The Experts below are selected from a list of 867 Experts worldwide ranked by ideXlab platform
Yoo Joon Sur - One of the best experts on this subject based on the ideXlab platform.
-
entrapment of the extensor pollicis longus tendon in a pediatric Smith Fracture a case report
Medicine, 2019Co-Authors: Yoon Min Lee, Yun Hwan Kim, Yuna Kim, Yoo Joon SurAbstract:Rationale Most pediatric distal radius Fractures are effectively treated nonoperatively; however, operative intervention is indicated in patients with open and highly unstable Fractures, in those with concomitant neurovascular injuries and in patients whom soft tissue interposition between Fracture fragments precludes anatomical reduction. Notably, soft tissue interposition between Fracture fragments is diagnostically challenging. Surgeons must be mindful of this rare complication for early detection and prompt treatment. Patient concerns A 14-year-old boy presented to the emergency department with left wrist pain after falling from a bicycle. Plain radiography and computed tomography revealed a displaced Smith Fracture, which was irreducible by closed reduction, necessitating open reduction and volar plate fixation. The patient reported inability to extend his thumb at his 6-week postoperative follow-up visit. Diagnosis Ultrasonography showed extensor pollicis longus (EPL) tendon entrapment near the Fracture site. Interventions A second operation was performed 10 weeks after the first surgery, and intraoperative exploration revealed EPL tendon entrapment. The EPL tendon was torn to shreds; therefore, extensor indicis proprius tendon transfer was performed for EPL tendon reconstruction. Outcomes The patient's thumb motion was completely restored after the second operation. Lessens EPL tendon entrapment in a pediatric Smith Fracture is rare. Signs of EPL tendon entrapment include inability to perform active thumb extension, dorsal wrist pain radiating along the course of the EPL tendon, which is exacerbated by thumb flexion, a tenodesis effect elicited on thumb examination, and difficulty in anatomical Fracture reduction. Surgical exploration of the EPL tendon is warranted in patients presenting with any of these signs following attempted reduction of a Smith Fracture.
Andrew Grey - One of the best experts on this subject based on the ideXlab platform.
-
Characteristics of 7 included meta-analyses and trials included or excluded in each meta-analysis.
2014Co-Authors: Mark J. Bolland, Andrew GreyAbstract:X = study not included in meta-analysis. Reasons for non-inclusion: NDA- eligible for inclusion but no patient-level data available; agent- did not compare vitamin D plus calcium with placebo; size- study smaller than inclusion criteria allowed; age- age outside inclusion criteria; uncertain- unknown reason for exclusion; duration- duration of study less than inclusion criteria allowed; design- design did not meet inclusion criteria; controls- untreated control group; date- after search date; IM- intramuscular administration.alimited or no Fracture data in primary publication, but data obtained from lead author and published in at least 1 meta-analysis. The Bolton-Smith Fracture trial data were not published in Avenell 2009 until after publication of the Bischoff-Ferrari 2009 meta-analysis.btrial does not appear to meet eligibility criteria for meta-analysis.Abbreviations: Secondary- included in secondary analyses only. Vit D: vitamin D.Characteristics of 7 included meta-analyses and trials included or excluded in each meta-analysis.
Yoon Min Lee - One of the best experts on this subject based on the ideXlab platform.
