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Olecranon

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https://www.readbyqxmd.com/read/29569689/open-reduction-and-internal-fixation-in-ao-type-c-distal-humeral-fractures-using-olecranon-osteotomy-functional-and-clinical-results
#1
Zeynel Mert Asfuroğlu, Ulukan İnan, Hakan Ömeroğlu
BACKGROUND: To investigate the outcomes of patients undergoing open reduction and internal fixation with olecranon osteotomy due to AO type13C fractures of the distal humerus. METHODS: Data of 39 patients (mean age, 44.7 years; males, 56.4%) undergoing surgery with the diagnosis of AO type 13C distal humeral fractures were retrospectively evaluated. Patients' demographic characteristics, medical history, and radiological and functional outcomes were recorded. The patients were evaluated at the final follow-up according to the Mayo Elbow Performance Index (MEPI)...
March 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29567001/battling-the-opioid-epidemic-with-prospective-pain-threshold-measurement
#2
Brian T Nickel, Mitchell R Klement, William A Byrd, David E Attarian, Thorsten M Seyler, Samuel S Wellman
BACKGROUND: Responsible analgesic prescribing is paramount in the opioid epidemic era, yet no standardized protocol exists. We aim to (1) quantify and correlate outpatient opioid need after total knee and hip arthroplasties (TKA and THA) with preoperative objective pain pressure thresholds (PPTs) and subjective pain measures and (2) report incidence of nonsurgical opioid prescriptions 6 weeks postoperatively. METHODS: Prospectively, PPTs were measured using an algometer with a maximum force of 20 pounds in 160 consecutive patients (90 TKA and 70 THA)...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29563390/triceps-brachii-tendon-injury-in-four-pomeranians
#3
Ryosuke Echigo, Atsushi Fujita, Ryohei Nishimura, Manabu Mochizuki
The cases of 4 Pomeranians with injury of the triceps brachii tendon that underwent surgical treatment were retrospectively reviewed to evaluate some clinical findings including signalment, cause of injury, clinical signs, pattern of injury, surgical technique, external coaptation after operation, complications, and outcomes. While all of the dogs showed non-weight bearing posture of the affected limbs and severe pain shortly after injury onset, the pain level decreased over time. A characteristic finding of the 4 cases was an absence of tension in the triceps brachii tendon when the elbow joint was flexed...
March 22, 2018: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/29547136/ultrasound-assessment-of-enthesis-thickness-in-psoriasis-and-psoriatic-arthritis-a-cross-sectional-study
#4
Dario Graceffa, Claudio Bonifati, Viviana Lora, Pier Luigi Saraceni, Catia De Felice, Maria Sole Chimenti, Roberto Perricone, Aldo Morrone
BACKGROUND: The inflammatory involvement of the enthesis in the course of psoriasis is accompanied by structural abnormalities detectable by ultrasound. The most common of these abnormalities is the thickening of the tendon at the insertion site. AIMS: The aim of the present study was to compare the thickness of entheses of patients with psoriatic arthritis, only skin psoriasis, and healthy controls. METHODS: A cross-sectional study was conducted in a cohort of patients affected with either only skin psoriasis or psoriatic arthritis as well as in a control group...
March 16, 2018: Indian Journal of Dermatology, Venereology and Leprology
https://www.readbyqxmd.com/read/29518298/-post-traumatic-elbow-stiffness-arthroscopic-release-short-term-results
#5
D Bustamante-Suárez de Puga, R Cebrián-Gómez, E Villegas-Robles, J Sanz-Reig, J Más-Martínez, C M Verdú-Román, M Morales-Santías, E Martínez-Giménez
BACKGROUND: Open «arthrolysis» has been the standard treatment for elbow stiffness, with good results. However, the associated complications of open arthrolysis and the advancements in arthroscopic surgery have allowed including the latter as an additional approach. MATERIAL AND METHODS: Between January 2014 and March 2016, 6 patients with posttraumatic elbow stiffness underwent arthroscopic surgery by the same surgical team. Pre- and post-operative assessment included pain with a numerical visual analogue scale, elbow joint range of motion with a goniometer and the Mayo Elbow Performance Index questionnaire...
September 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29461446/evaluating-the-utility-of-the-lateral-elbow-radiograph-in-central-articular-olecranon-reduction-an-anatomic-and-radiographic-study
#6
Jeremy Kubik, Prism Schneider, Richard Buckley, Robert Korley, Paul Duffy, Ryan Martin
OBJECTIVES: The surgical reduction of intra-articular olecranon fractures is judged primarily on the lateral elbow radiograph, as orthogonal imaging of the articular surface is not obtainable. We sought to determine surgeon accuracy in identifying intra-articular olecranon malreductions on the lateral elbow radiograph. METHODS: Six human fresh-frozen cadaveric elbow specimens were sagittally sectioned in 5-mm increments after olecranon dissection, preservation of soft tissue envelope, and rigid fixation of the elbow in an external fixator...
