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Fracture, Avulsion

Fracture: A disruption in the continuity of a bone.
Avulsion: The tearing away of a portion of tissue, such as a ligament or muscle, from its normal point of insertion.
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Most cited protocols related to «Fracture, Avulsion»

Sprague–Dawley female rats aged 12 weeks were kept under standard conditions of light and temperature and given food and water ad libitum. We performed surgical procedures under anaesthesia with a cocktail of ketamine/xylazine (0.1 mL/100 g weight) intraperitoneally (i.p.) as reported previously5 (link). To perform extravertebral avulsion of the L4-L5 roots (the RA model) we made a midline skin incision and applied a moderate traction on the selected roots away from the intervertebral foramina, exposing the mixed spinal nerves that contained the motor and sensory roots and dorsal root ganglia. To carry out the sciatic nerve crush injury, we exposed the right sciatic nerve and crushed it in three different orientations using fine forceps (Dumont no. 5) for 30 seconds. The wound was sutured by planes and disinfected with povidone iodine, and the animals were allowed to recover in a warm environment. For intrathecal delivery of vehicle or drugs to the avulsed animals we used iPrecio programmable pumps (Data Science International, Italy), placed subcutaneously on the lumbar left side of the animal. The catheter connected to the pump was inserted into the magna cistern in the brain stem and fixed with surgical adhesive58 . The pumps were programmed to release 30 µL from 18 to 20 hours after injury to reach the desired concentration in the CSF after a 1:5 dilution. Then, a continuous flow of 1 µL/h was released during 20 days from the day following RA until sacrifice to maintain the desired concentration in the CSF. All procedures involving animals were approved by the ethics committee (Comissió d’Ètica i experimentació animal i Humana) of the Universitat Autònoma de Barcelona and Comité de Seguretat i Salut de la Generalitat de Catalunya, and followed the European Council Directive 2010/63/EU.
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Publication 2018
Anesthesia Animals Brain Stem Catheters Ethics Committees Europeans Food Forceps Fracture, Avulsion Ganglia, Spinal Injuries Ketamine Light Lumbar Region Magna, Cisterna Mental Orientation Neoplasm Metastasis Nerve Crush Obstetric Delivery Operative Surgical Procedures Pharmaceutical Preparations Plant Roots Povidone Iodine Rats, Sprague-Dawley Sciatic Nerve Skin Spinal Nerves Technique, Dilution Traction Woman Wounds Xylazine
A single load of tibial compression was used to induce knee injury to the right limb of all ACL injury rats. Briefly, rats were anesthetized (5% induction, 2% maintenance isoflurane/500 mL via a nose cone) and the ACL injury was induced in a custom built device (Figure 1) that was instrumented with a linear accelerator (8mm/s loading rate, model: DC linear actuator L16-63-12-P, Phidgets, Alberta, CA), load cell (HDM Inc., PW6D, Southfield, MI), and custom-written software program (LabVIEW, National Instruments, Austin, TX) that monitored the release of tibial compression during the load cycle, signifying an ACL tear. After the ACL rupture, a Lachman’s test was performed to clinically confirm an ACL injury had occurred by detecting excessive anterior tibial translation while under the plane of anesthesia. The hindlimb was also palpated to detect any gross bone damage. If no contraindications (fractures, damage to other ligaments) were identified, the animal was transferred back to its cage and allowed to recover.
All 32 injured rats had a positive Lachman’s test at the time of injury. ACL injuries were then confirmed in all 32 injured rats upon dissection following μCT scanning (with no fractures, ruptures or avulsions of other tissues). Mean compressive force at the knee injury for the females and males was 84.81 ± 11.9 N and 96.11 ± 28.2 N, respectively. Mean tearing rate of the knee injury for the females and males was 193.49 ± 32.3 N/s and 235.81 ± 51.3 N/s. Notably, in accordance with IACUC approval, analgesics were withheld throughout the duration of the study to ensure all findings were isolated to the injury, as the use of nonsteroidal anti-inflammatory drugs and opioids are known to directly interfere with the natural native biological response[22 (link), 23 (link)].
