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Medial elbow pain

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https://www.readbyqxmd.com/read/29095655/efficacy-of-a-prevention-program-for-medial-elbow-injuries-in-youth-baseball-players
#1
Jun Sakata, Emi Nakamura, Tatsuhiro Suzuki, Makoto Suzukawa, Atsushi Akaike, Kuniaki Shimizu, Norikazu Hirose
BACKGROUND: Youth baseball players are at high risk for elbow injuries, which can lead to future functional disability. PURPOSE: To evaluate the effectiveness of a prevention program to lower the risk of medial elbow injury in these athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Youth baseball players, 8 to 11 years old, without a history of elbow and shoulder pain, were allocated to either the intervention (n = 136) or control (n = 169) group...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29081707/analysis-of-the-pattern-and-mechanism-of-elbow-injuries-related-to-armbar-type-armlocks-in-jiu-jitsu-fighters
#2
Thiago Bernardo Carvalho DE Almeida, Eiffel Tsuyoshi Dobashi, Alexandre Yukio Nishimi, Eduardo Bernardo DE Almeida, Luciano Pascarelli, Luciano Miller Reis Rodrigues
OBJECTIVE: The objective of this study was to analyze elbow injuries and their probable mechanism in Jiu-Jitsu fighters resulting from the armbar-type armlock. METHODS: We evaluated 5 high-performance Jiu-Jitsu fighters from the Gracie Elite gym who were injured during a tournament. All were healthy males with a mean age of 28.8 years. The right arm was involved in three patients (60%). The athletes were followed for approximately 4.6 months, and pain was present in all cases...
September 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29054383/arthroscopic-surgical-treatment-of-medial-epicondylitis
#3
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
BACKGROUND: The study purpose was to evaluate the outcomes of patients who received arthroscopic surgical treatment for medial epicondylitis refractory to conservative treatment. METHODS: This was a retrospective study of 7 patients who underwent arthroscopic surgical débridement of the common flexor tendon for treatment of medial epicondylitis refractory to conservative treatment. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand score; visual analog scale for pain; and Short Form 36 Health Survey...
October 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28964676/ulnar-neuropathy-and-medial-elbow-pain-in-women-s-fastpitch-softball-pitchers-a-report-of-6-cases
#4
Adam M Smith, Thomas H Butler, Michael S Dolan
BACKGROUND: Elite-level women's fastpitch softball players place substantial biomechanical strains on the elbow that can result in medial elbow pain and ulnar neuropathic symptoms. There is scant literature reporting the expected outcomes of the treatment of these injuries. This study examined the results of treatment in a series of these patients. METHODS: We identified 6 female softball pitchers (4 high school and 2 collegiate) with medial elbow pain and ulnar neuropathic symptoms...
September 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28932488/medial-elbow-pain
#5
REVIEW
Raul Barco, Samuel A Antuña
Medial elbow pain is uncommon when compared with lateral elbow pain.Medial epicondylitis is an uncommon diagnosis and can be confused with other sources of pain.Overhead throwers and workers lifting heavy objects are at increased risk of medial elbow pain.Differential diagnosis includes ulnar nerve disorders, cervical radiculopathy, injured ulnar collateral ligament, altered distal triceps anatomy or joint disorders.Children with medial elbow pain have to be assessed for 'Little League elbow' and fractures of the medial epicondyle following a traumatic event...
August 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28887648/evaluation-of-donor-site-morbidity-after-medial-triceps-brachii-free-flap-for-lower-limb-reconstruction
#6
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/28878539/unusual-association-of-elbow-dislocation-with-humeral-biepicondylar-fracture-in-a-child-a-case-report-and-review-of-literature
#7
Prabhat Agrawal, Saubhik Das, Vikas Gupta, Sumit Arora
Humeral biepicondylar fracture with elbow dislocation is an unusual pattern of injury encountered in paediatric population. We reported a case of humeral biepicondylar fracture-dislocation of elbow in a 11-year-old boy, who presented with tender, swollen, and deformed left elbow following fall on his outstretched hand. Roentgenographic and CT evaluation confirmed the diagnosis, and also showed incarcerated medial epicondylar fragment. Closed reduction was unsuccessful; open reduction and internal fixation was performed with headless screws...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28802421/symptomatic-medial-humeral-epicondylar-fracture-non-union-rare-presentation-of-a-relatively-common-injury
#8
Vidisha S Kulkarni, Nitish Arora, Harshit Gehlot, Sagar Saxena, Sunil G Kulkarni, Supreet Bajwa
BACKGROUND: Symptomatic non-union of medial humeral epicondylar fractures is a limited entity. Some studies recommend surgical excision of the fragment, but the results are controversial. The purpose of this study is to evaluate the outcome of open reduction and internal fixation of a medial epicondyle non-union fragment. MATERIALS AND METHODS: A retrospective study was conducted in all the patients, who were operated in our hospital between the year 2010 and 2015 for symptomatic medial humeral epicondyle non-union...
