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Elbow Fracture

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https://www.readbyqxmd.com/read/29763339/the-v-shaped-distal-triceps-tendon-repair-a-comparative-biomechanical-analysis
#1
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/29735339/distal-medial-tibial-locking-plate-for-fixation-of-extraarticular-distal-humeral-fractures-an-alternative-choice-for-fixation
#2
Ali Cagdas Yorukoglu, Ahmet Fahir Demirkan, Nihal Buker
OBJECTIVE: The aim of this study was to describe an alternative fixation method for distal humeral extra-articular fractures through posterior approach using distal tibia anatomic locking plate; and to evaluate the patient's functional outcome and union condition. METHODS: Eighteen patients (11 men and 7 women; average age of 37.0 ± 17.3 years (range: 18-73 years)) with a distal humeral extra-articular fracture who were treated with distal tibial medial locking plate were included into the study...
May 4, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29732271/concomitant-posterolateral-elbow-dislocation-with-ipsilateral-comminuted-intra-articular-distal-radius-fracture-a-rare-orthopaedic-scenario
#3
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/29721653/-instability-after-operative-and-conservative-treatment-of-isolated-mason-type-ii-fractures
#4
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
#5
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
#6
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/29709352/radial-head-fracture-fixation-using-tripod-technique-with-headless-compression-screws
#7
REVIEW
Marc D Lipman, Trenton M Gause, Victor A Teran, A Bobby Chhabra, D Nicole Deal
Radial head and neck fractures are one of the most common elbow fractures, comprising 2% to 5% of all fractures, and 30% of elbow fractures. Although uncomplicated Mason type I fractures can be managed nonsurgically, Mason type II-IV fractures require additional intervention. Mason type II-III fractures with 3 or fewer fragments are typically treated with open reduction and internal fixation using 2 to 3 lag screws. Transverse radial neck involvement or axial instability with screw-only fixation has historically required the additional use of a mini fragment T-plate or locking proximal radius plate...
April 27, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29708571/reliability-of-the-anterior-humeral-line-index-compared-with-the-gartland-classification-for-posteriorly-hinged-supracondylar-humerus-fractures
#8
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/29707051/treatment-strategy-and-long-term-functional-outcome-of-traumatic-elbow-dislocation-in-childhood-a-single-centre-study
#9
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/29707049/rate-of-displacement-for-jakob-type-1-lateral-condyle-fractures-treated-with-a-cast
#10
C Zale, Z A Winthrop, W Hennrikus
Purpose: The aim of this retrospective study is to report the rate of displacement of Jakob Type 1 lateral condyle fractures that were initially treated in a cast. Methods: We performed a retrospective review of all patients that were treated for a non-displaced (Jakob Type 1 < 2 mm) lateral condyle fracture of the humerus at our institution between 2002 and 2015. Results: A total of 59 patients were initially treated with casting. Five fractures displaced and were converted to a closed pinning treatment plan with a conversion rate of 8...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29702048/nerve-transfer-surgery-for-penetrating-upper-extremity-injuries
#11
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
https://www.readbyqxmd.com/read/29701103/results-of-primary-repair-of-distal-triceps-tendon-ruptures-in-a-general-population
#12
G Giannicola, G Bullitta, R Rotini, L Murena, D Blonna, M Iapicca, G Restuccia, G Merolla, M Fontana, A Greco, M Scacchi, G Cinotti
Aims The aim of the study was to analyze the results of primary tendon reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the general population. Patients and Methods A total of 28 patients were operated on for primary DTTR reinsertions, including 21 male patients and seven female patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained an acute DTTR and five had a chronic injury. One patient had a non-simultaneous bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or dislocation...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29685388/the-contribution-of-the-posterolateral-capsule-to-elbow-joint-stability-a-cadaveric-biomechanical-investigation
#13
Dafydd S Edwards, Mohammed S Arshad, Toni Luokkala, Angela E Kedgley, Adam C Watts
BACKGROUND: Elbow posterolateral rotatory instability occurs after an injury to the lateral collateral ligament complex (LCLC) in isolation or in association with an osteochondral fracture of the posterolateral margin of the capitellum (Osborne-Cotterill lesion [OCL]). The contribution to elbow stability of the posterolateral capsule, attached to this lesion, is unknown. This study quantified the displacement of the radial head on simulated posterior draw with sectioning of the posterior capsule (a simulated OCL) or LCLC...
