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elbow surgery

Kenta Takayasu, Kenji Yoshida, Takao Mishima, Masato Watanabe, Tadashi Matsuda, Hidefumi Kinoshita
BACKGROUND: This study aimed to analyze the posture patterns of surgeons with two different skill levels during laparoscopic surgery using an optical motion capture system. METHODS: Twenty participants were divided into novice and expert groups. Their upper body motions during suturing tasks were captured, including average angle and angle variability (shoulder, elbow, wrist), joint fixation, head movement, and thoracolumbar flexion angle. RESULTS: Our analysis showed that (1) the arms of the expert surgeons were more loosely held at their sides by about 7°; (2) their elbows were more bent by about 10°; (3) they had a greater change in shoulder angle by about 1...
July 12, 2018: American Journal of Surgery
Zi Hao Phang, Mohd Fadhli B Miskon, Sa'adon B Ibrahim
BACKGROUND: Blunt trauma causing brachial artery injury in a young patient is very rare. Cases of brachial artery injury may be associated with closed elbow dislocation or instability. Elbow dislocation may not be evident clinically and radiologically on initial presentation. CASE PRESENTATION: This is a case of a 37-year-old, right-hand dominant, Malay man who fell approximately 6 meters from a rambutan tree and his left arm hit the tree trunk on his way down. He was an active tobacco smoker with a 20 pack year smoking history...
July 18, 2018: Journal of Medical Case Reports
Akira Kodama, Takaya Mizuseki, Nobuo Adachi
BACKGROUND: On the basis of the intra-articular findings during Kudo type 5 elbow prosthesis revision surgery, we infer the mechanisms leading to implant failure. MATERIALS AND METHODS: We performed primary Kudo type 5 total elbow arthroplasty on 60 rheumatoid elbows in 45 patients between 1994 and 2003. Revision surgery was performed in 8 patients (9 elbows) because of implant failure. We radiographically assessed their status before this surgical procedure and then assessed the surgical intra-articular findings based on surgery records and photographs...
August 2018: Journal of Shoulder and Elbow Surgery
Hyun Il Lee, Kyoung Hwan Koh, Jong-Pil Kim, Midum Jaegal, YoungKyu Kim, Min Jong Park
BACKGROUND: Thickened synovial plicae in the radiocapitellar joint have been reported as a cause of lateral elbow pain. However, few reports regarding diagnosis based on detailed physical examination and magnetic resonance imaging (MRI) findings are available. The aims of this study were to characterize the clinical manifestations of this syndrome and to investigate the clinical outcomes of arthroscopic surgery. METHODS: We analyzed 20 patients who received a diagnosis of plica syndrome and underwent arthroscopic débridement between 2006 and 2011...
August 2018: Journal of Shoulder and Elbow Surgery
Derek T Bernstein, Patrick C McCulloch, Leland A Winston, Shari R Liberman
BACKGROUND: Treatment of thumb ulnar collateral ligament (UCL) ruptures in elite athletes aims to restore thumb stability while minimizing lost playing time. Thus, surgical repair with early protected return to play in a thumb spica cast has been advocated. The purpose of this study was to document adjacent joint dislocations after primary surgical repair sustained during protected return to play with thumb spica casting in elite-level football players. METHODS: Three Division I collegiate starting linemen sustaining adjacent joint dislocations in thumb spica casts following acute surgical repair of ipsilateral thumb UCL ruptures were retrospectively reviewed...
July 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
James P Bradley, Justin W Arner, Sachidhanand Jayakumar, Dharmesh Vyas
BACKGROUND: Risk factors and outcomes of revision arthroscopic posterior capsulolabral repair of the shoulder are currently not well defined. HYPOTHESIS: Athletes who require revision arthroscopic posterior unidirectional capsulolabral repair will have poorer outcomes and return to play when compared with those undergoing primary procedures, with risk factors including younger age, injury size, bone loss, and anchor number. STUDY DESIGN: Case-control study; Level of evidence, 3...
