Medicine and Health Sciences Commons^™

Popliteus Interposition In Metaphyseal Tibial Fractures: The Radiographic Clues That Cannot Be Missed, Lucca Gontijo Giarola, Paulo De Tarso Cardoso Gomes, Robinson Esteves Dos Santos Pires, Guilherme Moreira Abreu E Silva, Marco Antônio Percope De Andrade, Túlio Vinícius De Oliveira Campos

Western Journal of Orthopaedics

High-energy proximal tibia fractures present significant challenges for orthopaedic surgeons, with well-recognized risks including malreduction and nonunion. Although double plating through two mini-open parallel incisions is an established technique for selected patients, nonuion can still occur. One potential contributing factor is entrapment of the popliteus muscle within the distal spike of the posteromedial plateau fragment. This report uses illustrative cases to demonstrate how to identify, address, and prevent this complication. Strategies for managing delayed cases that progress to nonunion are also discussed

Development And Evaluation Of A Modular 3-D Printed Adapter For Hands-Free Tissue Retraction, Fady E. Attia, Vijay A. Chhabra, Vaibhav Tadepalli,, Joseph Attia, Michael M. Hadeed

Stony Brook Orthopaedic and Musculoskeletal Journal

Fracture fixation procedures typically require precise retraction of soft tissues in order to provide adequate exposure of bone fragments for reduction and fixation. Such procedures require the use of multiple surgical assistants to maintain proper tissue retraction. This manual retraction using traditional instruments, such as Hohmann and Weitlaner retractors, can lead to inefficiencies and poor labor allocation within the operating room (OR). The purpose therefore is to develop and evaluate a three dimensional (3D)-printed Nylon PA12 adapter designed to dock Hohmann retractors onto Weitlaner retractors, enabling hands-free retraction during fracture fixation procedures and potentially improving labor allocation in the OR. …

Association Of Perioperative Steroid Use With Recovery Rate And Postoperative Infection Risk In Spinal Cord Injury, Nathan Zou, Athikur Rahman, Brian Lynch

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: The purpose of this study is to compare recovery and infection outcomes between teenagers and adults who undergo surgery for traumatic spine injuries and the effect of steroid administration. Steroids are often used in traumatic spine injuries to help recovery, however there is a concern that steroid use could increase the risk of infection due to the suppression of the immune system. We examined the impact of postoperative steroid use on recovery rates and infection rates in both age groups.

Methods: A retrospective cohort study was conducted using the TriNetX Research Network, which includes data from over 100 healthcare …

Benign Painful Soft Tissue Tumors Of The Digits: A Contemporary Review, Nethmi Withanage, Athikur Rahman, Lawrence Hurst, Samantha Muhlrad

Stony Brook Orthopaedic and Musculoskeletal Journal

Purpose: Benign painful tumors of the digit are commonly encountered in hand surgery yet frequently pose diagnostic challenges due to overlapping clinical presentations. This review synthesizes current evidence on eight benign soft tissue tumors and cystic lesions that commonly cause digital pain: glomus tumor, giant cell tumor of the tendon sheath (GCTTS), digital mucous cyst, digital ganglion cyst, epidermoid inclusion cyst, pyogenic granuloma, nerve sheath tumors, and angioleiomyoma.

Methods: A comprehensive review of PubMed/MEDLINE was performed, supplemented by hand surgery textbooks and online educational resources. Case series, retrospective cohort studies, and review articles were included.

