Publications by authors named "N Schep"
Article Synopsis
- Guidelines recommend surgery followed by casting for UCL ruptures, but high-quality studies comparing surgical and non-surgical treatments are scarce.
- This study aims to investigate if non-operative treatment with cast immobilization is just as effective and less costly than immediate surgery for these injuries.
- The trial includes patients over 18, comparing outcomes between two groups over six months, with a focus on hand function and the potential need for follow-up surgery.
Article Synopsis
- Chylothorax is a rare condition where lymphatic fluid leaks into the pleural space, often due to trauma, such as in a bicycle accident involving rib and spine fractures.
- A 60-something male patient experienced this after a biking accident, leading to surgery for a fractured vertebra and subsequent complications requiring a chest tube and extensive fluid management.
- Treatment involved dietary adjustments, surgical intervention to clip the thoracic duct, and ultimately resolved the chylous leakage over eight weeks.
Several studies have described pathology in relation to transverse sigmoid notch morphology, using the Tolat transverse sigmoid notch classification. It is believed that the entire shape of a sigmoid notch can be described using Tolat sigmoid types. We hypothesised that the determination of the sigmoid notch shape (SNS) depends on the level of the transverse CT plane on the axial axis of the distal radius.
View Article and Find Full Text PDFDistal radioulnar joint instability is commonly seen after surgical fixation of a distal radial fracture, and surgeons' ability to reliably determine stability on examination is poor. Debate remains regarding whether to fix the ulnar styloid or reinsert the triangular fibrocartilaginous complex. Four surgeons with Level 5 expertise were asked to respond to questions surrounding this debate.
View Article and Find Full Text PDFPurpose: This study aimed to investigate practice variation in non-operative treatment methods and immobilisation duration for metacarpal fractures, and to evaluate patient-reported outcomes.
Methods: Conducted in 12 Dutch hospitals over three months in 2020, this study included adult patients with non-operatively treated solitary metacarpal fractures. Fractures were classified into intra-articular base, extra-articular base, shaft, neck, and intra-articular head fractures.