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elbow surgery

Marc Schnetzke, Felix Porschke, Ulrich Kneser, Stefan Studier-Fischer, Paul-Alfred Grützner, Thorsten Guehring
Background: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury. Patients and methods: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. The mean age of patients was 49 years (20-83 years); there were six (29%) female and 15 (71%) male patients...
2018: Obere Extremität
J Nowotny, B El-Zayat, J Goronzy, A Biewener, F Bausenhart, S Greiner, P Kasten
BACKGROUND: In the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear. PATIENTS AND METHODS: Patients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Inclusion criteria were a Placzek score greater than 4...
September 15, 2018: European Journal of Medical Research
J Doll, C Fischer
INTRODUCTION: Acute capsular injuries of the elbow joint and its ligaments predominantly occur after joint dislocation or subluxation. Together with lateral and medial epicondylitis they represent a common injury pattern in radiology, orthopedic and trauma surgery. CLINICAL ISSUE: Because of the complexity of the elbow joint, knowledge of the elbow dislocation and injury pattern as well as the anatomy is essential in order to adequately estimate the injury severity and joint stability...
September 14, 2018: Der Radiologe
Joan Miquel, Fernando Santana, Albert Barrera, Carlos Torrens
BACKGROUND: The aim of the present study was to evaluate the time structure of oral presentations delivered at three shoulder congresses: shoulder sessions at the American Academy of Orthopaedic Surgeons (AAOS) Meeting, European Foundation of National Associations of Orthopaedics and Traumatology (EFORT) Congress, and International Congress of Shoulder and Elbow Surgery (ICSES). METHODS: A total of 160 oral presentations at the 2016 AAOS Annual Meeting, 17th EFORT Congress, and 13th ICSES were included...
September 14, 2018: Journal of Orthopaedic Surgery and Research
Chuan Zhang, Zuojun Zhang, Zhongxiao Chang, Pinglin Yang, Ming Zhao, Xingxing Li, Guojie Wang, Xiaobo Duan
Objective: To compare the effectiveness between paratricipital approach and chevron olecranon V osteotomy approach for the treatment of type C3 (AO/OTA) distal humeral fractures and investigate the details of operation. Methods: Between April 2010 and September 2016, 36 type C3 (AO/OTA) distal humeral fractures were treated with open reduction and bicolumnar orthogonal locking plating fixation by paratricipital approach and chevron olecranon V osteotomy approach respectively...
October 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Kazuhiko Hashimoto, Shunji Nishimura, Masao Akagi
Dedifferentiated liposarcoma is recognized as a type of liposarcoma that usually occurs concomitantly with the well-differentiated type. In this report, we discuss the case of a 65-year-old man who developed a dedifferentiated liposarcoma with second recurrence of an atypical lipomatous tumor. The patient first presented to us with an atypical lipomatous tumor of the right elbow for which he underwent a marginal resection. After five months, the patient experienced tumor recurrence for which he underwent another extended resection...
July 10, 2018: Curēus
Sung-Min Rhee, Do Hoon Kim, Sae Hoon Kim, Hyeon Jang Jeong, Joo Han Oh
PURPOSE: To compare perioperative characteristics and postoperative outcomes of both shoulders in patients who underwent arthroscopic bilateral rotator cuff repair sequentially and to assess the associated factors that would affect the anatomic healing in staged bilateral rotator cuff repair. METHODS: The study enrolled 64 patients who underwent bilateral rotator cuff repair with follow-up imaging at least 12 months postoperatively. We allocated the shoulders operated on first to the surgery I group and those operated on second to the surgery II group...
September 5, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Lakhal Walid, Chanthany Kitisack, Bund Laurent, Schneider Ludovic, Gicquel Philippe
BACKGROUND: Outpatient surgery is now widely performed in adults but remains rarely used for paediatric orthopaedic procedures. As with adult surgery, both the arthroscopic equipment and anaesthesia techniques have improved over the last few years. Arthroscopy is particularly well advanced at the knee but can also be used at other joints (hip, ankle, elbow, shoulder). The primary objective of this study was to evaluate the feasibility of outpatient paediatric arthroscopy. HYPOTHESIS: Arthroscopic surgery can be performed in children on an outpatient basis provided an appropriate care programme is applied...
September 4, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Vesna Simic, Andrija Savic, Milan Jovanovic, Filip Vitosevic, Branko Djurovic, Cedomir Milosevic, Novak Lakicevic, Miroslav Samardzic, Lukas Rasulic
AIM: To compare the results of nerve grafting versus common infraclavicular intraplexal nerve transfer in elbow flexion restoration. MATERIAL AND METHODS: The study included 39 patients with upper brachial plexus palsy who were operated using common intraplexal nerve transfer (Oberlin procedure) and the thoracodorsal and medial pectoral nerve transfer to the musculocutaneous nerve or grafting of C5 to the musculocutaneous nerve, for elbow flexion restoration. All patients underwent detailed preoperative evaluation, which included clinical and neurological examinations, electrophysiological investigation and neuroradiological studies...
2018: Turkish Neurosurgery
Kirk M Thompson, Justin D Hallock, Richard A Smith, Tyler J Brolin, Frederick M Azar, Thomas W Throckmorton
INTRODUCTION: Our purpose was to determine whether the chronic use of preoperative narcotics adversely affected clinical and/or radiographic outcomes. METHODS: Seventy-three patients (79 shoulders) with primary total shoulder arthroplasty for osteoarthritis were evaluated clinically and radiographically at preoperative visits and postoperatively at a minimum follow-up of 2 years: 26 patients (28 shoulders) taking chronic narcotic pain medication for at least 3 months before surgery and 47 patients (51 shoulders) who were not taking narcotics preoperatively...
September 5, 2018: Journal of the American Academy of Orthopaedic Surgeons
Chisa Okura, Hajime Ishikawa, Asami Abe, Yukio Yonemoto, Koichi Okamura, Takahito Suto, Tomo Oyakawa, Yusuke Miyagawa, Hiroshi Otani, Satoshi Ito, Daisuke Kobayashi, Kiyoshi Nakazono, Akira Murasawa, Kenji Takagishi, Hirotaka Chikuda
AIM: A retrospective questionnaire survey was conducted to investigate the long-term outcomes of elbow, wrist and hand surgery for rheumatoid arthritis (RA). METHODS: One hundred and thirteen RA patients underwent primary elective elbow, wrist or hand surgery at our hospital between January 2002 and December 2003. To evaluate the outcomes at 10 years after surgery, the patient-reported outcomes were assessed using an original questionnaire that inquired about the site of treatment; the modified Stanford Health Assessment Questionnaire (mHAQ) was also used...
September 5, 2018: International Journal of Rheumatic Diseases
Tim Dwyer, Helen Razmjou, Patrick Henry, Shashank Misra, Eran Maman, Richard Holtby
Background: While it is believed that good results can be achieved by arthroscopic debridement of partial-thickness tears (PTTs) of <50% tendon thickness, few studies have directly compared the treatment of articular- versus bursal-sided PTTs of <50%. Purpose: To compare the postoperative outcomes of patients with articular- versus bursal-sided PTTs of <50% tendon thickness that were treated with arthroscopic debridement and selective acromioplasty (for type II or III acromions)...
August 2018: Orthopaedic Journal of Sports Medicine
Helen Razmjou, Tim Dwyer, Richard Holtby
Objectives: It is not clear if using patients with bilateral symptoms would impact the level of disability reported in orthopaedic research. The purposes of this study were to (1) examine the prevalence of bilateral shoulder symptoms (significant pain, stiffness or weakness affecting function) in patients with rotator cuff impingement syndrome, rotator cuff tear and osteoarthritis of the glenohumeral joint, (2) explore risk factors associated with bilateral shoulder symptoms, and (3) examine the impact of symptom bilaterality and hand dominance on pre- and post-operative patient-oriented disability outcomes...
2018: SAGE Open Medicine
Peter A Surace, Alysse J Boyd, Heather A Vallier
The injury parameters and patient characteristics that affect function after scapular fracture are poorly defined. We performed a retrospective review of 594 adult patients with a minimum 12-month follow-up after scapular fracture. Functional outcomes were prospectively assessed using the American Shoulder and Elbow Surgeons (ASES) survey in 153 patients after a mean of 62 months of follow-up. The population was 78% male, and 88% had injuries caused by a high-energy event. Only 4.6% had injuries isolated to the scapula...
August 2018: American Journal of Orthopedics
Alison M Thorpe, Peter B O'Sullivan, Tim Mitchell, Mark Hurworth, Jonathan Spencer, Grant Booth, Sven Goebel, Paul Khoo, Aaron Tay, Anne Smith
BACKGROUND: Psychologic factors are associated with pain and disability in patients with chronic shoulder pain. Recent research regarding the association of affective psychologic factors (emotions) with patients' pain and disability outcome after surgery disagrees; and the relationship between cognitive psychologic factors (thoughts and beliefs) and outcome after surgery is unknown. QUESTIONS/PURPOSES: (1) Are there identifiable clusters (based on psychologic functioning measures) in patients undergoing shoulder surgery? (2) Is poorer psychologic functioning associated with worse outcome (American Shoulder and Elbow Surgeons [ASES] score) after shoulder surgery? METHODS: This prospective cohort study investigated patients undergoing shoulder surgery for rotator cuff-related shoulder pain or rotator cuff tear by one of six surgeons between January 2014 and July 2015...
August 30, 2018: Clinical Orthopaedics and related Research
Anne G Copay, Blake Eyberg, Andrew S Chung, Kenneth S Zurcher, Norman Chutkan, Mark J Spangehl
BACKGROUND: The minimum clinically important difference (MCID) attempts to define the patient's experience of treatment outcomes. Efforts at calculating the MCID have yielded multiple and inconsistent MCID values. The purposes of this review were to describe the usage of the MCID in the most recent orthopaedic literature, to explain the limitations of its current uses, and to clarify the underpinnings of the MCID calculation, so as to help practitioners to understand and utilize the MCID and to guide future efforts to calculate the MCID...
September 3, 2018: JBJS Reviews
Anne G Copay, Andrew S Chung, Blake Eyberg, Neil Olmscheid, Norman Chutkan, Mark J Spangehl
BACKGROUND: The minimum clinically important difference (MCID) attempts to define the patient's experience of treatment outcomes. Efforts at calculating the MCID have yielded multiple and inconsistent MCID values. The purposes of this review were to describe the usage of the MCID in the most recent orthopaedic literature, to explain the limitations of its current uses, and to clarify the underpinnings of MCID calculation. Subsequently, we hope that the information presented here will help practitioners to better understand the MCID and to serve as a guide for future efforts to calculate the MCID...
September 3, 2018: JBJS Reviews
M Kiran, I Guisasola, J-J George-Malal
Hand preference for perineal hygiene is not a commonly recorded data unlike hand dominance. Ability to reach the perineum is essential for a good functional outcome. There is no evidence in orthopaedic literature regarding its variability. The aim of this study was to examine hand preference for perineal hygiene in a cohort of hospital staff and enumerate possible factors that may associate with this preference. One hundred hospital staff in two NHS hospitals were asked questions regarding dominance of hand and hand preference for personal hygiene, ethnicity and gender...
August 30, 2018: Hand Surgery and Rehabilitation
Daniel Laurenţiu Pop, Roxana Folescu, Bogdan Nicolae Deleanu, Mihaela Iacob, Dinu Vermeşan, Radu Prejbeanu, Daniel Claudiu Maliţa, Horia George Hărăguş, Bogdan Cătălin Ciupe, Carmen Lăcrămioara Zamfir, Gheorghe Nodiţi
Synovial sarcoma (SS) is a malignant soft tissue tumor representing 5-10% of all soft tissue sarcomas. Most synovial sarcomas are found at the extremities, especially in the lower limbs. A 28-year-old female presented at the Department of Plastic and Reconstructive Surgery, "Dr. Pius Brînzeu" Clinical Hospital, Timişoara, Romania, for evaluation of a mass located in the anterior region of the elbow. Imagistic, histological and immunohistochemically evaluations established the diagnosis of monophasic spindle cell SS G2...
2018: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Jae Woo Shim, Si Hoon Yoo, Min Jong Park
BACKGROUND: Lateral collateral ligament (LCL) insufficiency may occur in patients with chronic lateral epicondylitis (LE). We report on 14 consecutive patients with chronic LE and LCL insufficiency. METHODS: We performed a retrospective review of 14 patients with LE and LCL insufficiency diagnosed between 2006 and 2015. The patients had undergone débridement for LE and ligament reconstruction for LCL insufficiency. The study included 9 men and 5 women with an average age of 53 years (range, 41-69 years)...
October 2018: Journal of Shoulder and Elbow Surgery
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