A child sustained an ipsilateral supracondylar humerus (SCH) and distal both-bone forearm fractures bilaterally, in addition to facial injuries, following a fall from height. He was managed surgically by closed reduction and pinning for both SCH and distal end radius fractures bilaterally. At the final follow-up, all the fractures had united uneventfully, and he had no functional limitations or cosmetic concerns. We conclude that a floating elbow in the paediatric population is an uncommon injury, and the bilateral scenario is even rarer. One should be vigilant for compartment syndrome; early surgical fixation may give better results.
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http://dx.doi.org/10.1136/bcr-2023-258311 | DOI Listing |
Lang Speech Hear Serv Sch
March 2025
Utah State University, Logan.
Purpose: This study investigated the effect of an expository strategy intervention called on strategy use and oral reporting of informational texts for students with language-learning disabilities (LLD).
Method: Four adolescents with LLD participated in a single-case multiple-baseline-across-participants treatment experiment. Ten individual treatment sessions involved shared reading of an informational article, identifying important or interesting ideas to remember, making pictographic or bulleted notes paired with oral sentence formulation and rehearsal, and orally rehearsing the final full report.
J Sex Med
February 2025
Vancouver Prostate Centre, M.H. Mohseni Institute of Urologic Sciences, Vancouver, V6H 3ZB BC, Canada.
Background: Peyronie's disease curvature assessment is a critical step for patient assessment; however, tools for objective, unbiased, and reproducible quantification are currently limited.
Aim: To develop an automated computational tool to identify the penis from a 2D image and to accurately and reproducibly measure the degree of angulation.
Methods: We developed PenoMeter using instance segmentation to identify penile anatomical components, key point detection to identify shaft corners, geometric calculations to locate and measure the angulation of the point of maximal curvature.
J Surg Educ
January 2025
University of Minnesota Department of Orthopedic Surgery, Minneapolis, Minnesota; Gillette Children's Specialty Healthcare, Saint Paul, Minnesota; Children's Hospitals and Clinics of Minnesota, Saint Paul, Minnesota.
Objective: We sought to compare operative times and complications for attending surgeons operating alone or with an assistant including an orthopedic resident, fellow, or physician assistant (PA) for closed reduction and percutaneous pinning (CRPP) of pediatric supracondylar humerus fractures (SCH), an archetypal procedure integral to the education of orthopedic trainees.
Design: Using a retrospective database collected following institutional review board approval, a 1-way ANOVA (non-parametric) was used to assess the effect of assistant absence or presence by type of assistant on mean operative time. We analyzed the association between the attending surgeon assistant categories and the complication rate using Fisher's Exact Test.
JB JS Open Access
August 2024
Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Background: Supracondylar humerus (SCH) fractures are some of the most common fractures in pediatric patients with surgery typically consisting of either open or closed reduction with internal fixation. The aim of this meta-analysis was to identify patient, injury, and administrative factors that are associated with treating pediatric SCH fractures with open techniques.
Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, PubMed and CINAHL database searches were conducted for studies from 2010 to 2023 that made direct comparisons between open reduction and internal fixation (ORIF) and closed reduction and percutaneous pinning (CRPP) for treating SCH fractures in the pediatric population.
Supracondylar humerus (SCH) fractures represent the most frequent elbow injury in young children. These fractures can be treated through either closed reduction with percutaneous pinning (CRPP) or open reduction with internal fixation (ORIF). Yet, the optimal treatment option for adolescents remains unclear.
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