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Radial head fractures

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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/28614146/the-effect-of-concomitant-elbow-injuries-on-the-outcomes-of-radial-head-arthroplasty-a-cohort-comparison
#2
Jason A Strelzow, George S Athwal, Joy C MacDermid, Ruby Grewal, Kenneth J Faber, Darren Drosdowech, Graham J W King
OBJECTIVES: To compare physical impairments and patient reported outcomes in patients following simple and complex elbow injuries who were treated with a radial head arthroplasty. DESIGN: Patients with isolated elbow trauma and no prior injury to the elbow were prospectively enrolled following radial head arthroplasty for an acute unreconstructable fracture. Injury patterns were classified as simple or complex based on the presence or absence of associated elbow fractures and/or dislocation...
May 31, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28606638/retrospective-cohort-study-on-radial-head-replacements-comparing-results-between-smooth-and-porous-stem-designs
#3
Mélissa Laflamme, Pierre-Philippe Grenier-Gauthier, Alexandre Leclerc, Stéphanie Antoniades, Anne-Marie Bédard
BACKGROUND: When necessary, radial head integrity after a fracture can be re-created by the use of a radial head arthroplasty if the radial head is judged irreparable. The purpose of this study was to compare the clinical and radiographic outcomes of metal modular radial head replacements with a smooth vs. a porous stem. METHODS: A retrospective cohort study of radial head replacements performed in the first 4 weeks after a trauma in an adult patient at our institution between 2000 and 2014 was completed...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28585994/new-technique-for-removal-of-screws-with-damaged-heads
#4
Takahiro Iwata, Satoshi Nozawa, Masato Maeda, Haruhiko Akiyama
Removal of orthopedic implants may sometimes be difficult because of ongrowth of new bone. Titanium screws can become encased or stripped during the process of initial open reduction and internal fixation or at the time of hardware removal. Difficulty in removing screws from a locking plate is particularly well-known. Two patients with tibial and femoral diaphyseal fractures were treated using a locking plate or an intramedullary nail. However, after fracture healing, it was difficult to remove the locking screw or reconstruction screws because of damage to the heads...
June 6, 2017: Orthopedics
https://www.readbyqxmd.com/read/28569369/corr-insights-%C3%A2-what-injury-mechanism-and-patterns-of-ligament-status-are-associated-with-isolated-coronoid-isolated-radial-head-and-combined-fractures
#5
W Angus Wallace
No abstract text is available yet for this article.
May 31, 2017: Clinical Orthopaedics and related Research
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/28567151/trends-in-management-of-radial-head-and-olecranon-fractures
#7
Matthew Motisi, Jennifer Kurowicki, Derek D Berglund, Jacob J Triplet, Shanell Disla, Timothy Niedzielak, Jonathan C Levy
BACKGROUND: Advancement in surgical techniques and implants has improved the ability to manage radial head and olecranon fractures. However, trends in management of these fractures are largely unstudied. OBJECTIVE: This purpose of this study is to evaluate management trends for these common fractures. METHODS: A retrospective review of a comprehensive Humana database was performed using Pearl Diver supercomputer (Warsaw, IN, USA) for radial head and neck (RHNF) and olecranon fractures (OF) between 2007 and 2014...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28549892/radial-head-arthroplasty-in-the-active-duty-military-service-member-with-minimum-2-year-follow-up
#8
John C Dunn, Nicholas A Kusnezov, Logan R Koehler, Emmanuel D Eisenstein, Kelly G Kilcoyne, Justin D Orr, Justin S Mitchell
PURPOSE: Radial head arthroplasty (RHA) is a viable treatment for complex radial head fracture. Whereas elbow stability and function is typically restored at short- to mid-term follow-up, the outcome in higher-demand populations is not well defined. We sought to characterize the functional and occupational outcomes following RHA in an active duty military population with intense upper extremity demands. METHODS: We retrospectively reviewed the records of all U.S...
