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Elbow Ligament

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https://www.readbyqxmd.com/read/29327556/-surgical-treatment-for-the-fractures-and-dislocations-of-the-elbow-in-old-patients
#1
Hua Xu, Li-Feng Shen, Hua-Jun Yu, Xiao-Wen Zhang, Qiao-Feng Guo
OBJECTIVE: To introduce and report the preliminary results of 7 old patients with fractures and dislocations of the elbow. METHODS: From July 2011 to August 2015, 7 old patients suffered from fractures and dislocations of the elbow(5 of which were terrible triad). One patient had type Iradial head fracture, 3 type IIand 1 type III according to the Mason classification, and 1 type I, 5 type IIand 1 type III according to the Regan-Morrey classification. All the 7 patients received operation and then were treated with external fixation...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29322208/the-association-of-the-medial-joint-vacuum-phenomenon-with-ulnar-collateral-ligament-injury-in-symptomatic-elbows-of-younger-athletes
#2
Ryan Tai, Tyson Bolinske, Varand Ghazikhanian, Jacob C Mandell
OBJECTIVE: To determine the prevalence of intra-articular gas (IAG) on elbow radiography and evaluate variables, including IAG, as predictors of UCL injury. MATERIALS AND METHODS: This IRB-approved retrospective study consisted of 241 consecutive elbow radiographic studies containing AP radiographs with valgus stress of both symptomatic and asymptomatic sides in 234 patients. The IAG, medial joint space (MJS), and MJS difference between the symptomatic and asymptomatic elbow (MJSD) were evaluated by two readers, as well as patient age, gender, sport played, and handedness...
January 10, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29318169/reasons-for-retirement-following-ulnar-collateral-ligament-reconstruction-among-major-league-baseball-pitchers
#3
Brandon J Erickson, Junyoung Ahn, Peter N Chalmers, Christopher S Ahmad, Bernard R Bach, Nikhil N Verma, Anthony A Romeo
Background: Ulnar collateral ligament reconstruction (UCLR) has become an increasingly common procedure among Major League Baseball (MLB) pitchers. The long-term effects of this procedure on the career of an MLB pitcher are largely unknown. Purpose/Hypothesis: The purpose of this study was to determine why and when MLB pitchers who underwent UCLR during their careers retired from baseball as compared with controls. We hypothesized that pitchers who underwent UCLR are no more likely than control pitchers to retire from elbow or shoulder problems...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29317055/scapholunate-interosseous-ligament-dysfunction-as-a-source-of-elbow-pain-syndromes-possible-mechanisms-and-implications-for-hand-surgeons-and-therapists
#4
Cigdem Ayhan, Seval Tanrıkulu, Gursel Leblebicioglu
Elbow pain syndromes are common upper extremity musculoskeletal disorders, and they are usually associated with repetitive occupational exposure. Ligaments are often one of the sources of musculoskeletal disorders because of their mechanical and neurological properties. The wrist ligaments are some of the ligaments most vulnerable to occupational exposure. Since most occupational tasks require wrist extension for handling tools and loading, the scapholunate interosseous ligament (SLIL) bears greater strain during loading, which results in creep deformation and hysteresis...
January 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29315453/a-partial-posterior-bundle-ulnar-collateral-ligament-tear-in-a-10-year-old-boy
#5
Todd P Pierce, Jennifer Kurowicki, Kimona Issa, Anthony Festa, Vincent K McInerney, Anthony J Scillia
Medial-sided elbow pain is becoming more common among pediatric overhead sport athletes. One potential cause of this is a partial or complete tear of the ulnar collateral ligament (UCL). Because the growth plate remains open in many of these athletes, the most common injury experienced is an avulsion at the medial epicondyle. However, although rare, there is a potential to tear the UCL, with the most common tears occurring at the anterior bundle. However, tears to the posterior bundle are quite rare in pediatric patients...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29304721/epidemiology-of-shoulder-and-elbow-injuries-in-national-collegiate-athletic-association-wrestlers-2009-2010-through-2013-2014
#6
Avi D Goodman, John Twomey-Kozak, Steven F DeFroda, Brett D Owens
OBJECTIVES: Examination of the incidence of shoulder and elbow injuries in the collegiate wrestling population is limited. Therefore, we sought to determine the incidence of shoulder and elbow injuries in wrestlers competing in the National Collegiate Athletic Association (NCAA), and investigate the risk factors involved. METHODS: All shoulder and elbow injuries in wrestlers from the 2009-2010 through 2013-2014 academic years in the NCAA Injury Surveillance Program database were extracted...
