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https://www.readbyqxmd.com/read/29332663/results-after-radial-head-arthroplasty-in-unstable-fractures
#1
Ariana Lott, Kari Broder, Abraham Goch, Sanjit R Konda, Kenneth A Egol
BACKGROUND: Whereas most radial head fractures are stable injuries, they sometimes occur as part of complex injury patterns with associated elbow instability. Radial head arthroplasty has been favored in patients with unreconstructable radial head fractures and unstable elbow injuries. The purpose of this study was to review radiographic outcomes, functional outcomes, and complications after radial head arthroplasty for radial head fracture in unstable elbow injuries. METHODS: This study was a retrospective review of radial head fractures treated with radial head arthroplasty by a single surgeon during a 15-year period...
February 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29323925/the-responsiveness-of-patient-reported-outcome-tools-in-shoulder-surgery-is-dependent-on-the-underlying-pathological-condition
#2
R Zackary Unger, Jeremy M Burnham, Lee Gammon, Chaitu S Malempati, Cale A Jacobs, Eric C Makhni
BACKGROUND: Given the high number of available patient-reported outcome (PRO) tools for patients undergoing shoulder surgery, comparative information is necessary to determine the most relevant forms to incorporate into clinical practice. PURPOSE: To determine the utilization and responsiveness of common PRO tools in studies involving patients undergoing arthroscopic rotator cuff repair or operative management of glenohumeral instability. STUDY DESIGN: Systematic review...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29310915/effect-of-disease-duration-on-functional-outcomes-and-complications-after-arthrolysis-in-patients-with-elbow-stiffness
#3
Wei Zheng, Jialin Song, Ziyang Sun, Jiazhi Liu, Shuai Chen, Cunyi Fan
HYPOTHESIS: The purpose of this study was to determine the effect of a long duration of elbow stiffness on functional outcomes and complications after arthrolysis. METHODS: Participants included consecutive patients with a long duration of elbow stiffness (≥5 years, n = 23) and control patients matched for age, sex, and initial injury type (n = 46). All patients underwent elbow arthrolysis combined with hinged external fixation between March 2014 and March 2016...
January 5, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29307670/validity-and-comprehensibility-of-outcome-measures-in-children-with-shoulder-and-elbow-disorders-creation-of-a-new-pediatric-and-adolescent-shoulder-and-elbow-survey-pedi-ases
#4
Benton Heyworth, Lara Cohen, Johan von Heideken, Mininder S Kocher, Maura Daly Iversen
BACKGROUND: Valid patient-reported outcomes (PROs) for the shoulder and elbow do not exist for children. We assessed children's comprehension of the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire and the American Shoulder and Elbow Surgeons (ASES) standardized shoulder assessment form, identified response errors, and modified items to create a new pediatric shoulder and elbow PRO. METHODS: We recruited 50 children (aged 10-18 years) with shoulder or elbow disorders from a children's hospital-based orthopedic clinic for this qualitative study...
January 5, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29304721/epidemiology-of-shoulder-and-elbow-injuries-in-national-collegiate-athletic-association-wrestlers-2009-2010-through-2013-2014
#5
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/29290607/treatment-of-recurrent-anterior-shoulder-instability-with-the-latarjet-or-bristow-procedure-in-older-patients
#6
Philipp Moroder, Victoria Stefanitsch, Alexander Auffarth, Nicholas Matis, Herbert Resch, Fabian Plachel
BACKGROUND: The coracoid transfer procedure is commonly and successfully used to treat shoulder instability in young patients. However, there is concern that the outcome of this procedure might be inferior in older patients because of decreased bone graft quality and the potential concomitant presence of irreparable rotator cuff tears (RCTs). METHODS: All patients older than 40 years treated with a coracoid transfer procedure between 1998 and 2013 because of anterior shoulder instability were included...