July 1, 2018: American Journal of Sports Medicine
Alexander Klug, Yves Gramlich, Johannes Buckup, Dennis Wincheringer, Reinhard Hoffmann, Kay Schmidt-Horlohé
BACKGROUND: Comminuted fractures of the proximal ulna remain a great challenge in orthopedic surgery. The purpose of this study was to report the outcomes of comminuted proximal ulna fractures treated with a new construct type-anatomically preformed polyaxial locking compression plates. METHODS: Between 2013 and 2016, 46 patients with isolated comminuted fractures were treated with a 2.7-/3.5-mm VA-LCP Olecranon Plate (Synthes, Umkirch, Germany). Of these, 44 were available for an assessment after a mean follow-up period of 2...
July 10, 2018: Journal of Shoulder and Elbow Surgery
Ida K Fox, Amanda K Miller, Catherine M Curtin
Background: Recent adaption of nerve transfer surgery to improve upper extremity function in cervical spinal cord injury (SCI) is an exciting development. Tendon transfer procedures are well established, reliable, and can significantly improve function. Despite this, few eligible surgical candidates in the United States undergo these restorative surgeries. Evidence Acquisition: The literature on these procedures was reviewed. Results: Options to improve function include surgery to restore elbow extension, wrist extension, and hand opening and closing function...
2018: Topics in Spinal Cord Injury Rehabilitation
Ross J Feller, Joseph A Gil, Manuel DaSilva
CASE: A 59-year-old man presented with snapping at the lateral aspect of the elbow and associated pain. Magnetic resonance imaging demonstrated extensor tendinopathy and thickening of the radial collateral ligament. Ultrasonography showed entrapment of a synovial fold in the radiohumeral joint. Initial arthroscopic debridement did not alleviate the snapping. Three months later, the patient underwent open excision of a thickened and partially torn annular ligament; subsequently, all of the symptoms resolved...
July 11, 2018: JBJS Case Connector
Chengwei Zhou, Jinti Lin, Jianxiang Xu, Renjin Lin, Kai Chen, Shuaibo Sun, Jianzhong Kong, Xiaolong Shui
BACKGROUND This study investigated the influence of surgical timing on the treatment of terrible triad of the elbow (TTE). MATERIAL AND METHODS After exclusion, 63 patients were enrolled in this study: 20 patients were classified into the emergency group (group A, within 24 h after injury), 26 into the early surgery group (group B, from 4 to 14 days after injury), and 17 into the delayed surgery group (group C, more than 14 days after injury). All patients underwent the same approach, and elbow motion and complication rates were recorded and compared...
July 9, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Yuzhou Liu, Yongqing Zhuang, Hu Yu, Hongtao Xiong, Jie Lao
The widely used nerve transfer sources for elbow flexion in patients with upper brachial plexus avulsion (UBPA) include partial ulnar nerve, phrenic nerve, and intercostal nerves. A retrospective review of 21 patients treated with phrenic and partial ulnar nerve transfers for elbow flexion after UBPA was carried out. In the phrenic nerve transfer group, the phrenic nerve was transferred to the anterolateral bundle of the anterior division of the upper trunk; in the partial ulnar nerve transfer group, one fascicle of the ulnar nerve was transferred to the biceps branch...
June 8, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Sung-Ryeoll Park, Dong-Hyuk Sun, Jinhong Kim, Hyo-Jin Lee, Jong-Bin Kim, Yang-Soo Kim
BACKGROUND: Although various surgical techniques have been used to treat irreparable rotator cuff tears (RCTs), debate remains regarding which treatment is most effective. The purpose of our study was to compare the outcomes of partial rotator cuff repair versus repair with augmentation of the tenotomized long head of the biceps tendon (LHBT). METHODS: This study included 76 patients with large to massive RCTs. Arthroscopic rotator cuff repair with LHBT augmentation was performed in 39 patients (group I), while partial repair was performed in 37 patients (group II)...
July 3, 2018: Journal of Shoulder and Elbow Surgery
Andrew J Riff, Bryan M Saltzman, Gregory Cvetanovich, Jonathan M Frank, Mohamad R Hemu, Robert W Wysocki
This study was performed to compare outcomes of open, arthroscopic, and percutaneous surgical techniques for lateral epicondylitis. We searched PubMed (MEDLINE) for literature published between January 1, 2004 and May 23, 2015 using these key words: lateral epicondylitis AND (surgery OR operative OR surgical OR open OR arthroscopic OR percutaneous). Meta-analyses were performed for outcomes reported in 3 studies using 2-sample and 2-proportion Z-tests. Thirty-five studies including 1640 elbows (1055 open, 401 arthroscopic, 184 percutaneous) met the inclusion criteria...