May 24, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28549780/patient-specific-pointer-tool-for-corrective-osteotomy-quality-of-symmetry-based-planning-and-case-study-of-ulnar-reconstruction-surgery
#9
Samuel Mueller, Lueder A Kahrs, Johannes Gaa, Tobias Ortmaier, Jan-Dierk Clausen, Christian Krettek
Malunion after forearm fractures are described to appear in 2% to 10% of cases. Reconstructive surgeries ensure adequate anatomical repositioning. Their importance derives from the fact that malunion can often lead to severe pain as well as deformities causing loss of function and aesthetic issues not only in the forearm, but also the wrist and elbow joint. In this paper a clinical case will be presented using a Patient Specific Instrument (PSI) as navigational aid for reconstructive surgery after malunion of a proximal ulnar fracture combined with allograft surgery of the radial head and radial condyle due to chronic traumatic radial head luxation (Monteggia fracture)...
May 11, 2017: Injury
https://www.readbyqxmd.com/read/28540998/impact-of-open-reduction-on-surgical-strategies-for-missed-monteggia-fracture-in-children
#10
Hoon Park, Kwang Won Park, Kun Bo Park, Hyun Woo Kim, Nam Kyu Eom, Dong Hoon Lee
PURPOSE: The aims of this study were to review our cases of missed Monteggia fracture treated by open reduction of the radial head with or without ulnar osteotomy and to investigate the indications for open reduction alone in surgical treatment of missed Monteggia fracture. MATERIALS AND METHODS: We retrospectively reviewed 22 patients who presented with missed Monteggia fracture. The patients' mean age at the time of surgery was 7.6 years. The mean interval from injury to surgery was 16...
July 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/28520680/acute-pediatric-monteggia-fractures-a-conservative-approach-to-stabilization
#11
Ian Foran, Vidyadhar V Upasani, Charles D Wallace, Elise Britt, Tracey P Bastrom, James D Bomar, Andrew T Pennock
BACKGROUND: In 2015, a multicenter study group proposed a treatment algorithm for pediatric Monteggia fractures based upon the ulnar fracture pattern. This strategy recommends surgical stabilization for all complete ulna fractures. The purpose of this study was to evaluate whether an initial nonoperative approach to pediatric Monteggia fractures resulted in poorer outcomes and a higher rate of complications. METHODS: This institutional review board approved retrospective study evaluated all Monteggia fractures presenting to a level 1 pediatric trauma center between 2008 and 2014...
May 17, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28503271/pulled-nursemaid-s-elbow
#12
M F Mohd Miswan, M S Othman, F Muhamad Effendi, M I Ibrahim, K N Rozali
Nursemaid's elbow is a radial head subluxation caused by axial traction on the extended arm while the forearm is pronated, allowing for slippage of the radial head. A 2-year-old boy presented with pain, swelling and reduced range of movement of the right elbow for 4 days. The mother noted that the child was moving the right upper limb less often and there was tenderness over the right elbow. X-ray of the right elbow showed subluxation of the elbow joint with no obvious fracture. A trial of conservative management was decided upon and the patient was placed on a right elbow backslab with the right forearm in a supine position...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28484849/radial-nerve-injury-following-elbow-external-fixator-report-of-three-cases-and-literature-review
#13
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/28464753/a-radial-head-prosthesis-appears-to-be-unnecessary-in-mason-iv-fracture-dislocation
#14
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/28450100/effect-of-radial-head-implant-shape-on-radiocapitellar-joint-congruency
#15
Emily A Lalone, Hannah L Shannon, Simon R Deluce, Joshua W Giles, Graham J W King, James A Johnson
PURPOSE: Radial head arthroplasty is indicated in displaced fractures in which comminution precludes successful internal fixation. Many types of radial head implants have been developed varying in material, methods of fixation, and degrees of modularity and geometry. The purpose of this study was to investigate the effect of radial head implant shape on radiocapitellar joint congruency. METHODS: Joint congruency was quantified in 7 cadaveric specimens employing a registration and inter-surface distance algorithm and 3-dimensional models obtained using computed tomography...
