Anterior Hip Dislocation: Characterization of a Rare Injury and Predictors of Functional Outcome.

Background: Anterior native hip dislocation remains poorly studied due to the rarity of the injury. The aim of this study was to describe injury characteristics of anterior hip dislocation, detail its initial treatment, and determine the intermediate term outcomes including the rate of conversion to total hip arthroplasty (THA).

Methods: A cross-sectional study was performed at a single urban academic Level 1 trauma center for patients who sustained traumatic anterior hip dislocations from 2010-2017.

Displacement of diaphyseal clavicle fractures related to patient position and progressive displacement in the peri-injury period.

Background: The purposes of this study were (1) to determine how supine versus upright patient position affects the measurement of diaphyseal clavicle fracture displacement, (2) to describe the incidence of progressive displacement in the peri-injury period, and (3) to investigate variables associated with the progressive displacement.

Methods: Between 2013 and 2015, patients aged 14 years or older presenting with a diaphyseal clavicle fracture within 7 days of injury were included (N = 50). A well-defined radiographic protocol was established.

Deep Brain Stimulation for Treatment-Refractory Depression.

Depression has a high lifetime prevalence and recurrence rate, with more than one-third of affected patients experiencing treatment-refractory depression. These individuals should benefit from additional treatment options such as deep brain stimulation (DBS), a research-grade intervention. DBS is being investigated for its efficacy in treatment-refractory cases.

Injuries to the ankle syndesmosis.

➤ Despite being common, syndesmotic injuries are challenging to diagnose and treat.➤ Anatomic reduction of the ankle syndesmosis is critical for good clinical outcomes.➤ Intraoperative three-dimensional radiography and direct syndesmotic visualization can improve rates of anatomic reduction.

High-energy skeletal trauma in the elderly.

Despite the increasing prevalence of high-energy skeletal trauma in the elderly (i.e., sixty years or older), there is a lack of prospective data regarding best care for these injuries.

Pre- and postoperative function after scapula malunion reconstruction: a novel kinematic technique.

This report describes a novel kinematic analysis technique that was used to assess a floating shoulder malunion before and after corrective osteotomy. The patient underwent this analysis pre- and postoperatively using electromagnetic motion sensors and monitoring software. Pre- and postoperative motion curves were compared with normal subject data to determine if shoulder girdle movement was more or less similar to subjects without any shoulder pathology.

Anterior pelvic external fixator versus subcutaneous internal fixator in the treatment of anterior ring pelvic fractures.

Objectives: To compare the short-term results of anterior pelvic external fixation (APEF) versus anterior pelvic internal fixation (APIF) applied subcutaneously in the context of surgical treatment of pelvic ring injuries.

Design: A single center retrospective chart review.

Setting: A level 1 trauma center.

Radiographic follow-up of 84 operatively treated scapula neck and body fractures.

Background: Certain scapula fractures may warrant surgical management to restore shoulder anatomy and promote optimal function. The purpose of this study is to determine the early radiographic follow-up of open reduction internal fixation (ORIF) for displaced, scapular fractures involving the glenoid neck and body.

Methods: Eighty-four patients with a scapula body or neck fracture (with or without articular involvement) underwent ORIF between 2002 and 2010 at a single level I trauma centre.

Surgical technique: a minimally invasive approach to scapula neck and body fractures.

Background: The approach of choice for open reduction internal fixation of displaced fractures involving the scapula neck or body is from posterior. We describe a new approach that minimizes the surgical insult to the soft tissues but preserves the ability to restore alignment and stability to the fracture.

Description Of Technique: Based on the fracture pattern, incisions are made along the anatomic bony perimeter to access the scapula borders for reduction and fixation.

Extra-articular malunions of the scapula: a comparison of functional outcome before and after reconstruction.

Objective: To assess surgical and functional results after corrective reconstruction of malunited, scapula neck or body fractures in patients who presented with chronic pain, limited range of motion, weakness, and gross deformity of the shoulder.

Design: Case series.

Setting: Level I teaching trauma center.

Operative treatment of chest wall injuries: indications, technique, and outcomes.

Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion. Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonunion, thoracotomy for other indications, and open fractures. Operative indications for chest wall injuries are rare.

A calibrated paper clip is a reliable measure of two-point discrimination.

Objectives: The primary objective of this study was to compare two different instruments for assessing digital nerve function; a secondary aim was to determine interobserver agreement among emergency physicians by using static two-point testing of digital nerve function.

Methods: This was a prospective, blinded, observational study of static two-point discrimination involving healthy volunteers aged 18-59 years. The authors compared two instruments (paper clip set or Disk-Criminator) to assess two-point discrimination of the index and long fingers of the dominant hand.