June 2018: American Journal of Orthopedics
Steven M Andelman, Amanda L Walsh, Kristen M Sochol, William M Rubenstein, Michael R Hausman
BACKGROUND: Elbow contracture is a sequelae of elbow trauma in pediatric patients. Arthroscopic contracture release has been shown to provide equivalent results to open contracture release with less associated morbidity and complications in the adult population. However, open contracture release is still commonly utilized in pediatric patients. The goal of this study is to determine the clinical results and safety profile of arthroscopic elbow contracture release in the pediatric population...
June 30, 2018: Journal of Pediatric Orthopedics
Michael P McClincy, Justin W Arner, Laura Thurber, James P Bradley
BACKGROUND: Posterior shoulder instability is an increasingly common pathology recognized in athletes. Adolescent athletes are especially at risk for this condition due to the widespread participation in numerous sports, including both overhead throwing and collision activities. Little data are available regarding surgical outcomes in these athletes with only a single small case series (N=25) currently published. METHODS: In total, 68 athletes (82 shoulders) with unidirectional posterior shoulder instability were treated with arthroscopic posterior capsulolabral reconstruction and underwent an evaluation at a mean of 36 months postoperatively...
June 30, 2018: Journal of Pediatric Orthopedics
Chelliah Sekar, Tuhin Mistry, Poonoly Varkey Sheela, Vipin Kumar Goel
No abstract text is available yet for this article.
April 2018: Anesthesia, Essays and Researches
M Le Hanneur, T Lafosse, A Cambon-Binder, Z Belkheyar
PURPOSE: To describe and assess an overall surgical strategy addressing extensive proximal brachial plexus injuries (BPI). METHODS: Forty-five consecutive patients' charts with C5-C6-C7 and C5-C6-C7-C8 BPI were reviewed. Primary procedures were nerve transfers to restore elbow function and grafts to restore shoulder function when a cervical root was available; when nerve surgery was not possible or had failed, tendon transfers were conducted at the elbow while addressing shoulder function with glenohumeral arthrodesis or humeral osteotomy...
June 30, 2018: Musculoskeletal Surgery
Tarun Goyal, Naveen Pandita, Souvik Paul
We are presenting a unique case of a sub-periosteal osteoid osteoma involving coronoid fossa in a 25-year-old male. He was symptomatic for 2 years and his presentation mimicked mono-articular inflammatory arthritis. His plain radiographs were normal and the computed tomogram confirmed features of a sub-periosteal osteoid osteoma. He was treated with arthroscopic excision of the lesion. Pain relief was noticed immediately after the surgery and maintained at latest follow up of 1 year.
2018: SICOT-J
Ante Prkić, Jetske Viveen, Bertram The, Christiaan Ja van Bergen, Koen Lm Koenraadt, Denise Eygendaal
PURPOSE: Objective and reliable force measurement is necessary to monitor the rehabilitation after triceps brachii pathology, injuries, and posterior approach-based surgery. It is unclear at which amount of extension the triceps is best tested and if comparison to the uninjured sided is reliable. This study aims to identify the most reliable elbow position at which elbow extension force is measured using a dynamometer. Furthermore, it aims to compare the extension strength of the dominant arm with that of the nondominant arm...
May 2018: Journal of Orthopaedic Surgery
G Merolla, P Paladini, G Porcellini
BACKGROUND: The self-administered Kerlan-Jobe Orthopedic Clinic (KJOC) Shoulder and Elbow questionnaire is a reliable and sensitive outcome tool to assess upper extremity athletic performance and functional changes affecting return to play in overhead athletes. We report the results of a study of return to sport in professional overhead athletes at a mean follow-up of 2 years after arthroscopic repair of rotator cuff tears and associated labral injuries using the Italian version of the score...
June 11, 2018: Musculoskeletal Surgery
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