Results: Each tumor exhibits a …

If I Only Had The Words (To Tell You): Billy Joel Lyrics In Legal And Medical Scholarship, Seuli Bose Brill, Christian H. Brill

Touro Law Review

Law and medicine are often considered to be among the least accessible professions, partly because of the heavy use of non colloquial jargon. This article examines more than 150 instances in which Billy Joel’s lyrics have been used to improve the accessibility of legal and medical scholarship. Legal and medical professionals have used the words of the “Piano Man” to discuss a variety of topics—everything from civil procedure to property rights and the COVID-19 pandemic to colorectal surgery. Nontraditional communications techniques of this type do not just contribute to the body of legal and medical scholarship; they also help professionals …

ผลของโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงต่อความพึงพอใจของผู้ดูแล หอผู้ป่วยเด็ก โรงพยาบาลศิครินทร์ กรุงเทพมหานคร, ธัญญพัทธ์ นิธิชัยพัฒนากิจ, วณัฐธมนต์ เจริญสิงห์, นันทนา ยะแสง, กัญญดา ประจุศิลป, นรลักขณ์ เอื้อกิจ

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์ : เพื่อศึกษาผลของโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงต่อความพึงพอใจของผู้ดูแล หอผู้ป่วยเด็ก โรงพยาบาลศิครินทร์ กรุงเทพมหานคร

แบบแผนงานวิจัย : การวิจัยแบบกึ่งทดลอง แบบศึกษาสองกลุ่มวัดครั้งเดียว

วิธีดำเนินการวิจัย : กลุ่มตัวอย่างเป็นผู้ดูแลอายุ 20 ปีขึ้นไป ที่รับผิดชอบดูแลผู้ป่วยเด็กที่มีอาการสำคัญในการมาโรงพยาบาลด้วยมีไข้สูง อุณหภูมิกายมากกว่า 38.5 องศาเซลเซียส ซึ่งเป็นอุณหภูมิแรกรับที่รับผู้ป่วยเข้ารับการรักษาตัวในหอผู้ป่วยเด็ก แบ่งเป็นกลุ่มทดลอง และกลุ่มควบคุม กลุ่มละ 24 คน กลุ่มทดลองได้รับโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงตามแนวคิดการมีส่วนร่วมของผู้ดูแลร่วมกับการทบทวนวรรณกรรม กลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือที่ใช้ในการวิจัย ได้แก่ แบบสอบถามข้อมูลทั่วไปของผู้ดูแลและของเด็กที่มีไข้สูง แบบสอบถามความพึงพอใจของผู้ดูแลต่อการพยาบาลเด็กที่มีไข้สูง โดยผ่านการตรวจสอบความตรงเชิงเนื้อหาจากผู้ทรงคุณวุฒิ 3 คน มีค่าดัชนีความตรงตามเนื้อหาเท่ากับ 1 วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา และสถิติทดสอบที

ผลการวิจัย : ค่าเฉลี่ยความพึงพอใจของผู้ดูแลระหว่างกลุ่มที่ได้รับโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูง สูงกว่ากลุ่มที่ได้รับการพยาบาลตามปกติอย่างมีนัยสำคัญทางสถิติที่ระดับ 0.05 (t = 5.182)

สรุป : โปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูง ส่งผลให้ผู้ดูแลเด็กที่มีไข้สูงเกิดความพึงพอใจสูงขึ้น ผู้บริหารการพยาบาล ควรนำโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงนี้ไปอบรมพยาบาลเด็ก เพื่อนำไปสอนญาติหรือผู้ดูแลเด็กที่มีไข้สูงได้อย่างมีประสิทธิภาพ

ผลของโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผนต่อความสะอาดของลำไส้ใหญ่และความพึงพอใจการบริการพยาบาลของผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรก, วัชรพันธ์ สุขอุบล, รุ่งรัตติกาล รุ่งเรือง, กัญญดา ประจุศิลป, ศกุนตลา อนุเรือง

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบความสะอาดของลำไส้ใหญ่ และความพึงพอใจการบริการพยาบาล ผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรกก่อน-หลังเข้าร่วมโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน

รูปแบบการวิจัย: การวิจัยแบบกึ่งทดลอง (Quasi-experimental research design) แบบ 2 กลุ่ม

