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PubMedDate not supplied

Complications and outcomes of open pediatric forearm fractures.

Few reports have documented the complications and outcomes of open pediatric forearm fractures. The authors completed of all patients (1987-1999) with open forearm fractures. Sixty-five patients with 65 injured extremities were identified, with an average age of 10.3 years. Fifty-two open fractures were grade I, 12 were grade II, and 1 was grade IIIA. Implants stabilized 40 extremities (62%), which improved alignment but not outcome. Forearms initially stabilized with implants did not undergo additional realignment procedures (0%), compared with 18.5% of forearms without stabilization. Eleven patients (16.9%) experienced complications. Overall, 47 (72%) were classified as having excellent results, 11 (17%) as good, and 7 (11%) as fair. Open pediatric forearm fractures have a high percentage of excellent and good outcomes. Early, thorough surgical débridement produces a low frequency of deep infections, and bony stabilization can be a safe technique, permitting more anatomic alignment and preventing the need for reoperation due to malalignment.

Adolescent↗
PubMed1975

Avulsion of the triceps tendon.

Two cases of the rare injury of avulsion of the triceps tendon are presented. The difficulties in clinical diagnosis and proper evaluation of the roentgenographic findings whenever present are discussed and the treatment is outlined.

Adult↗
PubMed1978

Triceps tendon avulsion with or without fracture of the radial head--a rare injury?

The rarity of triceps tendon avulsion is called into question by our series of 6 cases collected over a 5-year period in a small, isolated Israeli community. The even rarer occurrence of triceps avulsion accompanying fractures of the radial head is more obviously contradicted by the 3 or 4 instances of such combined injuries in our series. Awareness that a fall on the outstretched arm, with or without fracture of the radial head, is sufficient cause of the triceps avulsion or tear ought to increase the frequency of the diagnosis. Just as fractures of the proximal ulna oblige the clinician to look for dislocations of the radial head (Monteggia or Hume fractures) (6), so must falls on the outstretched arm bring to mind the possibility of triceps tendon tears. Seemingly trivial findings then become significant, and the clinical entity thus crystallizes into the diagnostic syndrome.

Adult↗
PubMed1988

Soft tissue injury in extreme rock climbers.

Rock climbing is an increasingly popular sport. Its standards of difficulty have undergone a revolution in the past ten years. Regular training is now almost mandatory for the aspiring climber, but little has been published about the patterns of soft tissue injury to which climbers are susceptible. This paper aims to identify some of the common injuries that may be encountered, some of which do not appear to be associated with other sports.

Adolescent↗
PubMed1996

Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management.

Olecranon bursitis is relatively common. One third of episodes are septic. Most of the remainder are non-septic, with occasional rheumatological causes. Trauma can cause both septic and non-septic olecranon bursitis. Clinical features are helpful in separating septic from non-septic olecranon bursitis, but there may be local erythema in both. Aspiration should be carried out in all cases, and if the presence of infection is still in doubt, microscopy, Gram staining, and culture of the aspirate will resolve the issue. Septic olecranon bursitis should be treated by aspiration, which may need to be repeated, and a long course of antibiotics. Some cases will need admission, and a few will need surgical treatment. Non-septic olecranon bursitis can be managed with aspiration alone. Non-steroidal anti-inflammatory drugs probably hasten symptomatic improvement. Intrabursal corticosteroids produce a rapid resolution but concern remains over their long term local effects. Recovery from septic olecranon bursitis can take months.

Anti-Bacterial Agents↗
PubMed1984

Post-burn contractures in Ibadan.

A review of our experience with post-burn contractures over a ten-year-period at the University of Ibadan is reported. Fifty-two patients (32 males, 20 females) were treated; 52% were under the age of 5 years. In 25% the contractures were due to therapeutic burns. Sixty-two per cent of the contractures occurred in the upper limbs. Best results were obtained by release of contracture, application of split-thickness skin grafts, and splinting for up to six months.

Adolescent↗
PubMed1993

Nonoperative management of cubital tunnel syndrome: an 8-year prospective study.

This study reports the results of a prospective trial of nonoperative management of the cubital tunnel syndrome in 128 patients. Forty-three of the patients had bilateral ulnar nerve compression. At study's end, information was available on 94% of patients and 164 managed extremities, at a mean of 58.6 months of follow-up. We scored the degree of severity of cubital tunnel syndrome numerically, based on concepts of the pathophysiology of chronic nerve compression. For statistical purposes, a successful outcome of the nonoperative regimen was not having an operation. Life-table analysis demonstrated that 89% of patients with symptoms only, 67% of patients with abnormal sensorimotor thresholds, and 38% of patients with abnormal sensorimotor innervated density did not have surgery. These differences were significant (p < 0.001) by both parametric and nonparametric analysis. A history of elbow injury significantly worsened outcome (p < 0.02), but the results of the pretreatment electrodiagnosis did not. We conclude that a strict nonoperative regimen be supervised in the initial management of the cubital tunnel syndrome.

Adolescent↗
PubMed2002

Exercise and children's health.

Every child and adolescent needs exercise, which is a risk-free investment for current and future health. Physicians can help parents and children understand the importance of exercise and help them select safe, enjoyable, age-appropriate activities. This article discusses current literature regarding exercise and its effects on children's health, including nutrition and cardiovascular issues. It also reviews the epidemiology and treatment of injuries in young athletes, including preventative measures.

Athletic Injuries↗
PubMed2004

An assessment of high school cheerleading: injury distribution, frequency, and associated factors.

STUDY DESIGN: Mail survey of cheerleading-related training and injuries. OBJECTIVE: To collect and describe injury frequency, distribution, and associated factors related to the activity of cheerleading. BACKGROUND: Estimates indicate that more than 1 million participants are involved in cheerleading at various levels; however, little information exists relative to injuries and training. Unlike most other sports, cheerleader injuries are not tracked in a central database. METHODS AND MEASURES: High school cheerleaders (mean age, 16.3 years) in 3 midwest states completed questionnaires mailed to their respective high schools. Of the surveys mailed to 104 schools, 425 (32.2%) were returned and sufficiently completed for analysis. RESULTS: Participants reported an average of 4.1 years of experience and 61.9% of the respondents had sustained 1 or more career injury. During the previous year, 41.3% had sustained 1 or more injuries (mean +/- SD, 1.7 +/- 1.9), resulting in an average of 3.4 reported missed practice or performance days. Of all injuries, the ankle (24.4%), back (16.1%), and wrist or hand (15.6%) were the most frequent sites of injury. CONCLUSION: The rates of injury in cheerleading are comparable to rates of other sports. To accurately provide safety guidelines for all levels of cheerleading, a nationwide injury tracking system is necessary.

Adolescent↗