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Capitellum fracture

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https://www.readbyqxmd.com/read/27844160/choice-of-surgical-approach-for-capitellar-fractures-based-on-pathoanatomy-of-fractures-outcomes-of-surgical-management
#1
M R Ravishankar, Malhar N Kumar, Rishikesh Raut
: The understanding of the anatomic configuration of the fractures of the capitellum has enhanced in the last few years, and the classification of these fractures continues to evolve. It is essential to tailor the surgical approaches to these fractures based on the state-of-the-art classifications. Thirty-three patients with fractures of the capitellum were included in this retrospective study. The mean age of the patients was 37.9 years, and the mean follow-up period was 24.6 months...
November 14, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27825706/avulsion-fracture-of-the-supinator-crest-as-an-indication-for-a-sustained-posterolateral-sub-luxation-of-the-elbow-a-case-report-anatomical-evaluation-and-review-of-the-literature
#2
D Broekhuis, J H J M Bessems, J W Colaris
The treatment of elbow injuries can be challenging because of the complexity of both anatomy and pathology. We present a rare traumatic avulsion fracture of the supinator crest of the ulna in a 37-year-old patient. Conservative treatment in a long arm cast for four weeks led to satisfactory results. Reproduction of the fracture on a cadaveric elbow clarified that the avulsed fragment holds the insertion of the lateral ulnar collateral ligament (LUCL). The mechanism of trauma that causes this fracture is a posterolateral (sub) luxation of the elbow, which usually causes the LUCL to rupture, but in rare cases the insertion of this ligament can be avulsed...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27824796/the-use-of-a-transolecranon-pin-in-the-treatment-of-pediatric-flexion-type-supracondylar-humerus-fractures
#3
Brandon M Green, Joseph D Stone, Robert W Bruce, Nicholas D Fletcher
BACKGROUND: Flexion-type supracondylar humerus fractures are much more uncommon than their extension-type counterparts. Instability in elbow flexion renders traditional closed techniques inadequate and often results in the need for open reduction. We present a simple technique for closed reduction using a transolecranon pin for temporary stability. METHODS: A retrospective review of 9 patients treated with a transolecranon pin technique for a flexion-type supracondylar humerus fracture was performed...
November 7, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27774833/outcome-after-pin-fixation-of-supracondylar-humerus-fractures-in-children-postoperative-radiographic-examinations-are-unnecessary
#4
Noora Tuomilehto, Reetta Kivisaari, Antti Sommarhem, Aarno Y Nietosvaara
Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients and methods - 252 Gartland-III and 12 flexion-type supracondylar humerus fractures were pin-fixed in the periods 2002-2006 and 2012-2014...
October 24, 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27625539/outcomes-of-concomitant-fractures-of-the-radial-head-and-capitellum-the-kissing-lesion
#5
F M A P Claessen, A R Kachooei, K K J Verheij, G P Kolovich, Chaitanya S Mudgal
BACKGROUND: Radial head compression against the capitellum may cause concomitant fracture of the capitellum. The purpose of this study was to investigate if radial head fracture type is associated with a concomitant fracture of the capitellum. PATIENTS AND METHODS: Data were identified from five area hospitals. We retrieved records of patients older than 18 years of age who underwent treatment for concomitant capitellum fracture and radial head fracture between January 2002 and January 2013...
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27603193/significance-of-the-lateral-humeral-line-for-evaluating-radiocapitellar-alignment-in-children
#6
Christopher D Souder, Joanna H Roocroft, Eric W Edmonds
BACKGROUND: The radiocapitellar line (RCL) was originally described for evaluation of the alignment of the RC joint on lateral images of the elbow. Although, many authors have translated the utilization of RCL into coronal imaging, previous studies have not been performed to confirm validity. The purpose of this paper was to identify an accurate way of evaluating pediatric RC alignment in the coronal plane. METHODS: Thirty-seven anteroposterior (AP) radiographs of 37 children were evaluated to determine the position of the RC joint in the coronal plane...
September 3, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27598607/medial-mini-open-versus-percutaneous-pin-fixation-for-type-iii-supracondylar-fractures-in-children
#7
Ersin Erçin, Mustafa Gökhan Bilgili, Emre Baca, Serdar Hakan Başaran, Alkan Bayrak, Cemal Kural, Mustafa Cevdet Avkan
BACKGROUND: The present objective was to compare medial mini-open and percutaneous treatment of pediatric supracondylar fractures according to fluoroscopy time, duration of surgery, and iatrogenic ulnar nerve injury. METHODS: A total of 104 Gartland type III supracondylar humerus fractures were prospectively evaluated between 2011 and 2013. Patients were divided into 2 groups according to type of fixation. In Group A (41 patients), medial pin was inserted with mini-open incision with 2 lateral pins inserted percutaneously...
