Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FRACTURES”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,117 records · Page 62Linked to original sources
PubMed1985

Bilateral traumatic abducens nerve palsy without skull fracture and with cervical spine fracture: case report and review of the literature.

Bilateral traumatic abducens nerve palsy is a rare condition. Here a case without skull fracture and associated with cervical spine fracture is reported. Only two cases like this were found in a review of the literature. The mechanism of the lesion is discussed in light of the two main theories proposed thus far. When the injury is acute, as happens in the majority of cases, the nerve lesion probably is due to contusion and stretch of the nerve trunk against the ridge of the petrous bone and the rigid dural hole of entrance in the extradural space at the basilar process.

Abducens Nerve Injury↗
PubMed2003

The influence of immediate surgical treatment of proximal femoral fractures on mortality and quality of life. Operation within six hours of the fracture versus later than six hours.

We compared the mortality and outcome of 182 patients with proximal fractures of the femur after immediate and delayed surgical treatment. Seventy-nine patients were operated upon within six hours of the fracture (group 1) and 103 patients were operated upon after this period of time (group 2). At six months follow-up, group 1 had a significantly lower mortality rate. There was a good outcome in both groups with no differences in the outcome. Neither surgical nor anaesthetic factors appeared to have influenced mortality. The subdivision of groups revealed that patients operated on within 24 hours had a better outcome than those whose surgery was delayed. Although there may have been a bias, as patients were not randomly assigned to immediate or delayed surgical treatment, the data suggest that early stabilisation may be associated with a lower mortality rate. Even with pre-clinical delays of more than six hours early treatment should still be attempted, as better results seem to be achieved after 24 hours compared to a later time in our patients.

Adult↗
PubMed2000

Genetic determination of Colles' fracture and differential bone mass in women with and without Colles' fracture.

Osteoporotic fractures (OFs) are a major public health problem. Direct evidence of the importance and, particularly, the magnitude of genetic determination of OF per se is essentially nonexistent. Colles' fractures (CFs) are a common type of OF. In a metropolitan white female population in the midwestern United States, we found significant genetic determination of CF. The prevalence (K) of CF is, respectively, 11.8% (+/- SE 0.7%) in 2471 proband women aged 65.55 years (0.21), 4.4% (0.3%) in 3803 sisters of the probands, and 14.6% (0.7%) in their mothers. The recurrence risk (K0), the probability that a woman will suffer CF if her mother has suffered CF is 0.155 (0.017). The recurrence risk (Ks), the probability that a sister of a proband woman will suffer CF given that her proband sister has suffered CF is 0.084 (0.012). The relative risk lambda (the ratio of the recurrence risk to K), which measures the degree of genetic determination of complex diseases such as CF, is 1.312 (0.145; lambda 0) for a woman with an affected mother and 1.885 (0.276; lambda s) for a woman with an affected sister. A lambda-value significantly greater than 1.0 indicates genetic determination of CF. The terms lambda 0 and lambda s are related to the genetic variances of CF. These parameters translate into a significant and moderately high heritability (0.254 [0.118]) for CF. These parameters were estimated by a maximum likelihood method that we developed, which provides a general tool for characterizing genetic determination of complex diseases. In addition, we found that women without CF had significantly higher bone mass (adjusted for important covariates such as age, weight, etc.) than women with CF.

Absorptiometry, Photon↗
PubMed1988

[Periodontal surgical approach to the vertical fracture of the root. The application of composite resin to the fractured root surface].

For a patient who had a deep periodontal pocket without an attached gingiva on labial central area of left upper canine, a free gingival graft from the palate was done. After that, a flap was reflected and the cause of the lesion was determined. It became clear that there was a vertical fracture of the root and a composite resin (Clearfil-SC) was used to fill the fractured area. It has been 2 1/2 years since the therapy and the prognosis is good.

Gingiva↗
PubMed1983

Parturition and pelvic fracture. Follow-up of 34 obstetric patients with a history of pelvic fracture.

Thirty-four women with a history of pelvic fracture gave birth. Ten had experienced increasing or recurrent pain during the course of their pregnancy. Twenty-seven women gave birth without complications, including 13 patients with displaced pelvis. In only one patient was cesarean section carried out on suspicion of disproportion. Cesarean section was carried out in another case because of resymphysiolysis and in one because of other complications to the pregnancy. Two underwent vacuum extraction because of secondary inertia, but subsequently they gave birth by the vaginal route without complications. In connection with pregnancy and birth, 2 patients had resymphysiolysis. They were the only patients of 8 with symphysiolysis who had undergone osteosynthesis, and both had had the material removed before pregnancy. It is concluded that separation of the symphysis in a pelvic fracture is a more serious complication in subsequent parturition than is displacement of the bony birth canal.