April 20, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29684669/the-impact-of-associated-injuries-and-fracture-classifications-on-the-treatment-of-capitellum-and-trochlea-fractures-a-systematic-review-and-meta-analysis
#14
REVIEW
Shu-Kun He, Long Xu, Jin-Hai Guo, Jing-Ping Liao, Ting-Wu Qin, Fu-Guo Huang
BACKGROUND: Capitellum and trochlea fractures are truly rare and the treatment is not fully appreciated. So we evaluate the impact of associated injuries and fracture classifications on elbow functional outcomes after open reduction and internal fixation. MATERIALS AND METHODS: PubMed, Embase, Ovid Medline, and the Cochrane Library were searched from January 1, 1974 to January 1, 2017. All English literature with the treatment of capitellum and trochlea fractures by open reduction and internal fixation were included...
April 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29681446/reduction-of-radiography-with-point-of-care-elbow-ultrasonography-for-elbow-trauma-in-children
#15
Julia Tokarski, Jeffrey R Avner, Joni E Rabiner
OBJECTIVES: To determine whether point-of-care elbow ultrasound (US), with history and physical examination, can decrease radiography for patients with elbow trauma. Secondary outcomes included evaluation of pediatric emergency department (PED) length of stay (LOS) and test performance characteristics. STUDY DESIGN: This was a prospective study of patients up to age 21 years with elbow trauma necessitating radiography. After clinical examination and before radiography, pediatric emergency physicians performed elbow ultrasonography of the posterior fat pad and determined whether radiography was required...
April 19, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29678397/varus-posteromedial-rotatory-instability-a-biomechanical-analysis-of-posterior-bundle-of-the-medial-ulnar-collateral-ligament-reconstruction
#16
Matthew J Gluck, Christina M Beck, Elan J Golan, Philip Nasser, Dave R Shukla, Michael R Hausman
BACKGROUND: Recently, there has been growing interest in the involvement of the posterior bundle of the medial ulnar collateral ligament (pMUCL) in varus posteromedial rotatory instability (PMRI). Varus PMRI has been observed clinically, but the degree of involvement of the pMUCL remains unclear. This study assessed the degree to which the pMUCL is involved in stabilizing the elbow and the feasibility of a pMUCL reconstruction to restore stability. METHODS: Movements simulating PMRI were performed in 8 cadaveric elbows...
April 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#17
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29666736/intra-articular-entrapment-of-the-medial-epicondyle-following-a-traumatic-fracture-dislocation-of-the-elbow-in-an-adult
#18
Hicham G Abdel Nour, George S El Rassi, Jack C Daoud, Youssef G Hassan, Rami A Ayoubi, Nabih I Joukhadar
Medial epicondyle entrapment after an acute fracture dislocation of the elbow is a common finding in the pediatric population, but a rare finding in adults. We present a case of an adult patient diagnosed with a traumatic fracture dislocation of the elbow joint with intra-articular entrapment of the medial epicondyle. After initial evaluation, closed reduction was done. Stability testing after reduction showed an unstable joint; thus, open reduction and internal fixation was decided.
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29666087/conservative-treatment-in-displaced-fractures-of-the-humeral-capitellum-a-reduction-technique-under-local-anaesthesia
#19
Takahisa Ogawa, Shinichi Shirasawa
We report the case of a 46-year-old woman who struck her right elbow on the ground after a fall on ice. Radiography showed a right humeral capitellar fracture, and CT further confirmed a Dubberley type 1A fracture. Closed reduction was performed under local anaesthesia, and an anatomical position was obtained. After the reduction, her right elbow was casted for 18 days. Three months after the injury, bone union was achieved without displacement, and the active range of motion of her right elbow recovered similar to the unaffected side...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29664804/temporary-bridge-plate-stabilization-of-unstable-elbow-fractures-and-dislocations
#20
David Edelman, Asif M Ilyas
Unstable fracture-dislocations of the elbow, and in particular the "terrible triad" injury consisting of an elbow dislocation with a fracture of the radial head and coronoid, are complex injuries that can be plagued and complicated by persistent instability. Acute and chronic instability is a difficult problem and is best managed early by avoidance and restoration of stability. A number of treatment options have been proposed to manage acute postfixation instability of the elbow joint. Traditional stabilization options include immobilization with splinting or casting, cross-articular pinning, and external fixation (hinged or static), followed by early physical therapy...
April 11, 2018: Techniques in Hand & Upper Extremity Surgery
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