Femoral neck fractures in physiologically young patients typically occur from high-energy axial loading forces through the thigh with hip an abducted position. These have a high rate of associated head, chest, abdominal, and musculoskeletal injuries. High-energy differ traditional geriatric regarding incidence, mechanism, management algorithms, complications. After adequate resuscitation, goals treatment include anatomic reduction stable fixation while maintaining vascularity femoral which...

Introduction Generative artificial intelligence (AI) chatbots, like ChatGPT, have become more competent and prevalent, making their role in patient education salient. This study aimed to compare the educational utility of six AI chatbots by quantifying readability quality answers common questions about clavicle fracture management. Methods ChatGPT 4, 4o, Gemini 1.0, 1.5 Pro, Microsoft Copilot, Perplexity were used with no prior training. Ten representative fractures posed each model. The...

Adipose tissue‐derived stem cells and insulin‐like growth factor‐1 (IGF‐1) have shown potential to enhance peripheral nerve regeneration. The purpose of this study was investigate the effect an in vivo biologic scaffold, consisting white adipose tissue flap (WATF) and/or IGF‐1 on regeneration a crush injury model. Forty rats all underwent sciatic then received: pedicled WATF, controlled local release IGF‐1, both treatments, or no treatment at site. Outcomes were normalized maximum isometric...

Background The etiologies and outcomes of cases failed therapeutic wrist arthroscopy have not been well-described to date. Purpose purposes this study were identify common preventable patterns failure in report a series revision cases. Patients Methods Retrospective review 237 arthroscopies revealed 21 patients with prior for the same symptoms, which 16 assessed by questionnaires physical exam study. Results Six sixteen (38%) had unrecognized dynamic ulnar impaction after débridement...

We investigated the effects on fracture healing of two up-regulators inducible nitric oxide synthase (iNOS) in a rat model an open femoral osteotomy: tadalafil, phosphodiesterase inhibitor, and recently reported nutraceutical, COMB-4 (consisting L-citrulline, Paullinia cupana, ginger muira puama), given orally for either 14 or 42 days.Unilateral osteotomies were created 58 male rats fixed with intramedullary compression nail. Rats treated daily vehicle, tadalafil COMB-4. Biomechanical...

Osteoporosis represents an imbalance between bone formation and resorption. As a result of low estrogen levels, it is markedly prevalent during menopause, thus making such patients susceptible to fractures. Both resorption are modulated by nitric oxide (NO). Currently, there no risk-free pharmaceutical prevention therapies for osteoporosis. COMB-4, nutraceutical combination Paullinia cupana, Muira puama, ginger, L-citrulline, known activate the NO-cGMP pathway, was reported accelerate...

Kienböck disease, first described in 1910, is osteonecrosis of the carpal lunate and has been associated with ulnar minus variance. Numerous joint leveling procedures have developed for patients ulnar-negative variance to decrease forces transmitted across lunate. The basis operative treatment presence or absence advanced osteoarthritis fragmentation capitate descent. Bone morphogenetic proteins (BMPs) utilized successfully as adjunctive fracture healing recently surgical a patient Lichtman...

Historically, extra-articular scapular body fractures were treated nonsurgically, but displaced of the glenoid neck can lead to dysfunction. Controversy exists regarding which should be surgically; however, nonsurgical management severely result in satisfactory outcomes. Inclusion criteria for this study medial or lateral displacement greater than 2 cm, angular deformity between fracture fragments 45°, glenopolar angle less 22°. Functional outcomes included Disabilities Arm, Shoulder and...

Despite precautions, surgical procedures carry risk of infection. Radiation-protective lead aprons worn by operating personnel are a potential source bacterial contamination and have not been fully evaluated.To evaluate as contamination, identify organisms most commonly found on this source, devise method with which to lower the contamination.In basic science study, 20 randomly selected X-ray were swabbed at three time points. The experimental treatment was hospital-grade disinfectant wipe....

This study aims to characterize radiographic features and fracture characteristics in femoral shaft fractures with associated neck fractures, the goal of establishing predictive indicators for presence ipsilateral (IFNFs).

Background: Decision-tree-based machine learning (ML) algorithms such as random forest (RF) are useful for their ability to predict outcomes and rank variables according utility in the decision-making process. This study utilizes RF identify important predictors of discharge facility following surgical stabilization pelvis fractures, a traumatic injury that often precludes mortality diminished quality life. Methods: The American College Surgeons national improvement program (ACS-NSQIP)...

Case: We present a case of 39-year-old woman at 23 weeks gestation who sustained traumatic both-column acetabular fracture and protrusio acetabuli, managed with initial traction delayed total hip arthroplasty (THA) until after cesarean section delivery. Conclusion: Initial skeletal subsequent THA may be viable treatment option in select pregnant female patients sustain fractures. Interdisciplinary collaboration is necessary to optimize maternal-fetal health provide patient education...

Hip fractures are life-changing injuries with associated one-year mortality up to 30%. Five locations in the world have been termed "blue zones," where longevity of population is markedly higher than that surrounding areas and there 10 times more centenarians. The United States has one blue zone (Loma Linda, California), which believed be because lifestyle Seventh-day Adventist living there. We hypothesized patients from experience low-energy, frailty-driven, osteoporotic hip later life an...

Posterior malleolus fractures are traditionally managed with open reduction and internal fixation or percutaneous anterior-to-posterior screws. We present a third option using technique for the placement of posterior-to-anterior-directed An anatomic safety analysis is done cadaveric specimens.Using 15 embalmed specimens (10 F 5 M), guidewire was placed described technique. The posterolateral ankle dissected to evaluate damage vulnerable structures including sural nerve, peroneal artery,...

Case: A previously healthy 22-year-old man was brought into the emergency department after sustaining a low-velocity, civilian gunshot wound to abdomen that perforated bowel. Over next 300 days, he would be admitted and discharged multiple times, requiring total of 48 debridements, 23 different antimicrobials in 81 unique combinations, had 18 microbes cultured from various sites bone, joint, blood. Multiorganism bacteremia fungemia culminated above-knee amputation because progression...

Fazit Trotz der kleinen Serie lässt sich ein Muster für einen Fehlschlag bei einer Handgelenkarthroskopie erkennen, so die Autoren. Auch wenn Revisionen meist erfolgreich waren, scheint es sinnvoller, diese zu kennen und schon beim Ersteingriff vermeiden.