Mallet Deformity in Sport

2001 ◽  
Vol 26 (1) ◽  
pp. 32-33 ◽  
Author(s):  
D. SIMPSON ◽  
M. M. McQUEEN ◽  
P. KUMAR
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Orthopaedic Trauma ◽  
Trauma Unit ◽  
Excellent Functional Outcome ◽  
Digit Function

During a four month period 851 patients presented to the Edinburgh Orthopaedic Trauma Unit with an acute sporting injury. Eighteen (2%) patients had either a soft tissue or bony mallet deformity. Six different sports were identified with rugby accounting for eight of the 18 mallet deformities. All patients were treated with splintage. Fourteen patients returned questionnaires regarding subjective digit function following treatment and nine patients claimed excellent function. The average splinting time for this group was 6 weeks and sports were avoided for an average of 5 weeks. Mallet deformity accounts for a minority of sporting injuries, but excellent functional outcome can be achieved with splintage and avoidance of the causative sport while splinted.

scholarly journals A clinical study: management of distal tibial fractures with minimally invasive plating osteosynthesis

2019 ◽  
Vol 5 (4) ◽  
pp. 665
Author(s):  
Gaurav Singla
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Functional Outcome ◽  
Blood Supply ◽  
Soft Tissues ◽  
Soft Tissue Injuries ◽  
Tibial Fractures ◽  
Minimally Invasive Osteosynthesis ◽  
Distal Tibial Fractures ◽  
Excellent Functional Outcome

<p class="abstract"><strong>Background:</strong> Distal tibial fractures of bone poses major challenge to the trauma orthopaedic surgeons as this bone is subcutaneous associated with soft tissue injuries and precarious blood supply. Distal tibial fractures require accurate reduction, perfect articular restoration with stable fixation with minimal stripping of soft tissues, thereby preserving the blood supply. Minimally invasive osteosynthesis using locking plates has emerged as viable option of fixing such fractures due to poor results associated with open plating which leads to extensive soft tissues stripping and subsequently poor blood supply.</p><p class="abstract"><strong>Methods:</strong> 27 patients with closed distal tibial fractures with or without articular involvement without vascular compromise were treated with LCP fixation using MIPO technique studied from June 2017 to December 2018.<strong></strong></p><p class="abstract"><strong>Results:</strong> All fractures in our series united well at the end of 5 months with mean time to clinical and radiological union was 17 weeks. There was no case of implant failure while 2 patients had varus angulation. Very few soft tissue complications with excellent functional outcome were seen.</p><p><strong>Conclusions:</strong> We concluded that distal tibial fractures can be effectively managed with LCP using MIPPO technique with excellent functional outcome and avoiding the complications associated with other treatment methods. </p>

FUNCTIONAL OUTCOME OF DISTAL HUMERUS FRACTURE BY PARATRICEPITAL TWO WINDOW APPROACH

2021 ◽  
pp. 57-58
Author(s):  
Chhatrapal Singh ◽  
R.S. Bajoria ◽  
Arvind ambedkar ◽  
Sourabh Alawa
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture ◽  
Excellent Functional Outcome ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Window Approach

Background-Most of distal humerus fractures are dealt with olecranon osteotomy approach which stand as cumbersome process resulting in excessive soft tissue damage and excess hardware interposition. Alternate paratricepital two window approach has been advocated by many authors as better approach to deal with AO type A, B, and C1 type distal humerus fractures. AIM -To evaluate functional outcome of distal humerus fracture xation through paratricepital two window approach Materials & Methods – A complete of 30 patients of closed fracture distal humerus fracture underwent open fracture xation through paratricepital approach. Average age of patient was 35yr .Regular follow up and physiotherapy sessions were carried out. Average period of follow up was 12 month. Results – Out of 30 patients 28 were nally followed up till 1 year, one patient died in between while another one undergoes implant removal due to infection. From 28, 20 patients has excellent functional outcome, 3 has good, 4 has fair outcome and one patient has poor results in terms of MEPS and DASH score. Conclusion – Based on present study and data analysis we conclude that distal humerus fracture treated through paratricepital two window approach results in excellent functional outcome which is evident from ability to early start various day to day to day activities like performing st nd personal hygiene, combing hairs ,putting shirt- shoes themselves and starts eating themselves by 1 or 2 week of surgery .Unlike traditional approach like Olecranon osteotomy , it maintains adequate Tricep extensor mechanism ,does minimal soft tissue damage ,minimal post op pain ,promote early wound healing and avoid excessive hardware transposition

scholarly journals Bilateral Disruption of Soft Tissue Extensor Mechanism of Knee: Functional Outcome and Comparison to Unilateral Injuries