วิธีการดำเนินการวิจัย: การวิจัยนี้เก็บข้อมูลในระหว่างวันที่ 1 กุมภาพันธ์ ถึง 30 เมษายน 2567  ในผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรก ณ หอผู้ป่วยนอก แผนกโรคทางเดินอาหารและตับ โรงพยาบาลเอกชน ที่อายุตั้งแต่ 20 ปีขึ้นไป ทั้งเพศชายและเพศหญิง จำนวน 50 คน แบ่งเป็นกลุ่มทดลองและกลุ่มควบคุม กลุ่มละ 25 คน โดยจับคู่กลุ่มตัวอย่างให้มีคุณสมบัติใกล้เคียงกันด้วย อายุและโรค กลุ่มทดลองได้รับโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน ส่วนกลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือที่ใช้ในการเก็บรวบรวมข้อมูล 3 ชุด ได้แก่ 1) ข้อมูลทั่วไปส่วนบุคคล 2) แบบประเมินสะอาดของลำไส้ 3) แบบประเมินความพึงพอใจบริการพยาบาลของผู้ป่วยนอก สัมประสิทธิ์แอลฟาของครอนบาคได้ 0.8 วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนา และ Mann Whitney U test โดยกำหนดระดับนัยสำคัญทางสถิติที่ .05

ผลการวิจัย: หลังสิ้นสุดโปรแกรม กลุ่มทดลองมีความสะอาดของลำไส้ใหญ่ดีกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 และค่าเฉลี่ยคะแนนความพึงพอใจการบริการพยาบาลดีกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05

สรุป: โปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน ตามแนวคิดทฤษฎีการจัดการตนเอง Creer (2000) ทำให้ผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรกมีความรู้ และสามารถในการจัดการตนเองได้  เพื่อความสะอาดของลำไส้ใหญ่และความพึงพอใจการบริการพยาบาลได้

Effectiveness Of Interferential Stimulation And Anorectal Neuromuscular Electrical Stimulation On Secondary Encopresis In Children: A Comparative Randomized Controlled Clinical Trial, Seham M. Abd El-Moghny, Mohamed I. Elsepaee, Abdelaty Alghonimy, Rabab S. Mohamed

Journal of Medicine in Scientific Research

Background Encopresis, fecal soiling is often secondary to functional constipation and retention. It is significantly impact a child's psychological health as it can result in feelings of shame, social isolation, and low self-esteem and negatively affect their quality of life and their families. Objective To evaluate and compare the efficacy and safety of interferential stimulation (IF) applied on sigmoid colon and anorectal neuromuscular electrical stimulation (NMES), in combination with behavioral therapy and pelvic floor muscle training (PFMT), in improving continence outcomes in children with secondary encopresis refractory to laxatives. Methods In this comparative randomized controlled clinical trial, 30 children (5–10 …

Prospective Validation And Comparison Of Laboratory Risk Indicator For Necrotizing Fasciitis (Lrinec) And Site Other Than Lower Limb, Immunosuppression, Age, Renal Impairment, And Inflammatory Markers (Siari) Scoring Systems For Necrotizing Fasciitis In Critically Ill Patients., Talal Ibrahim Mostafa Hagag, Shimaa Mohamed Kalama

Journal of Medicine in Scientific Research

Background Necrotizing soft tissue infections (NSTIs) are rapidly progressive infections that are dangerous to life, with high morbidity and mortality. Prompt surgical and medical management is necessary and stands mostly on precise identification as well as risk stratification. In order to enhance diagnostic as well as prognostic accuracy, prognostic scoring systems like the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) as well as the most recent Site, Immunosuppression, Age, Renal impairment, and inflammatory markers (SIARI) score, were introduced. Methods A prospective observational cohort study was carried out during June-August 2024 in Shebin Elkom Teaching Hospital among 60 patients who had …

Albuminuria Screening Among Egyptian Patients With Cardiovascular Diseases, Regardless Of Their Diabetic Condition, Amira Fawzy Soliman, Khaled Shelbaya, Wael Abdelatief Mohamed Elhakeem, Osama Louis, Basheer Hafez, Wael Ali, Tarek M.Abdelaziz Elkholy, Baher Emil Ibrahim, Mahmoud M Abdou, Bassem Zarif

Journal of Medicine in Scientific Research

Even in the absence of overt kidney disease, albuminuria is increasingly recognized as a marker of systemic endothelial dysfunction and heightened cardiovascular risk. This prospective cohort study aimed to evaluate whether baseline urinary albumin-tocreatinine ratio (UACR) predicts subsequent incident cardiovascular outcomes among Egyptian adults with cardiovascular disease, regardless of diabetic status.