August 2017: Injury
https://www.readbyqxmd.com/read/28758087/severe-ulnar-nerve-injury-after-bee-venom-acupuncture-at-a-traditional-korean-medicine-clinic-a-case-report
#9
Joon Sang Park, Yoon Ghil Park, Chul Hoon Jang, Yoo Na Cho, Jung Hyun Park
This case report describes a severe nerve injury to the right ulnar nerve, caused by bee venom acupuncture. A 52-year-old right-handed man received bee venom acupuncture on the medial side of his right elbow and forearm, at a Traditional Korean Medicine (TKM) clinic. Immediately after acupuncture, the patient experienced pain and swelling on the right elbow. There was further development of weakness of the right little finger, and sensory changes on the ulnar dermatome of the right hand. The patient visited our clinic 7 days after acupuncture...
June 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28589162/age-specific-prevalence-and-clinical-characteristics-of-humeral-medial-epicondyle-apophysitis-and-osteochondritis-dissecans-ultrasonographic-assessment-of-4249-players
#10
Kenichi Otoshi, Shinichi Kikuchi, Kinshi Kato, Ryohei Sato, Takahiro Igari, Takahiro Kaga, Shinichi Konno
BACKGROUND: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. PURPOSE: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. STUDY DESIGN: Descriptive epidemiology study...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28581816/serial-changes-in-3-dimensional-supraspinatus-muscle-volume-after-rotator-cuff-repair
#11
Seok Won Chung, Kyung-Soo Oh, Sung Gyu Moon, Na Ra Kim, Ji Whan Lee, Eungjune Shim, Sehyung Park, Youngjun Kim
BACKGROUND: There is considerable debate on the recovery of rotator cuff muscle atrophy after rotator cuff repair. PURPOSE: To evaluate the serial changes in supraspinatus muscle volume after rotator cuff repair by using semiautomatic segmentation software and to determine the relationship with functional outcomes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Seventy-four patients (mean age, 62.8 ± 8.8 years) who underwent arthroscopic rotator cuff repair and obtained 3 consecutive (preoperatively, immediately postoperatively, and later postoperatively [≥1 year postoperatively]) magnetic resonance imaging (MRI) scans having complete Y-views were included...
August 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28567429/are-the-current-little-league-pitching-guidelines-adequate-a-single-season-prospective-mri-study
#12
Andrew V Pytiak, Phillip Stearns, Tracey P Bastrom, Jerry Dwek, Peter Kruk, Joanna H Roocroft, Andrew T Pennock
BACKGROUND: Little League throwing guidelines have recently been implemented in an attempt to lessen the growing number of elbow injuries occurring in youth baseball players. HYPOTHESIS/PURPOSE: The purpose of this study was to examine pre- and postseason changes seen on magnetic resonance imaging (MRI) in youth baseball players' elbows in an attempt to identify risk factors for pain and MRI abnormalities, with a particular focus on the current Little League guidelines...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28555250/ultrasound-biomechanical-anatomy-of-the-soft-structures-in-relation-to-the-ulnar-nerve-in-the-cubital-tunnel-of-the-elbow
#13
Paul Michelin, Grégoire Leleup, Mourad Ould-Slimane, Marie Caroline Merlet, Benjamin Dubourg, Fabrice Duparc
BACKGROUND: Chronic ulnar nerve entrapment worsened by elbow flexion is the most common injury, but rare painful conditions may also be related to ulnar nerve instability. The posterior bundle of the medial collateral ligament (pMCL) and the retinaculum, respectively form a soft floor and a ceiling for the cubital tunnel. The aim of our study was to dynamically assess these soft structures of the cubital tunnel focusing on those involved in the biomechanics of the ulnar nerve. METHODS: Forty healthy volunteers had a bilateral ultrasonography of the cubital tunnel...
November 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28491453/surgical-management-of-medial-humeral-epicondylitis-cubital-synovial-osteochondromatosis-and-humeroradial-subluxation-in-a-cat
#14
Karen L Perry
CASE SUMMARY: A 13-year-old domestic shorthair cat presented for evaluation of pain and difficulty ambulating. Orthopedic examination and CT facilitated a diagnosis of bilateral elbow synovial osteochondromatosis with medial humeral epicondylitis and concurrent osteoarthritis. Right humeroradial subluxation was evident on CT images, but no instability was evident preoperatively. Surgical treatment was elected, including external neurolysis of the ulnar nerve, removal of the areas of mineralization within the flexor carpi ulnaris muscle and medial arthrotomy to remove intra-articular mineralized bodies...