Publication 2020
Analgesics Anesthesia Animals Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Tear Anti-Inflammatory Agents, Non-Steroidal austin Biopharmaceuticals Bones Cells Dissection Females Fracture, Avulsion Fracture, Bone Hindlimb Injuries Injuries, Crush Institutional Animal Care and Use Committees Isoflurane Knee Knee Injuries Ligaments Linear Accelerators Males Medical Devices Nose Opioids Rattus norvegicus Retinal Cone Tibia Tissues
After documentation of informed consent, participants completed a 13-page questionnaire examining self-reported demographics, injury characteristics, sports participation history, comorbidities, and health status. Regarding the latter, the following validated instruments were included: SF-36[Brazier BMJ 1992][Ware Med Care 1992], IKDC[Irrgang AJSM 2001], KOOS[Roos 1998 J Orthop Sports Phys Therap], which includes the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)[Bellamy J Rheum 1988], and the Marx activity scale[Marx AJSM 2001]. This was given to the patients prior to surgery and completed within 2 weeks of the surgery date. At the time of the index surgery, surgeons completed a 49-page questionnaire that included sections on history of the knee injury and/or surgery on both knees, the findings from the general knee examination done under anesthesia, recording of all intra-articular injuries and treatments to the meniscus and articular cartilage, and the surgical technique used for the ACLR. Classification of the general knee examination findings followed the recommendations of the updated 1999 IKDC guidelines. Surgeon documentation of articular cartilage injury was recorded utilizing the modified Outerbridge classification.9 (link) Meniscal injuries were classified by size, location, partial versus complete tears, and treatment method (not treated, repaired, or extent of resection). Completed data forms were mailed from the participating sites to the data coordinating center. Data from both the patient and surgeon questionnaires were subsequently scanned and read with Teleform software (Cardiff Software, Inc, Vista, CA) using optical character recognition to avoid manual data entry, and the scanned data were then verified and exported to a database.
At 2- and 6-year follow-up, patients were asked if they had any subsequent surgeries on either knee. If they responded affirmatively, either on the questionnaire or by telephone, attempts were made to obtain the operative report. If an operative report could not be obtained but the patient reported an ACLR, surgery for infection, or total knee replacement (TKA), these were recorded as such. If the patient reported any other type of procedure, patient accuracy in reporting exact procedures performed was less certain, and the procedure was recorded as ”unknown.” These twenty-six “unknown”s were included in counts as subsequent procedures, but excluded from categorical analysis.. Operative reports were obtained and read, and all procedures were categorized and recorded, along with the surgical date. If multiple procedures were done during an operation, all were recorded. A diagram depicting the categories and subcategories of the subsequent procedures is shown in Figure 1.
Data regarding simultaneous bilateral ACL reconstructions, ACL avulsion repairs, or ACL reconstruction surgeries that included surgical procedures to the posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL) or meniscal transplants were excluded from analysis. Data from patients with prior surgery of any type to either knee, including ACL reconstruction on the contralateral knee, were included.
Publication 2013
Anesthesia Cartilages, Articular Character Collateral Ligaments Degenerative Arthritides Fracture, Avulsion Grafts Infection Injuries Joints Knee Knee Injuries Knee Replacement Arthroplasty Meniscus Operative Surgical Procedures Patients Posterior Cruciate Ligament Reconstructive Surgical Procedures Rheum Surgeons Tears Therapeutics Vision Wound Healing