July 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27578382/operative-management-of-a-shear-fracture-of-the-bilateral-capitellum-a-case-report-and-review-of-the-literature
#8
Alessandro Are, Ignazio Tornatore, Emmanouil Theodorakis
Fracture of bilateral capitulum humeri is a very rare injury. We present a case of a 38-year-old woman, affected by a shear fracture of bilateral capitellum after a motorcycle accident. Intervention was carried out through a lateral approach on both sides and direct fixation of the fragment with headless screws. Consolidation was achieved and no signs of avascular necrosis occurred at 24 months of follow-up. The patient returned to her previous activities with no functional limitations. To the best of our knowledge, only four cases are reported describing different types of treatment and postoperative period of cast immobilization...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27578052/biomechanical-properties-of-orthogonal-plate-configuration-versus-parallel-plate-configuration-using-the-same-locking-plate-system-for-intra-articular-distal-humeral-fractures-under-radial-or-ulnar-column-axial-load
#9
Toshiya Kudo, Akira Hara, Hideaki Iwase, Satoshi Ichihara, Masashi Nagao, Yuichiro Maruyama, Kazuo Kaneko
INTRODUCTION: Previous reports have questioned whether an orthogonal or parallel configuration is superior for distal humeral articular fractures. In previous clinical and biomechanical studies, implant failure of the posterolateral plate has been reported with orthogonal configurations; however, the reason for screw loosening in the posterolateral plate is unclear. The purpose of this study was to evaluate biomechanical properties and to clarify the causes of posterolateral plate loosening using a humeral fracture model under axial compression on the radial or ulnar column separately...
October 2016: Injury
https://www.readbyqxmd.com/read/27521138/cemented-bipolar-radial-head-arthroplasty-midterm-follow-up-results
#10
Andras Heijink, Izaäk F Kodde, Paul G H Mulder, C Niek Van Dijk, Denise Eygendaal
BACKGROUND: Theoretical advantages of bipolar over monopolar radial head arthroplasty include better accommodation of radiocapitellar malalignment, reduction of capitellar abrasion, and reduction of stress at the bone-to-cement and cement-to-implant interfaces. Our purpose was to report the midterm results of cemented bipolar radial head arthroplasty. METHODS: Twenty-five patients were treated by cemented bipolar radial head arthroplasty for acute fracture of the radial head, earlier treatment that had failed, or posttraumatic sequelae...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27502623/radial-head-button-holing-a-cause-of-irreducible-anterior-radial-head-dislocation
#11
Su-Mi Shin, Jee Won Chai, Ja Yeon You, Jina Park, Kee Jeong Bae
"Buttonholing" of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign...
October 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27441768/7-usefulness-of-low-intensity-pulsed-ultrasound-lipus-for-the-treatment-of-osteochondritis-dissecans-ocd-of-the-humeral-capitellum
#12
Hiroshi Kusano, Kozo Furushima, Yasuhiro Mitsui, Azusa Miyamoto, Daigo Urata, Yu Serita, Yoshiyasu Itoh
OBJECTIVES: LIPUS has been reported to promote bone union in pseudoarthrosis and delayed fracture union as well as to have a beneficial effect in shortening the duration of bone healing in fresh fractures. The purpose of this study was to examine whether LIPUS has an accelerating effect on healing OCD. SUBJECTS AND METHODS: From 2008 to 2012, cases with advanced-stage OCD were randomized, and the study was conducted on 51 patients (LIPUS group) who enabled us to decide the treatment efficacy, and gave consent after receiving an explanation on the benefit of LIPUS...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27432464/clinical-significance-of-anterior-humeral-line-in-supracondylar-humeral-fractures-in-children
#13
Hsuan-Kai Kao, Wei-Chun Lee, Wen-E Yang, Chia-Hsieh Chang
INTRODUCTION: Anterior humeral line (AHL) location is commonly used to evaluate sagittal alignment after fracture reduction in children with supracondylar humeral fractures. However, the position of the AHL for acceptable fracture reduction has not been validated by clinical outcome. The purpose of this study was to investigate the relationship between the location of AHL and range of elbow motion. PATIENTS AND METHODS: We retrospectively reviewed 101 children who underwent closed reduction and percutaneous pinning for Gartland type III supracondylar humeral fractures between January 2009 and June 2014...
