Delay to Surgery of Less Than 12 Hours Is Associated With Improved Short- and Long-Term Survival in Moderate- to High-Risk Hip Fracture Patients.

Introduction: The effect of delays before surgery of 24 hours, 48 hours, and 72 hours on short- and long-term survival has been investigated comprehensively in hip fracture patients, but with controversial results. However, there is only limited evidence for how a threshold of 12-hour delay before hip fracture surgery affects survival.

Materials And Methods: A prospective observational study of 884 consecutive hip fracture patients (age ≥ 65 years) undergoing surgery was carried out in terms of 30- and 365-day survival.

The Effect of an In-Hospital Comprehensive Geriatric Assessment on Short-Term Mortality During Orthogeriatric Hip Fracture Program-Which Patients Benefit the Most?

Aims: To examine the association of patient-related factors with the effect of an in-hospital comprehensive geriatric assessment (CGA) on hip fracture mortality.

Methods: Population-based, prospective data were collected on 1425 consecutive hip fracture patients aged ≥65 in a central hospital providing orthogeriatric service. Outcome was mortality at 1 month after hip fracture associated with receiving versus not receiving CGA.

Incidence and risk factors of exercise-related knee disorders in young adult men.

Background: Musculoskeletal disorders and injuries are common causes of morbidity and loss of active, physically demanding training days in military populations. We evaluated the incidence, diagnosis, and risk factors of knee disorders and injuries in male Finnish military conscripts.

Methods: The study population comprised 5 cohorts of 1000 men performing their military service, classified according to birth year (1969, 1974, 1979, 1984, and 1989).

Does cognitive/physical screening in an outpatient setting predict institutionalization after hip fracture?

Background: Institutionalization after hip fracture is a socio-economical burden. We examined the predictive value of Instrumental Activities of Daily Living (IADL) and Mini Mental State Examination (MMSE) for institutionalization after hip fracture to identify patients at risk for institutionalization.

Methods: Fragility hip fracture patients ≥65 years of age (n = 584) were comprehensively examined at a geriatric outpatient clinic 4 to 6 months after surgery and followed 1 year postoperatively.

Decreased glomerular filtration rate estimated by 2009 CKD-EPI equation predicts mortality in older hip fracture population.

Objective: We examined estimated glomerular filtration rate using the Chronic Kidney Disease Epidemiology equation (eGFRCDK-EPI), removal of urinary catheter during hospitalization and polypharmacy as predictors of mortality in older hip fracture patients.

Methods: Population-based prospective data were collected on 1425 consecutive hip fracture patients aged ≥65 years. Outcome was mortality at one year.

Pre- and perioperative predictors of changes in mobility and living arrangements after hip fracture--a population-based study.

Purpose Of The Research: Examining pre- and perioperative predictors of changes in mobility and living arrangements after hip fracture.

Materials And Methods: Population-based prospective data were collected on 1027 hip fracture patients aged ≥65. The outcomes were decreased vs.

Predictors of low back pain in physically active conscripts with special emphasis on muscular fitness.

Background Context: Association between low physical fitness and low back pain (LBP) is contradictory in previous studies.

Purpose: The objective of the present prospective cohort study was to investigate the predictive associations of various intrinsic risk factors in young conscripts for LBP, with special attention to physical fitness.

Study Design: A prospective cohort study.

Surgical Technique for Treating Acute Ruptures of the Lateral Ligament Complex of the Ankle.

Introduction: Surgical treatment of an acute lateral ligament rupture is occasionally warranted.

Step 1 Incision: Make a skin incision from the anterior aspect of the fibula and curve it inferiorly and posteriorly.

Step 2 Repair: Repair the ligaments with absorbable sutures; if there is bone avulsion, pass the sutures through drill holes or use a suture anchor.

Comparison of 1.5T and 3T MRI scanners in evaluation of acute bone stress in the foot.

