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https://www.readbyqxmd.com/read/29788784/elbow-flexion-contractures-in-brachial-plexus-birth-injury-function-and-appearance-related-factors
#1
Emily S Ho, Karen Klar, Erin Klar, Kristen Davidge, Sevan Hopyan, Howard M Clarke
PURPOSE: The purpose of this study was to identify the functional and aesthetic factors associated with an elbow flexion contracture in children with a brachial plexus birth injury who identified their elbow flexion contracture as a problem. MATERIALS AND METHODS: A retrospective cross-sectional study of children with brachial plexus birth injury between 7 and 18 years was conducted to compare the characteristics of children who had treatment for an elbow flexion contracture with those who did not...
May 22, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29781908/musculoskeletal-injury-in-paddle-sport-athletes
#2
Andrew R Griffin, Diana M Perriman, Teresa M Neeman, Paul N Smith
INTRODUCTION: Kayak racing has been an Olympic sport since 1936. The sport is evolving with the introduction of ocean skis and stand-up-paddle boards (SUP). Musculoskeletal injury incidence surveys have been conducted for ultra-marathon events, but no data have been published for other racing formats. OBJECTIVE: To identify and compare the rates and types of injuries sustained by paddling athletes as a function of discipline and training parameters in Sprint, Marathon, Ultra-Marathon, and Ocean events...
May 16, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29780844/outcomes-and-return-to-sport-after-ulnar-collateral-ligament-reconstruction-in-adolescent-baseball-players
#3
Michael Saper, Joseph Shung, Stephanie Pearce, Viviana Bompadre, James R Andrews
Background: The number of ulnar collateral ligament (UCL) reconstructions in adolescent athletes has increased over the past 2 decades. Clinical results in this population have not been well studied. Purpose/Hypothesis: The purpose of this study was to evaluate the outcomes and return to sport after UCL reconstruction in a large group of adolescent baseball players. We hypothesized that excellent clinical outcomes and high rates of return to sport would be observed in this population at a minimum 2-year follow-up...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29779979/intercalary-prosthetic-reconstruction-for-pathologic-diaphyseal-humeral-fractures-due-to-metastatic-tumors-outcomes-and-improvements
#4
Jie Zhao, Xiu-Chun Yu, Ming Xu, Kai Zheng, Yong-Cheng Hu, Feng Wang, Deng-Xing Lun
BACKGROUND: There is a high aseptic loosening rate for intercalary prosthetic reconstruction for malignant tumors. We evaluated outcomes and complications of intercalary prosthetic reconstruction for pathologic diaphyseal humeral fractures and report the application of an extracortical plate that can prevent early loosening. METHODS: We retrospectively analyzed 9 patients who underwent intercalary prosthetic reconstruction for pathologic diaphyseal humeral fractures secondary to metastatic diseases between March 2011 and September 2017...
May 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29776470/clinical-outcomes-of-anconeus-interposition-arthroplasty-after-radial-head-resection-in-native-and-prosthetic-radial-heads
#5
Hithem Rahmi, Julie A Neumann, Christopher Klein, Carola F van Eck, Brian K Lee, John Itamura
BACKGROUND: Radiocapitellar pathology after traumatic injury to the elbow can be challenging to treat. The anconeus interposition arthroplasty has been proposed to treat radiocapitellar or proximal radioulnar joint dysfunction and pain, or both. This study evaluated whether radial head excision (native or prosthetic), followed by an anconeus interposition arthroplasty, relieves pain and improves subjective and objective elbow function in patients with post-traumatic radiocapitellar pathology...
June 2018: Journal of Shoulder and Elbow Surgery
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
#6
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/29771138/rate-of-upper-extremity-injury-in-high-school-baseball-pitchers-who-played-catcher-as-a-secondary-position
#7
Elizabeth E Hibberd, Sakiko Oyama, Joseph B Myers
CONTEXT:   Many high school pitchers play another position after they have finished pitching for the day or on their rest days from pitching. Because of the cumulative demands on the arm, pitchers who also play catcher may have a greater risk of developing a throwing-related shoulder or elbow injury. OBJECTIVE:   To compare the rate of throwing-related upper extremity injuries between high school baseball pitchers who also played catcher as a secondary position and those who did not play catcher...
