Introduction: Treatment approaches and functional outcomes have been shown to be influenced by a patient's socioeconomic status in certain orthopaedic pathologies. In patients with proximal humerus fractures (PHFs), this study aimed to evaluate the relationship between social deprivation and (1) treatment strategy-including the choice between surgical and nonsurgical management, as well as the type of surgical intervention-and (2) patient-reported outcomes.
Methods: We retrospectively reviewed 275 displaced PHFs from a level 1 trauma center.
Background: Phase-sensitive inversion recovery late gadolinium enhancement (LGE) improves tissue contrast, however it is challenging to combine with a free-breathing acquisition. Deep-learning (DL) algorithms have growing applications in cardiac magnetic resonance imaging (CMR) to improve image quality. We compared a novel combination of a free-breathing single-shot phase-sensitive LGE with respiratory triggering (FB-PS) sequence with DL noise reduction reconstruction algorithm to a conventional segmented phase-sensitive LGE acquired during breath holding (BH-PS).
View Article and Find Full Text PDFJ Orthop Trauma
May 2025
Objectives: To identify practices for treating interprosthetic femur fracture (IFFs) and determine factors that positively impact patient outcomes.
Methods: Design: Retrospective cohort study.
Setting: Fifteen trauma centers in the United States.
J Am Acad Orthop Surg
April 2025
Workplace violence (WPV) is a pervasive issue in health care that has shown rising incidence in recent years. There are several risk factors related to the worker, occupational environment, and patient that predispose to WPV events and should be considered in risk mitigation strategies. WPV has been associated with negative effects on worker health and professional efficacy.
View Article and Find Full Text PDFBackground And Objectives: Neural tube defects (NTDs) are an important cause of global morbidity worldwide. Well-planned global neurosurgery and public health efforts can aid vulnerable communities, but there is a need to elucidate the global burden of NTDs and identify regions without available data to better target interventions.
Methods: A scoping review to quantify worldwide NTD prevalence using the PubMed/Medline and birth defects surveillance registries was conducted.
Background: Severe COVID-19 infection is known to alter myocardial perfusion through its effects on the endothelium and microvasculature. However, the majority of patients with COVID-19 infection experience only mild symptoms, and it is unknown if their myocardial perfusion is altered after infection.
Objectives: The authors aimed to determine if there are abnormalities in myocardial blood flow (MBF), as measured by stress cardiac magnetic resonance (CMR), in individuals after a mild COVID-19 infection.
Proximal humeral fractures (PHFs) are a common type of fracture, particularly in older adults, accounting for approximately 5-6% of all fractures. This article provides a comprehensive review of PHFs, focusing on epidemiology, injury mechanism, clinical and radiographic assessment, classification systems, and treatment options. The incidence of PHFs varies across regions, with rates ranging from 45.
View Article and Find Full Text PDFIntroduction: Lowering kidney stone risk and urine calcium oxalate supersaturation is a primary clinical focus for kidney stone prevention and can be achieved with multiple strategies. Common strategies include advice to increase fluid intake, restrict dietary sodium, or prescribing a thiazide-type diuretic. We investigated how physicians make these decisions in real-world practice and evaluate their efficacy based on 24-h urine collections.
View Article and Find Full Text PDFProximal humerus fractures are the third most common fracture type in adults, with their incidence increasing over time. There are varied approaches to both the classification and treatment of proximal humerus fractures. Optimal treatments for this fracture type are still widely open to debate.
View Article and Find Full Text PDF