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https://www.readbyqxmd.com/read/29775388/epidemiology-of-elbow-ulnar-collateral-ligament-injuries-among-baseball-players-national-collegiate-athletic-association-injury-surveillance-program-2009-2010-through-2013-2014
#1
Steven F DeFroda, Avi D Goodman, Joseph A Gil, Brett D Owens
BACKGROUND: Injuries to the ulnar collateral ligament (UCL) of the elbow are of major concern in baseball; however, the epidemiology of these injuries among National Collegiate Athletic Association (NCAA) athletes is poorly described. PURPOSE: To determine the incidence of UCL injuries in NCAA baseball and investigate the risk factors involved. STUDY DESIGN: Descriptive epidemiology study. METHODS: All UCL injuries for academic years 2009-2010 through 2013-2014 were extracted from the NCAA Injury Surveillance Program database...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29773304/outpatient-total-elbow-arthroplasty-90-day-outcomes
#2
Michael A Stone, Paramjit Singh, Santano L Rosario, Reza Omid
BACKGROUND: Interest in outpatient arthroplasty has grown in response to increasing emphasis on the efficient delivery of safe, high-quality medical care. This study evaluated 90-day episode-of-care complications after outpatient total elbow arthroplasty (TEA). MATERIALS AND METHODS: We retrospectively evaluated 28 patients discharged the same day after primary TEA for 90-day episode-of-care complications, reoperations, and readmissions. Postoperative complications and elbow range of motion measurements were recorded and evaluated at the latest follow-up...
May 14, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29771396/lyme-arthritis-of-the-pediatric-elbow-a-case-series
#3
David Gendelberg, William L Hennrikus
Most patients with untreated Lyme disease will experience joint symptoms. Owing to their resemblance in clinical presentation, Lyme arthritis and septic arthritis are often difficult to differentiate. However, their treatment is different. The elbow is rarely the first joint to present with symptoms. Therefore, Lyme disease is not commonly included in the differential diagnosis for children presenting with isolated elbow pain. The authors report 4 cases of monoarticular Lyme arthritis presenting in the elbow...
May 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29768041/getting-hit-by-pitch-in-professional-baseball-analysis-of-injury-patterns-risk-factors-concussions-and-days-missed-for-batters
#4
Christopher L Camp, Dean Wang, Alec S Sinatro, John D'Angelo, Struan H Coleman, Joshua S Dines, Stephen Fealy, Stan Conte
BACKGROUND: Although batters are frequently hit by pitch (HBP) in baseball, the effect of HBP injuries remains undefined in the literature. PURPOSE: To determine the effect of HBP injuries in terms of time out of play, injury patterns resulting in the greatest time out of play, and the value of protective gear such as helmets and elbow pads. STUDY DESIGN: Descriptive laboratory study. METHODS: Based on the Major League Baseball (MLB) Health and Injury Tracking System, all injuries to batters HBP during the 2011-2015 MLB and Minor League Baseball (MiLB) seasons were identified and analyzed...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29763339/the-v-shaped-distal-triceps-tendon-repair-a-comparative-biomechanical-analysis
#5
Bastian Scheiderer, Florian B Imhoff, Daichi Morikawa, Lucca Lacheta, Elifho Obopilwe, Mark P Cote, Andreas B Imhoff, Augustus D Mazzocca, Sebastian Siebenlist
BACKGROUND: Restoring footprint anatomy, minimizing gap formation, and maximizing the strength of distal triceps tendon repairs are essential factors for a successful healing process and return to sport. HYPOTHESIS: The novel V-shaped distal triceps tendon repair technique with unicortical button fixation closely restores footprint anatomy, provides minimal gap formation and high ultimate failure load, and minimizes iatrogenic fracture risk in acute/subacute distal triceps tendon tears...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29758568/social-media-in-shoulder-elbow-surgery-an-analysis-of-twitter-and-instagram
#6
Prem N Ramkumar, Sergio M Navarro, Margaret M Cornaghie, Heather S Haeberle, Hafsah Hameed, Mark S Schickendantz, Eric T Ricchetti, Joseph P Iannotti
Social media provide a unique method of analyzing outcomes and quality in medicine. The purpose of this observational study was to investigate the nature of social media content related to shoulder and elbow (S&E) surgery posted by patients, surgeons, and hospitals. A public search of Instagram for a two-year period yielded 1,177 patient-related posts. A categorical system assessed the perspective, timing, tone, and content of each post. Twitter accounts of 77 S&E specialists from the top five ranked U...
May 14, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29754843/revision-of-failed-hemiarthroplasty-for-painful-glenoid-arthrosis-to-anatomic-total-shoulder-arthroplasty
#7
Mihir M Sheth, Daniel Sholder, Joseph Abboud, Mark D Lazarus, Matthew L Ramsey, Gerald R Williams, Surena Namdari
BACKGROUND: The impending burden of revision shoulder arthroplasty has increased interest in outcomes of revision procedures. Painful glenoid arthrosis following hemiarthroplasty is a common cause of reoperation, and conversion to anatomic total shoulder arthroplasty is one option. METHODS: We identified patients who underwent revision of painful hemiarthroplasty to total shoulder arthroplasty over a 15-year period in a single tertiary-care health system. Presurgical and operative data were analyzed for 28 patients who met the inclusion and exclusion criteria...
