Floating Shoulder: Ipsilateral Clavicle, Scapular Body And Glenoid Fracture. A Case Report

We present a case of shoulder instability following a traffic accident. Allman Type I midshaft clavicle, Ideberg Type II glenoid and DeCloux Type I scapular body fractures were diagnosed following radiologic examination. There were no signs of ligamentous injury. Mechanical instability was noted at the shoulder due to breakage of the supportive bony skeleton. The patient was treated surgically with plate and screw fixation. Surgical fixation allowed early postoperative physiotherapy and rehabilitation. This rare injury and its treatment options are discussed in the light of current literature

Customer Perceptions of Diversity in Health Services: How Other Customers’ Race Influences Customer Perceptions

Using the Similarity Attraction perspective, this study examines racial diversity in health services. An initial review of the literature summarizes currently known findings related to the effects of Other Customers on Customer experiences in healthcare service settings. Two experimental studies, adopting Byrne and Nelson’s (1965) Similarity-Attraction perspective, test the effects of Customer-Other Customer Race (Black vs. White) interaction on Revisit Intentions and Customer Perceived Anxiety. Results indicate that Perceived Anxiety is not reduced by Customer-Other Customer race match (i.e., Black and Black, or White and White), though Other Customer Race (Black vs. White) drives Perceived Anxiety. Customer-Other Customer Race Match was also found to reduce Expected Satisfaction in high Service Failure cases

Realignment osteotomies in the treatment of chronic instabilities of the knee associated with malalignment (case report)

AbstractINTRODUCTIONChronic knee instabilities associated with malalignment are complex and unusual disorders with various treatment modalities.PRESENTATION OF CASEWe describe two cases of chronic instability of the knee with malalignment. Furthermore, we describe realignment osteotomies as the treatment of chronic instabilities for these cases.DISCUSSIONIn the literature review, there are few cases of chronic instabilities treated by realignment osteotomy. Only soft tissue procedures are not enough to treat the chronic instability of the knee with limb malalignment.CONCLUSIONDeformity analysis with good preoperative planning and then realignment of the lower extremity, lead to better results and will preserve the joint from instability

Superior Mesenteric Artery Syndrome due to a Vertebral Hemangioma and Postpartum Osteoporosis following Treatment

In pregnancy, advanced vertebral hemangiomas may be seen, and these require treatment. The case reported here is of a 35-year-old female in the 32nd week of pregnancy who was admitted to the orthopaedics clinic with a history of backache and difficulty walking. A burst fracture of L1 associated with a vertebral hemangioma was identified with an L3 compression fracture secondary to osteoporosis. The local kyphosis angle between T12 and L2 was 27°. Kyphotic deformity was corrected and postoperatively, the measured T12–L2 local kyphotic angle was 9°. Twelve hours postoperatively, oral nutrition was allowed, but she developed nausea and vomiting and twenty-four hours postoperatively, an electrolyte imbalance developed. Postoperatively, the patient was diagnosed with superior mesenteric artery syndrome. To the best of our knowledge, this is the first reported case of superior mesenteric artery syndrome, which occurred following the correction of a kyphotic deformity that had developed secondary to an advanced hemangioma in pregnancy

Treatment of symptomatic medial epicondyle nonunion: Case report and review of the literature

INTRODUCTION: Symptomatic nonunion of humeral medial epicondyle can be problematic and difficult to treat due to high complication rates related to open reduction and internal fixation methods

Morphometry of the medial tibial plateau in Turkish knees: correlation to the current tibial components of unicompartmental knee arthroplasty

Objective: The objective of this study was to measure the resected surfaces of the tibia in knees of Turkish patients and to compare these measurements with the dimensions of tibial implants in current use

Coronal plane fractures of the distal humerus involving the capitellum and trochlea treated with open reduction internal fixation

Coronal plane fractures of the distal humerus involving the capitellum and trochlea are rare. Treatments have evolved from closed reduction to open reduction and internal fixation (ORIF) to achieve a stable joint that allows early mobilization

Functional Outcomes to Surgical Treatment of the Distal Humerus Intra-Articular Fractures in Adults

Aim: Displaced and intraarticular humerus distal fractures require surgical treatment. In this study we evaluated to functional results of the surgical treatment of distal humerus intraarticular fractures in adults. Additionally, we evaluated the factors affecting surgical outcomes. Material and Method: Between 2005 to 2010, 22 elbows of 21 patients who were operated for distal humerus intraarticular fractures were evaluated retrospectively. 11(52.4%) patient were male and 10(47.6%) were female, mean age 46.2 (range 17 to 71). Fractures were classified as type B3 for 10, type Cl for 6 and type C2 for 6 subjects according to AO classifications. We performed paralel double locking plate for 9(41%), perpendicular double plate for 2(9%), K wires and screw combination for 7(32%), and single plate for 4(18%) patients. Functional assesment were performed with the MEPS and q-DASH scoring systems. Results: Mean follow-up was 30.4(5-68) months. Fracture healing was observed in all of the patients. Mean elbow flexion of 117 (90145) degrees and extension loss of 24.3 (0-60) were noted. 10 (47.6%) patients were excellent, 6 (28.6%) were goad, 3 (14.3%) were fair and 2(9.5%) were poor according to MEPS. Mean q-DASH scores were 15 (0-69.8) in 21 patients. Good results were obtained in fractures treated with stable fixation, in early performed surgeries, and in early started rehabilitation. Discussion: Treatment of distal humerus intraarticular fractures with anatomical reduction, stable osteosynthesis, and early rehabilitation are very important in obtaining successful outcomes. Additionally, age and fracture type are important factors to conclude good results.

The effect of infraspinatus hypotrophy and weakness on the arthroscopic treatment of spinoglenoid notch cyst associated with superior labrum anterior-to-posterior lesions

Patients with spinoglenoid notch cyst associated with superior labrum anterior-to-posterior (SLAP) lesions were evaluated. The patients were all treated by arthroscopic cyst decompression combined with SLAP repair. The hypothesis of the study was that the patients who underwent prolonged conservative treatment period prior to surgery would exhibit significant infraspinatus hypotrophy and weakness, and their postoperative clinical and functional outcomes would be less satisfactory

Acetabuloplasty at the anatomic centre for treating Crowe class III and IV developmental hip dysplasia: a case series

Introduction: Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues