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The versatility of the Supinator to Posterior Interosseus Nerve (SPIN) transfer: Indications and outcomes, a Case Series.
Plast Reconstr Surg
December 2024
The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UK.
Background: Transfer of the supinator motor branches to the posterior interosseous nerve (SPIN) was first described as a reliable method of restoration of digit extension in cases of paralysis when there is retained function in the 5th and 6th cervical nerve roots with loss of function in the 8th cervical nerve root.
Methods: We performed a retrospective review of all the SPIN transfers that were performed in our unit which included 16 limbs in 14 patients over a 6-year period. The median age was 49 years (range 22-74).
Repair of Acute Grade-3 Combined Posterolateral Corner Avulsion Injuries Using a Transosseous Krackow Suture Pull-Through Technique.
JBJS Essent Surg Tech
December 2024
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Background: For complete disruption of the posterolateral corner (PLC) structures, operative treatment is most commonly advocated, as nonoperative treatment has higher rates of persistent lateral laxity and posttraumatic arthritis. Some studies have shown that acute direct repair results in revision rates upwards of 37% to 40% compared with 6% to 9% for initial reconstruction. In a recent study assessing the outcomes of acute repair of PLC avulsion injuries with 2 to 7 years of follow-up, patients with adequate tissue were shown to have a much lower failure rate than previously documented.
View Article and Find Full Text PDFOccipital condyle fractures revisited.
Emerg Radiol
December 2024
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, 600 N. Wolfe Street, Phipps B100, Baltimore, MD, 21287, USA.
Purpose: Occipital condyle fractures (OCFs) are classified by the Anderson and Montesano system into Type I (comminuted, minimally displaced), Type II (stable, associated with basilar skull fractures), and Type III (unstable avulsion fractures). We retrospectively analyzed 24,986 cervical spine CT examinations of emergency department patients over five years to determine the incidence and characteristics of OCFs, mechanism of injury, and associated intracranial and cervical spine injuries.
Methods And Materials: The study was IRB-approved and HIPAA compliant.
Dog bites or knife wounds? A case report of atypical neck injuries.
Forensic Sci Med Pathol
November 2024
Institute of Legal medicine, CHRU TOURS, Trousseau Hospital, Avenue de la république, 37170, Chambray-lès-Tours, France.
Article Synopsis
- A 24-year-old woman suffered fatal injuries from a dog attack, resulting in 21 deep neck wounds and damage to vital structures such as carotid arteries and the larynx.
- Initial forensic findings suggested homicide due to the nature of the injuries, leading to the arrest of a witness.
- A second expert review concluded that the injuries were consistent with dog bites rather than homicide, attributing the cause of death to cerebral anoxia from vascular damage and asphyxia related to the injuries.
Internal jugular vein injuries caused by blunt trauma are rare. Here, we describe the case of a severe internal jugular vein injury high in neck zone II and immediately lateral to the hypoglossal nerve, making surgical management extremely challenging. A Foley balloon inserted into the cranial end of the internal jugular vein allowed for effective hemorrhage control while the vein could be suture ligated.
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