Harringtonwestermann6486

Results In the CS group, torque to failure was 40.2±2.6Nm, 35.0±1.4Nm, 29.8±1.5Nm, and 31.8±2.2Nm for the COR, AX, CCOM, and ACOM fracture groups, respectively (p less then 0.05). In the SHS group, torque to failure was 28.6±1.3Nm, 24.2±1.4Nm, 21.4±1.2Nm, and 21.0±0.9 Nm for the COR, AX, CCOM, and ACOM fracture groups, respectively (p less then 0.05). In both constructs, groups with posterior inferior comminution demonstrated significantly lower torque to failure compared to the COR group (p less then 0.05). The CS construct demonstrated higher torque to failure in all groups when compared to the SHS construct (p less then 0.01). Conclusions Posterior inferior comminution significantly affects torque to failure in vertically-oriented FNFs. Three peripherally-placed cannulated screws may resist combined axial and torsional loading better than a sliding hip screw construct.The aim of this work was to review Neck Imaging Reporting and Data System (NI-RADS) that was designed for reporting and surveillance of head and neck cancer after therapy and their subsequent management. The categories of NI-RADS can be designated as belonging in 1 of the 4 categories negative; low suspicion; high suspicion; and definite recurrence. Lexicon of NI-RADS-1 shows nonmass-like distortion of soft tissues, NI-RADS-2 lesions divided into mucosal (2A) versus deep (2B) abnormalities, NI-RADS-3 primary site can either be a submucosal or deep lesion, and NI-RADS-4 is a biopsy-proven residual or recurrent disease. The NI-RADS Lexicon of radiology reporting categories linked to management protocols and surveillance for these patients. Neck Imaging Reporting and Data System is to provide guidance for next-imaging decisions either a follow-up period, biopsy, or surgery.Purpose To assess the visualization of choroidal granulomas with swept-source optical coherence tomography angiography (OCTA). Methods Consecutive patients with granulomatous choroiditis due to tuberculosis, sarcoidosis, or Vogt-Koyanagi-Harada disease underwent baseline OCTA images using a 12 × 12-mm field of view, and the choroidal slabs were analyzed by two independent examiners who counted the oval areas of flow void. Simultaneously, indocyanine green angiography (ICGA) and enhanced-depth imaging OCT were performed to mark visible choroidal changes corresponding to granulomatous lesions. The lesion areas on OCTA and ICGA were assessed using the in-built caliper tool. Results Three hundred and one round-shaped areas of flow void on OCTA, 209 hypofluorescent round lesions on ICGA, and 42 hyporeflective choroidal lesions on enhanced-depth imaging OCT were identified in 23 eyes from 14 patients. Of the 209 ICGA granulomas, 197 (94.3%) had a corresponding round area of flow void on OCTA that was interpreted as a granuloma. One hundred and four additional round flow voids were identified on OCTA that did not correspond to any hypofluorescent lesion on ICGA. The mean area of the 197 granulomas detected with both imaging modalities was significantly larger on ICGA (mean 0.33 mm) than that on OCTA (mean 0.28 mm). Conclusion Optical coherence tomography angiography seems to be an optimal imaging method for the visualization of choroidal granulomas.Purpose In 2012, four patients with multiple asymptomatic, indolent, unilateral, choroidal lesions were described. We suspected benign-behaving lymphocytes infiltrating the choroid. This article expands the number of patients and duration of follow-up and speculates further on the etiology. Although histopathologic confirmation of these lesions is still unknown, the natural course of these patients is excellent and should be distinguished from aggressive choroidal lymphoma. Methods To qualify for the study, the patients had to meet the following criteria 1) Patients collected had asymptomatic choroidal infiltrates as demonstrated in the figures; 2) absence of vitreous cells; 3) no evidence of concomitant systemic malignancy; 4) no systemic inflammatory diseases, including sarcoidosis; 5) no birdshot chorioretinopathy; 6) no conjunctival or orbital lesions; and 7) advanced multimodal imaging and clinical follow-up were performed. Results There were 11 eyes of 11 patients seen. Follow-up ranged from 4 months to 12 years and 1 month (mean 50.2 months; median 24 months). Systemic workup was unrevealing. No patients in this cohort developed systemic, conjunctival, orbital, or vitreoretinal lymphoma or inflammatory disease. No patients developed symptoms or vision loss. Conclusion This entity is an indolent choroidal infiltrative disease. It resembles some cases of choroidal lymphoma and may represent an indolent lymphocytic infiltrate.Purpose To evaluate the visual outcome associated with intravitreal antibiotics (IVA) and pars plana vitrectomy (PPV) for acute postprocedure endophthalmitis. Methods Data from 237 eyes presenting with acute postprocedure endophthalmitis were collected from 57 retina specialists in 28 countries. All eyes were treated with IVA on the day of presentation. We classified eyes according to the method of treatment used as IVA and early PPV (IVA + PPV within 1 week of presentation) groups. Results After exclusion of ineligible eyes, data from 204 eyes were analyzed. check details The mean (SD) age of patients was 62.7 (21.8) years and 69.3 (12.7) years in the IVA and PPV groups, respectively (P = 0.18). Endophthalmitis secondary to cataract, intravitreal injections, PPV, and other intraocular procedures represented 64.2%, 16.2%, 13.7%, and 5.9% of cases, respectively. Intravitreal antibiotics alone were administered in 55 eyes (27.0%), and early PPV was performed in 149 eyes (73.0%). No difference was found between groups in the final visual acuity of ≥20/60 (43.6%, 65 eyes vs. 34.5%, 19 eyes) and ≤counting fingers (30.9%, 46 eyes vs. 36.4%, 20 eyes) for IVA versus early PPV groups, respectively. Vision of light perception (odds ratio = 12.2; 95% confidence interval 2.0-72.6) and retinal detachment (odds ratio = 7.7; 95% confidence interval 1.5-409) at baseline were predictive of vision of ≤counting fingers. Retinal detachment at baseline (odds ratio = 20.4; 95% confidence interval 1.1-372.1) was predictive of final retinal detachment status. Conclusion The current retrospective multicenter cohort of eyes with acute postprocedure endophthalmitis reports similar outcomes after treatment with IVA alone when compared with IVA and early PPV within 1 week of presentation.