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Intrathoracic Scapular Dislocation After Total Shoulder Arthroplasty.
JBJS Case Connect
October 2024
Lexington Clinic, Lexington, Kentucky.
Case: A 75-year-old woman status post total shoulder arthroplasty and posterior rib resection 29 years previously experienced a low-energy intrathoracic scapular dislocation (ISD). Closed reduction under anesthesia was unsuccessful, and she required open surgical repair performed by a novel modification of Kibler's technique for medial scapular muscle repair.
Conclusion: This case is unique because increased range of motion after successful arthroplasty allowed her shoulder to flex forward enough to result in ISD.
K wire migration into spinal canal: an infrequent cause of neurological morbidity - a case report.
Ann Med Surg (Lond)
December 2024
National Academy of Medical Sciences, Kathmandu, Nepal.
Introduction: K wire is one of the most common implants used for fixation of acromioclavicular joint dislocation. The migration of K wire from the AC joint to the spinal canal is a rare occurrence. In this report, the authors present a case of a young adult who presented with weakness of the left upper limb secondary to migration of the K wire from the AC joint to the spinal canal.
View Article and Find Full Text PDFA decade of treating traumatic sternal fractures in a single-center experience in Korea: a retrospective cohort study.
J Trauma Inj
December 2023
Department of Trauma and Surgical Critical Care, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Article Synopsis
- This study analyzes the clinical characteristics and treatment results of patients with traumatic sternal fractures over a 10-year period at a regional trauma center, highlighting the lack of previous reports on this topic.* -
- Out of 266 patients with sternal fractures, 98 underwent surgical treatment due to severe complications, while 162 were managed conservatively, with both groups showing similar lengths of hospital stays.* -
- The study concludes that surgical interventions for sternal fractures resulted in successful outcomes with minimal complications, emphasizing the importance of factors like flail motion and rib fracture in deciding the treatment approach.*
Surgical treatment for congenital vertebral anomalies with bilateral bifid intrathoracic rib in association: A series of five cases.
J Child Orthop
June 2024
Department of Orthopaedics, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, P.R. China.
Background: Congenital scoliosis is often associated with costal deformities, of which a bilateral bifid intrathoracic rib is very rare. The aim of this study was to retrospectively summarize the clinical manifestations, imaging characteristics, treatment strategies, and postoperative outcomes of five patients with bilateral bifid intrathoracic rib.
Methods: We retrospectively reviewed the imaging findings and medical records of five pediatric patients (two girls, three boys) with bilateral bifid intrathoracic rib who were surgically treated for congenital kyphoscoliosis (mean age = 8 years).
[Video-assisted Thoracoscopic Surgery for Chest Trauma].
Kyobu Geka
April 2024
Department of Thoracic Surgery, Nakagami Hospital, Okinawa, Japan.
Article Synopsis
- Video-assisted thoracoscopic surgery (VATS) is commonly utilized in emergency situations to assess and treat chest injuries, particularly in stable patients with chest trauma.
- From October 2009 to July 2023, 33 chest trauma surgeries were performed, with injuries primarily resulting from traffic accidents and falls, but also other causes like machinery accidents and penetrating trauma.
- Surgical techniques involved treating rib fractures and lung injuries, with strategies emphasizing the importance of thoracoscopic observation for injury assessment and a targeted thoracotomy repair method.
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