Adult↗
PubMed1981

Electrical phenomena associated with bones and fractures and the therapeutic use of electricity in fracture healing.

Living bones have small electrical potentials on their surfaces, the magnitudes of which change only slightly with the reaching of adulthood. When using a limb stresses are put on the bones inside, and these create piezo-electric potentials which may themselves cause bone growth along the lines of stress, hence making the bone stronger. Voltages also appear at fracture sites and may be important in causing the bone to heal its wound. Fractures that have not healed properly can be stimulated into repair by the passage of small electric currents through them. The factors involved in these processes are discussed.

Biomechanical Phenomena↗
PubMed1989

Fracture fixation with biodegradable rods. Forty-one cases of severe ankle fractures.

In a prospective study of 41 patients, severe ankle fractures of Lauge-Hansen types SE III-IV, PA III, and PE III-IV were treated by open reduction and internal fixation using biodegradable self-reinforced polyglycolide cylinder-shaped rods. Disruption of the distal tibiofibular syndesmosis and/or fracture of the posterior tibial margin requiring reduction and fixation were the inclusion criteria for the study. The mean follow-up time after operation was 16 (12-32) months. Two failures of fixation necessitated reoperation. A secondary displacement of 1-2 mm of the lateral malleolus occurred in 3 cases. Transient accumulation of soluble polyglycolide mass complicated the course in 3 cases, but did not influence the radiographic or the functional result. Function became good in 30 patients. The advantage of the biodegradable implants is that they do not need to be removed at secondary operations.

Adolescent↗
PubMed1992

[Halo-vest in the treatment of fractures of the upper cervical spine. Fractures of the epistropheus].

The authors examine the use of a halo-vest brace in the treatment of fractures of the upper cervical spine. This brace forms a valid alternative to the classic plaster cast in that it is easily positioned, well tolerated by the patient and has a high restrictive capacity for the centre of the fracture. In the cases treated by the authors no complications were reported during treatment, and consolidation time was shortened by 30 days in relation to traditional plaster cast treatment.

Axis, Cervical Vertebra↗
PubMed1992

[Smith's fracture. A radiological and functional follow-up study of 62 primary and post-primary surgically treated fractures].

The reversed Barton fracture of the distal radius is rare. In the literature there is a rate of 3 to 20.5% of all distal radius fractures. Whereas the reposition is simple, the reduction is difficult. This retrospective report about the treatment by osteosynthesis in the years between 1977 to 1987 in the "Berufsgenossenschaftliche Unfallklinik" Tübingen demonstrates a direct correlation between radiological and functional results. That means in consequence that internal fixation by using a small palmar T-plate is the favorable therapy.

Adult↗
PubMed1991

[Modern techniques in pelvic fractures including acetabulum fractures].

Unstable Fractures of the pelvic girdle should be stabilized as soon as possible. Use of standardized protocols for primary assessment and operative procedures can minimize complications and help to optimize clinical results after pelvic or acetabular fractures. The different methods of internal stabilization are not yet ideal but new developments are under way. A trend towards screw fixation can be seen in both pelvic and acetabular surgery, as well as a tendency to "localized" stabilization using small fragment implants to avoid unnecessary transfixations of pelvic joints.

Acetabulum↗
PubMedDate not supplied

[Fractures of the distal end of the tibia in adolescents ("transitional fractures")].

Presented are experiences in the treatment of 6 adolescents with fractures of the distal tibial portion. Treatment was conservative in 4 cases and operative reposition and fixation was performed in 2 cases. Functional and anatomic results were excellent in all 6 patients. This type of fractures in adolescents is not known enough.

Child↗
PubMed1983

Spiral fracture of the distal tibia: an unusual stress fracture.

Stress fractures in athletes are frequently a misdiagnosed and poorly understood clinical entity. As a rule, their occurrence in the tibia is limited to the junction of the middle and distal third. We describe a distal spiral tibial stress fracture in a jogger and review the pathomechanics, diagnosis, and management of such lesions.

Ankle Injuries↗
PubMed1980

An analysis of conservative (non-surgical) management of thoracolumbar fractures and fracture-dislocations with neural damage.

The cases of thirty-four patients with thoracolumbar lesions were reviewed. The neural recovery rate was substantially the same as in comprehensive reviews of surgical and conservative methods by Dickson et. al. and Burke and Murray. We suggest that reduction and maintenance of vertebral body displacement is the single most important factor in the treatment of such fractures and fracture-dislocations. The loss of correction of an angular deformity, however, does not prejudice neural recovery or physical performance during and after rehabilitation. The results of non-surgical methods in achieving reduction and maintenance of displacement were comparable with the results of surgical methods. The immobilization and hospitalization times were longer than in series that used surgical methods.

Fractures, Bone↗