Background: Bone stress injuries are common in athletes and military recruits. Only a minority of bone stress changes are available on plain radiographs. Acute bone stress is often visible on MRI as bone marrow edema, which is also seen in many other disease processes such as malignancies, inflammatory conditions and infections.

Recovery of brachial plexus lesions resulting from heavy backpack use: a follow-up case series.

Background: Brachial plexus lesions as a consequence of carrying a heavy backpack have been reported, but the typical clinical course and long-term consequences are not clear. Here we evaluated the clinical course and pattern of recovery of backpack palsy (BPP) in a large series of patients.

Methods: Thirty-eight consecutive patients with idiopathic BPP were identified from our population of 193,450 Finnish conscripts by means of computerised register.

Long-term outcome after surgical treatment of unresolved osgood-schlatter disease in young men: surgical technique.

Background: Surgical treatment of Osgood-Schlatter disease is occasionally warranted, but its long-term prognosis remains poorly investigated. We studied the rate of occurrence of surgical treatment of unresolved Osgood-Schlatter disease as well as the clinical course, radiographic characteristics, and long-term outcomes after that treatment in a large population of military recruits.

Methods: During a thirteen-year period, 178 consecutive recruits underwent surgery for unresolved Osgood-Schlatter disease, and 107 of them (117 knees) who met the inclusion criteria participated in a follow-up examination.

Tissue restoration after implantation of polyglycolide, polydioxanone, polylevolactide, and metallic pins in cortical bone: an experimental study in rabbits.

We performed qualitative and histoquantitative investigations of tissue restoration after implanting polyglycolide (PGA), polydioxanone (PDS), polylevolactide (PLLA), and stainless steel pins in the intramedullary canal of rabbit femurs. The effect of bioabsorbable devices on healing of a cortical bone defect was also assessed. The cortical bone defect was created in the right femur of 80 rabbits.

Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae.

Background: This diagnostic study was performed to determine the correlation between anterior knee pain and chondromalacia patellae and to define the reliability of magnetic resonance imaging for the diagnosis of chondromalacia patellae.

Methods: Fifty-six young adults (median age, 19.5 years) with anterior knee pain had magnetic resonance imaging of the knee followed by arthroscopy.

Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men.

Background: Surgical treatment of Osgood-Schlatter disease is occasionally warranted, but its long-term prognosis remains poorly investigated. We studied the rate of occurrence of surgical treatment of unresolved Osgood-Schlatter disease as well as the clinical course, radiographic characteristics, and long-term outcomes after that treatment in a large population of military recruits.

Methods: During a thirteen-year period, 178 consecutive recruits underwent surgery for unresolved Osgood-Schlatter disease, and 107 of them (117 knees) who met the inclusion criteria participated in a follow-up examination.

Arthroscopic resection of medial plica of the knee in young adults.

The purpose of this study was to evaluate the long-term results of arthroscopic resection of a medial plica and to describe the usefulness of the clinical findings and MRI for preoperative diagnostics. From the baseline population of 172,777 military conscripts, thirty-three consecutive young adult patients with normal preoperative MRIs of the knee and a sole postoperative diagnosis of medial plica were treated with arthroscopic plica resection. Functional outcome was evaluated at a final follow-up in 25 patients with 34 knees with Kujala, Lysholm and visual analog scale (VAS) scores.

Bone stress injuries are common in female military trainees: a preliminary study.

Although bone stress injuries are common in male military trainees, it is not known how common they are in female trainees. It also is unclear whether asymptomatic bone stress injuries heal if intensive training is continued. We prospectively followed 10 female trainees of a military Reserve Officer Course.

Magnetic resonance imaging in acute traumatic and chronic meniscal tears of the knee: a diagnostic accuracy study in young adults.

Background: No previous research has investigated the diagnostic validity of magnetic resonance imaging for acute versus chronic meniscal tears using comparable materials and methods.

Hypothesis: There is no difference in the diagnostic validity of magnetic resonance imaging for acute versus chronic meniscal tears in young adults.

