Discover and read the best of Twitter Threads about #fractures
Most recents (10)
A summary thread from the great Emergency Medicine Australasia issue I finally read on the plane; @EMAJournal #foamed
Thom study in EMA: patients with unstable cervical #fractures can sit (29%), walk (63%), lack midline tenderness (27%), and have delayed presentation (20%).
Thom study in EMA: patients with unstable cervical #fractures can sit (29%), walk (63%), lack midline tenderness (27%), and have delayed presentation (20%).
@EMAJournal #emergencymedicine
surf injuries were mostly lower c-spine
NEXUS underperformed compared to Canadian C-spine.
#drowning and cervical CTs are not inextricably linked: don't automatically image unless signs of axial loading/very specific concerns
surf injuries were mostly lower c-spine
NEXUS underperformed compared to Canadian C-spine.
#drowning and cervical CTs are not inextricably linked: don't automatically image unless signs of axial loading/very specific concerns
@EMAJournal [my $0.02 on immobilising (virtually) anyone prehospitally: cervical immobilisation is a myth: collars don't actually immobilise, and 'immobilisation' doesn't actually prevent neurological injury...it *does* however harm (eg aspiration and other harms)]
As the year ends, it's time once again to discuss some of the best clinical papers in the 🦴 #bone field in 2022!
A long 🧵
@Sandroppa @ECTS_science @larsfolkestad
A long 🧵
@Sandroppa @ECTS_science @larsfolkestad
Nr. 1: Supplemental #VitaminD and Incident #Fractures in Midlife and Older Adults @NEJM
No effect in the VITAL trial although confidence intervals do not exclude meaningful reduction in patients on osteoporosis meds or with fracture history
nejm.org/doi/full/10.10…
No effect in the VITAL trial although confidence intervals do not exclude meaningful reduction in patients on osteoporosis meds or with fracture history
nejm.org/doi/full/10.10…
#VitaminD Deficiency Increases Mortality Risk in the UK Biobank
A Nonlinear Mendelian Randomization Study
Risk increased steeply < 50 nmol/L and was greater with genetic than phenotypic vitamin D deficiency
@AnnalsofIM
acpjournals.org/doi/10.7326/M2…
A Nonlinear Mendelian Randomization Study
Risk increased steeply < 50 nmol/L and was greater with genetic than phenotypic vitamin D deficiency
@AnnalsofIM
acpjournals.org/doi/10.7326/M2…
Calcium supplements increase the risk of dementia inn older people
1. #Calcium tablets are commonly prescribed to older people to lower the risk of #osteoporosis and #fractures. However, calcium tablets may increase the risk of #Dementia.
#neurotwitter #MedTwitter
1. #Calcium tablets are commonly prescribed to older people to lower the risk of #osteoporosis and #fractures. However, calcium tablets may increase the risk of #Dementia.
#neurotwitter #MedTwitter
2. Women (aged 70 or more) taking calcium supplements had a higher risk of all type dementia, vascular and mixed dementia at 5-year follow up.
The risk of dementia was higher in women with previous history of #stroke and those with white matter lesions (WML) on #MRI brain.
The risk of dementia was higher in women with previous history of #stroke and those with white matter lesions (WML) on #MRI brain.
3. In another study, higher serum calcium status (even if not hypercalcemia) was associated with increased risk of #Alzheimers disease in elders. Serum calcium is a useful biomarker in predicting clinical progression in nondemented elders.
An in-depth review of Tibial Pilon Fractures.
If you’re interested in orthopedics, you’ll definitely want to check this review out.
🦴⚒️🧵👇
To view our past reviews, visit:
💻 myorthoreviews.com📱
If you’re interested in orthopedics, you’ll definitely want to check this review out.
🦴⚒️🧵👇
To view our past reviews, visit:
💻 myorthoreviews.com📱
Most tibial pilon fractures result from high-energy axial loading through the talus.
They are also commonly referred to as Tibial Plafond fractures. The tibial plafond is the distal articular surface of the tibia, which gained the name from its French meaning, "ceiling".
They are also commonly referred to as Tibial Plafond fractures. The tibial plafond is the distal articular surface of the tibia, which gained the name from its French meaning, "ceiling".
The term tibial pilon was first used by Étienne Destot in 1911 to describe the interaction of the distal tibia and talus during axial loading.
Pilon is the French term for "pestle".
The term was later adopted as a term for vertical impaction fractures of the distal tibia.
Pilon is the French term for "pestle".
The term was later adopted as a term for vertical impaction fractures of the distal tibia.
A review of upper extremity Eponym Fractures.
It is important for clinicians to be aware of eponymous fractures as they are commonly used and allow for a succinct description of sometimes complex injuries.
🦴⚒️🧵👇
To view our past reviews, visit:
💻 myorthoreviews.com📱
It is important for clinicians to be aware of eponymous fractures as they are commonly used and allow for a succinct description of sometimes complex injuries.