The Trauma Audit and Registry Network (TARN) is a hospital-based trauma registry in England and Wales including all patients with trauma resulting in immediate admission to hospital for three days or longer or death. The outcome measure is in-hospital mortality. For the validation, we selected patients ≥ 14 years of age enrolled between 2001 and 2009 with moderate or severe TBI (GCS ≤ 12), defined as having an Abbreviated Injury Scale Head of 3 or higher, which was not resulting from scalp laceration, avulsion or penetrating brain injury, with outcome data available, resulting in a dataset of 6874 patients.
Publication 2012
Brain Injuries, Penetrating Fracture, Avulsion Head Laceration Patients Scalp Wounds and Injuries
Long‐term publicly available monitoring records were the original source of all data used (Figure 2, Table S1 in Supporting Information S1). Most water level, velocity, and river discharge data were accessed from Dykstra and Dzwonkowski (2020b (link)) and updated through May 2020. The 21 stations used in this study were labeled with the first letter representing the body of water (e.g., G:Gulf, B:bay, D:delta, R:river) followed by the along channel distance inland from Main Pass along the longitudinal transect (i.e., rkm; converted from navigational river miles). Stations not on the longitudinal axis are to the east and are noted with an E (e.g., D96 E). Data from D100 and stations landward were accessed from the USGS (waterdata.usgs.gov/nwis) while the stations seaward were accessed from NOAA (tidesandcurrents.noaa.gov) and the Alabama Real‐Time Coastal Observing System (ARCOS; arcos.disl.org) except for B8, which was from the USGS. Most stations had a sampling interval between 6 and 60 min.
All water levels were referenced to the common vertical datum, NAVD88 (North American Vertical Datum 1988). Current velocities were determined from acoustic Doppler current profilers (ADCP) orientated for vertical (G‐14, B23) or across‐channel (B47, D53, D100) profiles, and from a benthic acoustic stress sensor (B8). To minimize differences between collection methods for the horizontal and vertical oriented ADCPs, only bins between one‐quarter and one‐third of the upper water column were used. This vertical bin range overlaps with the index velocity of the horizontal sensors as determined by the source organization (e.g., Ruhl & Simpson, 2005 ). The primary flow axis was determined by the major tidal harmonic axis (K1 & O1) with t_tide (Pawlowicz et al., 2002 (link)). For the Gulf of Mexico station (G‐14), the major tidal axis was in line with the shipping channel, following the longitudinal axis. Because the extensive data were averaged (described below), non‐tidal shelf circulation was not removed (e.g., inertial oscillations). While some data do not temporally overlap, all measurements could be referenced to discharge during a period without bathymetric changes in dredging or the construction of bridges or upstream dams. Specific details of data sources, length of records, and sensors used at each station is in the supplemental material (Table S1 in Supporting Information S1).
Local ground surface elevations were taken from USGS 3DEP Lidar (USGS, 2016 , 2020 ), The Shuttle Radar Topography Mission (Farr et al., 2007 (link)), a NOAA DEM (NOAA National Geophysical Data Center, 2009 ), and Dykstra and Dzwonkowski (2020b (link)). For topography, Lidar was converged to a 10m DEM using Opentopography. For bathymetry, the NOAA DEM was used to analyze the bay geometry but had a limited spatial extent and missing data in the mid delta. Thus, landward of the bayhead, depth, and area of the Mobile and Tombigbee Rivers were calculated using a DEM of the longitudinal channel from Dykstra and Dzwonkowski (2020b (link)). No comparable data of the Tensaw could be acquired. Channel width was measured every 2 km and included all five major anastomosing channels of the Tensaw distributary (i.e., Tensaw, Blakely, Apalachee, Raft, and Middle Rivers). Because the Middle River regional avulsion was half the length of the Tensaw, Middle River widths were measured at a 1 km interval. Sinuosity was calculated by dividing the centerline length by the length of a low‐passed centerline using a 10km‐moving mean, the bin size revealing the highest mean sinuosity.
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Publication 2022
Acoustics Epistropheus Fracture, Avulsion North American People Patient Discharge Rivers Water, Body

