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Coronoid Process Fracture

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41. Spontaneous fractures of the mandible concept & treatment strategy (PubMed)

Spontaneous fractures of the mandible concept & treatment strategy Spontaneous fractures of the mandible dispose a surgical challenge in comparisons to fractures caused by trauma due to several complicating factors. Additionally: controversies exist concerning the terminology of the field.We conducted a retrospective study of all patients with mandibular fractures, with exclusion of fractures of the coronoid process and the alveolar process, treated at the Department of Oral and Maxillofacial (...) Surgery, Aalborg University Hospital, Denmark between February 2003 and February 2013. Data collected from the medical records included sex, age, cause of fracture, site of fracture, and treatment.We identified 517 patients with 684 mandible fractures. Twenty-five of these were spontaneous fractures and 659 fractures were of traumatic origin. Condylar fractures rarely occur spontaneously, but constitute the majority of the traumatic fractures. Excluding these fractures from the analysis, we found

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2015 Medicina oral, patología oral y cirugía bucal

42. Proximal ulnar fractures in adults: a review of 163 cases. (PubMed)

) with good results in 23% and excellent results in 52% of the patients. The mean Broberg and Morrey score was 90 after isolated olecranon fracture, and decreased with the complexity of the lesion. 117 fractures (72%) healed with ulnohumeral congruity. 9 fracture non-unions occurred (6%). Although the fracture of the proximal ulna can be described in several classifications, none of them accommodate it satisfactorily, because of the complexity of the lesion. The coronoid process is the keystone (...) Proximal ulnar fractures in adults: a review of 163 cases. The aim of this study was to report the epidemiological characteristics and the experience of 5 departments of trauma, in France, in the management of fractures of the proximal ulna. 163 patients with fractures of the proximal ulna with a mean age of 49.9 years (range 16-97) were managed. The most common mode of injury was a motor vehicle collision (48%). 18% sustained associated injuries to the ipsilateral limb. Open fractures were

2015 Injury

43. Voie antérieure transversale dans l'ostéosynthèse d'une fracture type III du processus coronoïde chez un adolescent: à propos d'un cas et revue de literature (PubMed)

Voie antérieure transversale dans l'ostéosynthèse d'une fracture type III du processus coronoïde chez un adolescent: à propos d'un cas et revue de literature 26113908 2016 03 25 2018 11 13 1937-8688 20 2015 The Pan African medical journal Pan Afr Med J [Anterior transverse route in osteosynthesis of a type III fracture of the coronoid process in an adolescent: report of a case and literature review]. 165 10.11604/pamj.2015.20.165.6077 Belmoubarik Amine A Centre Hospitalier Universitaire (...) of Function Ulna Fractures diagnostic imaging etiology surgery coronoid process fracture transversal anterior route 2015 01 05 2015 02 10 2015 6 27 6 0 2015 6 27 6 0 2016 3 26 6 0 epublish 26113908 10.11604/pamj.2015.20.165.6077 PAMJ-20-165 PMC4469437 J Hand Surg Am. 2006 Jan;31(1):45-52 16443103 J Bone Joint Surg Am. 1989 Oct;71(9):1348-54 2793888 Instr Course Lect. 2003;52:113-34 12690844 Chir Main. 1999;18(3):220-5 10855325 J Bone Joint Surg Am. 2002 Apr;84-A(4):547-51 11940613

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2015 The Pan African medical journal

44. Facial Fractures (Overview)

motor vehicle or motorcycle accidents and are the result of the mid face being separated from the cranial base. Mandibular: Fractures of the mandible (see image below) can involve the symphysis, body, angle, ramus, condyle, and subcondyle regions. Fractures of the mandibular body, condyle, and angle occur with nearly equal frequency, followed by fractures of the ramus and coronoid process. [ ] Generally, motor vehicle accidents result in fractures of the condylar and symphysis regions because (...) Facial Fractures (Overview) Facial Fractures: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODQ2MTMtb3ZlcnZpZXc= processing > Facial Fractures Updated: Jan 31, 2016