March 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29457420/-treatment-of-intercondylar-fracture-of-the-humerus-through-internal-and-external-elbow-approach-or-elbow-posterior-olecranon-osteotomy-approach
#7
Yun-Xiang Zhong, Xiong-Hui Zhang, Guo-Xiong Cai, Hong-Zhi Zhou, Wen-Li Yang, Xi-Bin Pan, Long-Zhou Guan, Huo-Ling Zhang
OBJECTIVE: To investigate the efficacy, advantages and disadvantages of internal and external elbow joint approach and olecranon osteotomy approach for the treatment of intercondylar fracture of humerus. METHODS: From October 2012 to May 2016, 18 cases of intercondylar fracture of humerus were treated by operation including 12 males and 6 females with a mean age of 33.5 years old (ranged from 4 to 56 years old); 8 cases were operated by internal and external elbow joint approach, 10 cases were operated by olecranon osteotomy approach...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29442213/elbow-injuries-in-the-adolescent-thrower
#8
REVIEW
Timothy B Griffith, James Kercher, S Clifton Willimon, Crystal Perkins, Xavier A Duralde
PURPOSE OF REVIEW: With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures. RECENT FINDINGS: Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve...
February 14, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29418118/innervation-of-the-long-head-of-the-triceps-brachii-in-humans-a-fresh-look
#9
Michael D Wade, Arthur R McDowell, Janine M Ziermann
The triceps brachii muscle occupies the posterior compartment of the arm in humans and has three heads. The lateral and medial heads originate from the humerus and the long head arises from the infraglenoid tubercle of the scapula. All heads form a common tendon that inserts onto the olecranon and the deep antebrachial fascia on each side of it. Each head receives its own motor branch, which all are thought to originate from the radial nerve. However, several studies reported that the motor branch of the long head of the triceps (LHT) arises from the axillary nerve or the posterior cord...
March 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29404666/intra-articular-fractures-of-the-distal-humerus-a-review-of-the-current-practice
#10
REVIEW
Charalampos G Zalavras, Efthymios Papasoulis
Intra-articular fractures of the distal humerus are complex injuries that can considerably limit elbow function if not treated appropriately. Surgical management is indicated for most intra-articular distal humerus fractures with the goal of restoring elbow range of motion and function. Open reduction and internal fixation (ORIF) with plates and screws has been the preferred surgical option. Double plating is recommended for bicolumnar fractures and plates can be applied either parallel or orthogonal to each other...
February 5, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29401097/what-is-the-ideal-starting-point-for-an-olecranon-screw-an-anatomic-cadaveric-study
#11
G David Potter, Daniel Mascarenhas, Marcus F Sciadini, Anthony R Carlini, Robert V O'Toole, Raymond A Pensy
OBJECTIVE: To assess whether "center-center" position is ideal starting point for minimum fracture displacement when placing an intramedullary screw in the ulna. METHODS: Thirty-six arms (average age, 82 years) underwent a posterior approach to the olecranon and were randomized into 3 groups: center-center (center in sagittal plane, center in coronal plane), posterior-lateral (posterior in sagittal plane, lateral in coronal plane), posterior-medial (posterior in sagittal plane, medial in coronal plane)...
January 30, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29396099/a-new-local-muscle-flap-for-elbow-coverage-the-medial-triceps-brachii-flap-anatomy-surgical-technique-and-preliminary-outcomes
#12
Anaïs Delgove, Romain Weigert, Vincent Casoli
BACKGROUND: The medial triceps brachii is vascularized by the middle collateral artery and the arterial circle of the elbow. This vascularization allows a distal pedicled use to cover soft tissue defects of the elbow. We report our experience using this flap to cover traumatic and postsurgical wounds. METHODS: Patients who underwent a pedicled medial triceps brachii flap procedure between 2008 and 2015 were included. Data concerning characteristics of the patients, wound size, surgical technique, and complications were retrospectively reviewed...
January 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29392385/evaluation-of-risk-factors-for-stiffness-after-distal-humerus-plating
#13
Onur Tunalı, Ali Erşen, Tuna Pehlivanoğlu, Serkan Bayram, Ata C Atalar, Mehmet Demirhan
PURPOSE: In distal humerus fractures, the goal is to achieve a functional range of motion of 30°-130° which is not always possible. The aims of the study were to evaluate the functional results after distal humerus fracture operation and to investigate the risk factors for stiffness. METHODS: Between 2005 and 2014, 75 patients with the mean age of 37.8 years (17-80) underwent open reduction and plate fixation for distal humerus fractures. Range of motion (ROM), Mayo elbow performance scores, and quick DASH scores were used for functional evaluation...