2013 ◽  
Vol 9 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Alexa Monroy ◽  
Adriana Urruela ◽  
Kenneth A. Egol ◽  
Nirmal C. Tejwani
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Extensor Mechanism

scholarly journals A Novel Technique for Closed Reduction and Fixation of Paediatric Calcaneal Fracture Dislocation Injuries

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Radwane Faroug ◽  
Paul Stirling ◽  
Farhan Ali
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Calcaneal Fracture ◽  
Fracture Dislocation ◽  
Bony Union ◽  
Calcaneal Fractures ◽  
Simultaneous Application ◽  
Soft Tissue Envelope ◽  
Good Functional Outcome

Paediatric calcaneal fractures are rare injuries usually managed conservatively or with open reduction and internal fixation (ORIF). Closed reduction was previously thought to be impossible, and very few cases are reported in the literature. We report a new technique for closed reduction using Ilizarov half-rings. We report successful closed reduction and screwless fixation of an extra-articular calcaneal fracture dislocation in a 7-year-old boy. Reduction was achieved using two Ilizarov half-ring frames arranged perpendicular to each other, enabling simultaneous application of longitudinal and rotational traction. Anatomical reduction was achieved with restored angles of Bohler and Gissane. Two K-wires were the definitive fixation. Bony union with good functional outcome and minimal pain was achieved at eight-weeks follow up. ORIF of calcaneal fractures provides good functional outcome but is associated with high rates of malunion and postoperative pain. Preservation of the unique soft tissue envelope surrounding the calcaneus reduces the risk of infection. Closed reduction prevents distortion of these tissues and may lead to faster healing and mobilisation. Closed reduction and screwless fixation of paediatric calcaneal fractures is an achievable management option. Our technique has preserved the soft tissue envelope surrounding the calcaneus, has avoided retained metalwork related complications, and has resulted in a good functional outcome.

Functional outcome in patients treated with surgery and irradiation for soft tissue tumours

1991 ◽  
Vol 48 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Robert S. Bell ◽  
Brian O'Sullivan ◽  
Aileen Davis ◽  
Fred Langer ◽  
Bernard Cummings ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Soft Tissue Tumours

scholarly journals Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus

2020 ◽  
Vol 5 (3) ◽  
pp. 247301142093480
Author(s):  
Justin Vaida ◽  
Justin J. Ray ◽  
Taylor L. Shackleford ◽  
William T. DeCarbo ◽  
Daniel J. Hatch ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Hallux Valgus ◽  
Metatarsal Head ◽  
Level Of Evidence ◽  
3 Dimensional ◽  
First Metatarsal ◽  
Institutional Review ◽  
Retrospective Comparative Study ◽  
Width Reduction

Background: Foot width reduction is a desirable cosmetic and functional outcome for patients with hallux valgus. Triplanar first tarsometatarsal (TMT) arthrodesis could achieve this goal by 3-dimensional correction of the deformity. The aim of this study was to evaluate changes in bony and soft tissue width in patients undergoing triplanar first TMT arthrodesis. Methods: After receiving Institutional Review Board approval, charts were retrospectively reviewed for patients undergoing triplanar first TMT arthrodesis for hallux valgus at 4 institutions between 2016 and 2019. Patients who underwent concomitant first metatarsal head osteotomies (eg, Silver or Chevron) or fifth metatarsal osteotomies were excluded. Preoperative and postoperative anteroposterior weightbearing radiographs were compared to evaluate for changes in bony and soft tissue width. One hundred forty-eight feet from 144 patients (48.1 ± 15.7 years, 92.5% female) met inclusion criteria. Results: Preoperative osseous foot width was 96.2 mm, compared to 85.8 mm postoperatively ( P < .001). Preoperative soft tissue width was 106.6 mm, compared to 99.3 mm postoperatively ( P < .001). Postoperatively, patients had an average 10.4 ± 4.0 mm reduction (10.8% reduction) in osseous width and average 7.3 ± 4.0 mm reduction (6.8% reduction) in soft tissue width. Conclusions: Triplanar first TMT arthrodesis reduced both osseous and soft tissue foot width, providing a desirable cosmetic and functional outcome for patients with hallux valgus. Future studies are needed to determine if patient satisfaction and outcome measures correlate with reductions in foot width. Level of evidence: Level III, retrospective comparative study

scholarly journals Displaced Colles fractures: Functional outcome following closed reduction and stabilization with percutaneous K-wires