Thyroid Function Abnormalities Among Reproductive-Aged Women With Menstrual Irregularities In A Tertiary Teaching Hospital, Ahmed Alsayed Kassab, Amira Yones Mohamed

Journal of Medicine in Scientific Research

Background and Objective:Menstrual irregularities are a common gynecological complaint, often linked to thyroid dysfunction, which disrupts the hypothalamic–pituitary–ovarian axis. This study sought to assess prevalence of thyroid dysfunction among reproductive-aged women with menstrual irregularities and to evaluate the specific clinical and hormonal correlations between different menstrual patterns and Thyroid Status. Methods:A cross-sectional study was conducted on 120 women presenting with menstrual irregularities. Participants were classified as Euthyroid, Subclinical Hypothyroid, Overt Hypothyroid, or Hyperthyroid. Descriptive statistics summarized baseline data (e.g., mean Age = 29.63 plus or minus 7.97 years). The association between Menstrual Irregularity Type and Thyroid Status was assessed using …

What Is The Association Between Iron Deficiency Anemia And The Frequency Or Severity Of Febrile Seizures In Children Under The Age Of 5?, Rehab Fawzy Abdel Mohsen Soliman, Samar Mahmoud Ahmed, Yasmen Ahmed Said, Shaimaa Mohamed Hassan, Dalia Hassanin Hussin, Dina Gaber Soliman, Zeinab Abdalla Ali, Eman Farouk Osman

Journal of Medicine in Scientific Research

Background and Aim Febrile seizures (FS) are a common type of convulsion in young children and are frequently associated with fever in the absence of a central nervous system infection. This study aims to investigate the relationship between iron deficiency and febrile seizures, focusing on their occurrence, severity, and recurrence in children aged 6 months to 5 years. Methodology This study employed a case-control design and was conducted at El Sahel Teaching Hospital in Cairo, Egypt, over 12 months. The study sample consisted of 160 children, 80 of whom had febrile seizures and another 80 who were age- and sex-matched …

A Comparison Of Haemodialysis And Renal Transplantation On Male Sexual Function And Hormonal Abnormalities, Hala Ibrahim Mohamed, Ahmad Mohamad Abbas Elseasi

Journal of Medicine in Scientific Research

Background Sexual dysfunction and hormonal imbalance are common in males with end-stage renal disease (ESRD), particularly among those on chronic hemodialysis. Kidney transplantation may restore endocrine homeostasis and improve sexual function. This study aimed to compare the effects of hemodialysis and renal transplantation on male sexual function and related hormonal profiles. Methods This cross-sectional study was conducted on 40 married men (≥18 years) with ESRD at National Institute of Urology and Nephrology from October 2024 to October 2025. Participants were divided into two groups: Group I (hemodialysis) and Group II (renal transplantation). Clinical evaluation, laboratory tests, and hormonal assays (Folliclestimulating …

Transcortical Approach For Central Neurocytoma: Efficacy, Safety, And Functional Outcome, Eslam Abozied Kandil

Journal of Medicine in Scientific Research

Background Central neurocytoma (CN) is a rare intraventricular neuronal tumor that predominantly affects young adults and is frequently associated with obstructive hydrocephalus. Surgical resection remains the cornerstone of treatment, yet the optimal surgical corridor and predictors of long-term outcome remain debated. Objective To evaluate the efficacy, safety, functional outcomes, and oncological control of transcortical microsurgical resection for central neurocytoma at a single neurosurgical center. Methods A retrospective review was conducted of all patients undergoing transcortical resection of central neurocytoma between 2017 and 2025. Clinical presentation, radiological characteristics, surgical approach, extent of resection, cerebrospinal fluid (CSF) diversion, postoperative complications, functional outcomes, …