February 1, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29375260/study-of-secondary-ossification-centers-of-the-elbow-in-the-brazilian-population
#14
Cesar Satoshi Miyazaki, Daniel Augusto Maranho, Paulo Moraes Agnollitto, Marcello Henrique Nogueira-Barbosa
Objective: To evaluate the age in which the secondary ossification centers of the elbow appear and fuse in the Brazilian population. Methods: Nearly thirty radiographs were randomly selected for each age group from 0 to 18 years, with a total of 544 radiographs from 439 patients, between 2010 and 2015, without abnormalities secondary to trauma, metabolic or bone tumor diseases. Radiographs were retrospectively evaluated by two blind and independent observers, according to the presence or not of the ossification centers, and the fusion between them...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29356793/fracture-patterns-differ-between-osteogenesis-imperfecta-and-routine-pediatric-fractures
#15
Kranti V Peddada, Brian T Sullivan, Adam Margalit, Paul D Sponseller
BACKGROUND: It is important to estimate the likelihood that a pediatric fracture is caused by osteogenesis imperfecta (OI), especially the least severe type of OI (type 1). METHODS: We reviewed records of 29,101 pediatric patients with fractures from 2003 through 2015. We included patients with closed fractures not resulting from motor vehicle accidents, gunshot wounds, nonaccidental trauma, or bone lesions. Patients with OI of any type were identified through International Classification of Diseases-9 code...
April 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29327558/-modified-osteotomy-of-olecranon-for-the-management-of-inter-condylar-fracture-of-the-humerus
#16
Zheng-Feng Mei, Wen-Tao Lei, Dong-Hui Huang, Qi-Hui Zhao, Hang-Bo Qu, Lian-Zhi Ni
OBJECTIVE: To explore the surgical method and clinical outcome of modified osteotomy of olecranon for the treatment of inter-condylar fracture of humerus. METHODS: From May 2007 to December 2012, 32 patients of intercondylar fracture of humerus were treated surgically through the approach of modified osteotomy of olecranon. The patients were 21 males and 11 females with a mean age of 46.3 years (ranged 18 to 65 years). Nineteen fractures occurred on the right extremity and 13 on the left extremity...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29327542/-treatment-of-coronal-shear-fracture-of-the-distal-end-of-the-humerus-by-the-olecranon-osteotomy-approach
#17
Xiu-Wu Guo, Jian Fan, Feng Yuan
OBJECTIVE: To explore the effectiveness of olecranon osteotomy approach for the treatment of coronal shear fracture of the distal end of the humerus. METHODS: A retrospective analysis was made on the clinical data of 34 patients with the coronal shear fracture of the distal end of the humerus treated by the olecranon osteotomy approach from January 2005 to January 2013. Of 34 cases, there were 15 boys and 19 girls, aged from 17 years to 84 years (mean, 54.9±10...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29325193/stabilization-of-olecranon-fractures-by-tension-band-wiring-or-plate-osteosynthesis-a-retrospective-study-of-41-cases
#18
Alexandre Fournet, Jean-François Boursier, Solène Corbeau, Adeline Decambron, Véronique Viateau, Pascal Fayolle, Anne-Sophie Bedu, Dimitri Leperlier, Mathieu Manassero
OBJECTIVES:  This article aimed to describe olecranon fracture in dogs and cats and their stabilization with tension band wiring or plate osteosynthesis, and to evaluate complications associated with each technique. METHODS:  Medical records of cats and dogs that had been surgically treated for olecranon fractures with either tension band wiring or plate osteosynthesis were retrospectively reviewed. The surgical technique, complications and long-term outcomes were assessed...
January 2018: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/29323425/evaluating-mid-upper-arm-circumference-z-score-as-a-determinant-of-nutrition-status
#19
Karen Stephens, April Escobar, Erika Nicole Jennison, Lindsey Vaughn, Rhonda Sullivan, Susan Abdel-Rahman
BACKGROUND: Mid-upper arm circumference (MUAC) z-score, has recently been listed as an independent indicator for pediatric malnutrition. This investigation examined the relationship between MUAC z-score and the z-scores for conventional indicators (ie, weight-for-length and body mass index) to expand the available evidence for nutrition classification z-score threshold ranges in U.S. practice settings. METHODS: This was a single-center study of children through 18 years of age seen between October 2015 and September 2016...
February 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29319350/biomechanical-evaluation-of-standard-versus-extended-proximal-fixation-olecranon-plates-for-fixation-of-olecranon-fractures
#20
Allison L Boden, Charles A Daly, Poonam P Dalwadi, Stephanie A Boden, William C Hutton, Raghuveer C Muppavarapu, Michael B Gottschalk
BACKGROUND: Small olecranon fractures present a significant challenge for fixation, which has resulted in development of plates with proximal extension. Olecranon-specific plates with proximal extensions are widely thought to offer superior fixation of small proximal fragments but have distinct disadvantages: larger dissection, increased hardware prominence, and the increased possibility of impingement. Previous biomechanical studies of olecranon fracture fixation have compared methods of fracture fixation, but to date there have been no studies defining olecranon plate fixation strength for standard versus extended olecranon plates...
January 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
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