🦴⚒️🧵👇
To view our past reviews, visit:
💻 myorthoreviews.com📱
First off, what is an eponym fracture?
Eponymous: of, relating to, or being the person or thing for whom or which something is named.
Eponym fractures are named based on the first person to describe them (e.g. Holstein-Lewis) or by an activity (e.g. Chauffer's)
Eponymous: of, relating to, or being the person or thing for whom or which something is named.
Eponym fractures are named based on the first person to describe them (e.g. Holstein-Lewis) or by an activity (e.g. Chauffer's)
We will review the eponymous fractures of the upper extremity going from proximal to distal.
To start off, what is an eponym for the following lesion?
To start off, what is an eponym for the following lesion?
An in-depth review of metacarpal fractures.
If you're interested in orthopedics you'll definitely want to check this review out!
What is an eponym for this fracture?
If you're interested in orthopedics you'll definitely want to check this review out!
What is an eponym for this fracture?
This patient is presenting with an intraarticular fx of the 5th metacarpal base.
This fracture is similar to a Bennett's fx (an intraarticular fx of the 1st metacarpal base).
This fracture goes by a few eponyms: a reverse bennett, baby bennett, or mirrored bennett.
This fracture is similar to a Bennett's fx (an intraarticular fx of the 1st metacarpal base).
This fracture goes by a few eponyms: a reverse bennett, baby bennett, or mirrored bennett.
A Ronaldo fracture is a comminuted fracture of the 1st metacarpal base. (shown above)
Displacement of a Reverse Bennett fracture is due to which of the following muscles?
Displacement of a Reverse Bennett fracture is due to which of the following muscles?
An in-depth review of Distal Humerus Fractures.
If you're interested in orthopedics you'll definitely want to check this review out.
1/12
If you're interested in orthopedics you'll definitely want to check this review out.
1/12
The distal humerus is composed of two columns, a medial and lateral column that are connected by the trochlea forming a triangular shape.
The distal humerus has:
40-45° anterior angulation
3-8° internal rotation
4-8° valgus
The distal humerus has:
40-45° anterior angulation
3-8° internal rotation
4-8° valgus
Distal humerus fractures most commonly occur in elderly females due to low energy falls, but may also occur in young adults due to MVA or sporting events.
An in-depth review of Distal Radius Fractures.
If you're interested in orthopedics, you'll definitely want to check this review out.
1/15
If you're interested in orthopedics, you'll definitely want to check this review out.
1/15
Distal radius (DR) fractures have a bimodal age distribution. “accounting for around 25% of fractures in the pediatric population and up to 18% of all fractures in the elderly age group.” (2)
2/
2/
Which of the following does not articulate with the radius?
Can #bloodpressure treatment be harmful? Our new meta-analysis suggests it is NOT linked to #falls or #fractures but may increase the risk of syncope & acute kidney injury bmj.com/content/372/bm… – see thread @RichardJMcManus @Richard_D_Riley @ebhcmedstats @JulietU_S @drandyclegg
1/ No meta-analyses of randomised controlled trials to date have quantified the association between blood pressure lowering treatment and specific adverse events such as #falls, #fractures, #syncope (fainting) or acute kidney injury #AKI
2/ In a meta-analysis of 58 randomised controlled trials, including 280,638 participants and an average of 3 years follow-up, there was no evidence of an association between antihypertensive treatment and #falls (primary outcome) or #fractures.
With 2020 almost over, it's time again to look back at some of the BEST in the #bone field: 🔝20 papers (+extras).
Happy to hear your input! Disclosure: fully subjective ranking!
@ASBMR @AcademyEcts @Osteoporosis_NL @osteoporosisNI @mmse30 @NatalieASims
Happy to hear your input! Disclosure: fully subjective ranking!
@ASBMR @AcademyEcts @Osteoporosis_NL @osteoporosisNI @mmse30 @NatalieASims
#1 Atypical Femoral fractures @NEJM (Black DM et al.)
Risk reduces within months of @Bisphosphonate1 discontinuation. Benefit>risk in any group but less so in Asians and women <65yr
nejm.org/doi/10.1056/NE…
Risk reduces within months of @Bisphosphonate1 discontinuation. Benefit>risk in any group but less so in Asians and women <65yr
nejm.org/doi/10.1056/NE…
-side note- @ECTS_science very useful systematic review and recommendations for managing osteoporosis following AFFs.
ncbi.nlm.nih.gov/pmc/articles/P…
And oral BPs may not only reduce fractures but also cardiovascular events
pubmed.ncbi.nlm.nih.gov/32717068/
@Dr_BoAbrahamsen @prieto_alhambra
ncbi.nlm.nih.gov/pmc/articles/P…
And oral BPs may not only reduce fractures but also cardiovascular events
pubmed.ncbi.nlm.nih.gov/32717068/
@Dr_BoAbrahamsen @prieto_alhambra