The Impact And Prevalence Of Pain In Adolescents And Children Living With Type-One Diabetes Mellitus, Randa Mohamed Darwish, Ayat Ibrahim Ghanem, Lamis Safwat Mubarak

Journal of Medicine in Scientific Research

Background: Pain is frequent but often underrated and even overlooked in adolescents and children living with type-one diabetes mellitus and can negatively impact their quality of life(QoL) and their cooperation within the management plan. Objective: To discern the common types , severity and prevalence of pain in pediatrics living with type-one-diabetes;compared to the group of diabetes-free control, and to probe associations with glycemic control, fatigue, and (QoL). Methods: This cross-sectional study incorporated 102 adolescents and children withtype -one- diabetesmellitus; and 99 age- and sex-matched healthy peers aged 8- 16 years. Pain intensity was evaluated using the (body-pain) domain in the …

Atrial Fibrillation After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting Surgery, Ahmed Abdalla Mohamed, Ahmed M Elshemy, Sherif M Elboghdady, Wael S Nekhila, Azza A Katta

Journal of Medicine in Scientific Research

Background Among postoperative arrhythmic complications, atrial fibrillation (AF) exhibits the greatest prevalence after coronary artery bypass grafting (CABG). This study investigates the comparative prevalence of AF between on-pump and off-pump techniques. Aim To compare the POAF (post-operative atrial fibrillation) incidence between off-pump and on-pump CABG Methods A randomized (simple) cohort study prospectively investigated the influence of surgical practice in CABG, contrasting off-pump (OPCAB) and on-pump (ONCAB) methods, on the early postoperative occurrence of atrial fibrillation (POAF), defined as within the first 24 hours post-surgery. In a cohort of 128 consecutive patients (95 off-pump, 33 on-pump), the study compared groups based …

Evaluation Of Left Cardiac Chamber And Cardiac Size With Non Ecg Gated Ct In Cancer Patients And Its Role In Determining Cardiomyopathy, Manal Mohamed Refaat Beshir, Samia Yehia Heikal, Shaimaa Abdalaleem Abdalgeleel, Dalia Ibraheem El Saied, Sarah Mamdouh Osman

Journal of Medicine in Scientific Research

Background: A number of cardiovascular processes have been linked to cardiac chamber and cardiac size increase as a significant biomarker for predicting morbidity and death. There is no standardized technique for assessing and reporting cardiac chamber and cardiac size, despite the fact that non-electrocardiographically (ECG) gated multidetector CT is a frequently utilized cross-sectional imaging modality to assess numerous cardiothoracic diseases . Patients and Methods :Our study encompassed 106 patients. All patients were diagnosed with primary cancer and underwent computed tomography (CT) for either initial evaluation or subsequent monitoring. Cardiac measurements were obtained in CT and compared to Echocardiographic results done …

Association Of Arterial Partial Oxygen Pressure With Mortality In Critically Ill Patients With Sepsis: An Observational Prospective Cohort Study, Talal Ibrahim Mostafa Hagag, Salwa M.A. Dahesh

Journal of Medicine in Scientific Research

Background Up till now, the best oxygenation plan in sepsis is a moot point. Although both hypoxemia and hyperoxemia have been linked to negative outcomes, it is unclear whether the arterial oxygen tension (PaO₂) contributes to mortality on its own. The present study aimed to study the association between the arterial partial oxygen pressure and the mortality among critically ill patients with sepsis. Methods A prospective observational study was carried out, including 120 critically ill patients with sepsis. The patients were classified according to arterial partial oxygen pressure into two groups: the PaO₂ >80 mmHg group, which included 61 patients, …

