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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Muscles that Move the Arm01:31

Muscles that Move the Arm

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Scaphoid Fractures in Athletes.

William J Weller1, Norfleet B Thompson1, Sierra G Phillips1

  • 1Department of Orthopaedic Surgery & Biomechanical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN, USA.

The Orthopedic Clinics of North America
|September 20, 2020
PubMed
Summary

Scaphoid fractures in athletes often heal with casting, but surgery allows faster return to sports. Percutaneous screw fixation is preferred for quicker recovery in athletic individuals.

Keywords:
AthletesOpen reductionPercutaneous fixationReturn to playScaphoid fracture

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Traumatology

Background:

  • Scaphoid fractures are frequent athletic injuries.
  • Casting achieves 90-95% union rates but causes prolonged immobilization and functional deficits.
  • Athletes face extended recovery times with conservative treatment.

Purpose of the Study:

  • To compare treatment outcomes for scaphoid fractures in athletes.
  • To evaluate methods facilitating a faster return to sport.
  • To highlight surgical interventions for scaphoid injuries.

Main Methods:

  • Review of current treatment protocols for scaphoid fractures.
  • Analysis of outcomes associated with cast immobilization.
  • Evaluation of closed reduction and percutaneous screw fixation.
  • Consideration of open reduction and internal fixation when necessary.

Main Results:

  • Cast immobilization leads to longer recovery periods and functional limitations.
  • Percutaneous screw fixation enables a quicker return to athletic activities.
  • Surgical intervention is indicated when closed reduction is unsuccessful.

Conclusions:

  • Surgical fixation, particularly percutaneous screw fixation, is advantageous for athletes with scaphoid fractures.
  • This approach minimizes immobilization and accelerates return to sport.
  • Open reduction and internal fixation serve as a viable alternative for complex cases.