2014 eMedicine.com

45. Radial Head Fractures (Follow-up)

fractures are used (see the image below). Surgical treatment options include ORIF with plates and screws, excision of fragments, or radial head replacement. Floating elbow. Combined Monteggia fracture with dislocation and supracondylar humerus fractures. Treatment of a floating elbow requires fixation of both fractures. Surgical treatment of so-called terrible triad injuries of the elbow (elbow dislocations with concomitant fractures of the radial head and the coronoid process) is controversial (...) = processing > Radial Head Fractures Treatment & Management Updated: Aug 09, 2018 Author: Steven I Rabin, MD; Chief Editor: Thomas M DeBerardino, MD Share Email Print Feedback Close Sections Sections Radial Head Fractures Treatment Approach Considerations The goal of treatment of radial head fractures and dislocations, as with all orthopedic injuries, is a successful functional outcome. A successful outcome correlates directly with accuracy of anatomic reduction, restoration of mechanical stability

2014 eMedicine Surgery

46. Distal Humerus Fractures (Follow-up)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzOTUxNS10cmVhdG1lbnQ= processing > Distal Humerus Fractures Treatment & Management Updated: Oct 23, 2017 Author: Edward Yian, MD; Chief Editor: Harris Gellman, MD Share Email Print Feedback Close Sections Sections Distal Humerus Fractures Treatment Approach Considerations The decision to offer operative intervention for distal humerus fractures is based on many factors, including fracture type, intra-articular involvement, fragment displacement, bone quality, joint stability, and soft-tissue quality and coverage (...) , it appears that TEA may help elderly patients with severe bone loss and comminution. Elbow hemiarthroplasty (EHA) has also been described as a possible alternative to TEA in older patients. [ , ] Next: Nonoperative Therapy Nonoperative treatment depends on the fracture type. Casting and immobilization can be used for nondisplaced fractures, particularly with medial, lateral, and supracondylar process fractures (extra-articular and extracapsular). Medial epicondylar fractures can be immobilized for 7 days

2014 eMedicine Surgery

47. Distal Humerus Fractures (Diagnosis)

Distal Humerus Fractures (Diagnosis) Distal Humerus Fractures: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzOTUxNS1vdmVydmlldw== processing > Distal Humerus Fractures Updated (...) : Oct 23, 2017 Author: Edward Yian, MD; Chief Editor: Harris Gellman, MD Share Email Print Feedback Close Sections Sections Distal Humerus Fractures Overview Background The elbow joint coordinates movements of the upper extremity, facilitating the execution of activities of daily living in areas such as hygiene, dressing, and cooking. When the distal humerus is injured, elbow joint function can be impaired. The goal of open reduction and internal fixation (ORIF) is restoration of normal anatomy

2014 eMedicine Surgery

48. Supracondylar Humerus Fractures (Overview)

Supracondylar Humerus Fractures (Overview) Supracondylar Humerus Fractures: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2OTU3Ni1vdmVydmlldw== processing > Supracondylar Humerus (...) Fractures Updated: Feb 15, 2017 Author: Jiun-Lih Jerry Lin, MBBS, MS(Orth); Chief Editor: Jeffrey D Thomson, MD Share Email Print Feedback Close Sections Sections Supracondylar Humerus Fractures Overview Background in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus

2014 eMedicine Surgery

49. Olecranon Fractures (Diagnosis)

of the bone of the proximal ulna from the base of the coronoid process (down arrow) proximally. The trochlear notch (up arrows; also called the semilunar notch) is the articular surface shown between the two arrows. The ulnar nerve lies on the posterior aspect of the elbow, posterior to the medial collateral ligament. The ulnar nerve sweeps anteriorly to join the ulnar artery. The ulnar neurovascular bundle may be at risk during Kirschner wire (K-wire) fixation. Fracture displacement is largely due (...) reduction and internal fixation of the fracture with a 7.3-mm cannulated screw and 1.6-mm cable. Lateral radiograph demonstrating the threads of the screw engaging the cortices of the ulna. Typical relatively transverse olecranon fracture. Pediatric olecranon fracture. The olecranon process consists of the bone of the proximal ulna from the base of the coronoid process (down arrow) proximally. The trochlear notch (up arrows; also called the semilunar notch) is the articular surface shown between the two