May 10, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29752151/prospective-outcome-assessment-of-arthroscopic-arthrolysis-for-traumatic-and-degenerative-elbow-contracture
#8
Przemysław Lubiatowski, Marta Ślęzak, Joanna Wałecka, Maciej Bręborowicz, Leszek Romanowski
BACKGROUND: The purpose of this study was to evaluate the efficacy of arthroscopic elbow release for both traumatic and degenerative contractures from intraoperative recording through the recovery time until final follow-up. METHODS: The study is based on 54 consecutive patients with extrinsic elbow contracture (traumatic in 31 and degenerative in 23) treated with arthroscopic arthrolysis by a single surgeon in 2011-2015. Range of motion (ROM) and the Mayo Elbow Performance Score (MEPS) were recorded preoperatively; intraoperatively; following release; and in the 1st, 3rd, 8th, 12th, and 26th weeks and at 2 years postoperatively...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29749919/results-of-reoperation-for-failed-ulnar-nerve-surgery-at-the-elbow-a-systematic-review-and-meta-analysis
#9
Tinatin Natroshvili, Erik T Walbeehm, Nens van Alfen, Ronald H M A Bartels
OBJECTIVE The clinical results of reoperation for recurrent or persistent ulnar nerve compression at the elbow have not been clearly determined. The aim of this review was to determine overall improvement, residual pain, and sensory and motor deficits following reoperation regardless of the type of primary surgery performed for this condition. METHODS In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a systematic review and meta-analysis of studies was performed...
May 11, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29746446/reduced-hemidiaphragmatic-paresis-with-a-corner-pocket-technique-for-supraclavicular-brachial-plexus-block-single-center-observer-blinded-randomized-controlled-trial
#10
Ryung A Kang, Yang Hoon Chung, Justin Sangwook Ko, Mi Kyung Yang, Duck Hwan Choi
BACKGROUND AND OBJECTIVE: Hemidiaphragmatic paresis is common after supraclavicular brachial plexus block (SCBPB). In this randomized trial, we compared the incidence of hemidiaphragmatic paresis in patients who had local anesthetic injected primarily in the corner pocket (defined as the intersection of the first rib and subclavian artery) during SCBPB with that of patients who underwent injection primarily inside the neural cluster. METHODS: Thirty-six patients scheduled for right elbow, forearm, wrist, or hand surgery under SCBPB (using 12...
May 10, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29734908/recurrent-cubital-tunnel-syndrome-caused-by-ganglion-a-report-of-nine-cases
#11
Masatoshi Komatsu, Shigeharu Uchiyama, Takumi Kimura, Naoki Suenaga, Masanori Hayashi, Hiroyuki Kato
BACKGROUND: Cubital tunnel syndrome (CuTS) is generally treated successfully by surgery and recurrent cases are rare. This study retrospectively investigated the clinical characteristics of recurrent CuTS caused by ganglion. METHODS: We evaluated nine patients who were surgically treated for recurrent CuTS caused by ganglion. Age distribution at recurrence ranged from 43 to 79 years. The initial surgery for CuTS had been performed using various methods. The asymptomatic period from initial surgery to recurrence ranged from 22 to 252 months...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29734890/long-term-outcome-of-open-synovectomy-with-radial-head-resection-for-rheumatoid-elbow
#12
Masanori Nakayama, Yu Sakuma, Hitoshi Imamura, Koichiro Yano, Katsunori Ikari
BACKGROUND: We reviewed our surgical results of open synovectomy with radial head resection for rheumatoid elbow. METHODS: We reviewed the 20 patients (22 elbows) underwent open synovectomy for rheumatoid elbows retrospectively. The minimum follow-up period is over 10 years, and the average was 13 years 4 months. Surgical outcomes were evaluated using the VAS pain scale, range of motion, and radiologic outcomes including Larsen's grade and carrying angle. RESULTS: The mean VAS score was 39 (range, 10-90) at last follow-up...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29730139/failure-following-arthroscopic-bankart-repair-for-traumatic-anteroinferior-instability-of-the-shoulder-is-a-glenoid-labral-articular-disruption-glad-lesion-a-risk-factor-for-recurrent-instability
#13
Jonas Pogorzelski, Erik M Fritz, Marilee P Horan, J Christoph Katthagen, Matthew T Provencher, Peter J Millett
BACKGROUND: Recurrent instability is a frequent complication following arthroscopic Bankart repair. The purpose of this study was to investigate risk factors for poor patient-reported clinical outcome scores and failure rates. METHODS: Patients who underwent arthroscopic Bankart repair at least 2 years earlier were included. Preoperative and postoperative Single Assessment Numeric Evaluation; Quick Disabilities of the Arm, Shoulder and Hand; American Shoulder and Elbow Surgeons; and satisfaction scores were collected...
