![]() ![]() Presenting characteristics, treatment complications, and outcomes were evaluated of CF vs. ![]() Baseline health and acute illness severity was calculated using the 11-point modified frailty index (mFI-11). Patients undergoing CF were defined through ICD-10 procedure codes. Methods: The 2016–2019 National Inpatient Sample (NIS) was queried using International Classification of Diseases, 10th revision (ICD-10) for adult patients with C1/C2 subluxation. Our objective is to ascertain the prevalence of neurological deficit, complications, and outcomes of patients diagnosed with AARS undergoing cervical fusion (CF) versus those treated without CF. Treatment may depend on the duration of symptoms and clinical presentation, but there is no consensus regarding the ideal management of these injuries. It is often associated with trauma in adults. Kinon 3ġ New York Medical College, Valhalla, NY, USA Ģ Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA ģ Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA Ĥ Department of Neurosurgery, Maimonides Medical Center, Zucker School of Medicine at Hofstra-Northwell, Brooklyn, NY, USAĬontributions: (I) Conception and design: E Spirollari, C Beaudreault, C Ng, JF Dominguez, CD Gandhi, R Tyagi, JK Houten, MD Kinon (II) Administrative support: E Spirollari, C Ng, S Vazquez, JF Dominguez, CD Gandhi, R Tyagi, MD Kinon (III) Provision of study materials or patients: E Spirollari, C Beaudreault, R Wang, JF Dominguez, MD Kinon (IV) Collection and assembly of data: E Spirollari, C Beaudreault, E Chapman, K Clare, A Das, JF Dominguez (V) Data analysis and interpretation: E Spirollari, S Vazquez, E Chapman, K Clare, R Wang, A Naftchi, A Lui, A Sacknovitz, JF Dominguez, MD Kinon (VI) Manuscript writing: All authors (VII) Final approval of manuscript: All authors.īackground: Atlantoaxial rotatory subluxation (AARS) is a rare injury of the C1/C2 junction. Policy of Dealing with Allegations of Research MisconductĮris Spirollari 1, Cameron Beaudreault 1, Christina Ng 1, Sima Vazquez 1, Emily Chapman 2, Kevin Clare 1, Richard Wang 1, Alexandria Naftchi 1, Ankita Das 1, Aiden Lui 1, Ariel Sacknovitz 1, Jose F.Policy of Screening for Plagiarism Process.Fractures of the Ankle Joint: Investigation and Treatment Options. Goost H, Wimmer M, Barg A, Kabir K, Valderrabano V, Burger C. Evaluation of the Syndesmotic-Only Fixation for Weber-C Ankle Fractures with Syndesmotic Injury. CURRENT Diagnosis & Treatment in Orthopedics, Fourth Edition. Musculoskeletal Eponyms: Who Are Those Guys? Radiographics. It was later modified and popularized by the Swiss orthopedic surgeon, Bernhard Georg Weber (1929-2002), in 1972 2. This classification was first described by the Belgian general surgeon, Robert Danis (1880-1962), in 1949. Usually associated with an injury to the medial side Weber C fractures can be further subclassified as 6Ĭ1: diaphyseal fracture of the fibula, simpleĬ2: diaphyseal fracture of the fibula, complexĪ fracture above the syndesmosis results from external rotation or abduction forces that also disrupt the joint Medial malleolus fracture or deltoid ligament injury often presentįracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs ( Maisonneuve fracture) Tibiofibular syndesmosis disruption with widening of the distal tibiofibular articulation Weber B fractures could be further subclassified as 9ī2: associated with a medial lesion (malleolus or ligament)ī3: associated with a medial lesion and fracture of posterolateral tibiaĪbove the level of the syndesmosis (suprasyndesmotic) ![]() Variable stability, dependent on the status of medial structures (malleolus/ deltoid ligament) and syndesmosis may require open reduction and internal fixation (ORIF) Tibiofibular syndesmosis usually intact, but widening of the distal tibiofibular joint (especially on stressed views) indicates syndesmotic injuryĭeltoid ligament may be torn, indicated by widening of the space between the medial malleolus and talar dome Usually stable if medial malleolus intact treat with CAM Walker or Moon Boot with crutches and weight bear as tolerated with them for 6 weeksĭistal extent at the level of the syndesmosis (trans-syndesmotic) may extend some distance proximally Below the level of the syndesmosis (infrasyndesmotic) ![]()
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