2014 eMedicine Surgery

50. Medial Humeral Condyle Fracture (Diagnosis)

of metaphyseal bone is found attached to the avulsed fragment. If the fragment is incarcerated within the joint, the fragment may become adherent to the coronoid process of the ulna. When the fragment is incarcerated within the joint, the universal finding is a thick fascial band that binds the ulnar nerve to the underlying muscle. This thick fascial band is responsible for ulnar nerve dysfunction, either acutely or as a late finding. Other elbow fractures may be associated with medial epicondyle fractures (...) , and care must be taken to recognize the full extent of the injury. Associated injuries include radial neck fractures, olecranon fractures, and coronoid process fractures. Previous Next: Etiology Medial condyle fracture The following three possible mechanisms for medial condyle fracture [ , , , , , , , , , ] have been described: A fall on the palm of an outstretched arm, with the elbow forced into valgus (see the first image below) A fall on the point of the elbow (apex of the flexed elbow

2014 eMedicine Surgery

51. Supracondylar Humerus Fractures (Diagnosis)

Supracondylar Humerus Fractures (Diagnosis) Supracondylar Humerus Fractures: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2OTU3Ni1vdmVydmlldw== processing > Supracondylar Humerus (...) Fractures Updated: Feb 15, 2017 Author: Jiun-Lih Jerry Lin, MBBS, MS(Orth); Chief Editor: Jeffrey D Thomson, MD Share Email Print Feedback Close Sections Sections Supracondylar Humerus Fractures Overview Background in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus

2014 eMedicine Surgery

52. Facial Fractures (Diagnosis)

motor vehicle or motorcycle accidents and are the result of the mid face being separated from the cranial base. Mandibular: Fractures of the mandible (see image below) can involve the symphysis, body, angle, ramus, condyle, and subcondyle regions. Fractures of the mandibular body, condyle, and angle occur with nearly equal frequency, followed by fractures of the ramus and coronoid process. [ ] Generally, motor vehicle accidents result in fractures of the condylar and symphysis regions because (...) Facial Fractures (Diagnosis) Facial Fractures: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODQ2MTMtb3ZlcnZpZXc= processing > Facial Fractures Updated: Jan 31, 2016

2014 eMedicine.com

53. Orbital Fractures

, lateral canthal dystopia, globe displacement with enophthalmos, diplopia with muscle imbalance, and a palpable step at the orbital rim in the regions of the ZMC or frontozygomatic suture. Problems with mastication arise, especially with displaced zygomatic arch fracture impingement on the coronoid process of the mandible. Lateral-wall fracture is seen in the image below. This lateral-wall fracture is part of a zygomaticomaxillary complex fracture that was classified as a tripod fracture. NOE fractures (...) Orbital Fractures Orbital Fractures: Practice Essentials, Problem, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY3OTg1LW92ZXJ2aWV3 processing > Orbital Fractures Updated: Apr 25, 2018 Author

2014 eMedicine Surgery

54. Mandible, Fractures

Mandible, Fractures Mandibular Fracture Imaging: Overview, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzkxNTQ5LW92ZXJ2aWV3 processing > Mandibular Fracture Imaging Updated: Jul (...) positives/negatives The PA view is used to evaluate the entire mandible. However, the symphysis is often obscured by the cervical spine, and the condyles can be superimposed over the mastoid process and occipital bone. A Waters view or a basal view should be obtained to better evaluate the symphysis to negate the overlap of the cervical spin. The Towne view is primarily used to view the condyles, but again, bone overlap is common. Among all facial fractures, mandibular condyle fractures are the ones

2014 eMedicine Radiology

55. Elbow, Fractures and Dislocations - Adult

head, capitellum, or coronoid process may only be visible on this view. When a fracture is detected, double-check alignment. Fractures are not infrequently associated with dislocations (eg, Monteggia fracture-dislocation) or instability from ligamentous injuries. These complex injuries are more surgically challenging. Check for fractures after reduction of the elbow dislocation. Missed coronoid process fractures can lead to chronic instability. Image the forearm/wrist if a fracture or dislocation (...) . The most common associated fractures are those of the radial head and coronoid process, which, in the setting of posterior elbow dislocation, has been termed the “terrible triad of the elbow,” as shown in the image below. [ ] On plain radiographs, the oblique view provides visualization of the radial head and coronoid process, and the anteroposterior view may demonstrate an avulsion fracture of the lateral epicondyle, suggesting lateral ulnar collateral ligament injury. [ ] Elbow, fractures