January 5, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29299498/epidemiology-of-joint-dislocations-and-ligamentous-tendinous-injuries-among-2-700-patients-five-year-trend-of-a-tertiary-center-in-iran
#7
Mohammad H Nabian, Shayan Abdollah Zadegan, Leila Oryadi Zanjani, Saeed R Mehrpour
Background: The epidemiology of traumatic dislocations and ligamentous/tendinous injuries is poorly understood. In this study, we aimed to evaluate the prevalence and distribution of various dislocations and ligamentous/tendinous injuries in a tertiary orthopedic hospital in Iran. Methods: Musculoskeletal injuries in an academic tertiary health care center in Tehran February 2005 to October 2010 were recorded. The demographic details of patients with pure dislocations and ligamentous/tendinous injuries were extracted and the type and site of injuries were classified according to their specific age/gender groups...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29299491/evaluation-of-radiocapitellar-arthritis-in-patients-with-a-second-radiograph-at-least-2-years-after-nonoperative-treatment-of-an-isolated-radial-head-fracture
#8
Amir R Kachooei, David Ring
Background: To study if patients that have a second radiograph 2 or more years after nonoperative treatment of an isolated radial head fracture have radiocapitellar osteoarthritis (RC OA). Methods: We used the database of 3 academic hospitals in one health system from 1988 to 2013 to find patients with isolated radial head fractures (no associated ligament injury or fracture) that had a second elbow radiograph after more than 2 years from the initial injury. Of 887 patients with isolated radial head fractures, 54 (6%) had an accessible second radiograph for reasons of a second injury (57%), pain (30%), or follow-up visit (13%)...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29288378/management-of-elbow-stiffness-after-postoperative-treatment-of-terrible-triad-elbow-injury-maintaining-mobility-and-stability-using-a-combined-protocol
#9
Hao-Min Cui, Ya-Ling Yu, Yu He, Yuan Cheng, Jia-Zhi Liu, Wei Zheng, Shuai Chen, Cun-Yi Fan
PURPOSES: The purpose of this study was to evaluate the results of our protocol that include the restoration of mobility using open release combined with external fixation and stability using ligament repair, to determine the optimal timing of surgery, and to investigate whether resection and replacement of the radial head are associated with different outcomes. METHODS: Twenty-six patients with elbow stiffness after operation of terrible triad injury of the elbow were treated with our protocol...
December 29, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29275616/-clinical-research-of-features-of-magnetic-resonance-imaging-of-high-voltage-electrical-burns-in-limbs-at-early-stage
#10
S J Li, Z L Wang, W P Zhu, Y Xiang, J Lin, Y J Yu, P Li
Objective: To analyze the features of magnetic resonance imaging (MRI) of patients with high-voltage electrical burns in limbs at early stage. Methods: Thirty-eight patients with high-voltage electrical burns, conforming to the study criteria, were hospitalized in our unit from March 2013 to August 2016. T(1) weighted imaging (T(1)WI), T(2)WI, fat-suppression T(2)WI plain scan, and fat-suppression T(1)WI enhanced scan of MRI were performed in 78 limbs, including 56 upper limbs and 22 lower limbs at post injury hour 72...
December 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29232727/-radial-head-fracture-management-recommendations
#11
Markus Gühring, Ulrich Stöckle, Patrick Ziegler
The radial head is pivotal in the functional anatomy of the elbow and forearm. It is an important stabiliser, together with the collateral ligaments and the processus coronoideus. Due to the pivotal importance, optimal therapies are essential for the function of elbow and forearm, independently of trauma severity. The present article presents current diagnostic testing, classifications and treatment options for radial head fractures.
December 12, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29216764/quantifying-the-center-of-elbow-rotation-implications-for-medial-collateral-ligament-reconstruction
#12
Kraig S Graham, Sara Golla, Sebastian V Gehrmann, Robert A Kaufmann
BACKGROUND: Medial collateral ligament (MCL) reconstruction of the elbow mandates precise characterization of where the centerline of elbow rotation projects onto the medial epicondyle (ME). A muscle-splitting approach allows the flexor-pronator muscles to remain attached to the ME and facilitates visualization of the MCL remnant, the sublime tubercle, and the ulnohumeral joint line. Knowledge of where the centerline of rotation intersects the ME relative to the ulnohumeral joint line may assist the surgeon during placement of the proximal drill hole...
