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https://www.readbyqxmd.com/read/28634742/outcomes-of-coronoid-first-repair-in-terrible-triad-injuries-of-the-elbow
#1
Junren Zhang, Mark Tan, Ernest Beng Kee Kwek
BACKGROUND: Clinical outcomes of terrible triad injuries (TTIs) of the elbow are historically poor. To date, it is still debatable whether the coronoid needs to be fixed and if so, how and in which sequence. METHODOLOGY: Between 2010 and 2013, 13 patients were treated surgically for acute TTIs of the elbow at a Tertiary Level 1 Trauma Centre by a single surgeon, using a standardized protocol, which included coronoid-brachialis complex fixation via pull-through trans-osseous sutures, radial head fixation or prosthetic replacement and a repair of the lateral ulnar collateral ligament...
June 20, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28607764/chronic-medial-instability-of-the-elbow
#2
REVIEW
Felix H Savoie, Michael O'Brien
Damage to the medial collateral ligament of the elbow from an instability episode usually heals with non-operative treatment. In some cases, residual instability may occur, leading to functional impairment.Non-operative management can be successful when bracing, taping and therapy are used to stabilise the elbow.A recent report detailing the efficacy of platelet-rich plasma in effectively treating ulnar collateral ligament (UCL) injuries in throwers has shown promise. However, there remain specific groups that should be considered for repair or reconstruction...
January 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28580260/posterolateral-rotatory-instability-of-the-elbow-part-ii-supplementary-examination-and-dynamic-imaging-techniques
#3
Christopher L Camp, Jay Smith, Shawn W O'Driscoll
Currently, a number of examination and imaging techniques exist for diagnosing posterolateral rotatory instability of the elbow. Although the posterolateral rotatory drawer is the primary examination maneuver, other special tests include the lateral pivot-shift test, prone push-up test, chair push-up test, and tabletop push-up test. In addition, posterolateral rotatory instability can be evaluated using radiography, magnetic resonance imaging, dynamic fluoroscopy, or dynamic ultrasound. In this Technical Note, each of these tests is described in detail...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28580259/posterolateral-rotatory-instability-of-the-elbow-part-i-mechanism-of-injury-and-the-posterolateral-rotatory-drawer-test
#4
Christopher L Camp, Jay Smith, Shawn W O'Driscoll
Posterolateral rotatory instability (PLRI) is the most commonly encountered pattern of elbow instability. It is the result of disruption of the lateral collateral ligament complex leading to a posterolateral rotatory subluxation of the ulna and radial head. A number of examination maneuvers have been described to assist in clinical identification of PLRI. Despite this, some inconsistency in the description of these techniques remains in the orthopaedic literature. This Technical Note details the mechanism of injury and patient presentation, and emphasizes the primacy of the posterolateral rotatory drawer test in the assessment of PLRI while providing video instruction on how it should be performed...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28578470/which-immobilization-is-better-for-distal-radius-fracture-a-prospective-randomized-trial
#5
Carlo Gamba, Felipe Andrés Mingo Fernandez, Marta Cuenca Llavall, Xavier Lizano Diez, Fernando Santana Perez
INTRODUCTION: The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS: It is a prospective randomized study carried out in a single emergency trauma department. There were 72 patients older than 55 years of age (55-96) with a distal radius fracture treated orthopaedically. They were randomized into two groups: group B (AEC 32 patients) and group A (BEC 40 patients)...
June 3, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28567152/a-complicated-course-of-a-coronal-shear-fracture-type-iv-of-the-distal-part-of-humerus-resulting-in-resurfacing-radiocapitellar-joint-replacement
#6
Ingo Schmidt
BACKGROUND: Coronal shear fracture type IV of the distal part of humerus is a very rare injury with articular complexity potentially leading to posttraumatic osteoarthritis. One option for surgical treatment of advanced unicompartmental radiocapitellar osteoarthritis is resurfacing radiocapitellar joint replacement. METHOD: A 62-year- old female sustained a coronal shear fracture type IV of the distal part of left humerus that was primarily treated with open reduction and internal fixation using headless compression screws...
2017: Open Orthopaedics Journal
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
#7
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...