May 17, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29768631/distal-nerve-transfers-a-perspective-on-the-future-of-reconstructive-microsurgery
#8
David Chwei-Chin Chuang
BACKGROUND:  Nerve transfer can be broadly separated into two categories: proximal nerve graft and/or transfer and distal nerve transfer. The superiority of proximal nerve graft/transfer over distal nerve transfer strategy has been debated extensively, but which strategy is the best has not yet been defined. Each technique has its own advantages and disadvantages. However, proximal nerve graft/transfer is still the main reconstructive procedure based on the principle of "no diagnosis, then no treatment...
May 16, 2018: Journal of Reconstructive Microsurgery
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
#9
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/29746146/predictors-of-elbow-torque-among-youth-and-adolescent-baseball-pitchers
#10
Kelechi R Okoroha, Vincent A Lizzio, Fabien Meta, Christopher S Ahmad, Vasilios Moutzouros, Eric C Makhni
BACKGROUND: There has been an increasing incidence of overuse elbow injuries among youth and adolescent pitchers. Pitch type has been implicated as a risk factor for excess torque at the medial elbow; however, this has not been definitively demonstrated. PURPOSE: To assess predictors of torque across the medial elbow in youth and adolescent pitchers with a mobile sensor. In addition, the authors aimed to determine the differences in elbow torque produced according to pitch type (fastball, curveball, changeup) and pitcher demographics...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29734945/subtle-elbow-instability-associated-with-lateral-epicondylitis
#11
Sang Ho Kwak, Seung-Jun Lee, Hee Seok Jeong, Min Uk Do, Kuen Tak Suh
BACKGROUND: In lateral epicondylitis, even in the absence of apparent instability, subtle instability can be found under anesthesia. We wanted to ascertain the following: (1) how many elbows surgically treated with lateral epicondylitis showed subtle instability during examination under anesthesia (EUA), (2) how effective magnetic resonance imaging (MRI) was in predicting subtle instability, and (3) if any difference existed in preoperative clinical data between elbows with and without subtle instability during EUA...
May 7, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29734889/oberlin-s-transfer-long-term-outcomes
#12
Karlis Verdins, Martins Kapickis
BACKGROUND: Brachial plexus injury is very commonly associated with road traffic accidents, and frequently affects young adults, causing significant disability and impact on quality of life. The successful treatment of upper plexus injury with the Oberlin technique to restore elbow flexion with good functional results. METHODS: We retrieved the records of all patients with upper plexus injury who underwent Oberlin transfer operation between March 2007 and July 2012...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29732271/concomitant-posterolateral-elbow-dislocation-with-ipsilateral-comminuted-intra-articular-distal-radius-fracture-a-rare-orthopaedic-scenario
#13
Vivek Tiwari, Yugal Karkhur, Anupam Das
Fracture dislocations are common around the elbow joint. However, closed fracture of the distal radius with ipsilateral elbow dislocation is an uncommon injury pattern. We discuss the case of a middle-aged woman presenting with posterolateral elbow dislocation with concomitant ipsilateral closed intra-articular fracture of the distal radius. It was treated with closed reduction for the elbow dislocation first followed by closed reduction for the distal radius fracture. Even with conservative management, the patient had a good functional outcome at one year...
March 3, 2018: Curēus
https://www.readbyqxmd.com/read/29729755/editorial-commentary-volition-fear-and-faith-elbow-arthroscopy-and-nerve-injury
#14
EDITORIAL
Taylor Brown
We strive to understand and present accurate risk assessment of transient and major nerve injuries to maintain our patients' faith as we choose to proceed with elbow arthroscopy. Our arthroscopic training, experience, and volume as well as patient obesity, osteoarthritis, and joint contracture should guide our decisions of which complex cases to expose our patients.
