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The authors report a case of caecal volvulus associated with Marden-Walker syndrome in a 4-year old girl. They point out the diagnostic difficulties of this devastating disease specially in debilitated children. 相似文献
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P.-H. Flurin 《Journal de Traumatologie du Sport》2018,35(4):197-201
Introduction
Shoulder arthroplasty is a common intervention and functional demands evolve with the improvement of outcomes. There is no consensus to answer demands of patients wishing to return to sport after total shoulder arthroplasty (TSA).Material and method
Retrospective study of 377 patients undergoing primary anatomical or reverse TSA between 2001 and 2016, of which 87 (99 prostheses) returned to sport and were reviewed with a minimum follow-up of two years. Depending on the type of sport, two categories were established: sports not involving the shoulder (group 1), sports involving the shoulder (group 2).Results
Among the patients, 29.5% of anatomic and 23.5% of reverse TSA returned to sport. There was no significant difference between the two types of prosthesis in terms of recovery rate (P = 0.56), sports category (P = 0.77), or delay (P = 0.49). In terms of category of sport, the group 1 was composed of 56 patients and the group 2 was composed of 43 patients. Group 1 had a significantly larger proportion of women (P = 0.001). The distribution between anatomic and reverse TSA was equivalent in both sport subclasses (P = 0.77). The delay of return to sport was significantly longer in group 2 (P = 0.009).Conclusion
The results of this study confirm our main hypothesis on the possibility of a return to sport activity after anatomic or reverse TSA including sports involving the shoulder such as tennis, hunting or sailing. 相似文献5.
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Matthew A. Hamilton Phong Diep Chris Roche Pierre Henri Flurin Thomas W. Wright Joseph D. Zuckerman Howard Routman 《Journal of orthopaedic research》2015,33(4):605-613
This study analyzes the muscle moment arms of three different reverse shoulder design philosophies using a previously published method. Digital bone models of the shoulder were imported into a 3D modeling software and markers placed for the origin and insertion of relevant muscles. The anatomic model was used as a baseline for moment arm calculations. Subsequently, three different reverse shoulder designs were virtually implanted and moment arms were analyzed in abduction and external rotation. The results indicate that the lateral offset between the joint center and the axis of the humerus specific to one reverse shoulder design increased the external rotation moment arms of the posterior deltoid relative to the other reverse shoulder designs. The other muscles analyzed demonstrated differences in the moment arms, but none of the differences reached statistical significance. This study demonstrated how the combination of variables making up different reverse shoulder designs can affect the moment arms of the muscles in different and statistically significant ways. The role of humeral offset in reverse shoulder design has not been previously reported and could have an impact on external rotation and stability achieved post‐operatively. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:605–613, 2015. 相似文献
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Roche C Angibaud L Flurin PH Wright T Zuckerman J 《Bulletin of the Hospital for Joint Diseases》2006,63(3-4):88-92
Glenoid loosening is a common failure mode observed in total shoulder arthroplasty. In an effort to isolate the affect of differing fixation techniques on loosening, an edge displacement test was conducted using two, pear-shaped, UHMWPE glenoid designs: one keel and one peg, each having a glenohumeral radial mismatch of 4.3 mm. The susceptibility of each design to loosening was established by quantifiably comparing the maximum glenoid edge displacement before and after 100,000 cycles of eccentric loading by the humeral head along both the superoinferior (SI) and anteroposterior (AP) glenoid axes. Regardless of the axes tested, the results of this study indicate that no discernable difference in edge displacement (distraction and compression) occurred before or after cyclic, eccentric loading for either the keeled or pegged glenoid designs. Additionally, each keel andpeg glenoid remained firmly fixed after testing, suggesting that either fixation technique provides sufficient resistance to edge displacement. 相似文献