May 2, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29723034/large-critical-shoulder-angle-has-higher-risk-of-tendon-retear-after-arthroscopic-rotator-cuff-repair
#14
Hong Li, Yuzhou Chen, Jiwu Chen, Yinghui Hua, Shiyi Chen
BACKGROUND: The critical shoulder angle (CSA) is the angle created between the superior and inferior bone margins of the glenoid and the most lateral border of the acromion. A few studies recently investigated the relation between CSA and functional outcomes after rotator cuff repair. However, there is a lack of research investigating the effect of CSA on postoperative tendon integrity after rotator cuff repair. PURPOSE: To assess the effects of the CSA on postoperative tendon integrity after rotator cuff repair...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29721450/multibody-modelling-of-ligamentous-and-bony-stabilizers-in-the-human-elbow
#15
REVIEW
Mara Terzini, Elisabetta Maria Zanetti, Alberto Luigi Audenino, Giovanni Putame, Laura Gastaldi, Stefano Pastorelli, Elisa Panero, Arman Sard, Cristina Bignardi
The elbow ligamentous and bony structures play essential roles in the joint stability. Nevertheless, the contribution of different structures to joint stability is not yet clear and a comprehensive experimental investigation into the ligament and osseous constraints changes in relation to joint motions would be uphill and somehow unattainable, due to the impossibility of obtaining all the possible configurations on the same specimen. Therefore, a predictive tool of the joint behavior after the loss of retentive structures would be helpful in designing reconstructive surgeries and in pre-operative planning...
October 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29713746/the-treatment-of-chronic-radial-head-dislocation-in-monteggia-fracture-without-annular-ligament-reconstruction
#16
Hsuan-Yu Chen, Kuan-Wen Wu, Zheng-Ren Dong, Shier-Chieg Huang, Ken N Kuo, Ting-Ming Wang
INTRODUCTION: The treatment of neglected radial head dislocation after missed Monteggia fracture dislocation in children is a controversial issue. The purpose of this study is to report our clinical experience in the treatment of the condition without annular ligament reconstruction. METHOD: This is a retrospective review of 20 patients between 2008 and 2014. Procedures included open reduction of the radial head and ulnar lengthening angulation osteotomy. In cases of unstable radial head reduction, a trans-capitellar K wire was applied...
May 1, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29708571/reliability-of-the-anterior-humeral-line-index-compared-with-the-gartland-classification-for-posteriorly-hinged-supracondylar-humerus-fractures
#17
Margaret Siobhan Murphy-Zane, Laura Pyle
The Gartland classification of pediatric supracondylar humerus (SCH) fractures is commonly used but inconsistently defined regarding type 1 and type 2 (posteriorly hinged) SCH fractures. This study examined the reliability of the anterior humeral line (AHL) index compared with the Gartland classification. Fifty consecutive SCH fractures on anteroposterior and lateral elbow radiographs in pediatric patients (age range, 18 months to 15 years) were classified by 11 observers (9 attendings and 2 residents) according to the Gartland classification (types 1, 2, and 3) and the AHL index (AHL0, AHL passes anterior to the capitellum; AHL1, anterior one-third capitellum; and AHL2, middle one-third capitellum), with recommendations for treatment (cast immobilization vs surgery)...
April 27, 2018: Orthopedics
https://www.readbyqxmd.com/read/29707596/radial-head-changes-in-osteochondritis-dissecans-of-the-humeral-capitellum
#18
Mark Wu, Katherine Eisenberg, Kathryn Williams, Donald S Bae
Background: Osteochondritis dissecans (OCD) of the elbow has almost exclusively been described in the humeral capitellum, with only a small number of reports describing secondary osteochondral changes in the radial head. Hypothesis: The authors hypothesized that concomitant radial head lesions (RHLs) would be seen with capitellar OCD and that patients with RHLs would present with more advanced capitellar OCD lesions and would respond better to procedures restoring articular congruity...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29707051/treatment-strategy-and-long-term-functional-outcome-of-traumatic-elbow-dislocation-in-childhood-a-single-centre-study
#19
G Nussberger, S Schädelin, J Mayr, D Studer, P Zimmermann
Purpose: Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED. Methods: We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29702048/nerve-transfer-surgery-for-penetrating-upper-extremity-injuries
#20
Efstathios Karamanos, Ilya Rakitin, Sophie Dream, Aamir Siddiqui
CONTEXT: Nerve transfer surgery is an option for repair of penetrating injuries of the upper extremity. In the right setting, it has advantages over tendon transfers and nerve grafting. OBJECTIVE: To review our experience since 2006 of nerve transfer surgery in the upper extremities. DESIGN: We included cases performed to repair penetrating trauma within three months of injury with at least three years' follow-up. MAIN OUTCOME MEASURES: Preoperative and postoperative muscle strength of the affected extremity...
April 9, 2018: Permanente Journal
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