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29721653/-instability-after-operative-and-conservative-treatment-of-isolated-mason-type-ii-fractures
#15
A von Glinski, V Rausch, M Königshausen, M Dudda, T A Schildhauer, D Seybold, J Geßmann
BACKGROUND: Radial head fractures are the most frequent fractures of the elbow joint in adults. For Mason type II fractures without concomitant injuries favorable results have been shown with operative and conservative management. There is insufficient evidence concerning elbow joint stability after conservative treatment compared to open reduction and internal fixation (ORIF). MATERIALS AND METHODS: All patients with isolated Mason type II (two part fracture displaced >2 mm and <5 mm) radial head fractures between 1 January 2003 and 1 April 2013 were retrospectively reviewed...
May 2, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29721649/malunited-lateral-condyle-fracture-of-humerus-with-elbow-dislocation-a-diagnostic-dilemma
#16
Parmanand Gupta, Munish Sood, Sandeep Gupta, Ravi Gupta
Fracture of lateral condyle with dislocation of the elbow joint is rare in pediatric age. Diagnosis and management of these injuries could be a challenge. Delayed presentation of such injuries could be mistaken for a malunited supracondylar fracture of the humerus and treatment of these injuries remains controversial. We present 2 such cases, where the diagnosis of dislocation of elbow was missed at initial presentation and caused diagnostic confusion at late presentation. The problems faced in the diagnosis of these injuries and the management of late presenting cases are discussed...
May 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29713746/the-treatment-of-chronic-radial-head-dislocation-in-monteggia-fracture-without-annular-ligament-reconstruction
#17
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/29712546/can-we-reduce-the-epidemic-of-elbow-injuries-in-youth-throwers
#18
Ajay S Padaki, Christopher S Ahmad
As participation in youth sports continues to increase across the nation, more adolescents are participating in Little League baseball in the United States than ever before. Accompanying this increased participation is an epidemic of upper extremity injuries in young throwers. In this Viewpoint, the authors discuss the impetus behind the youth thrower elbow injury epidemic and how to best evaluate these patients. J Orthop Sports Phys Ther 2018;48(5):354-357. doi:10.2519/jospt.2018.0607.
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29712541/refractory-ulnar-nerve-symptoms-in-an-adolescent-pitcher-with-medial-apophysitis
#19
Aaron R Hellem, Elena J Jelsing, Wendy J Hurd
A 16-year-old high school baseball pitcher with a 3-week history of acute-onset pain in his medial elbow during throwing presented to physical therapy. Following examination, physical therapy was initiated and the patient was referred for imaging, with suspicion of ulnar collateral ligament (UCL) injury. Radiographs were noncontributory. Ultrasound imaging, however, was performed by a physiatrist and was suggestive of a partial-thickness tear of the UCL and ulnar nerve enlargement. The physiatrist ordered magnetic resonance imaging, which confirmed a medial apophyseal stress reaction, a mild UCL sprain, and reactive ulnar nerve edema...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29709413/the-radiocapitellar-synovial-fold-a-lateral-anatomic-landmark-for-sizing-radial-head-arthroplasty
#20
Alexander J Lampley, Jacob W Brubacher, Travis J Dekker, Marc J Richard, Grant E Garrigues
BACKGROUND: Successful radial head arthroplasty relies on reproduction of anatomy. We hypothesized that the radiocapitellar synovial fold could serve as a reference point in radial head prosthesis sizing. Our study aimed to define the relationship between the synovial fold and the radial head in elbows with and without lateral ulnar collateral ligament (LUCL) injury. MATERIALS AND METHODS: We performed magnetic resonance imaging evaluation of 34 elbows to determine the normal relationship between the radiocapitellar synovial fold and the radial head...
April 27, 2018: Journal of Shoulder and Elbow Surgery
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