeutic , Fractures, Bone/complications , Hemorrhage/etiology , Hemorrhage/therapy , Pubic Bone/blood supply , Pubic Bone/injuries , Accidents, Traffic , Adult , Angiography , Arteries/injuries , Humans , MaleABSTRACT
According to the literature, hip function after hip fracture is affected by the type of surgery. Our aim was to determine the correlation between surgical treatment of hip fracture and postoperative function in the elderly. Inclusion criteria were displaced hip fracture and age over 70 years. One hundred and twenty-nine participants were randomly divided into three groups according to the type of the surgical operation they underwent (hemi-arthroplasty [Merete, Berlin, Germany], total arthroplasty [Plus; De Puy, Warsaw, IN, USA] and internal fixation [Richards plate screw; Smith & Nephew, Memphis, TN, USA]). The function of the patients was estimated using the following parameters: the Barthel Index and Harris Hip Score, the range of passive hip motion, the gait speed of individuals, after 1 and 4 years of follow-up. The Barthel Index scores after 4 years of follow-up were 85.3, 82.6, 80.1 after total arthroplasty, hemi-arthroplasty and internal fixation respectively. Similarly, the Harris Hip Scores after 4 years of follow-up were 83.7, 79.5 and 73.6. The range of passive hip motion in the three groups of patients did not differ significantly (p>0.05). Also, patients of the total arthroplasty and hemi-arthroplasty groups walked faster than the patients of the internal fixation group 4 years after discharge (p<0.05). In conclusion, we believe that total hip arthroplasty is the treatment of choice for displaced subcapital hip fractures in patients over 70 years old.
Subject(s)
Arthroplasty, Replacement, Hip , Arthroplasty , Fracture Fixation, Internal , Hip Fractures/surgery , Orthopedic Procedures/methods , Aged , Female , Follow-Up Studies , Hip Joint/physiology , Humans , Male , Range of Motion, Articular/physiology , Recovery of Function/physiology , Severity of Illness Index , Treatment OutcomeABSTRACT
BACKGROUND: Perioperative myocardial infarction (MI) is an important risk factor for cardiac morbidity and mortality after hip surgery. On the basis of the limitations of creatine kinase cardiac muscle isoenzyme (CK-MB) in the perioperative setting, and the high specificity of troponin I, we hypothesized that troponin I would be effective at detecting perioperative MI more frequently than CK-MB would be, after hip surgery. METHODS: A prospective study of the serum levels of creatine phosphokinase (CPK), its isoenzyme CK-MB, and troponin I, in 90 patients with risk factors for coronary artery disease, undergoing hip surgery is reported. We measured these cardiac markers in the postoperative period for 5 days, after hemiarthroplasty, total hip arthroplasty, and hip intramedullary nailing. RESULTS: We found increased levels of creatine phosphokinase and CK-MB, after all the types of operation, with maximum levels reached on the first postoperative day and the levels were more pronounced after total hip arthroplasty. False-elevated CK-MB index >6% without MI was evidenced in 43.3% of patients. Troponin I levels were elevated >3.1 ng/mL only in the patients who suffered MI postoperatively. All the patients who suffered MI had both CK-MB index and troponin I levels elevated. Also, we found high correlation between maximum CK-MB levels and size of implants, which means that reaming and its heating effect may be responsible for false-elevated CK-MB levels, except direct muscle damage caused by surgical incision. CONCLUSION: CK-MB index and troponin I have the same sensitivity, but troponin I is more specific than CK-MB index in detecting MI after hip surgery.