January 2017: JFMS open reports
https://www.readbyqxmd.com/read/28441281/incarcerated-medial-epicondyle-fractures-with-elbow-dislocation-risk-factors-associated-with-morbidity
#15
Carley Vuillermin, Kyna S Donohue, Patricia Miller, Andrea S Bauer, Dennis E Kramer, Yi-Meng Yen
BACKGROUND: Incarcerated medial epicondyle fractures in association with elbow trauma are rare and an absolute indication for intervention. Because of the infrequent nature, outcomes following this injury are not well documented. We studied a large cohort of these injuries to determine factors associated with functional outcomes. It was hypothesized that a greater duration between initial presentation and time of surgery would lead to poorer outcomes. METHODS: A total of 32 patients aged 18 and under who underwent surgical treatment for an incarcerated medical epicondyle fracture at a level-1 pediatric trauma center from 2003 to 2015 were identified...
April 24, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28398820/magnetic-resonance-imaging-predictors-of-failure-in-the-nonoperative-management-of-ulnar-collateral-ligament-injuries-in-professional-baseball-pitchers
#16
Salvatore J Frangiamore, T Sean Lynch, Michael D Vaughn, Lonnie Soloff, Michael Forney, Joseph F Styron, Mark S Schickendantz
BACKGROUND: A medial ulnar collateral ligament (UCL) injury of the elbow is an increasingly common injury in professional baseball pitchers. Predictors of success and failure are not well defined for the nonoperative management of these injuries. PURPOSE: To evaluate the efficacy of objective measures to predict failure of the nonoperative management of UCL injuries. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Thirty-two professional pitchers (82%) met inclusion criteria and underwent an initial trial of nonoperative treatment for UCL tears based on clinical and radiological findings...
July 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28314869/-operative-treatment-of-terrible-triad-injury-of-the-elbow-open-reduction-and-internal-fixation
#17
REVIEW
R Babst, C Schraner, F J P Beeres
AIM OF SURGERY: Reconstruction of the most important ligamentous and osseus structures of the elbow after terrible triad injury via the radial head to the lateral collateral ligament complex (LCL) and if necessary beginning at the coronoid process. The aim is a stable concentrically guided elbow with early functional follow-up treatment. The approach depends on the intraoperatively tested stability. INDICATIONS: Osteoligamentous terrible triad injury pattern with or without subluxation position following reduction and temporary immobilization...
April 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28215114/arthroscopic-extended-rotator-interval-release-for-treating-refractory-adhesive-capsulitis
#18
Ming-Jr Tsai, Wei-Pin Ho, Chih-Hwa Chen, Tsai-Hsueh Leu, Tai-Yuan Chuang
PURPOSE: To present the clinical results of arthroscopic extended rotator interval release with a stretching program for treating refractory adhesive capsulitis. STUDY DESIGN: Case series; level of evidence, 4. METHODS: Arthroscopy-assisted extended rotator interval tissue release including anterior capsular was performed in 26 patients with refractory adhesive capsulitis. All rotator interval tissues, except the medial sling of the biceps, were excised and the excursion of the subscapularis tendon was restored and freely mobilized...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28205469/valgus-instability-of-the-elbow-due-to-medial-epicondyle-nonunion-treatment-by-fragment-excision-and-medial-collateral-ligament-reconstruction
#19
Yasunori Kaneshiro, Noriaki Hidaka, Koichi Yano, Makoto Fukuda, Hideki Sakanaka
BACKGROUND: The medial epicondyle nonunion becomes symptomatic valgus instability with medial elbow pain and joint instability due to dysfunction of the medial collateral ligament (MCL), thus requiring surgical treatment. The purpose of the present study is to report the clinical result of the fragment excision and ligament reconstruction by free tendon graft in the treatment of symptomatic medial epicondyle nonunion. METHODS: A retrospective study of five consecutive patients was performed...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28194390/simultaneous-bilateral-distal-biceps-tendon-repair-case-report
#20
Thiago Medeiros Storti, Alexandre Firmino Paniago, Rafael Salomon Silva Faria
Simultaneous bilateral rupture of the distal biceps tendon is a rare clinical entity, seldom reported in the literature and with unclear therapeutic setting. The authors report the case of a 39-year-old white man who suffered a simultaneous bilateral rupture while working out. When weightlifting with elbows at 90° of flexion, he suddenly felt pain on the anterior aspect of the arms, coming for evaluation after two days. He presented bulging contour of the biceps muscle belly and ecchymosis in the antecubital fossa, extending distally to the medial aspect of the forearm, as well as a marked decrease of supination strength and pain in active elbow flexion...
January 2017: Revista Brasileira de Ortopedia
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