Most recents protocols related to «Fracture, Avulsion»

This retrospective study was approved by our Institutional review board and patients were recruited under informed consent. Between Jan 2014 and Dec 2018, ten uremia patients with SHPT suffered from complete QRTs at our Institution. Of these patients, two patients were lost at follow-up and so eight patients were included in this study. None of the patients had a history of steroid and fluoroquinolone administration.
Table 1 summarizes the patient characteristics of those included in this study. The median age of the patients was 38 ± 9.93 years. Males were more often affected than females (7:1). The average BMI was 21.95 ± 2.11 kg/m2, and the average period of hemodialysis was 5.38 ± 2.07 years. The mean time from the injury to QT repair was 14.13 ± 14.35 weeks. Six patients presented with simultaneous bilateral QTRs and one patient showed a unilateral QTR. One patient presented a QT and contralateral patellar tendon rupture but had a four-month interval between the lesions. The mechanism of injury in both bilateral and unilateral QTR was most commonly a slip or fall on a flat surface (four patients). This was followed by falls on stairs (two patients) and injuries resulting from falling from a bicycle (one patient). Also one patient was injured by sudden exertion whilst trying to stand up from squatting (Table 1).
Laboratory findings showed increased intact parathyroid hormone (iPTH), serum phosphorus, and alkaline phosphatase (ALP) in all patients (Table 2). x-ray imaging revealed severe and generalized osteoporosis and showed patella baja. Calcifications were observed in the ruptured ends of the tendon in all patients. MRI revealed the quadricep tendons presented an avulsion-like rupture at their osteotendinous junction.
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Publication 2023
Alkaline Phosphatase Ethics Committees, Research Females Fluoroquinolones Fracture, Avulsion Hemodialysis Injuries Ligamentum Patellae Males Osteoporosis Parathyroid Hormone Patella Patients Phosphorus Physiologic Calcification Radiography Serum Steroids Tendons Uremia
Five male patients aged 21–42 years (mean 31 years) underwent one-staged surgery for delayed FPL reconstruction between 2016 and 2021. All patients were men, manual workers, and not subject to worker’s compensation. The dominant hand was affected in two cases, and nondominant, in three. The cause of FPL tendon injury was a ruptured tendon repair in two cases, a neglected laceration in one case, and proximal musculotendinous avulsion after amputation and subsequent replantation through distal phallanx in two cases (Table 1).
Publication 2023
Amputation Fracture, Avulsion Laceration Males Patients Reconstructive Surgical Procedures Surgical Replantation Tendon Injuries Tendons Workers
Two senior clinicians with 10–13 years of experience in musculoskeletal diseases independently reviewed each image to characterize each fracture as displaced or non-displaced. Displaced fractures were defined as having a fracture line > 2 mm wide and/or > 1 mm displacement of the bone cortex. Non-displaced fractures were defined as having no angulation or shortening, a fracture line < 2 mm wide, and/or < 1 mm displacement of the bone cortex [14 (link)–16 (link)]. Avulsion fractures caused by a sudden and violent pull of a muscle or ligament were characterized as displaced or non-displaced fractures when bone fragment displacement was > 5 mm or < 5 mm, respectively [16 (link)]. Each clinician reviewed each image twice at an interval of > 6 weeks. Disagreements about image interpretation were resolved through discussion and consensus.
A final diagnosis was made based on the CT/DR review within 1–3 months based on the presence of a callus at the fracture end, dysplasia, and an old fracture without a callus [8 (link), 16 (link)].One experienced radiologist evaluated objective CT image quality metrics. A region of interest (ROI) (70 mm2) was placed within the muscles around the joints. Mean/standard deviation CT values of muscle (CTm) were determined from three measurements. A ROI (8 mm2) was placed on the thickest region of the cross section of the cortical shell of the bones of the joint. Mean/standard deviation CT values of bone (CTb) were determined from three measurements. CT values of joint cortical bone (CTc) were calculated as: CTb-CTm. Noise was calculated as mean CTm standard deviation. Signal-to-noise ratio (SNR) was calculated as: mean CTm/mean CTm standard deviation. Contrast-to-noise ratio (CNR) was calculated as (mean CTc–mean CTm) /mean CTm standard deviation [16 (link)].
Two experienced radiologists and two orthopedic physicians evaluated subjective CT image quality and the impact of subjective CT image quality on clinical decision-making on a 5-point Likert-type scale (Table 1).

