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https://www.readbyqxmd.com/read/28932881/nerve-injuries-do-occur-in-elbow-arthroscopy
#1
Nick F J Hilgersom, Derek F P van Deurzen, Carina L E Gerritsma, Huub J L van der Heide, Martijn J A Malessy, Denise Eygendaal, Michel P J van den Bekerom
PURPOSE: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. METHODS: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the Dutch Society of Shoulder and Elbow Surgery, and the Leiden University Nerve Centre, and (2) approaching two medical liability insurance companies...
September 20, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28918438/no-difference-in-outcome-for-open-versus-arthroscopic-rotator-cuff-repair-a-prospective-comparative-trial
#2
Xavier Bayle, Thuy-Trang Pham, Marie Faruch, Aurelie Gobet, Pierre Mansat, Nicolas Bonnevialle
PURPOSE: Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. METHODS: We prospectively assessed clinical outcomes and cuff integrity after an arthroscopic or open rotator cuff repair with a minimum follow-up of 12 months...
September 16, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28913386/persistent-medial-subluxation-of-the-ulna-with-radiotrochlear-articulation
#3
Amir R Kachooei, David Ring
Two patients-one with a terrible triad fracture dislocation and one with an anterior olecranon fracture dislocation-were treated for maltracking of the elbow (medial subluxation). The radial head articulated with the lateral trochlea while the ulnar trochlear notch was perched over the medial trochlea. The late revision surgery could not correct the subluxation because the joints were accustomed to the new alignment, however the overall function was reasonable.
July 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28901818/brachialis-muscle-transfer-for-reconstructing-digital-flexion-after-brachial-plexus-injury-or-forearm-injury
#4
Yun-Dong Shen, Mou-Xiong Zheng, Xu-Yun Hua, Yan-Qun Qiu, Ke-Jia Hu, Wen-Dong Xu
Restoration of digital flexion after brachial plexus injury or forearm injury has been a great challenge for hand surgeons. Nerve transfer and forearm donor muscle transfer surgeries are not always feasible. The present study aimed at evaluating the effectiveness of restoring digital flexion by brachialis muscle transfer. Ten lower brachial plexus- or forearm-injured patients were enrolled. After at least 12 months following surgery, the middle-finger-to-palm distance was less than 2.5 cm in six patients...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28899638/subpectoral-biceps-tenodesis-for-treatment-of-isolated-type-ii-slap-lesions-in-a-young-and-active-population
#5
Jonas Pogorzelski, Marilee P Horan, Zaamin B Hussain, Alexander Vap, Erik M Fritz, Peter J Millett
PURPOSE: The purpose of this study was to evaluate outcomes following open subpectoral biceps tenodesis for the treatment of isolated type II SLAP lesions in patients 45 years of age or younger and evaluate the rate of return to sport. METHODS: All patients included in the study were at least 2 years out from open subpectoral biceps tenodesis for treatment of an isolated type II SLAP lesion and were treated between December 2007 and March 2015. All patients older than 45, those who had prior surgery on the index shoulder, and those who had any concomitant reconstructive shoulder procedures were excluded...
September 9, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28890032/ulnar-nerve-entrapment-at-the-elbow-a-surgical-series-and-a-systematic-review-of-the-literature
#6
Liverana Lauretti, Quintino Giorgio D'Alessandris, Celestino De Simone, Francois Yves Legninda Sop, Luigi M Remore, Alessandro Izzo, Eduardo Fernandez
Chronic compression of the ulnar nerve at the elbow is the second most common entrapment neuropathy. Various surgical options have been described. Timing of surgery is also debated. In this study we report the long-term results of a consecutive surgical series of anterior subcutaneous transpositions and review the pertinent literature. Sixty consecutive patients underwent anterior subcutaneous transposition at our Institution to treat ulnar nerve compression at the elbow. McGowan scale was used in the neurological exam before surgery...
September 7, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28888723/isolated-biceps-reflection-pulley-tears-treated-with-subpectoral-biceps-tenodesis-minimum-2-year-outcomes
#7
Alexander R Vap, J Christoph Katthagen, Dimitri S Tahal, Marilee P Horan, Erik M Fritz, Jonas Pogorzelski, Peter J Millett
PURPOSE: To investigate if patients younger than 50 years old had improved functional outcomes after subpectoral biceps tenodesis (BT) for the treatment of biceps reflection pulley (BRP) lesions at minimum 2-year postoperative follow-up. METHODS: Patients who had arthroscopically confirmed BRP tears that were treated with subpectoral BT and were at least 2 years out from surgery were included; patients were excluded if they had concomitant reconstructive or reparative procedures at index surgery...
September 6, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28887648/evaluation-of-donor-site-morbidity-after-medial-triceps-brachii-free-flap-for-lower-limb-reconstruction
#8
A Delgove, R Weigert, V Casoli
INTRODUCTION: The medial head of the triceps brachii muscle (MTB)-free flap is an attractive solution to cover small-to-medium defects of the lower limb. This muscular head has no well-identified function, suggesting minimal impact of its removal on elbow mobility. The aim of this study was to evaluate the safety and reliability of the harvest procedure and the functional and cosmetic morbidity of this donor site. MATERIALS AND METHODS: Twenty-four consecutive MTB-free flaps were performed for reconstructive surgery of the lower limb between 2011 and 2015...
September 8, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28886390/vascularized-fibular-graft-as-a-surgical-option-for-osteosarcoma-of-distal-humerus-a-case-report
#9
Achmad Fauzi Kamal, Anggaditya Putra, Wahyu Widodo
INTRODUCTION: Distal humerus is a very rare predilection site of osteosarcoma. Limb salvage surgery has widely replaced amputation for surgical treatment of most types of malignant bone sarcomas. PRESENTATION OF CASE: We presented a 42 years old male with rapidly growing osteosarcoma on his right distal humerus. After induction chemotherapy, wide excision and reconstruction using free vascularized fibular graft followed with interpositional elbow arthroplasty technique was done...
August 23, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28878540/bare-medial-epicondyle-physeal-fracture-of-the-humerus-a-case-report
#10
Takashi Oda, Kenji Watanabe
We identified an unusual case of the medial epiondyle physeal fracture, which has been caused by a direct blow, accompanied with complete stripping of soft tissue. Surgery was performed for open reduction and internal fixation of the medial epicondyle and reattachment of the anterior oblique bundle of medial collateral ligament and flexor muscle origin. Six months after the surgery, strength of wrist flexion and forearm pronation, range of motion and valgus stability of the left elbow had recovered. One year after the injury, radiographs showed atrophy and sclerosis of the medial epicondylar apophysis...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28872413/restoration-of-active-pick-up-function-in-patients-with-total-brachial-plexus-avulsion-injuries
#11
Feng Li, Shu-Feng Wang, Peng-Cheng Li, Yun-Hao Xue, Ji-Yao Zou, Wen-Jun Li
We designed multiple nerve transfers in one surgery to restore active pick-up function in patients with total brachial plexus avulsion injuries. Forty patients with total brachial plexus avulsion injuries first underwent multiple nerve transfers. These included transfer of the accessory nerve onto the suprascapular nerve to recover shoulder abduction, contralateral C7 nerve onto the lower trunk via the modified prespinal route with direct coaptation to restore lower trunk function and onto the musculocutaneous nerve with interpositional bridging by medial antebrachial cutaneous nerve arising from lower trunk to restore elbow flexion, and the phrenic nerve onto the posterior division of lower trunk to recover elbow and finger extension...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28868296/hemodialysis-arteriovenous-access-occlusion-using-the-amplatzer-vascular-plug-in-patients-with-intractable-arm-edema
#12
Michele Di Filippo, Danilo Barbarisi, Doriana Ferrara, Stefania Brancaccio, Luca Del Guercio, Renata Bracale, Alfredo Capuano, Giovanni Esposito, Umberto Marcello Bracale
OBJECTIVES: Vascular occlusion of hemodialysis arteriovenous access (AVA) using an Amplatzer vascular plug (AVP; St. Jude Medical, St. Paul, MN, USA) is an arising and alternative practice in selected patients; however, few reported cases can be found in the literature. Herein, we report on our experience with endovascular treatment of complicated AVA. MATERIALS AND METHODS: From September 2015 to December 2016, 3 patients at our clinic underwent an occlusion of hemodialysis AVA with 2 different Amplatzer vascular plugs: 2 patients with type II and 1 patient with type IV...