December 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29181396/isometric-tunnel-placement-in-ulnar-collateral-ligament-reconstruction-with-single-ct-scan
#13
Erica Kholinne, Rizki Fajar Zulkarnain, Arnold Adikrishna, Bin Zhu, Han Pyo Hong, In-Ho Jeon
Background: Isometric tunnel placement for anterior bundle of the medial collateral ligament (MCL) reconstruction is mandatory for successful surgery. Purpose: This study aimed to demonstrate a useful method for identifying isometric tunnel placement using a single computed tomography (CT) scan. Study Design: Descriptive Laboratory Study. Methods: Five normal elbows were scanned at 4 different flexion angles at 45° increment...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29181356/a-case-of-3-month-old-neglected-elbow-dislocation-managed-by-open-reduction-and-cruciate-ligament-reconstruction-using-tendon-graft
#14
Ganesh N Pundkar, Satish B Sonar, Omkar P Kulkarni
Introduction: Old neglected posterior type of elbow dislocations is not very common and generally requires open reduction. It was usually treated with open reduction and K-wire stabilization. We did a newer method in which in addition cruciate type ligament reconstruction; we have reconstructed lateral ulnar collateral ligament (LUCL) and UCL (medial collateral ligament) using semitendinosus graft. This allowed extra stability and early mobilization of the elbow joint. Authors report 3-month-old neglected posterior type of elbow dislocation without any fracture...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29177172/outcome-of-long-standing-ulno-humeral-dislocation-managed-by-open-reduction-and-stabilization-with-v-y-plasty-our-experience
#15
Vikram Khanna, Ashish Gupta, Sanjeev Kumar
Objective: To assess the outcome of long standing ulno-humeral dislocation managed by open reduction and stabilization with V-Y plasty. Methods: This cross sectional study included 14 patients with elbow dislocation that was more than 3 months without joint ankylosis, myositis ossificans or nerve injury. The surgical management not only included open reduction of the elbow joint, but also elongation of the triceps aponeurosis, collateral ligament repair along with the stabilization of the elbow joint...
October 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29164165/platelet-rich-plasma-for-primary-treatment-of-partial-ulnar-collateral-ligament-tears-mri-correlation-with-results
#16
J Banks Deal, Ed Smith, Wendell Heard, Michael J O'Brien, Felix H Savoie
Background: Jobe revolutionized the treatment of medial ulnar collateral ligament (MUCL) tears with his reconstruction technique. However, not all MUCL injuries require operative management; Rettig showed that 42% of MUCL injuries respond to conservative management. This was improved by Podesta, who showed that augmentation of nonoperative management with platelet-rich plasma (PRP) and magnetic resonance imaging (MRI) for detecting partial MUCL tears resulted in significantly higher success rates...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29162366/resurfacing-arthroplasty-as-an-alternative-to-the-posttraumatic-sequelae-of-fractures-of-the-external-column-of-the-humerus-in-the-young-adult
#17
M Aroca-Peinado, D Cecilia-López, V Jiménez-Díaz
Symptomatic posttraumatic arthritis of the elbow in young patients is a disorder for which there is currently no satisfactory solution. In this case report we show the evolution of a comminuted fracture of the capitellum with trochlear extension (McKee typeIV) treated initially with open reduction and internal fixation that eventually required a resurfacing hemiarthroplasty of the capitellum and reconstruction of the lateral ligament complex. After this surgical procedure, the patient had evident improvement of pain and of elbow range of motion, keeping the possibility of performing other rescue techniques open if they were to be necessary in the future...
November 18, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29159462/-ulnar-collateral-ligament-reconstruction-of-the-elbow-in-posttraumatic-and-chronic-ligament-instability
#18
REVIEW
M Beck, A Wichelhaus, T Mittlmeier
OBJECTIVE: Restoration of ulnar elbow stability in cases of posttraumatic and chronic ulnar ligament instability. INDICATIONS: Symptomatic therapy-resistant ulnar ligament instability of the elbow. CONTRAINDICATIONS: Arthrofibrosis and high-grade elbow arthrosis. SURGICAL TECHNIQUE: Anatomical reconstruction of the ulnar collateral ligament (UCL) with autologous tendon graft (tendons of the palmaris longus muscle and gracilis muscle) in implant-free docking technique...
November 20, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29157249/biomechanical-study-of-isolated-radial-head-dislocation
#19
Naoki Hayami, Shohei Omokawa, Akio Iida, Jirachart Kraisarin, Hisao Moritomo, Pasuk Mahakkanukrauh, Takamasa Shimizu, Kenji Kawamura, Yasuhito Tanaka
BACKGROUND: Isolated radial head dislocation is a rare injury with an unclear pathomechanism, and the treatment is controversial. The purpose of the present study was to investigate the biomechanical contributions of the annular ligament, quadrate ligament, interosseous membrane, and annular ligament reconstructions to proximal radioulnar joint stability. METHODS: Five fresh frozen cadaveric upper extremities were amputated above the elbow and solidly fixed on a customized jig...
November 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29138892/-partial-and-complete-joint-transplantation-with-fresh-osteochondral-allografts-the-flocsat-concept
#20
REVIEW
C Krettek, J-D Clausen, N Bruns, C Neunaber
Cartilage defects in adult patients do not heal well. Fresh osteochondral allograft (OCA) transplantation is based on mature, living, mechanically sound hyaline cartilage attached to a bone interface, which is brought into an osteochondral defect, where it becomes osseointegrated. According to current knowledge, intact hyaline cartilage tissue is immune privileged and does not, in contrast to bone, meniscus or ligaments, cause an immune reaction. The technique has the unique advantage of transplanting viable, mature and mechanically stable hyaline cartilage into the affected area...
November 2017: Der Unfallchirurg
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