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A clinicoradiological classification and a treatment algorithm for traumatic triceps tendon avulsion in adults

Chinese Journal of Traumatology 2021年第5期24卷 266-272页

作者： balaji zacharia Antony Roy Department of Orthopedics Govt.Medical CollegeKozhikkode673008KeralaIndia Department of Arthroscopy Canga HospitalCoimbatore641043TamilnaduIndia

Triceps tendon avulsion(TTA)is an uncommon injury,and there are no classifications or treatment guidelines *** study aims to describe a clinicoradiological classification and treatment algorithm for traumatic TTA in *** functional outcome of surgical repair has been evaluated too.;A retrospective analysis of adult patients with traumatic TTA treated in our institution between 2012 and 2017 was *** only included complete TTA *** below 15 years,open injuries,associated fractures,and partial TTA were *** data were obtained from hospital *** intraoperative findings were correlated with the clinicoradiological presentation for classifying *** functional outcome was analyzed using the Mayo Elbow Performance index and Hospital for Special Surgery elbow *** test was used to assess the statistical significance.;There were 15 patients included,including 11 males and 4 *** mean age was(31.5±9.15)years,and the mean follow-up was(22.4±8.4)*** on outstretched hand was the mode of *** 6 patients,diagnosis was missed on the initial *** were classified as Type 1:palpable soft-tissue defect without bony mass;Type 2:palpable soft-tissue defect with a wafer-thin/comminuted bony fragment on X-ray;Type 3:palpable soft-tissue defect with a bony mass and a large bony fragment on X-ray without extension to the articular surface;and Type 4:an olecranon fracture with less than 25%of the articular *** algorithm for treatment was recommended,*** suture repair/suture anchor for Type 1,transosseous suture repair for Type 2,and tension band wiring or steel wire sutures for Types 3 and *** the patients achieved good to excellent outcome:the mean Mayo Elbow Performance index was 100 and Hospital for Special Surgery score was 98.26±2.60 on final follow-up.;Our clinicoradiological classification and treatment algorithm for TTAs is *** treatment results in excellent functions o

关键词： Wounds and injuries Triceps tendon avulsion Injuries around elbow Classification of triceps avulsion Treatment algorithm

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Kirschner wire migration from subcapital humeral fracture site, causing hydropneumothorax

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Chinese Journal of Traumatology 2016年第5期19卷 305-308页

作者： balaji zacharia Kishor Puthezhath Ibin Varghees Department of Orthopedics Govt. Medical College Kozhikkode Kerala 673008 India Department of Orthopedics Amala Institute of Medical Sciences Thrissur Kerala 680555 India

绕肩膀的电线或大头针的移植是已知的复杂并发症，尽管他们在胸以内的迁居是不平常的。我们在 63 34 岁的人从恰好近似的肱骨由于一根弄弯的 Kirschner 电线的移植报导 hydropneumothorax 的一个不平常的案例。我们考察了他的临床的历... 详细信息

绕肩膀的电线或大头针的移植是已知的复杂并发症，尽管他们在胸以内的迁居是不平常的。我们在 63 34 岁的人从恰好近似的肱骨由于一根弄弯的 Kirschner 电线的移植报导 hydropneumothorax 的一个不平常的案例。我们考察了他的临床的历史，物理考试，成像调查结果，外科的方法和结果。我们也在电线的移动在整形外科的电线移植和最近的技术上考察了文学。胸拍和胸计算机化断层摄影术在这混乱的察觉和诊断是有用的。常规 X 光线照相术的后续与内部固定设备为病人被需要；任何折断或移居的大头针或电线必须立即被移开阻止危险复杂并发症。在治疗的结束移开电线总是是重要的。固定电线和常规后续的早移动如果电线被保留是必要的阻止严肃的复杂并发症。

关键词： Hydropneumothorax 骨头电线承担破裂

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Ewings sarcoma of patella:A rare entity treated with a novel technique of extensor mechanism reconstruction using tendoachilles auto graft

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World Journal of Orthopedics 2015年第9期6卷 744-749页

作者： Rejith Mannambeth Valsalan balaji zacharia Department of Orthopaedics Govt. Medical College

We report a case of Ewings sarcoma(ES) involving the patella in a young female. ES of patella is a rare entity. The patient was presented with anterior knee pain and swelling arising from the patella. She was treated with neoadjuvant chemotherapy followed by wide excision of the patella and reconstruction of the extensor mechanism using split tendoachilles auto graft. The patella is an uncommon site for primary or metastatic tumors of the bone. ES, though rare, should be included in the differential diagnosis of swellings arising from the patella. Auto graft from the tendoachilles is a good alternative for reconstructing the extensor mechanism of the knee.

关键词： Patellar tumor Tendoachilles auto graft Extensor mechanism repair Ewing sarcoma CD99

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