2014 eMedicine Radiology

56. Facial Trauma, Zygomatic Arch Fractures

Facial Trauma, Zygomatic Arch Fractures Zygomatic Arch Fractures: Background, History of the Procedure, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI4MzkyNC1vdmVydmlldw== processing > Zygomatic (...) arch is a principal constituent of the midfacial skeleton, bound by the zygomaticotemporal suture line posteriorly and the malar eminence anteriorly. [ , ] The arch, in essence, is a rim of bony armor surrounding the temporalis muscle and the coronoid process of the mandible and is the origin of the masseter muscle. The zygomatic arch is part of the facial subunit known as the zygomaticomaxillary complex (ZMC). The ZMC has 4 bony fusion sites with the skull. See the image below. Anatomic depiction

2014 eMedicine Surgery

57. Maxillary Zygomatic Fractures

for the masseter muscle and protects the temporalis muscle and the coronoid process. The frequency of ZMC fractures is second only to , which are the most common type of facial fracture. [ ] The prominent convex shape of the zygoma makes it vulnerable to traumatic injury, as seen in the image below. Even minimally displaced ZMC fractures can result in functional and aesthetic deformities. Successful repair of ZMC fractures requires an accurate diagnosis, appropriate surgical exposure, and precise reduction (...) of the zygomatic arch on the temporalis muscle and coronoid process. Orbital floor disruption can result in subcutaneous emphysema. Infraorbital nerve injury may result in anesthesia or paresthesias of the cheek, nose, upper lip, and lower eyelid. Jelks (1987) reported a 14-40% incidence of significant intraocular injury in patients with ZMC fractures that involved the orbital floor. [ ] For this reason, preoperative ophthalmology consultation is essential in patients with orbital floor injuries. Disruption

2014 eMedicine Surgery

58. Mandibular Body Fractures

unfavorable. (D) Vertically favorable. Next: Epidemiology Frequency In general, mandible fractures of the body, , and have nearly the same incidence, while fractures of the ramus and coronoid process are rare. The literature suggests the following mean frequency percentages based on location: body (29%), condyle (26%), angle (25%), symphysis (17%), ramus (4%), and coronoid process (1%). The mandible is involved in 70% of patients with facial fractures. The number of mandible fractures per patient ranges (...) Mandibular Body Fractures Mandibular Body Fractures: Background, Epidemiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY5MTIzLW92ZXJ2aWV3 processing > Mandibular Body Fractures Updated: Nov 05

2014 eMedicine Surgery

59. Mandibular Angle Fractures

attachment of the masseter muscle (usually distal to the third molar). This area may become fractured secondary to vehicular accidents, assaults, falls, sporting accidents, and other miscellaneous causes. Previous Next: Epidemiology Frequency In general, incidences of fractures of the mandibular body, condyle, and angle are relatively similar, while fractures of the ramus and coronoid process are rare. The literature suggests the following mean frequency percentages based on location: Body - 29% Condyle (...) - 26% Angle - 25% Symphysis - 17% Ramus - 4% Coronoid process - 1% The mandible is involved in 70% of patients with facial fractures. The number of mandible fractures per patient ranges from 1.5-1.8. Approximately 50% of patients with a mandible fracture have more than 1 fracture. In a series of 136 patients with angle fractures, 40% had fractures exclusive to the angle, while 60% had multiple fractures that included an angle fracture. The mandible fracture patterns of a suburban center found

2014 eMedicine Surgery

60. Mandible Fractures, General Principles and Occlusion

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY4Mzc1LW92ZXJ2aWV3 processing > General Principles of Mandible Fracture and Occlusion Updated: Jan 11, 2016 Author: Edward W Chang, MD, DDS, FACS; Chief Editor: Arlen D Meyers, MD, MBA Share Email Print Feedback Close Sections Sections General Principles of Mandible Fracture and Occlusion Overview Background The mandible is the second most common facial fracture, with the nasal bone being the first. Knowledge of the anatomy of the mandible and the muscular forces applied to it is the key to proper reduction (...) common site of fracture rather than the condyle.) Symphysis - 22% Body - 16% Ramus - 1.7% Coronoid - 1.3% The types of fractures commonly seen due to motor vehicular accident have decreased significantly with the use of restraint devices. The symphyseal and bilateral parasymphyseal fractures caused by the mandible striking the steering wheel or dashboard are rarely seen in patients using a seat belt. The average number of mandibular fractures per patient is 1.5-1.8. Ten percent of patients have more

2014 eMedicine Surgery

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