Omid Reza Momenzadeh; Seyed Amirreza Mesbahi; Fatemeh sadat Azimi; Mohsen Mardani-Kivi
Volume 10, Issue 3 , July 2022, , Pages 116-121
Abstract
Objective: To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer intraumatic proximal humeral fractures with the biceps groove breakage or comminution.Methods: In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBTtendinitis, ...
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Objective: To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer intraumatic proximal humeral fractures with the biceps groove breakage or comminution.Methods: In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBTtendinitis, radiographic signs of transferred biceps as a possible depressor of the shoulder, and mechanicalchanges of the scapula. Data were analyzed in SPSS version 21.Results: Fifteen patients were included in the case group (tendon transfer to the conjoined tendon), and 10patients were evaluated in the control group (non-transfer or non-manipulation of the exposed tendon inthe fracture callus of biceps groove). The mean age of the study population was 46.56±14.31 years, and themajority of patients (14.56%) were men. The differences between two groups were not significant in terms ofthe American Society of Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles(UCLA) score, and constant shoulder score (CSS) (p=0.535, p=0.419, and p=0.266, respectively). Also, therewas no significant differences between the case and control groups regarding the biceps muscle involvement(Popeye sign: p=1.00; tenderness: p=0.477; pain: p=1.00; speed test: p=1.00; Yergason’s test: p=1.00).Conclusion: LHBT transfer to the conjoined tendon in proximal humerus fractures with cleavage orcomminution at the bicipital groove showed no advantages.
Arvind Kumar; Yawar Haider; Jigyasa Passey; Rizwan Khan; Sahil Gaba; Mukesh Kumar
Volume 9, Issue 2 , April 2021, , Pages 51-59
Abstract
Objective: To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data. Methods: Keywords such as “fracture” and “COVID or COVID-19” were searched through three major databases includes ...
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Objective: To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data. Methods: Keywords such as “fracture” and “COVID or COVID-19” were searched through three major databases includes PubMed, EMBASE, and Google Scholar. Selection criteria were all published reports providing the mortality related information of COVID-19 positive fracture patients. Published papers containing mortality data of COVID-19 positive fracture patients were considered for qualitative review. For meta-analysis, the presenting individual’s data were considered to study the different parameters association with mortality. Results: The rate of mean mortality in COVID-19 positive fracture patients was 34%, and 91.7% of patients had hip fractures. Older age and hip fractures had a significant association with higher mortality rates in COVID-19 positive fracture patients.Conclusion: The mortality rates are considerably higher in COVID-19 positive patients with fractures compared to COVID-19 positive patients without fractures and to the COVID-19 negative fracture patients. Early surgical intervention should be preferred in hip fractures among COVID-19 positive patients for general stabilization and improved respiratory function. Older age and hip fractures are the main predictors of mortality in these patients.