-
entrapment of the extensor pollicis longus tendon in a pediatric Smith Fracture a case report
Medicine, 2019Co-Authors: Yoon Min Lee, Yun Hwan Kim, Yuna Kim, Yoo Joon SurAbstract:Rationale Most pediatric distal radius Fractures are effectively treated nonoperatively; however, operative intervention is indicated in patients with open and highly unstable Fractures, in those with concomitant neurovascular injuries and in patients whom soft tissue interposition between Fracture fragments precludes anatomical reduction. Notably, soft tissue interposition between Fracture fragments is diagnostically challenging. Surgeons must be mindful of this rare complication for early detection and prompt treatment. Patient concerns A 14-year-old boy presented to the emergency department with left wrist pain after falling from a bicycle. Plain radiography and computed tomography revealed a displaced Smith Fracture, which was irreducible by closed reduction, necessitating open reduction and volar plate fixation. The patient reported inability to extend his thumb at his 6-week postoperative follow-up visit. Diagnosis Ultrasonography showed extensor pollicis longus (EPL) tendon entrapment near the Fracture site. Interventions A second operation was performed 10 weeks after the first surgery, and intraoperative exploration revealed EPL tendon entrapment. The EPL tendon was torn to shreds; therefore, extensor indicis proprius tendon transfer was performed for EPL tendon reconstruction. Outcomes The patient's thumb motion was completely restored after the second operation. Lessens EPL tendon entrapment in a pediatric Smith Fracture is rare. Signs of EPL tendon entrapment include inability to perform active thumb extension, dorsal wrist pain radiating along the course of the EPL tendon, which is exacerbated by thumb flexion, a tenodesis effect elicited on thumb examination, and difficulty in anatomical Fracture reduction. Surgical exploration of the EPL tendon is warranted in patients presenting with any of these signs following attempted reduction of a Smith Fracture.
Mark J. Bolland - One of the best experts on this subject based on the ideXlab platform.
-
Characteristics of 7 included meta-analyses and trials included or excluded in each meta-analysis.
2014Co-Authors: Mark J. Bolland, Andrew GreyAbstract:X = study not included in meta-analysis. Reasons for non-inclusion: NDA- eligible for inclusion but no patient-level data available; agent- did not compare vitamin D plus calcium with placebo; size- study smaller than inclusion criteria allowed; age- age outside inclusion criteria; uncertain- unknown reason for exclusion; duration- duration of study less than inclusion criteria allowed; design- design did not meet inclusion criteria; controls- untreated control group; date- after search date; IM- intramuscular administration.alimited or no Fracture data in primary publication, but data obtained from lead author and published in at least 1 meta-analysis. The Bolton-Smith Fracture trial data were not published in Avenell 2009 until after publication of the Bischoff-Ferrari 2009 meta-analysis.btrial does not appear to meet eligibility criteria for meta-analysis.Abbreviations: Secondary- included in secondary analyses only. Vit D: vitamin D.Characteristics of 7 included meta-analyses and trials included or excluded in each meta-analysis.
Yun Hwan Kim - One of the best experts on this subject based on the ideXlab platform.
-
entrapment of the extensor pollicis longus tendon in a pediatric Smith Fracture a case report
Medicine, 2019Co-Authors: Yoon Min Lee, Yun Hwan Kim, Yuna Kim, Yoo Joon SurAbstract:Rationale Most pediatric distal radius Fractures are effectively treated nonoperatively; however, operative intervention is indicated in patients with open and highly unstable Fractures, in those with concomitant neurovascular injuries and in patients whom soft tissue interposition between Fracture fragments precludes anatomical reduction. Notably, soft tissue interposition between Fracture fragments is diagnostically challenging. Surgeons must be mindful of this rare complication for early detection and prompt treatment. Patient concerns A 14-year-old boy presented to the emergency department with left wrist pain after falling from a bicycle. Plain radiography and computed tomography revealed a displaced Smith Fracture, which was irreducible by closed reduction, necessitating open reduction and volar plate fixation. The patient reported inability to extend his thumb at his 6-week postoperative follow-up visit. Diagnosis Ultrasonography showed extensor pollicis longus (EPL) tendon entrapment near the Fracture site. Interventions A second operation was performed 10 weeks after the first surgery, and intraoperative exploration revealed EPL tendon entrapment. The EPL tendon was torn to shreds; therefore, extensor indicis proprius tendon transfer was performed for EPL tendon reconstruction. Outcomes The patient's thumb motion was completely restored after the second operation. Lessens EPL tendon entrapment in a pediatric Smith Fracture is rare. Signs of EPL tendon entrapment include inability to perform active thumb extension, dorsal wrist pain radiating along the course of the EPL tendon, which is exacerbated by thumb flexion, a tenodesis effect elicited on thumb examination, and difficulty in anatomical Fracture reduction. Surgical exploration of the EPL tendon is warranted in patients presenting with any of these signs following attempted reduction of a Smith Fracture.