July 1, 2016: Injury
https://www.readbyqxmd.com/read/27364145/articular-shear-injuries-of-the-capitellum-in-adolescents
#14
Jonathan M Frank, Bryan M Saltzman, Nickolas Garbis, Mark S Cohen
BACKGROUND: Fractures of the capitellum are rare and are commonly classified into 4 types. Type II variants involve a shear injury with a mostly articular cartilage component and little subchondral bone. Symptoms upon presentation after these injuries are variable, and the diagnosis can be difficult to make in the immature skeleton. METHODS: We retrospectively reviewed 3 cases of type II capitellar fractures in adolescent athletes who presented for evaluation with the senior author...
September 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27299086/epihyseal-separation-of-lower-end-humerus-in-a-neonate-diagnostic-and-management-difficulty
#15
Mallanagouda N Patil, Eranna Palled
INTRODUCTION: Birth injuries are common phenomenon. But commonly encountered birth injuries are clavicle fracture, humerus fractures and uncommonly femur fracture. Incidence of Distal humerus Epiphyseal injuries as birth injury are rare. As the first secondary centre around elbow-capitellum appears at 3-9 months, its radilological assessment of alignment with elbow or the radius shaft is not possible in neonates. It is difficult to differentiate elbow dislocation from epiphyseal injury in neonates...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27052272/open-reduction-and-internal-fixation-of-capitellar-fracture-through-anterolateral-approach-with-headless-double-threaded-compression-screws-a-series-of-16-patients
#16
Raju Vaishya, Vipul Vijay, Gyanendra Kumar Jha, Amit Kumar Agarwal
BACKGROUND: Fracture of the capitellum is an often missed or inadequately treated serious elbow injury. Anatomic reduction and proper stabilization are essential to obtain articular congruity so that late-onset arthritis can be avoided. The main areas of interest in this intriguing fracture are the choice of implant and the surgical approach. We describe the use of anterolateral approach and headless double-threaded compression screws for the fixation of this fracture. MATERIALS AND METHODS: This prospective study included 16 capitellar fractures...
July 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26981054/capitellum-fracture-fragment-excision-a-case-series
#17
Matthew R Garner, Patrick C Schottel, Robert N Hotchkiss, Aaron Daluiski, Dean G Lorich
BACKGROUND: Fractures of the capitellum are rare injuries, and few studies have reported the results of fragment excision. QUESTIONS/PURPOSES: The purpose of this study was to determine range of motion and short-term clinical outcomes for patients treated with capitellum excision. METHODS: A retrospective review was performed to identify all patients with an isolated capitellum fracture who underwent excision as definitive treatment at our institutions...
October 2015: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/26927435/distal-humerus-articular-malunion-after-an-open-reduction-internal-fixation-of-a-capitellum-trochlea-shear-fracture-a-case-report
#18
Chris K Karrasch, Evan J Smith, April D Armstrong
No abstract text is available yet for this article.
March 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26927432/open-reduction-and-internal-fixation-of-coronal-fractures-of-the-capitellum-in-patients-older-than-65-years
#19
Yaiza Lopiz, Alberto Rodríguez-González, Carlos García-Fernández, Fernando Marco
BACKGROUND: The aim of this study was to describe the fracture patterns of capitellum coronal fractures and to evaluate the complications and functional and radiographic outcomes of open reduction and internal fixation in patients older than 65 years. METHODS: A retrospective study of 23 patients with a mean follow-up of 48 months (36-105) was performed. Fractures were classified according to the Dubberley classification. All patients were evaluated by the Mayo Elbow Performance Index (MEPI) and the Disabilities of the Arm, Shoulder, and Hand (DASH) scores...
March 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26917030/a-rare-combination-of-fractures-around-the-elbow-bony-variant-of-terrible-triad
#20
Vishal Kumar, Avinash Kumar, Sameer Aggarwal
Radial head and coronoid fractures without posterior dislocation of the elbow have not been recorded in the literature. There is no literature documenting the combined fractures of the radial head, capitellum and coronoid process together in the same elbow. This is a case report highlighting this combination of fractures in a 30 year old patient treated with open reduction and internal fixation of all three fractures. The patient was followed up for 28 months and had a good range of motion of the elbow without any instability...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
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