Study Design: Cohort study (diagnosis); Level of evidence, 2.

Excision of painful bipartite patella: good long-term outcome in young adults.

Unlabelled: Excision of the accessory bipartite fragment is widely used, but its long-term outcome is not known. We evaluated the outcome after surgical excision of a symptomatic accessory bipartite or multipartite patella fragment in young adult men performing their compulsory military service and determined the incidence of painful bipartite patellae in this group of skeletally mature adults. We followed 25 of 32 patients for a minimum of 10 years (mean, 15 years; range, 10-22 years).

One screening magnetic resonance imaging sequence in evaluation of chondral and meniscal lesions of the knee - a pilot study.

This prospective study aimed to evaluate if chondral and meniscal lesions in symptomatic knees of osteoarthritis patients can be reliably identified using only one sagittal dual-echo MRI (Magnetic Resonance Imaging) sequence. MRI was performed on 13 patients after knee arthroscopy due to knee pain and clinically suspected osteoarthritis using a 1.5-Tesla scanner with knee coil and a sagittal dual-echo turbo spin-echo PD (Proton Density)- and T2-weighted sequence.

Molecularly defined adult-type hypolactasia among working age people with reference to milk consumption and gastrointestinal symptoms.

Aim: To study milk consumption and subjective milk-related symptoms in adults genotyped for adult-type hypolactasia.

Methods: A total of 1900 Finnish adults were genotyped for the C/T(-13910) variant of adult-type hypolactasia and filled in a structured questionnaire concerning milk consumption and gastrointestinal problems.

Results: The C/C(-13910) genotype of adult-type hypolactasia was present in 18% of the study population.

Comparison of bioabsorbable pins and nails in the fixation of adult osteochondritis dissecans fragments of the knee: an outcome of 30 knees.

Background: The optimal device for the fixation of osteochondritis dissecans fragments of the knee remains controversial and lacks long-term results.

Purpose: To review a group of young adults with osteochondritis dissecans of the knee treated with arthroscopic fixation of the fragment using bioabsorbable pins and nails and to examine the medium-term outcome of the fixation via magnetic resonance imaging and clinical evaluation.

Study Design: Cohort study; Level of evidence, 3.

Bone stress injuries of the ankle and foot: an 86-month magnetic resonance imaging-based study of physically active young adults.

Background: No comprehensive studies of bone stress injuries in the ankle and foot based on magnetic resonance imaging findings have been published.

Purpose: Using magnetic resonance imaging findings to assess incidence, location, and type of bone stress injuries of the ankle and foot in military conscripts with ankle and/or foot pain.

Study Design: Case series; Level of evidence, 4.

Sensitivity of routine 1.0-Tesla magnetic resonance imaging versus arthroscopy as gold standard in fresh traumatic chondral lesions of the knee in young adults.

Purpose: The purpose of this study was to evaluate the sensitivity, specificity, and accuracy of routine 1.0-Tesla magnetic resonance imaging (MRI) versus arthroscopy in detecting fresh traumatic chondral lesions of the knee.

Methods: Over a period of 6 years, 578 consecutive military personnel underwent MRI before arthroscopy of the knee.

Stress injuries of the calcaneus detected with magnetic resonance imaging in military recruits.

Background: Calcaneal stress injuries are fairly common overuse injuries in military recruits and athletes. We assessed the anatomic distribution, nature, and healing of calcaneal stress injuries in a group of military recruits.

Methods: Military recruits who underwent magnetic resonance imaging for the evaluation of exercise-induced ankle and/or heel pain were identified from the medical archives.

Bilateral femoral fatigue fracture: an unusual fracture in a military recruit.

We present a case report of a military recruit who had bilateral fatigue fractures of the distal femur. Possible predisposing factors and the long-term outcome of these unusual stress fractures also are presented. A 19-year-old recruit experienced knee pain 2 weeks after starting his military service.