December 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29289491/the-effect-of-repetitive-baseball-pitching-on-medial-elbow-joint-space-gapping-associated-with-2-elbow-valgus-stressors-in-high-school-baseball-players
#7
Hiroshi Hattori, Kiyokazu Akasaka, Takahiro Otsudo, Toby Hall, Katsuya Amemiya, Yoshihisa Mori
BACKGROUND: To prevent elbow injury in baseball players, various methods have been used to measure medial elbow joint stability with valgus stress. However, no studies have investigated higher levels of elbow valgus stress. This study investigated medial elbow joint space gapping measured ultrasonically resulting from a 30 N valgus stress vs. gravitational valgus stress after a repetitive throwing task. METHODS: The study included 25 high school baseball players...
December 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29258962/results-of-non-operative-treatment-of-olecranon-fracture-in-over-75-year-olds
#8
V Marot, X Bayle-Iniguez, E Cavaignac, N Bonnevialle, P Mansat, J Murgier
INTRODUCTION: Surgery is the gold-standard treatment of displaced olecranon fracture, but is associated with numerous complications, especially in the elderly. Functional results of non-operative treatment in this population have never been analyzed in a prospective study. STUDY HYPOTHESIS: Non-operative treatment of isolated olecranon fracture with stable elbow-joint in over-75 year-olds gives functional results comparable to those of surgery as reported in the literature, with fewer complications...
December 16, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29242798/anterior-elbow-pain-caused-by-compression-of-the-lateral-antebrachial-cutaneous-nerve
#9
Sean M Booth, Abdulbaset Abosala, Chris Peach
Introduction: The complex anatomy and biomechanics of the elbow joint can lead to diagnostic uncertainty when a clinician is determining the cause of a patient's anterior elbow pain. We present a case of anterior elbow pain with an uncommon and often overlooked etiology. Elbow pain due to compression of the lateral antebrachial nerve (LACN) has an unknown incidence or prevalence. Case Report: A 27-year-old left-hand dominant male presented to our orthopedic elbow clinic complaining of bilateral elbow clicking and discomfort which had been present for several years...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29214396/triple-management-of-cubitus-valgus-deformity-complicating-neglected-nonunion-of-fractures-of-lateral-humeral-condyle-in-children-a-case-series
#10
Yasser Abed, Khaled Nour, Yasser Roshdy Kandil, Abed El-Negery
BACKGROUND: Long standing nonunion of the lateral humeral condyle (LHC) usually results in elbow pain and instability with progressive cubitus valgus and tardy ulnar neuritis. Surgical treatment of long standing nonunion is still a controversial issue due to the reported complications, such as stiffness, loss of elbow motion, and avascular necrosis of the LHC fragment. In this study, we reported the outcomes of treatment of cubitus valgus deformity in long standing nonunion of the LHC in children treated with combined triple management (fixation of the nonunion site, dome corrective osteotomy, and anterior transposition of ulnar nerve) through a modified para-triceptal approach...
December 6, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29202633/arthroscopic-management-of-posterior-instability-of-the-shoulder-a-systematic-review-of-predictive-factors-associated-with-poorer-surgical-outcomes
#11
Sachin Ramesh Jain, Andrew Arjun Sayampanathan, Andrew Hwee Chye Tan
INTRODUCTION: We aimed to perform a systematic review to identify factors that may lead to poorer outcomes in arthroscopic surgery for posterior shoulder instability. METHODS: We searched MEDLINE, Embase and the Cochrane Database of Systematic Reviews for 757 unique articles. We eventually included 22 articles. Data were analysed using Review Manager 5.3. RESULTS: The presence of chondral damage was associated with poorer outcomes as reflected in a higher post-operative Quick Disabilities of theArm, Shoulder and Hand score (mean difference (MD) = 17...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29182135/long-term-outcome-in-displaced-lateral-humeral-condyle-fractures-following-internal-screw-fixation-in-children
#12
G Frongia, C Janosi, A Mehrabi, J-P Schenk, P Günther
BACKGROUND: The aim of this study was to investigate the long-term clinical outcome following open reduction and internal screw fixation of displaced lateral condyle fractures (LCFs) of the distal humerus and compare the outcome of primary and secondary LCFs. METHODS: The clinical outcome in 31 children (mean age 5.8±2.4 years) operated for primary or secondary LCFs was retrospectively analyzed by standardized clinical examination and compared using the Mayo score, Morger score, and Patients Satisfaction score...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29169599/elbow-fractures-with-instability-evaluation-and-treatment-strategies
#13
REVIEW
Neal C Chen
The treatment goals of elbow fracture dislocations are congruent reduction of the ulnohumeral and radiocapitellar joints, stable fixation of the proximal ulna, stable fixation or arthroplasty of the radial head, and soft tissue repair. Fracture dislocations occur in patterns, and recognition of these patterns help guide surgical treatment. In patients with persistently unstable fractures after standard fixation, additional temporary joint spanning implants are useful to protect repairs.