April 25, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28444676/-associated-injuries-in-radial-head-fractures
#16
Patrick Vavken, Julia Vavken, Stefan Demarmels, Daniel Rikli
Purpose Radial head fractures, particularly Mason I and II, are considered "harmless" injuries, and their severity is underestimated. In recent years, associated injuries to ligaments, cartilage, and adjacent bones have been studied in more detail. This meta-analysis collects the data on their incidence from the current literature. Methods A systematic review of the online databases PubMed, EMBASE, CINAHL and Cochrane Library was performed to identify clinical studies on associated injuries in radial head fracture...
April 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28435583/ulnar-osteotomy-with-2-pin-unilateral-gradual-distraction-for-treatment-of-chronic-monteggia-fracture-a-case-report
#17
S G Gooi, C S Wang, A Saw, O Zulkiflee
Missed Monteggia fracture leading to chronic radial head dislocation is a known complication. The surgical treatment options remain challenging. The aim of treatment is to reduce the radial head and to maintain the stability of the elbow in all ranges of motion. A few surgical techniques have been described with complications. We report the case of a 13 years old boy with chronic radial head dislocation as a result of an unrecognised Monteggia fracture-dislocation for eight years. We successfully reduced the radial head and corrected the cubital valgus from 45 degrees to 10 degrees with a proximal ulna osteotomy and gradual distraction with 2-pin Monotube external fixator...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28432459/using-an-anatomically-preshaped-low-profile-locking-plate-system-leads-to-reliable-results-in-comminuted-radial-head-fractures
#18
Moritz Crönlein, Michael Zyskowski, Marc Beirer, Florian B Imhoff, Dominik Pförringer, Gunther H Sandmann, Chlodwig Kirchhoff, Peter Biberthaler, Sebastian Siebenlist
INTRODUCTION: For comminuted and displaced fractures of the radial head open reduction and internal fixation (ORIF) is recommended nowadays as the treatment of choice. Due to the development of locking plates the possibilities of ORIF in complex fracture types were extended. The purpose of this retrospective survey therefore was to review the preliminary subjective and objective results in patients treated by anatomically preshaped locked plating. A reliable fracture healing for these recently introduced plating devices was hypothesized...
June 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28405856/what-injury-mechanism-and-patterns-of-ligament-status-are-associated-with-isolated-coronoid-isolated-radial-head-and-combined-fractures
#19
In Hyeok Rhyou, Ji-Ho Lee, Kyung Chul Kim, Kee Baek Ahn, Seong Cheol Moon, Hyeong Jin Kim, Jung Hyun Lee
BACKGROUND: Isolated coronoid, isolated radial head, and combined coronoid and radial head fractures are common elbow fractures, and specific ligamentous injury of each fracture configuration has been reported. However, the osseous injury mechanism related to ligament status remains unclear. QUESTIONS/PURPOSES: The objectives of this study were: (1) to determine what ligamentous injury patterns (medial or lateral collateral) and bone contusion patterns (medial or lateral) are associated with isolated coronoid, isolated radial head, and combined coronoid and radial head fractures; (2) to correlate the osseous injury mechanism based on these findings with isolated coronoid, isolated radial head, and combined coronoid and radial head fractures; and (3) to determine whether isolated and combined coronoid fractures have different fracture lines through the coronoid (tip or anteromedial facet), speculated to be caused by different injury mechanisms...
April 12, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28389760/surgical-treatment-of-monteggia-variant-fracture-dislocations-of-the-elbow-in-adults-surgical-technique-and-clinical-outcomes
#20
Hosam E Matar, Pavel I Akimau, David Stanley, Amjid A Ali
PURPOSE: Monteggia variant defined as Monteggia fracture dislocation with radial head or neck fracture, coronoid fracture, ulnohumeral joint dislocation or combination of these injuries. The aim of this study was to evaluate clinical outcomes of surgical treatment of Monteggia variant fracture dislocations with focus on the operative technique and management of associated radial head fractures. METHODS: Between January 2008 and January 2014, 22 patients (7 men, 15 women) with a mean age of 58...
April 7, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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