May 29, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28507853/ulnar-head-reconstruction-with-microvascular-second-metatarsal
#8
Pedro C Cavadas, Alessandro Thione
BACKGROUND: The distal radioulnar joint along with the interosseous ligament of the forearm and the proximal radioulnar joint, form a functionally integrated system responsible for the pronation-supination of the hand. The distal ulna, the so-called ulnar head, is an integral part of this system. Apart from its well-known role in forearm rotation, the ulnar head is essential in transverse load transmission through the distal radioulnar joint upon resisted elbow flexion. Autologous reconstruction of ulnar head would theoretically be beneficial with respect to prostheses...
April 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28500495/causes-for-early-and-late-surgical-re-intervention-after-radial-head-arthroplasty
#9
Pierre Laumonerie, David Ancelin, Nicolas Reina, Meagan E Tibbo, Panagiotis Kerezoudis, Stephanie Delclaux, Nicolas Bonnevialle, Pierre Mansat
PURPOSE: The primary objective was to describe the reasons for surgical re-intervention after radial head arthroplasty. The secondary objective was to analyze the radiographic and clinical outcomes after surgical re-intervention at the elbow with implant conservation. METHODS: Among the 70 radial head arthroplasties with bipolar radial head implant performed between 2002 and 2014, 29 required surgical re-interventions. Reasons for surgical re-intervention were gathered from operative notes and follow-up documentation...
May 12, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28491453/surgical-management-of-medial-humeral-epicondylitis-cubital-synovial-osteochondromatosis-and-humeroradial-subluxation-in-a-cat
#10
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/28484849/radial-nerve-injury-following-elbow-external-fixator-report-of-three-cases-and-literature-review
#11
Luis Trigo, Juan Sarasquete, Laura Noguera, Ignacio Proubasta, Claudia Lamas
INTRODUCTION: Radial nerve palsy is a rare but serious complication following elbow external fixation. Only 11 cases have been reported in the literature to date, but the incidence may be underreported. We present three new cases of this complication. MATERIALS AND METHODS: We analyzed the three cases of radial palsy seen in our center following the application of an external fixator as treatment for complex elbow injuries. RESULTS: Mean patient age at surgery was 50 years...
May 8, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28478899/extensive-soft-tissue-lesions-in-redislocated-after-simple-elbow-dislocations
#12
Lars E Adolfsson, Jens O Nestorson, Johan H Scheer
BACKGROUND: The majority of simple elbow dislocations (no associated fractures) can be treated nonoperatively with a short period of immobilization followed by guided aftercare. This case series describes the soft tissue injuries in a rare subset of patients in whom the elbow redislocated despite adequate immobilization. METHODS: During a 6-year period, 8 patients were identified. They were all treated with reduction and casting in 90° of flexion or more. At 1 week of follow-up, redislocation had occurred in all patients and open soft tissue repair was performed...
May 3, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28464753/a-radial-head-prosthesis-appears-to-be-unnecessary-in-mason-iv-fracture-dislocation
#13
Jens Nestorson, Per-Olof Josefsson, Lars Adolfsson
Background and purpose - Previous reports on elbow injuries with concomitant comminute radial head fracture are difficult to interpret, since they include an array of different soft-tissue and bony injuries around the elbow. We focused on Mason-IV fracture dislocations of the elbow and retrospectively reviewed 2 treatment options: radial head resection or replacement with a radial head arthroplasty, both in combination with lateral ligament repair. Patients and methods - In Linköping, 18 consecutive patients with Mason-IV fracture dislocation and with a median age of 56 (19-79) years were treated with a radial head arthroplasty...
June 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28461924/lateral-collateral-ligament-injuries-of-the-elbow-chronic-posterolateral-rotatory-instability-plri
#14
REVIEW
Megan Conti Mica, Pieter Caekebeke, Roger van Riet
Chronic posterolateral rotatory instability (PLRI) is the most common form of chronic elbow instability.PLRI usually occurs from a fall on the outstretched hand. On impact, the radial head and ulna rotate externally coupled with valgus displacement of the forearm. This leads to posterior displacement of the radial head relative to the capitellum, thus causing disruption of some or all of the lateral-sided stabilisers.PLRI is mainly a clinical diagnosis with a history of instability, clicking and lateral-sided pain, with a positive clinical examination including the pivot-shift test, push-up, chair and tabletop test...