May 2017: Case Reports in Nephrology and Dialysis
https://www.readbyqxmd.com/read/28866343/clinical-outcome-of-arthroscopic-treatment-for-posteromedial-elbow-impingement-in-adolescent-baseball-players
#13
Tetsuya Matsuura, Toshiyuki Iwame, Naoto Suzue, Jyoji Iwase, Shunsuke Tamaki, Kenji Yokoyama, Koichi Sairyo
PURPOSE: To evaluate the clinical outcomes of arthroscopic treatment in adolescent baseball players with posteromedial elbow impingement. METHODS: This retrospective study evaluated the clinical outcome of arthroscopic treatment for posteromedial elbow impingement in adolescent baseball players. Patients were eligible for participation if they had undergone surgery at least 2 years earlier and excluded if they had arthritis, loose bodies, osteochondritis dissecans, ulnar collateral ligament tear, flexor/pronator injuries or medial epicondylitis, or nerve problems...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866339/arthroscopic-partial-repair-of-irreparable-rotator-cuff-tears-factors-related-to-greater-degree-of-clinical-improvement-at-2%C3%A2-years-of-follow-up
#14
Kun-Hui Chen, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma
PURPOSE: This study aimed to evaluate the clinical outcomes of irreparable rotator cuff tears (RCT) treated with an arthroscopic partial repair, as well as the preoperative factors that may be related to greater improvement of clinical outcomes at short-term follow-up. METHODS: We retrospectively reviewed patients with irreparable RCT who underwent arthroscopic partial rotator cuff repair between January 2011 and April 2014. Minimal follow-up of 24 months was required...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28862100/arthroscopy-assisted-versus-standard-intramedullary-nail-fixation-in-diaphyseal-fractures-of-the-humerus
#15
Süleyman Semih Dedeoğlu, Yunus İmren, Haluk Çabuk, Ali Çağrı Tekin, Mustafa Çağlar Kır, Hakan Gürbüz
PURPOSE: The aim of this study was to assess applicability of arthroscopic technique in intramedullary nail fixation of humerus shaft fractures and to compare with conventional nailing in terms of its effects on perioperative and postoperative intra-articular complication rates as well as on clinical and functional outcomes. METHODS: This prospective randomized controlled clinical trial included 40 patients (12 females and 28 males) indicated for surgery between either undergo arthroscopy-assisted (Arthroscopy-assisted intramedullary nailing [AIMN]; n = 20) or conventional (Intramedullary nailing [IMN]; n = 20) anterograde intramedullary nailing...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28861200/reverse-shoulder-arthroplasty-in-patients-with-rheumatoid-arthritis-a-systematic-review
#16
Chul-Hyun Cho, Du-Han Kim, Kwang-Soon Song
BACKGROUND: There are limited data available regarding the results of reverse shoulder arthroplasty (RSA) in patients with rheumatoid arthritis (RA). We performed a systematic review of the literature to investigate the radiological and clinical outcomes after RSA in patients with RA. METHODS: A literature search for publications between 1987 and 2014 was conducted by 2 independent reviewers using PubMed, Scopus, Embase, and Cochrane Central Register of Controlled Trials...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28860400/mid-term-outcomes-of-77-modular-radial-head-prostheses
#17
P Laumonerie, N Reina, D Ancelin, S Delclaux, M E Tibbo, N Bonnevialle, P Mansat
AIMS: Radial head arthroplasty (RHA) may be used in the treatment of non-reconstructable radial head fractures. The aim of this study was to evaluate the mid-term clinical and radiographic results of RHA. PATIENTS AND METHODS: Between 2002 and 2014, 77 RHAs were implanted in 54 men and 23 women with either acute injuries (54) or with traumatic sequelae (23) of a fracture of the radial head. Four designs of RHA were used, including the Guepar (Small Bone Innovations (SBi)/Stryker; 36), Evolutive (Aston Medical; 24), rHead RECON (SBi/Stryker; ten) or rHead STANDARD (SBi/Stryker; 7) prostheses...
September 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28860399/effect-of-pre-operative-expectations-on-the-outcomes-following-total-shoulder-arthroplasty
#18
I Swarup, C M Henn, J T Nguyen, D M Dines, E V Craig, R F Warren, L V Gulotta, R F Henn
AIMS: Few studies have evaluated the relationship between patients' pre-operative expectations and the outcome of orthopaedic procedures. Our aim was to determine the effect of expectations on the outcome after primary anatomical total shoulder arthroplasty (TSA). We hypothesised that patients with greater expectations would have better outcomes. PATIENTS AND METHODS: Patients undergoing primary anatomical TSA completed the Hospital for Special Surgery's Shoulder Expectations Survey pre-operatively...
September 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28856399/three-dimensional-printing-technology-and-materials-for-treatment-of-elbow-fractures
#19
Long Yang, Brian Grottkau, Zhixu He, Chuan Ye
PURPOSE: 3D printing is a rapid prototyping technology that uses a 3D digital model to physically build an object. The aim of this study was to evaluate the peri-operative effect of 3D printing in treating complex elbow fractures and its role in physician-patient communication and determine which material is best for surgical model printing. METHOD: Forty patients with elbow fractures were randomly divided into a 3D printing-assisted surgery group (n = 20) and a conventional surgery group (n = 20)...
August 30, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28856351/biceps-tenodesis-an-evolution-of-treatment
#20
Brandon J Erickson, Akshay Jain, Gregory L Cvetanovich, Gregory P Nicholson, Brian J Cole, Anthony A Romeo, Nikhil N Verma
The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. We conducted a study to determine trends in LHB tenodesis at a subspecialty-focused shoulder orthopedic practice. We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there would be no significant change in the age of patients who underwent LHB tenodesis. Records of 4 fellowship-trained sports or shoulder/elbow orthopedic surgeons were used to identify total number of common arthroscopic shoulder surgeries performed between 2004 and 2014...
July 2017: American Journal of Orthopedics
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