Background: The authors' objectives were to study differences in diagnostic accuracy between two- and three-dimensional computed tomographic scans among the specialties of plastic surgery, head neck oral neuroradiology, since this had not previously been done. Methods: Four groups subspecialists completed time-proctored tests 20 maxillofacial trauma with zygomatic arch, complex, orbital, Le Fort I, II, III, mandibular panfacial fractures from five institutions (n = 40). Accuracy diagnosis...

Background: The climate crisis demands that surgeons reduce their environmental impact. Operating rooms are resource-intensive and often wasteful. This makes them fitting targets for climate-conscious decision making. Methods: We searched peer-reviewed literature describing how plastic might positively affect the environment through action in operating room. Results: Several evidence-based, pro-climate practices may be undertaken by surgeons. These strategies grouped into 4 types: material,...

Reconstruction of the interosseous membrane (IOM) may play a role in treatment acute and chronic longitudinal forearm instability. Several reconstruction techniques have been proposed. Suture-button is attractive because it obviates donor site morbidity relatively easy to perform. How this method compares its alternatives, however, unknown.We review literature describing axis. We describe how we perform suture-button IOM, summarize our previously published biomechanical data on subject,...

To identify and potentially modify the risk of pulmonary complications in a group older patients with hip fracture, authors obtained speech language pathology consultations for these patients. Then they performed retrospective chart review all 65 years who were admitted to their institution between June 2011 July 2013 acute treated surgically, had evaluation immediate perioperative period. The identified 52 met study criteria. According American Society Anesthesiologists (ASA) classification...

Background: No goniometric technique is both maximally convenient and completely accurate, although photogoniometry (ie, picture taking to facilitate digital angle measurement) shows promise in this regard. Our purpose was test the feasibility reliability of a photogoniometric protocol designed measure wrist digit range motion general. Methods: Two independent observers examined sample joints normal abnormal hands according protocol. Interrater intrarater correlation were calculated, these...

Emergent operation after renal transplantation (RT) has traditionally been associated with substantial morbidity and mortality. We reviewed 2340 adult patients who underwent RT at our tertiary care center identified 55 required acute surgical consultation within 1 year of transplantation. Of these, 43 were treated operatively 12 nonoperatively. Primary diagnoses intestinal problems in 29 (53%), including diverticulitis, ischemia, perforation, obstruction, bleeding; cholecystitis 10 (18%);...

Summary: Hand surgeons refer to deep lacerations of the volar distal forearm as “spaghetti wrists.” Given that multiple tendons, vessels, and nerves often require repair, this injury may be intimidating. We review management spaghetti wrists summarize with 10 simplifying tips.

Wide awake flexor tendon repair permits observation of freshly repaired tendons moving actively and passively in comfortable tourniquet free unsedated patients. We present videos true active flexion versus full fist place hold (FFPH) immediately after so the viewer can see how move when we simulate postoperative rehabilitation patient. The demonstrate that half a movement provides 5–15 mm smooth normal gliding profundus 10 fingers 1 pollicis longus thumb patients (Seevideo, Supplemental...

Background: The aim was to test the null hypothesis that splint material, thickness, or longitudinal ridging does not affect strength of a wrist splint. Methods: Ten splints were made according each 7 different designs (resulting in groups 10 each). All same length and molded approximate contour volar hand, wrist, forearm with neutral. Three consisted plaster thicknesses (8, 10, 12 ply). additional included but ridge. A single group constructed from prefabricated fiberglass splinting...

Background: Different strategies exist for reduction of the cervical spine.Placement C1 lateral mass screws is a powerful technique but may be impossible in degenerative or revision setting.We report open, posterior-only, and instrumented fixed C1-2 subluxation using occipital C2/C3 fixation.The patient had rheumatoid arthritis undergone previous surgery spine.Methods: We performed retrospective chart review focused appraisal literature.Results: Satisfactory was achieved with this...

Background: Pediatric ulnar aneurysms are rare and, unlike their adult counterparts, cannot be explained by repetitive trauma to the palm. A small number of case reports describe diagnostic difficulty with these lesions and different treatments. Methods: We present a 6-month-old an artery aneurysm unknown cause. The diagnosis was supported magnetic resonance imaging, lesion resected. Results: Because hand remained well perfused, not reconstructed. Conclusions: Although early result good,...