2013 ◽  
Vol 2 (1) ◽  
pp. 14-20 ◽  
Author(s):  
RR Manandhar ◽  
S Lakhey ◽  
BK Pandey ◽  
RL Pradhan ◽  
S Sharma ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Invasive Technique ◽  
Percutaneous Pinning ◽  
Fracture Stabilization ◽  
Excellent Functional Outcome ◽  
Post Traumatic ◽  
K Wires ◽  
A Prospective Study ◽  
Traumatic Arthritis

Background: Displaced Colles fractures are generally treated by manipulation and below elbow cast application. Malunion is a common complication resulting in pain, mid carpal instability and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique which helps prevent dislodgment of the fracture thereby minimizing complications. The study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with K-wires and its correlation with the functional outcome of the wrist after union. Methods: A prospective study was conducted from October 2006 to November 2009. Fifty adults (27 female, 23 male) with an average age of 40.72 years with type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using Mayo Wrist Score. Results: At the final follow up of 6 months the collapse in the mean dorsal angle was 1.15 and mean ulnar variance 0.51. Functionally 25 patients (53.19%) had excellent, 17 patients (36.17%) good and 5 patients (10.63%) had satisfactory or fair outcome. Conclusions: Displaced Colles fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8135 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 14-20

scholarly journals Functional outcome of conservative versus plate osteosynthesis in displaced midshaft clavicle fracture in manual labours

2017 ◽  
Vol 4 (3) ◽  
pp. 966
Author(s):  
Amit Mishra ◽  
Dharmendra Kumar ◽  
Ashok Yadav ◽  
Deepak Pandey ◽  
Abhinit Kumar Sinha
Keyword(s):  
Internal Fixation ◽  
Fracture Healing ◽  
Functional Outcome ◽  
Open Reduction ◽  
Clavicle Fracture ◽  
Shoulder Abduction ◽  
Conservative Group ◽  
Early Return ◽  
Excellent Functional Outcome ◽  
Displaced Fracture

Background: Clavicle fracture is a one of most common shoulder injury which is commonly treated conservatively. Operative methods are used for open reduction and internal fixation of displaced fracture shaft clavicle with better functional outcome preserving the shoulder biomechanics needed for overhead manual workers. This study is aimed at study of functional outcome of different modalities of treatment used in treatment of displaced fracture midshaft clavicle in manual laborers.Methods: This study was conducted with permission of ethical committee in B.R.D Medical College, Gorakhpur, Uttar Pradesh, India. This study included 36 patients with closed displaced fracture midshaft fractures. Out of 36patients, 17 were treated conservatively using clavicle brace and sling and 19 patients were treated operatively by open reduction and internal fixation using reconstruction plate or AO pre-contoured plate. All patients were followed clinically and radiologically, regularly at 1 month duration for 18 months. Functional outcome both, conservative and operatively treated patients were assessed using constant and murley scoring system.  Results: 17 patients treated conservatively had good to average functional results and 19 patients treated surgically had excellent functional outcome at 4 weeks of the treatment. At 12 weeks all fractures united well in operative group patients had better functional outcome with good range of shoulder abduction than conservative group of patients where in 4 patients fractures did not united and later underwent operative treatment to achieve fracture union. Average time of fracture healing in operative group was 8 weeks, less than time average time (12 weeks) taken by fracture healing in conservatively treated patients. Complication rate in conservatively treated group was tenting of skin and formation of discharging wound later, malunion, delayed fracture healing leading to shoulder stiffness and decreased shoulder abduction. Wound infection, implant failure or wound dehiscence like common complications were not seen in operative group.Conclusions: In manual laborers, clavicle fractures treated operatively had united early with excellent functional outcome and better shoulder abduction and early return to work with no complications in comparison to fractures treated conservatively.

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