Jos P A M Vroemen

Publications (7)11.91 Total impact

• Article: Osteoporosis and radial head fractures in female patients: a case-control study.

  Laurens Kaas, Inger N Sierevelt, Jos P A M Vroemen, Cornelis N van Dijk, Denise Eygendaal
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  ABSTRACT: Identifying radial head fractures as fragility fractures may improve case-findings for osteoporosis and thus be an indicator other fragility fractures. Thirty-five women aged ≥50 years with a radial head fracture and 57 controls were retrospectively selected and matched for age in strata of 5 years. Peripheral bone mineral density (BMD) measurement was performed at the calcaneus. A T score of less than -2.7 was considered osteoporosis. If the T value was between -1.4 and -2.7, an additional dual energy X-ray (DXA) scan was performed. The patients were a median age of 60 years compared with 58 years for the control patients (P = .33). The mean T score of the patients was -1.8 (standard deviation [SD], 1.0; range, -2.2 to -0.3) compared with -1.2 (SD, 1.2; range, -4.0 to 1.3) for the control patients (P = .04). Osteoporosis was diagnosed in 11 patients and in 5 control patients. The patients had an increased risk of osteoporosis compared with the control patients (odds ratio, 3.4; P = .027). This study confirms that radial head fractures in women aged ≥50 years are potentially osteoporotic fractures. Offering these patients a BMD measurement may prevent future osteoporotic fractures, such as hip and spine fractures.
  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] 06/2012; 21(11):1555-8. · 1.93 Impact Factor
• Article: Magnetic resonance imaging in radial head fractures: most associated injuries are not clinically relevant.

  Laurens Kaas, Roger P van Riet, Jeroen L Turkenburg, Jos P A M Vroemen, C Niek van Dijk, Denise Eygendaal
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  ABSTRACT: Recent studies report that magnetic resonance imaging (MRI) shows a high incidence of associated injuries in patients with a radial head fracture. This retrospective study describes the clinical relevance of these injuries. Forty patients with 42 radial head fractures underwent a MRI scan after a mean of 7.0 days after trauma and were reviewed after a mean of 13.3 months. MRI showed 24 of 42 elbows had a lateral collateral ligament (LCL) lesion, 1 had a medial collateral ligament (MCL) and LCL lesion, 16 had an injury of the capitellum, 1 had a coronoid fracture, and 2 had loose osteochondral fragments. Clinical evaluation after a mean of 13.3 months showed that 3 elbows had clinical MCL or LCL laxity, of which 2 elbows had no ligamentous injuries diagnosed with MRI. One elbow with a loose osteochondral fragment showed infrequent elbow locking. The mean Mayo Elbow Performance Scale was 97.5 (range, 80-100) after a mean of 13.3 months after trauma, with no significant difference between patients with and without associated injuries (P = .8). Most injuries found with MRI in patients with radial head fractures are not symptomatic or of clinical importance in short-term follow-up.
  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] 09/2011; 20(8):1282-8. · 1.93 Impact Factor
• Source

  Available from: Froukje Verdam

  Article: Delayed primary closure of the septic open abdomen with a dynamic closure system.

  Froukje J Verdam, Dennis E J G J Dolmans, Maarten J Loos, Menno H Raber, Ralph J de Wit, Jan A Charbon, Jos P A M Vroemen
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  ABSTRACT: The major challenge in the management of patients with an infected open abdomen (OA) is to control septic peritonitis and intra-abdominal fluid secretion, and to facilitate repeated abdominal exploration, while preserving the fascia for delayed primary closure. We here present a novel method for closure of the infected OA, based on continuous dynamic tension, in order to achieve re-approximation of the fascial edges of the abdominal wall. Eighteen cases with severe peritonitis of various origin (e.g., gastrointestinal perforations, anastomotic leakage) were primarily stabilized by laparostomy, sealed with either the vacuum-assisted closure abdominal dressing or the Bogotá bag. After hemodynamic stabilization and control of the sepsis, the Abdominal Re-approximation Anchor System (ABRA; Canica Design, Almonte, Ontario, Canada) was applied. This system approximates the wound margins through dynamic traction exerted by transfascial elastomers. Before ABRA application, 5/18 patients had a grade 2B, 2/18 a grade 3, and 11/18 a grade or 4 status according to the open abdomen classification of Björck. In this severely ill population the mean time before ABRA system application was 12 days (range: 2-39 days). Two of 18 patients died of non-ABRA-related causes within three weeks. In 14 of the remaining 16 patients (88%) primary abdominal closure of the midline was accomplished in 15 days (range: 7-30 days). The other two patients needed a component separation technique according to Ramirez to reach closure. However, secondary wound dehiscence occurred in both these patients. Two thirds of patients (12/18) developed pressure sores to the skin and/or dermis, but all healed without further complications. During outpatient clinic follow-up, 4/14 successfully closed patients still developed a midline hernia. Delayed primary closure of OA in septic patients could be achieved in 88% with this new approximation system. However, the risk of hernia development remained. We consider this system a useful tool in the treatment of septic patients with an open abdomen.
  World Journal of Surgery 08/2011; 35(10):2348-55. · 2.36 Impact Factor
• Source

  Available from: Inger B Schipper

  Article: Functional treatment versus plaster for simple elbow dislocations (FuncSiE): a randomized trial.