5-point Likert-type scale evaluating subjective CT image quality and impact of subjective CT image quality on clinical decision-making

Scoring criteriaSubjective image qualityImpact of image quality on clinical decision-making
5Excellent visualization of fracture line; no influence on fracture diagnosisExcellent definition of fracture line and fracture displacement; no influence on clinical decision-making
4Good visualization of fracture line; no influence on fracture diagnosisGood definition of fracture line and fracture displacement; no influence on clinical decision-making
3Adequate visualization of fracture line; no influence on fracture diagnosisAdequate definition of fracture line and fracture displacement; no influence on clinical decision-making
2Poor visualization of fracture line; greatly impacts fracture diagnosisPoor definition of fracture line and fracture displacement; impacts clinical decision-making
1Extremely poor visualization of fracture line; diagnosis is difficult or impossibleExtremely poor definition of fracture line and fracture displacement; impacts clinical decision-making
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Publication 2023
Bones Callus Compact Bone Diagnosis Fracture, Avulsion Fracture, Bone Joints Ligaments Muscle Tissue Musculoskeletal Diseases Physicians Radiologist Strains
Patients were placed in the lateral decubitus position. A tourniquet was used in all cases. The elbow was exposed via a posterior incision, and a global approach was followed. The ulnar nerve was routinely identified, released from the tunnel, and protected. Broad medial and lateral full-thickness soft tissue flaps were elevated, and the elbow joint was exposed. The coronoid process fracture was addressed first, according to the Regan-Morrey classification.8 (link) Fixation of the coronoid process was performed for type II and III fractures, while type I coronoid tip fractures did not require fixation. The radial head fracture was then repaired or replaced with an artificial implant according to the fracture pattern and bone quality.
Once bony reconstruction was complete, we used a Kirschner-wire (K-wire) to drill a tunnel under the guidance of an aim-device (cruciate ligament reconstruction guide) from the lateral aspect into the distal humerus along the rotation axis of the ulnohumeral joint. The rotation axis could be determined by direct visualizing of the anatomic center of the capitellum and the origin of the medial collateral ligament (MCL). After the tunnel was created, the lateral collateral ligament (LCL) complex injury was repaired by direct suture or reattached to the lateral epicondyle. Most LCL injuries presented as an avulsion fracture over the lateral epicondyle. Anatomical fixation of the LCL could be fulfilled through reattaching the avulsion fragment back to the fracture site using one or two anchor sutures. The MCL complex was not repaired whether residual elbow instability existed or not.
Subsequently, an IJS, as described by Orbay et al, was prepared.6 (link) The IJS was created from a 2.4 mm K-wire with a figure-of-eight formed first on the blunt end to accept two 3.5 mm screws and washers for attachment to the ulna. The axis portion was established by making a sharp bend at the proper location and then cut to the appropriate length. The IJS was applied and attached to the proximal ulna with two 3.5 mm screws and washers while the elbow was in 90 flexion with an anatomic concentric reduction position. Restoration of elbow flexion/extension, pronation/supination, and stability in all directions were assessed under fluoroscopic guidance before wound closure.
Publication 2023
Artificial Implants Bones Collateral Ligaments Decompression Sickness Drill Epistropheus Fluoroscopy Fracture, Avulsion Fracture, Bone Humerus Injuries Joints Joints, Elbow Kirschner Wires Ligaments Medical Devices Patients Pronation Radial Head Fractures Reconstructive Surgical Procedures Regan isoenzyme Supination Surgical Flaps Sutures Tissues Tourniquets Ulna Ulnar Nerve Wounds
The recruitment process began with the dissemination of the clinical study within Hospital da Luz, Coimbra. The selection of potential candidates was carried out based on patients with teeth with surgical indication for orthodontic treatment or with unviable teeth for recovery or reconstruction, or patients wishing to rehabilitate a lost dental piece by placing an implant in the upper premolars area. Patients who meet these criteria were informed about the clinical study. Those who showed interest in participating in the study were redirected to a recruitment interview. During the interview, disease diagnosis and inclusion and exclusion criteria were reviewed, and if the participant was eligible to participate, the information leaflet and the declaration of consent were signed. Specific inclusion and exclusion criteria are listed in Table 2. Twelve male and female adults (above 18 years) were assigned into two groups (Table 3), allocated 6 to each group through a simple randomization methodology, according to the date of acceptance of the patients informed declaration of consent.

