Search results for "Fractures"

Sejas un žokļu traumas Paula Stradiņa Klīniskajā Universitātes slimnīcā

2020

Sejas un žokļu traumu ietekme uz hospitalizācijas ilgumu un neiroloģisko simptomātiku Paula Stradiņā Klīniskajā Universitātes slimnīcā. Viena no plašākajām traumu kategorijām, kas tieši pieder pie jebkuras valsts galvenajām sociālekonomiskajām problēmām un skar visus pasaules iedzīvotāju slāņus, un ir galvaskausa, sejas un apakšžokļu traumas. Sejas traumas ir bieži izplatītas, jo seja ir visatklātākā un neaizsargātākā ķermeņa daļa ar nelielu aizsargpārklājumu. Mutes dobuma un augšžokļa sejas traumas, papildus sejas estētikai, ietekmē tādas funkcijas kā elpošana, košļāšanas, rīšanas un runas funkcijas. Darba mērķi: noskaidrot FISS skalas ietekmi uz pareģojošo pacientu hospitalizācijas ilgumu…

Difficulties in distinguishing between an atlas fracture and a congenital posterior atlas arch defect in postmortem analysis.

2013

We found one atlas from a sample of 148 skeletons (0.67%) that presented different anatomical variations which made it difficult to determine whether the vertebra had an atlas fracture, an unusual Type B posterior atlas arch defect, or a combination of both. We carried out a stereomicroscopy, radiographic, and computerized tomography scan study that revealed that the dry atlas we found presented a very uncommon congenital Type B posterior atlas arch defect, simulating a fracture. In short, the present paper has revealed that differentiating Type B posterior atlas arch defects from fractures in post-mortem dry vertebrae is more difficult than expected. Thus we believe that it can be easier t…

Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study.

2006

Our aim was to evaluate the incidence of perforations of the sinuses and their related treatment after the removal of upper wisdom teeth depending on various anatomical and clinical variables.A total of 1057 upper wisdom teeth were removed under local anaesthetic in the departments of oral surgery at the Universities of Bonn, Düsseldorf, Frankfurt and Mainz, Germany. Data were collected with the help of an anonymised questionnaire dealing with information about the patients, and the position and stage of the development of teeth, as well as the occurrence and size of an oro-antral communication and its treatment.Of 465 extractions and 592 osteotomies of the upper third molars, 134 intervent…

Association between eruption state of the third molar and the occurrence of mandibular angle fractures.

2015

Background/Aim Fractures of the mandible, especially the mandibular angle, are one of the most frequent types of injuries of the facial skeleton. In many cases, a retained third molar can be found in the line of the fracture. However, it remains unclear whether a relationship between third molars and mandibular angle fractures exists. Materials and Methods Patients with isolated or combined fractures of the lower jaw between January 2001 and December 2007 were analyzed retrospectively. Electronic health records were investigated regarding the types of mandibular fractures, and panoramic radiographs were reviewed concerning the existence of third molars. In addition, a systematic review was …

Do third molars weaken the mandibular angle?

2010

Objective: The purpose of this study is to estimate how is the magnitude of the impact of a mandibular third molar on the mandibular angle stiffness. Study Design: It was performed a literature search on whole MEDLINE and LILACS data base to find articles that match the following inclusion criteria: cohort studies presenting data on patients with mandibular fractures and third molars; that had a similar angle fracture definition; and that present data available to be cross-classified in a statistic analysis. Results: The sample was composed by 4 studies, involving 2533 patients from USA, Nigeria, Germany and Jordan, evaluated between 1976 and 2001. The analysis of the sample shows a relativ…

The burden of previous fractures in hip fracture patients. The Break Study

2011

A positive history of fractures in older patients with hip fracture is common. We determined the risk factors associated with a positive history of fractures and the profile of care in hip fracture patients. In the Break Study, we enrolled 1249 women aged ≥60 years, seeking care for a hip fracture. Baseline information included age, body mass index, lifestyle (smoking habit, alcohol consumption), patient's history of fracture after the age of 50 years, family history of fragility fracture and health status (presence of comorbidity, use of specific drugs, pre-fracture walking ability, type of fracture, time to surgery, type of surgery, osteoporosis treatment). In the multivariable model age,…

Contribution to the investigation of dynamic responses of human tissues under high velocity impacts using finite element modeling

2022

Thoracic injuries happen frequently in various frameworks of high velocity impact biomechanics. Rib fractures and lung injuries are the most common hard and soft tissue injuries in human thorax. This thesis aims to contribute to the investigation of dynamic responses of human tissues especially ribs and soft tissues under high velocity impacts using finite element modeling. Firstly, a novel strain-rate-dependent elasto-hydrodynamic constitutive law of the synthetic polymer Styrene-Ethylene-Butylene-Styrene (SEBS) gel was proposed and implemented as a user material subroutine in Radioss (Altair Hyperworks) to interpret dynamic behaviors of SEBS gel under various loading configurations. Numer…

Vitamin K antagonists' use and fracture risk: results from a systematic review and meta-analysis: reply.

2015

Treatment of skeletal impairment in patients with endogenous hypercortisolism: when and how?

2014

Guidelines for the management of osteoporosis induced by endogenous hypercortisolism are not available. Both the American College of Rheumatology and the International Osteoporosis Foundation recommend to modulate the treatment of exogenous glucocorticoid-induced osteoporosis (GIO) based on the individual fracture risk profile (calculated by FRAX) and dose of glucocorticoid used, but it is difficult to translate corticosteroid dosages to different degrees of endogenous hypercortisolism, and there are no data on validation of FRAX stratification method in patients with endogenous hypercortisolism. Consequently, it is unclear whether such recommendations may be adapted to patients with endoge…

Management of Odontoid Cervical Fracture

2019

Fractures of the cervical odontoid process are the most common fractures of the cervical tract, accounting for one third of all cervical spine fractures. They are more frequent in elderly patients, and with the aging of the world population, their incidence and clinical and social relevance are expected to increase in the near future. The mechanisms underlying odontoid fractures differ according to patient age, with high-energy mechanisms being the causative factor frequently encountered in younger patients and low-energy trauma commonly occurring in elderly patients. Despite rising incidence and costs, there is considerable uncertainty regarding the optimal management for these fractures, …