Cost and Complications of Percutaneous Fixation of Hand Fractures in a Procedure Room Versus the Operating Room.

Background: The purpose of this study was to compare closed reduction and percutaneous pinning of metacarpal and phalanx fractures performed in the operating room (OR) versus the procedure room of the emergency department with primary outcomes being infection rate, radiographic union, and monetary cost.

Methods: From January 2006 to December 2010, all closed reduction and percutaneous pinnings of metacarpal and phalanx fractures (CPT codes: 26608; 26727) by a single board-certified hand surgeon (A.M.

Tendon entrapments and dislocations in ankle and hindfoot fractures: evaluation with multidetector computed tomography.

The purpose of this study was to assess the incidence of tendon entrapments and tendon dislocations associated with ankle and hindfoot fractures in patients studied by multidetector computed tomography (MDCT). Additionally, we describe particular tendon injuries associated with specific fractures. This was a retrospective review of all individuals with a trauma-protocol CT for suspected ankle and/or hindfoot fractures during a consecutive 41-month time period at a single Level I Trauma Center.

Quantification of bone changes in a collagen-induced arthritis mouse model by reconstructed three dimensional micro-CT.

Background: Inflammatory arthritis is a chronic disease, resulting in synovitis and subchondral and bone area destruction, which can severely affect a patient's quality of life. The most common form of inflammatory arthritis is rheumatoid arthritis (RA) in which many of the disease mechanisms are not well understood. The collagen-induced arthritis (CIA) mouse model is similar to RA as it exhibits joint space narrowing and bone erosion as well as involves inflammatory factors and cellular players that have been implicated in RA pathogenesis.

Anatomic guide and sonography for surgical repair of leg muscle lacerations.

Background: There were over 110,000 leg laceration cases reported in the United States in 2011. Currently, muscle laceration is repaired by suturing epimysium to epimysium. Tendon-to-tendon repair is stronger, restores the muscle's resting length, and leads to a better functional recovery.

Prevalence of hypovitaminosis D among children with upper extremity fractures.

Background: Recent publications show a high rate of hypovitaminosis D among children in general as well as among children with fractures. 25-hydroxyvitamin D levels were analyzed from hospital records to determine the prevalence of hypovitaminosis D, with the goal of using that information in fracture management and nutritional counseling.

Methods: We retrospectively reviewed the records of 213 children with upper extremity fractures that were treated during a 14-month period.

High frequency ultrasound evaluation of traumatic peripheral nerve injuries.

Objective: Accurate diagnosis and localization of peripheral nerve traumatic injury remains difficult. Early diagnosis and repair of nerve discontinuity lesions lead to better outcome than delayed repair.

Materials And Methods: We used new high frequency ultrasound to evaluate 24 patients with 29 traumatic nerve injuries.

New technique for humerus shaft fracture retrograde intramedullary nailing.

Humeral shaft fracture intramedullary nailing is less invasive than plates and screws. Antegrade technique has postoperative shoulder pain, increased rehab time, and frequent reoperation for rod removal. Published retrograde technique is not collinear with the shaft, has insertion site fractures (5% to 15%), and radial nerve palsies (5%).

Technique for and an anatomic guide to forearm tendon repair.

Forearm lacerations involving muscle bellies are usually treated by repairing muscle fascia. Repair of tendons themselves is stronger and restores normal muscle anatomy better. Tendon repair requires good knowledge of forearm muscle and tendon anatomy.

The effects of diabetes and/or peripheral neuropathy in detecting short postural perturbations in mature adults.

Background: This study explored the effects of diabetes mellitus (DM) and peripheral neuropathy (PN) on the ability to detect near-threshold postural perturbations.

Methods: 83 subjects participated; 32 with type II DM (25 with PN and 7 without PN), 19 with PN without DM, and 32 without DM or PN. Peak acceleration thresholds for detecting anterior platform translations of 1 mm, 4 mm, and 16 mm displacements were determined.

Modeling avian kinematics using software developed for the human musculoskeletal system.

Using an interactive computer graphic system developed for the simulation of human musculoskeletal kinematics and detailed Computerized Tomography (CT) imaging of the domestic turkey, a kinematic structure of the avian trunk and wings is defined. The result is a simulation that provides interactive study of avian muscle-tendon joint kinematics, the ability to elucidate the essential components of bird flight and visual verification of heuristic muscle-tendon-joint models through real-time, 3D interaction. This application demonstrates the flexibility and applicability of this simulation software to define the kinematic structure of any animal or robotic mechanism given a segmented, 3D skeletal structure and to define the necessary and sufficient joints (linked revolutes and degrees-of-freedom) and muscle-tendon paths for that animal.

A system for measurement and calibration of nonorthogonal joints and limbs in humans.

Human limbs are a multilinked system in which the revolute joints are not orthogonal to the limb segments or to each other. The standard method for movements of multilinked systems is the Denavit-Hartenberg (DH) representation, which is useful for orthogonal systems. When applied to non-orthogonal systems, the DH representation projects the reference frames outside of the limb segments.