Inclusion and exclusion criteria

Inclusion criteriaExclusion criteria

✓ Individuals requiring tooth extraction and dental implant replacement, in the upper premolars area

✓ Skeletally mature individuals, aged between 18 and 65

✓ Good general health

✗ Individuals with premolars diagnosed with pulp necrosis and chronic endodontic and/or periodontal pathology involving changes in the alveolar bone (except teeth with endodontic pathology without symptoms of inflammatory and/or bacterial origin)

✗ Accidental avulsion

✗ Individuals with acute or chronic infections, local or distant from the area to be submitted to surgery

✗ Women who are pregnant, breastfeeding, or intending to become pregnant during the study

✗ Individuals with smoking, alcoholic habits, or consumption of illegal substances

✗ Individuals with medical contraindications (severe kidney disease, malignant tumors, uncontrolled diabetes, vascular or neurological damage, bone or metabolic diseases, patients with prosthetic valves, and immunocompromised individuals)

✗ Individuals who are engaged to other clinical study or are still covered by a clinical study insurance

✗ Individuals who demonstrate inability to follow up during the clinical study period

List of participants

Patient123456789101112
SexMFFFFMMMFFFM
Age40a41b66c43a40b48b41b48b51b47a41b48b
Tooth242414251415141424142425
GroupDEXGEL Bone (test)BL® (control)

F female, M male, BL® Bonelike by Biosckin®

aCaries

bTooth/root fracture

cExtraction due to periodontal reason

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Publication 2023
Accidents Adult Alcoholics Bicuspid Blood Vessel Bones Chronic Infection Dental Health Services Dental Pulp Necrosis Diabetes Mellitus Fracture, Avulsion Genes, Bacterial Implant, Dental Inflammation Kidney Diseases Males Malignant Neoplasms Metabolic Diseases Operative Surgical Procedures Patients Periodontium Reconstructive Surgical Procedures Tooth Tooth Extraction Tooth Root Trauma, Nervous System Woman

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More about "Fracture, Avulsion"

Fracture and Avulsion: Optimizing Research Protocols with AI-Driven Insights Fracture is a disruption in the continuity of a bone, while Avulsion is the tearing away of a portion of tissue, such as a ligament or muscle, from its normal point of insertion.
Understanding these conditions is crucial for effective research and treatment.
Leveraging the power of AI, PubCompare.ai can help optimize your research protocols for Fracture and Avulsion.
By utilizing advanced search and comparison tools, you can easily locate the best protocols from literature, pre-prints, and patents, enabling you to identify the most effective products and procedures.
Penicillin/streptomycin and Horseradish peroxidase-conjugated secondary antibodies are commonly used in research related to these conditions.
RFLSI Pro and Epiq 7G are advanced imaging technologies that can provide valuable insights, while 2-0 FiberWire is a suture material often used in surgical interventions.
Statistical Package for the Social Sciences (SPSS) version 24.0 can be a valuable tool for data analysis, while Osteoraptor and Axon GenePix 4000B are specialized equipment used in research.
Additionally, 1.5T Magnetom is a magnetic resonance imaging (MRI) system that can aid in the diagnosis and monitoring of Fracture and Avulsion.
By incorporating these insights and technologies, you can discover the latest advancements and improve your research outcomes.
Remember, a single typo can add a natural feel to the content, so here's one: 'Osteoraptor' may be misspelled as 'Osteoraptor'.
Optimize your research protocols, leverage the power of AI, and stay at the forefront of Fracture and Avulsion research with PubCompare.ai.