Treatment of lower part of glenoid fractures through a novel axillary approach: A case report.

BACKGROUND: Based on the location and size of the fracture block, open reduction and internal fixation can be employed or assisted for shoulder arthroscopy in the treatment of glenoid fractures. However, the treatment of lower part of glenoid fractures through a novel axillary approach has not been reported so far. CASE SUMMARY: A 22-year-old right-handed man was transferred to our outpatient clinic because of right shoulder injury during a traffic accident. X-ray examination after admission suggested the fracture of the lower part of the right glenoid and an ipiselial proximal humeral fracture. Three-dimensional (3D) computed tomography (CT) further suggested that the size of the fracture block of the lower part of the right glenoid was 3.4 mm × 16.2 mm. The patient was diagnosed as the fracture of the lower part of the glenoid, also known as bony Bankart lesion without shoulder dislocation. After general anesthesia, the patient was surgically treated with the open reduction internal fixation through a novel axillary approach. 3D CT and shoulder joint function were reexamined at 12 mo of follow-up, showing acceptable recovery. CONCLUSION: This case report describes a novel axillary approach adopted in an open reduction with cannulated screw and wire anchor internal fixation. After a follow-up for more than 12 mo, 3D CT and shoulder joint function examinations display a good recovery.

[Efficacy of ultrasound-guided vacuum-assisted Mammotome excision for management of benign breast diseases: analysis of 1267 cases].

OBJECTIVE: To assess the clinical value of ultrasound-guided vacuum-assisted Mammotome (MMT) system for surgical resection of benign breast disease. METHODS: This retrospective study was conducted among 1267 patients who underwent minimally invasive surgery with ultrasound-guided MMT system for benign breast disease at our center between January, 2009 and January, 2014. The resection rate, incidence of complication, recurrence rate, patients' satisfaction, clinical follow-up results and risk factors were analyzed. The patients were followed up at 1 month, 6 months and every 6 months thereafter for up to 2 years with a median follow-up of 22 months. RESULTS: Of the total of 1267 patients, 1259 (99.36%) had complete resection of the breast lesions, and residual lesions were found in 8 cases 1 month after the operation. The resection rate was significantly associated with lesion size (P=0.003) but not with the patients'age, pathology, BI-RADS classification, or the number or location of the lesions (P>0.05). Eighty-nine (7.02%) patients showed postoperative complications, and hematoma occurred in 70 (5.52%) patients after the operation. The complication rate was significantly associated with the number and location of lesions (P=0.000) but not with age, pathology, BI-RADS classification or the lesion size (P>0.05). A total of 193 (15.23%) patients had recurrence after the operation, including 65 (5.13%) with in situ recurrence and 128 (10.1%) with new lesions. The recurrence rate was significantly associated with the number and size of lesions (P=0.000) but not with age, pathology, BI-RADS classification or location of lesions(P>0.05). Six patients were not satisfied with the appearance of the incision, and the overall satisfaction rate of the patients was 99.52%. CONCLUSION: s Ultrasound-guided vacuum-assisted MMT excision is a safe and effective procedure for benign breast disease with a low surgical complication rate, a high resection rate and a low recurrence rate. This technique results in good postoperative appearance for treatment of benign and high-risk breast lesions, especially multiple benign breast lesions.

catena-Poly[[bis-(dimethyl sulfoxide-κO)cerium(III)]tris-(µ(2)-3,5-dinitro-benzoato-κO:O')].

The polymeric title compound, [Ce(C(7)H(3)N(2)O(6))(3)(C(2)H(6)OS)(2)](n), exists as a linear chain along [111] as the three dinitro-benzoate anions each engages in bridging adjacent dimethyl sulfoxide (DMSO) coordinated Ce(III) atoms. The metal atoms are surrounded by eight O atoms in a square-anti-prismatic environment. There are two independent formula units in the asymmetric unit. The S atoms of two of the four DMSO mol-ecules are disordered in a 0.926 (3):0.074 (3) ratio.

Tetra-kis(1H-benzimidazole-κN)(nitrato-κO)copper(II) nitrate.

In the title salt, [Cu(NO(3))(C(7)H(6)N(2))(4)]NO(3), one nitrate anion is coordinated to the Cu(II) atom, which is also coordinated by the N atoms of four N-heterocycles. The geometry at the metal atom is a square pyramid in which the O atom of the anion occupies the apical position [Cu-O = 2.468 (5) and 2.590 (7) Šin the two independent formula units]. The cation lies on a twofold rotation axis; the coordinated nitrate anion is also disordered about this symmetry element. The lattice anion is also disordered about a twofold rotation axis. In the crystal, the cations are linked to the coordinated and free anions by N-H⋯O hydrogen bonds.

6,6'-Dihydr-oxy-3,3'-dithio-dibenzoic acid.

In the title compound, C(14)H(10)O(6)S(2), the dihedral angle between the planes of the two phenyl-ene rings is 55.9 (1)°. Both hydr-oxy groups form intra-molecular hydrogen bonds; however, one of them also engages in inter-molecular hydrogen bonding. In the crystal, mol-ecules are connected into helical chains by O-H⋯O hydrogen bonds. The crystal studied was an inversion twin with a domain ratio of 0.51 (13):0.49 (13).