  Jeroen de Haan, Dennis den Hartog, Wim E Tuinebreijer, Gijs I T Iordens, Roelf S Breederveld, Maarten W G A Bronkhorst, Milko M M Bruijninckx, Mark R De Vries, Boudewijn J Dwars, Denise Eygendaal, [......], Tom P H Van Thiel, Arie B Van Vugt, Egbert J M M Verleisdonk, Jos P A M Vroemen, Marco Waleboer, W Jaap Willems, Suzanne Polinder, Peter Patka, Esther M M van Lieshout, Niels W L Schep
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  ABSTRACT: Elbow dislocations can be classified as simple or complex. Simple dislocations are characterized by the absence of fractures, while complex dislocations are associated with fractures. After reduction of a simple dislocation, treatment options include immobilization in a static plaster for different periods of time or so-called functional treatment. Functional treatment is characterized by early active motion within the limits of pain with or without the use of a sling or hinged brace. Theoretically, functional treatment should prevent stiffness without introducing increased joint instability. The primary aim of this randomized controlled trial is to compare early functional treatment versus plaster immobilization following simple dislocations of the elbow. The design of the study will be a multicenter randomized controlled trial of 100 patients who have sustained a simple elbow dislocation. After reduction of the dislocation, patients are randomized between a pressure bandage for 5-7 days and early functional treatment or a plaster in 90 degrees flexion, neutral position for pro-supination for a period of three weeks. In the functional group, treatment is started with early active motion within the limits of pain. Function, pain, and radiographic recovery will be evaluated at regular intervals over the subsequent 12 months. The primary outcome measure is the Quick Disabilities of the Arm, Shoulder, and Hand score. The secondary outcome measures are the Mayo Elbow Performance Index, Oxford elbow score, pain level at both sides, range of motion of the elbow joint at both sides, rate of secondary interventions and complication rates in both groups (secondary dislocation, instability, relaxation), health-related quality of life (Short-Form 36 and EuroQol-5D), radiographic appearance of the elbow joint (degenerative changes and heterotopic ossifications), costs, and cost-effectiveness. The successful completion of this trial will provide evidence on the effectiveness of a functional treatment for the management of simple elbow dislocations. The trial is registered at the Netherlands Trial Register (NTR2025).
  BMC Musculoskeletal Disorders 11/2010; 11:263. · 1.58 Impact Factor
• Source

  Available from: PubMed Central

  Article: Reconstruction of isolated scaphoid dislocation with carpal dissociation, associated with a carpal anomaly.

  Matthijs P Somford, Maarten F A M Sturm, Jos P A M Vroemen
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  ABSTRACT: A case is presented of isolated scaphoid dislocation with carpal dissociation in the presence of a lunato-triquetral coalition. We present the treatment and follow-up of this case. In addition, the literature on scaphoid dislocation and its treatment is reviewed. We emphasize the need to reconstruct the carpal alignment and scapho-lunate linkage.
  Strategies in Trauma and Limb Reconstruction 08/2010; 5(2):105-10.
• Source

  Available from: Denise Eygendaal

  Article: Magnetic resonance imaging findings in 46 elbows with a radial head fracture.

  Laurens Kaas, Jeroen L Turkenburg, Roger P van Riet, Jos P A M Vroemen, Denise Eygendaal
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  ABSTRACT: Radial head fractures are common, and may be associated with other injuries of clinical importance. We present the results of a standard additional MRI scan for patients with a radial head fracture. PATIENTS AND METhods: 44 patients (mean age 47 years) with 46 radial head fractures underwent MRI. 17 elbows had a Mason type-I fracture, 23 a Mason type-II fracture, and 6 elbows had a Mason type-III fracture. Associated injuries were found in 35 elbows: 28 elbows had a lateral collateral ligament lesion, 18 had capitellar injury, 1 had a coronoid fracture, and 1 elbow had medial collateral ligament injury. The incidence of associated injuries with radial head fractures found with MRI was high. The clinical relevance should be investigated.
  Acta Orthopaedica 06/2010; 81(3):373-6. · 2.17 Impact Factor
• Article: The epidemiology of radial head fractures.

  Laurens Kaas, Roger P van Riet, Jos P A M Vroemen, Denise Eygendaal
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  ABSTRACT: Recent literature shows an increased mean age of female patients with radial head fractures compared with male patients with radial head fractures. However, data on epidemiology of radial head fractures and specifically in relation to age distribution and male-female ratios of radial head fracture are scarce. A retrospective database search was performed to identify all patients with a radial head fracture over a 3-year period. A total of 328 radial head fractures were diagnosed in 322 patients. The incidence was 2.8 per 10,000 inhabitants per year. The male-female ratio was 2:3. The mean age was 48.0 years (range, 14-88 years; SD, 14.8). The mean age of female patients (52.8 years) was significantly higher than that of male patients (40.5 years) (P = .001). As the age increases above 50 years, the number of female patients becomes significantly higher than the number of male patients (P = .001). An associated osseous injury was present in 40 patients (12.4%). Radial head fractures are common, and associated injuries are frequent.
  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] 02/2010; 19(4):520-3. · 1.93 Impact Factor