دورية أكاديمية
أعرض في EDS

Classification and Incidence of Heterotopic Ossifications in Relation to NSAID Prophylaxis after Elbow Trauma.

التفاصيل البيبلوغرافية
العنوان: Classification and Incidence of Heterotopic Ossifications in Relation to NSAID Prophylaxis after Elbow Trauma.
المؤلفون: Leyder D; Department of Traumatology and Reconstructive Surgery, BG Unfallklinik Tübingen, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany., Döbele S; Department of Traumatology and Reconstructive Surgery, BG Unfallklinik Tübingen, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.; Medical Faculty, University of Tübingen, 72074 Tübingen, Germany., Konrads C; Medical Faculty, University of Tübingen, 72074 Tübingen, Germany.; Department of Orthopaedics and Traumatology, Helios Hanseatic Hospital Stralsund, 18435 Stralsund, Germany., Histing T; Department of Traumatology and Reconstructive Surgery, BG Unfallklinik Tübingen, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany., Fischer CS; Department of Traumatology and Reconstructive Surgery, BG Unfallklinik Tübingen, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany., Ahrend MD; Department of Traumatology and Reconstructive Surgery, BG Unfallklinik Tübingen, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany., Ziegler P; Medical Faculty, University of Tübingen, 72074 Tübingen, Germany.; Department of Orthopaedics and Trauma Surgery, Klinik Gut, 7500 St. Moritz, Switzerland.
المصدر: Journal of clinical medicine [J Clin Med] 2024 Jan 24; Vol. 13 (3). Date of Electronic Publication: 2024 Jan 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2012]-
مستخلص: Heterotopic ossification (HO) after elbow trauma can be responsible for significant motion restrictions. The study's primary aim was to develop a new X-ray-based classification for HO of the elbow. This retrospective study analyzed elbow injury radiographs from 138 patients aged 6-85 years (mean 45.9 ± 18) who underwent operative treatment. The new classification was applied at 6 weeks, 12 weeks, and 6 months postoperatively. The severity of HO was graded from 0 to 4 and localization was defined as r (radial), p (posterior), u (ulnar) or a (anterior) by two observers. The patients were categorized based on injury location and use of non-steroidal anti-inflammatory drugs (NSAIDs) for HO prophylaxis. The correlations between the generated data sets were analyzed using Chi-square tests (χ 2 ) with a significance level of p < 0.05. The inter- and intraobserver reliability was assessed using Cohen's Kappa. In 50.7% of the evaluated X-rays, the formation of HO could be detected after 12 weeks, and in 60% after 6 months. The analysis showed a significant correlation between the injury's location and the HO's location after 12 weeks ( p = 0.003). The use of an NSAID prophylaxis did not show a significant correlation with the severity of HO. The classification showed nearly perfect inter- (κ = 0.951, p < 0.001) and intrareliability (κ = 0.946, p < 0.001) according to the criteria of Landis and Koch. Based on the presented classification, the dimension and localization of HO in the X-ray image can be described in more detail compared to previously established classifications and, thus, can increase the comparability of results across studies.
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فهرسة مساهمة: Keywords: HO prophylaxis; classification; elbow trauma; heterotopic ossifications; stiff elbow
تواريخ الأحداث: Date Created: 20240210 Latest Revision: 20240212
رمز التحديث: 20240212
مُعرف محوري في PubMed: PMC10856632
DOI: 10.3390/jcm13030667
PMID: 38337359
قاعدة البيانات: MEDLINE
الوصف
تدمد:2077-0383
DOI:10.3390/jcm13030667