Publications by authors named "H de Klerk"
Background: The terrible triad injury involves an ulnohumeral dislocation, radial head fracture, and coronoid process fracture. According to traditional teaching, these injuries are strongly associated with anterolateral coronoid tip fractures and can be addressed via a lateral approach to the elbow. However, recent small clinical series suggest that some terrible triad injuries have larger coronoid fractures involving the anteromedial facet.
View Article and Find Full Text PDFArticle Synopsis
- - This study aimed to create a convolutional neural network (CNN) to detect and classify fractures, focusing on specific characteristics like greater tuberosity displacement and neck-shaft angle, using plain X-rays.
- - The CNN was trained with over 1,700 X-rays from Australia and validated with data from the Netherlands, comparing results with CT scans evaluated by experts.
- - The CNN demonstrated a high detection accuracy of 94% for fractures, but less effectiveness in identifying specific fracture characteristics, particularly showing lower performance for greater tuberosity displacement and neck-shaft angles.
Article Synopsis
- This study addresses challenges in determining accurate screw length during surgical fixation of complex distal radius fractures, emphasizing the risk of injuring the extensor pollicis longus with overly long screws.* -
- Researchers evaluated the anatomy of Lister's tubercle using 26 cadaveric arms and 198 CT scans, finding average measurements of 12.6 mm in length and 5.4 mm in width, with specific distances measured from the radial styloid.* -
- Understanding the anatomical details of Lister's tubercle can improve screw placement during surgeries, potentially leading to better patient outcomes in distal radius fracture treatments.*
Article Synopsis
- * After three rounds of surveys, 18 out of 68 factors were identified as influential, with stable consensus on factors that favor operative treatment including professional athlete status and specific fracture characteristics.
- * Most disagreement arose regarding treatment for certain injuries, especially those involving an anterolateral coronoid tip fracture, indicating a need for more clarity in treatment guidelines among surgeons.
Background: The aims of this study are 1) to assess whether open reduction internal fixation (ORIF) techniques for fractures of the proximal radius are associated with the range of motion (ROM), 2) to determine the incidence of hardware-related complications and removal following plate and screw fixation of the proximal radius, and 3) to evaluate whether the safe-zone definition is described in the literature and its relation to the ROM.
Methods: A literature search was performed in the PubMed, Embase, and Cochrane databases. Studies reporting ROM in patients undergoing ORIF for radial head or neck fractures were included.