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Osteoporotic os calcis fractures
Published in Peter V. Giannoudis, Thomas A. Einhorn, Surgical and Medical Treatment of Osteoporosis, 2020
Angus Jennings, Richard Buckley
DIACFs require a computed tomography (CT) scan to fully appreciate the three-dimensional fracture pattern, to prognosticate, and to plan treatment and the surgical approach. Avulsion fractures are typically well visualized on plain film imaging and do not usually require advanced imaging. Insufficiency fractures can be hard to diagnose, require a high index of suspicion, and will usually require magnetic resonance imaging or nuclear medicine imaging to confirm.
Multiple choice questions (MCQs)
Published in Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon, Radiology for Undergraduate Finals and Foundation Years, 2018
Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon
An avulsion fracture occurs when a tendon or ligament pulls off a piece of the bone. If the skin surface is broken the fracture is described as compound or open; if three or more fragments are present the fracture is described as comminuted. Delayed union describes fracture fragments failing to unite within the normal expected interval (age related and bone specific). Non-union describes failure of fracture union when the process of healing has completely stopped. Pseudoarthrosis describes a non-union in which a ‘false joint’ forms between the bone fragments; fibrous tissue covers the bone ends and a surrounding bursal sac forms.
Answers
Published in Thomas Hester, Iain MacGarrow, Surgical SBAs for Finals with Explanatory Answers, 2018
Osgood-Schlatter occurs in the 10–16 age group, presenting as recurrent pain over the tibial tuberosity. The condition is thought to be due to multiple subacute avulsion fractures. This usually resolves once the epiphyseal growth plates have fused. Treatment should be conservative and initially restricted to analgesia.
Anterior Iliac Spine Avulsion Fracture Treatment Options in Young Athletes
Published in Journal of Investigative Surgery, 2020
Iñigo Anduaga,, Roberto Seijas,, Albert Pérez-Bellmunt, Oriol Casasayas,, Pedro Alvarez,
AIS avulsion fractures are an important therapeutic challenge as they occur at a very young age, with an increasing incidence and with very few published evidence on this type of injury and its treatment. The aim of this study was to consider the different treatment options that are currently indicated for this pathology, to analyze their risks and benefits and to summarize the results obtained. Other variables considered, as it is very important to consider them in terms of therapeutic decision making, were the age and gender of the patients, location of the injury and sports in which they occurred.
Iliac crest avulsion fracture and staged return to play: a case report in youth soccer
Published in Science and Medicine in Football, 2019
Olivier Materne, Al Haddad Hani, Robertson Duncan
This uncommon case of iliac crest avulsion fracture was treated successfully by a conservative rehabilitation programme. To the best knowledge of the authors, this is the first case in youth soccer in which stepwise rehabilitation, and return to play, has been clearly described. The player recovered fully without persistent symptoms, and was progressively re-introduced into the team training from week 9. Full return to international match performance level was achieved at week 14.
Elbow dislocation with lateral condyle and coronoid fractures
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Yousef Fallah, Behnam Baghianimoghadam, Seyed-Aref Daneshi
Few studies have recently reported the association of lateral epicondyle fracture with LCL rupture in their patient reports. In 2008, Aksu et al. identified eight patients with elbow dislocations and coronoid fractures; one patient in this study had a lateral epicondylar fracture. At the radiography of this patient, LCL avulsion fracture is evident, but the fracture has not reached the radiocapitellar joint and is a small fragment [5].