December 2016: EFORT open reviews
https://www.readbyqxmd.com/read/28451607/outcomes-after-arthroscopic-bankart-repair-in-adolescent-athletes-participating-in-collision-and-contact-sports
#15
Michael G Saper, Charles Milchteim, Robert L Zondervan, James R Andrews, Roger V Ostrander
BACKGROUND: Literature on arthroscopic stabilization in adolescent patients participating in collision and contact sports is limited, as most studies include adolescents within a larger sample group comprised primarily of adults. PURPOSE: To review the outcomes of arthroscopic Bankart repair for anterior shoulder instability in an adolescent population participating in collision and contact sports. STUDY DESIGN: Case series; Level of evidence, 4...
March 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28435584/intra-articular-entrapment-of-medial-epicondyle-fracture-fragment-in-elbow-joint-dislocation-causing-ulnar-neuropraxia-a-case-report
#16
J Syed, A R Zamri, S Jamaluddin, J K Ruben, M Gopindran
Traumatic elbow dislocations in children are rare but most of them are complex dislocations, and in such dislocations, medial humerus epicondyle fractureis the most common associated injury. Fracture incarceration in the elbow joint occurs in 5-18% of medial humerus epicondyle fractures but ulnar neuropraxia is very rare. Open reduction internal fixation is indicated in medial humerus epicondyle fracture with fracture incarceration, ulnar neuropraxia, marked instability or open fracture. Operative treatment options include fragment excision and sutures, closed or open reduction and Kirschner wire fixation, open reduction and suture fixation, open reduction and smooth pin fixation, and open reduction and screw fixation...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28435560/humeral-supracondylar-fractures-in-children-a-novel-technique-of-lateral-external-fixation-and-kirschner-wiring
#17
R Y Kow, A R Zamri, J K Ruben, S Jamaluddin, M T Mohd-Nazir
Introduction: Supracondylar fracture of the humerus is the most common fracture around the elbow in children. Pinning with Kirschner wires (K-wires) after open or closed reduction is generally accepted as the primary treatment modality. However, it comes with the risk of persistent instability and if the K-wire is not inserted properly, it may cause displacement and varus deformity. We present our two-year experience with a new technique of lateral external fixation and K-wiring of the humeral supracondylar fracture...
July 2016: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28412106/radial-notch-labralization-for-proximal-radioulnar-joint-dysplasia
#18
Enrico Bellato, Shawn W O'Driscoll
BACKGROUND: Chronic posterior subluxation or dislocation of the radial head is uncommon and difficult to treat. To restore radiocapitellar alignment, procedures such as deepening of the notch using a high-speed burr have been described, but they can result in cartilage damage. We hypothesized that a radial notch labralization using soft tissue could improve radiocapitellar tracking without violating the joint surface. METHODS: A radial notch labralization was performed in 3 patients with chronic posterior subluxation of the radial head and developmental dysplasia of the radial notch in the setting of complex recurrent instability of the elbow...
April 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28405226/assessment-and-decision-making-in-the-unstable-elbow-management-of-simple-dislocations
#19
Roger P van Riet
Simple elbow dislocations are usually treated conservatively. Radiographs are negative in simple dislocations. Results are generally good, although a small percentage of patients may develop chronic instability. Ligamentous repair can be indicated in high demand patients or if the elbow remains unstable following a closed reduction. Chronic instability is classified per their direction. Surgery is often indicated in the chronically unstable elbow.
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28359694/long-term-clinical-results-in-patients-treated-for-recurrent-posterolateral-elbow-joint-instability-using-an-ipsilateral-triceps-tendon-graft
#20
Christian Kastenskov, Jeppe Vejlgaard Rasmussen, Janne Ovesen, Bo Sanderhoff Olsen
BACKGROUND: The aim was to report the long-term functional and radiologic outcomes in patients treated for recurrent posterolateral elbow joint instability using an ipsilateral triceps tendon graft. METHODS: We included 18 patients previously treated for posterolateral elbow joint instability and evaluated for clinical results in 2003. Fifteen patients were examined with a mean follow-up period of 19 years (range, 17-22 years). We performed the clinical follow-up with clinical examination of stability, range of motion, pain score on a visual analog scale, Mayo Elbow Performance Score, and Danish version of Oxford Elbow Score...
March 27, 2017: Journal of Shoulder and Elbow Surgery
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