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Case Report of a Traumatic Arthrotomy of the Knee Diagnosed by Ultrasound.
Wilderness Environ Med
January 2025
Department of Emergency Medicine, Denver Health Hospital, Denver, CO.
In this case report we describe evaluating a patient for a traumatic knee arthrotomy using ultrasound in a resource-limited medical clinic at the base of a ski area. A 23-y-old female presented with a laceration superior to the patella of the left leg. On examination, the wound tracked deep, and providers had concern for traumatic arthrotomy.
View Article and Find Full Text PDFA Retrospective Study of Lateral Antebrachial Cutaneous Nerve Neuropathy: Electrodiagnostic Findings and Etiologies in 49 Cases.
Neurol Int
October 2024
Norton Neuroscience Institute, Norton Healthcare, Louisville, KY 40202, USA.
Background: The lateral antebrachial cutaneous nerve (LACN) is the terminal sensory branch of the musculocutaneous nerve and is rarely entrapped or injured. This study describes the electrodiagnostic (EDX) findings and etiologies of LACN neuropathy.
Methods: This is a review of 49 patients with pain and/or paresthesia of the forearm who underwent EDX studies.
Extensor Tendon Repair.
JBJS Essent Surg Tech
October 2024
Columbia University Medical Center, New York, NY.
Article Synopsis
- Extensor tendon injuries are common and are categorized into 9 zones; diagnosis typically involves examining the affected digit for loss of active extension.
- Repair methods vary by injury zone, with "figure of 8" sutures for zone-I and II injuries and core sutures supplemented by running sutures for zones III to VII.
- Alternative treatments exist, including nonoperative options for partial tendon injuries, and various surgical techniques have shown promising long-term outcomes when performed promptly.
Evaluating the Effectiveness of Commercially Available Antiadhesion Tendon Protector Sheets in Tendon Repair Surgery Versus Tendon Repair Surgery Alone: A Preclinical Model Study.
J Hand Surg Am
September 2024
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN. Electronic address:
Purpose: Adhesion formation is the major complication after tendon repairs that halts functional restoration and causes disability in patients. This study aimed to compare the antiadhesion efficacy of two tendon protector sheets using a previously established turkey flexor tendon model.
Methods: Twenty-four adult Bourbon Red turkeys were randomized into three groups: (1) control, (2) type I collagen-glycosaminoglycan (Collagen-GAG), and (3) hyaluronic acid.
Microsurgical Techniques for Digital Nerve Injuries and Vascular Injuries.
JBJS Essent Surg Tech
September 2024
Orthopaedic Surgery Department, Brooke Army Medical Center, Joint Base San Antonio, San Antonio, Texas.
Article Synopsis
- Tension-free end-to-end digital nerve repair is a surgical method used to treat lacerated nerves, aiming to restore sensation while minimizing the risk of painful neuromas, particularly in cases of multiple or border digit injuries.
- Various techniques for primary nerve repair include sutures, biologic or synthetic wraps, and nerve "glues," which help secure the nerve ends and improve healing outcomes.
- In cases where nerve gaps exist, using nerve allografts or autografts is preferred over conduits, and vascular injuries may often be treated simultaneously to preserve digit function without needing repair in all cases due to collateral blood flow.
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