February 2018: Hand Clinics
https://www.readbyqxmd.com/read/29164165/platelet-rich-plasma-for-primary-treatment-of-partial-ulnar-collateral-ligament-tears-mri-correlation-with-results
#14
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/29159462/-ulnar-collateral-ligament-reconstruction-of-the-elbow-in-posttraumatic-and-chronic-ligament-instability
#15
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/29157991/percutaneous-k-wire-fixation-in-pediatric-lateral-condylar-fractures-of-humerus-a-prospective-study
#16
Ramji Lal Sahu
BACKGROUND: We evaluated the radiographic and clinical functional results of K-wire fixation in the treatment of displaced lateral condyle fractures of the humerus. MATERIALS AND METHODS: A prospective longitudinal study was undertaken in our hospital during the period December 2010-December 2014. A total number of 85 children (18 girls and 67 boys) mean age 7.76 years; range 2-13 years with displaced (>2mm) lateral condyle fractures of the humerus. All the patients were treated by close reduction and internal fixation with two K-wires for three weeks...
November 17, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29157249/biomechanical-study-of-isolated-radial-head-dislocation
#17
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/29128376/radial-head-replacement-with-a-bipolar-system-an-average-10-year-follow-up
#18
Robert A Sershon, Timothy J Luchetti, Mark S Cohen, Robert W Wysocki
BACKGROUND: We report the long-term results of a cohort of patients after radial head replacement with a bipolar design and a smooth cementless stem at a mean follow-up of 10.4 years. METHODS: Of 17 possible patients from a previous minimum 2-year follow-up study, 16 were available for review. Patients were assessed using clinical and radiographic examination and with standardized outcome measures. Range of motion, stability, and radiographic evaluation of implant loosening and joint degeneration were assessed...
November 8, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29117014/what-s-new-in-pediatric-upper-extremity-sports-injuries
#19
Jennifer J Beck, Connor G Richmond, Marc A Tompkins, Ann Heyer, Kevin G Shea, Aristides I Cruz
BACKGROUND: Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the most recent literature, highlighting updates on sports-related upper extremity injuries in pediatric patients. METHODS: An electronic search of the PubMed, EMBASE, and Google Scholar databases was performed for keywords related to pediatric overhead athletes, osteochondritis dissecans (OCD) of the capitellum, medial epicondyle fractures, shoulder instability, and clavicle fractures...
November 7, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29103848/the-posterior-bundle-s-effect-on-posteromedial-elbow-instability-after-a-transverse-coronoid-fracture-a-biomechanical-study
#20
Dave R Shukla, Elan Golan, Mitch C Weiser, Philip Nasser, Jack Choueka, Michael Hausman
PURPOSE: There has been increased interest in the role of the posterior bundle of the medial collateral ligament (pMUCL) in the elbow, particularly its effects on posteromedial rotatory stability. The ligament's effect in the context of an unfixable coronoid fracture has not been the focus of any study. The purposes of this biomechanical study were to evaluate the stabilizing effect of the pMUCL with a transverse coronoid fracture and to assess the effect of graft reconstruction of the ligament...
November 2, 2017: Journal of Hand Surgery
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