Applicability Of The Cleveland Clinic Scoring Tool For The Risk Prediction Of Acute Kidney Injury After Adult Cardiac Surgery., Ahmed A Faragalla, Ahmed M Elshiemy, Wael S Nekhila, Sherif M Elboghdady

Journal of Medicine in Scientific Research

Background Post-cardiac surgery acute kidney injury (AKI) is a significant complication associated with increased mortality, longer ICU stays, and higher healthcare costs. The Cleveland Clinic Scoring Tool (CCST) aids preoperative risk evaluation, facilitating tailored prevention strategies. Aim This study evaluates the relevance of the CCST in prospectively assessing AKI risk in adult patients undergoing various cardiac surgeries. Methods This prospective cohort study (tertiary centre, Jan 2021-Aug 2023) assessed the CCST for preoperative AKI risk in adult open-heart surgery (OHS) patients. Consenting adults (≥18) undergoing elective/emergency OHS were included, excluding those with pre- AKI (KDIGO), dialysis-dependent ESRD, aortic dissection, shock, or …

The Postoperative Analgesic Effect Of Lumbar Erector Spinae Plane Block Versus Pericapsular Nerve Group Block In Patients Undergoing Hip Surgeries, Islam M. El-Desoky, Mohamed Elshafey, Amal Ismail Abdelrahman

Journal of Medicine in Scientific Research

Background: Hip surgery requires effective pain control for proper recovery and decreasing the length of hospital stay. Aims: We aimed to assess the analgesic effect of Erector spinae plane block (ESPB) and pericapsular nerve group (PENG) blocks in pain control after hip operations. Methods: This randomized clinical trial included 69 ASA I–II patients scheduled for hip surgery were randomly allocated into three groups: PENG block, ESPB, and control groups (23 each). The primary outcome was postoperative pain assessed via the Numeric Rating Scale (NRS) at rest and during movement. Secondary outcomes included intraoperative and 48-hour morphine consumption, time to first …

The Role Of Human Sarcosine Dehydrogenase And Endothelial Growth Factor In Early Diagnosis Of Cancer Prostate, Hala Ibrahim Mohamed, Amr Mohamed Mounier Elsofy

Journal of Medicine in Scientific Research

Background: As the second most common cancer in males, prostate cancer contributes significantly to cancer-related deaths. Prostate-specific antigen (PSA) test and digital rectal examinations are used to identify it, albeit PSA screenings frequently produce unreliable results. Initial symptoms may include sexual dysfunction and urinary problems. The standard diagnostic method is biopsies, which are carried out under the direction of ultrasound or magnetic resonance imaging (MRI). However, they are risky and can result in infections and erectile dysfunction, which emphasizes the need for better biomarkers. Sarcosine and vascular endothelial growth factor are important metabolites associated with the progression of prostate cancer, …

Role Of New-Onset Qt Prolongation In Ecg In Critically Ill Septic Patients As A Prognostic Tool: An Observational Prospective Cohort Icu Study, Talal Ibrahim Mostafa Hagag, Salwa M.A. Dahesh

Journal of Medicine in Scientific Research

Background QT interval prolongation is a common finding among critically ill patients and could be a marker of autonomic nervous dysregulation, instability of metabolism, and/or septic cardiomyopathy. Nevertheless, its prognostic role among septic ICU populations remains unclarified. The current aim of this study was to explore its potential role regarding short-term mortality. Methods In this cohort study, 119 septic adults were included in the study within 24 hours of ICU admission. Demographics, clinical variables, lab values, and QTc intervals were measured within 2 hours of ICU admission following exclusion for clinically significant electrolyte imbalances and use of QT-prolonging medications. QTc …

Front Matter, Arianna Medina

Western Journal of Orthopaedics

No abstract provided.

Back Matter, Arianna Medina

Western Journal of Orthopaedics

No abstract provided.

21st Century Perspective On The Changing Pattern Of Nerve Injuries From Gunshot Wounds In The U.S., Thomas A. Decoster

Western Journal of Orthopaedics

Gunshot wounds (GSWs) with nerve injuries in the 21st century differ significantly from those reported in the 20th century. The vast majority are now low-velocity civilian injuries, in contrast to high-velocity military injuries previously reported. The rate of nerve injury in civilian GSWs is approximately 5%, compared with the 30% reported in military cohorts. However, the most common pattern of nerve injury in the current civilian population is neurotmesis and partial neurotmesis, in contrast to the majority axonotmesis of the military cohorts. In the 20th century, treatment generally consisted of watchful waiting for signs of spontaneous recovery over three months …

Full Issue, Arianna Medina

Western Journal of Orthopaedics

No abstract provided.

Peripheral Nerve Repair And Reconstruction: Current Techniques, Adjuncts, And Emerging Therapies, Niklaus Skipp, Lana Dokic, Christina Wassef, Jazzlyn Gonzalez, Ana Love, Heather Mercer, Deana Mercer

Western Journal of Orthopaedics

Peripheral nerve injuries require reconstruction when direct, tension-free repair is not possible. A range of reconstructive strategies are used to restore continuity and promote axonal regeneration, including graft-based reconstruction, nerve transfers, conduit-based repair, supercharged end-to-side augmentation, and emerging regenerative therapies. Autologous interfascicular nerve grafts and vascularized grafts remain established techniques, whereas processed nerve allografts provide a donor-sparing alternative. Nerve transfers are increasingly used for proximal injuries with long regeneration distances, and conduits are an option for gaps shorter than 5 mm. Nerve-wrapping techniques are used to reduce perineural scarring and preserve gliding in complex or revision cases. Emerging adjunctive therapies, …

The Effect Of Institutional Reputation On Clerkship Grades, Jerry Speight Grimes

Western Journal of Orthopaedics

Background: Clinical rotation scores have been reported to predict resident performance. However, the reporting of clerkship grades varies widely across institutions. The authors explored the correlation of an institution’s reputation and the percentage of students receiving honors. Methods: During the review of applicants for orthopaedic residency, the percentage of students receiving the highest grade in the surgery and internal medicine clerkships was recorded for each institution. The authors then compared published institutional rankings with the proportion of students awarded honors in these clerkships. Results: One hundred nineteen institutions were reviewed. There was poor correlation between the institutional rankings by U.S. …

Analysis Of Patient Factors That Predict Early Restoration Of Neutral Dorsiflexion After Achilles Tendon Rupture, W. Chad Elliott, Alvin Ouseph, Alexander Abraham, Jerry Speight Grimes

Western Journal of Orthopaedics

Background: Achilles Tendon Rupture (ATR) is a common musculoskeletal injury with an increasing incidence in the United States. Early functional rehabilitation is a key component of improving patient outcomes, and restoration of range of motion is a common threshold for progression to strengthening. Neutral ankle dorsiflexion represents an important early milestone in ATR recovery. This study aimed to assess which patient factors were associated with achieving this early rehabilitation milestone. Methods: A retrospective review was performed on 70 patients who sustained ATR and were treated at an academic center. Demographics, baseline characteristics, and common ATR risk factors were collected. The …

Insertion Of An Internal Joint Stabilizer Through A Posterolateral Approach For The Management Of Complex Elbow Instability, Miguel A. Pirela-Cruz, Nikalus Skipp, Ana Love, Deana Mercer, Jazzlyn Gonzalez

Western Journal of Orthopaedics

Background: Complex elbow fracture-dislocations represent a substantial surgical challenge. Achieving adequate stability while permitting early postoperative motion is essential to prevent stiffness. The internal joint stabilizer (IJS) has emerged as an alternative to hinged external fixation, providing internal dynamic stabilization with improved patient tolerance and reduced risk of soft-tissue complications. Although the IJS is commonly inserted through a lateral approach, injuries involving multiple anatomical structures may necessitate broader exposure. Purpose: To describe the surgical technique for IJS insertion through a posterolateral approach (PLA) for complex elbow injuries involving multiple anatomical structures. Methods: The PLA provides extensile exposure to the posterior, …