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Elbow arthroscopy

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https://www.readbyqxmd.com/read/29120003/a-novel-method-of-patient-positioning-using-shoulder-arthroscopy-equipment-for-elbow-arthroscopy
#1
Julianne M Kowalski, James T Monica
Indications for elbow arthroscopy are expanding; however, it is uncommon compared with shoulder arthroscopy. Elbow arthroscopy can be complicated by positioning, including the need to obtain specific arm holders required by most operating rooms. Surgery can be performed in the supine, prone, or lateral position. Arm traction allows for distraction of the joint space, full insufflation, and therefore visualization of intra-articular anatomy. This article outlines a new technique using previously available shoulder arthroscopy equipment to avoid increased cost incurred by procuring new, elbow-specific equipment...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29102013/editorial-commentary-beware-the-radial-nerve-more-elbow-arthroscopy-portals-more-options
#2
EDITORIAL
Larry D Field
Elbow arthroscopy is a challenging procedure due, in part, to the technical demands of portal placement as a consequence of the close proximity of the neurovascular structures. The radial nerve and its branches are especially at risk during lateral elbow arthroscopic portal placement. Two newly described (proximal) anterolateral elbow arthroscopy portals may be safer than the distal anterolateral portal location with regard to proximity to the radial nerve. These portals provide a new angle of approach, compared with the traditional and more posterior (but still safely proximal) anterolateral portals...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29095397/correlation-of-mri-to-arthroscopy-in-the-elbow-thrower-s-elbow-and-ulnar-collateral-ligament-injury
#3
Michael C Ciccotti, Justin D Stull, Patrick S Buckley, Steven B Cohen
One cannot overstate the importance of a thorough history and physical examination, supplemented with directed imaging, to help pinpoint the exact cause of the athlete's elbow pain. Although plain radiographs should not be overlooked, advanced imaging plays a critical role in diagnosis and management of pathology in the thrower's elbow, including computed tomography, magnetic resonance imaging, and stress ultrasound. By judiciously combining these elements, the clinician can appropriately manage these injuries in order to successfully return the athlete to their preinjury level of play...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29054383/arthroscopic-surgical-treatment-of-medial-epicondylitis
#4
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
BACKGROUND: The study purpose was to evaluate the outcomes of patients who received arthroscopic surgical treatment for medial epicondylitis refractory to conservative treatment. METHODS: This was a retrospective study of 7 patients who underwent arthroscopic surgical débridement of the common flexor tendon for treatment of medial epicondylitis refractory to conservative treatment. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand score; visual analog scale for pain; and Short Form 36 Health Survey...
October 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28970996/ultrasound-assisted-posteromedial-portal-placement-of-the-elbow-joint-to-prevent-ulnar-nerve-injury
#5
Hiroshi Ohuchi, Rolando Junior L Torres, Kotaro Shinga, Ken Ichikawa, Yuki Kato, Soichi Hattori, Shin Yamada
Direct posterior and posterolateral portals are the standard portals used in posterior elbow arthroscopy. A posteromedial portal in the elbow is not recommended because of its proximity to the ulnar nerve. However, iatrogenic injuries to the ulnar nerve have been reported after elbow arthroscopy using the standard posterior portals, especially in posteromedial elbow joint pathologies. We present a surgical technique applicable to posteromedial elbow pathology by using ultrasound-assisted posteromedial portal placement of the elbow joint...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28932881/nerve-injuries-do-occur-in-elbow-arthroscopy
#6
Nick F J Hilgersom, Derek F P van Deurzen, Carina L E Gerritsma, Huub J L van der Heide, Martijn J A Malessy, Denise Eygendaal, Michel P J van den Bekerom
PURPOSE: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. METHODS: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the Dutch Society of Shoulder and Elbow Surgery, and the Leiden University Nerve Centre, and (2) approaching two medical liability insurance companies...
September 20, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28926315/mri-arthroscopy-correlations-a-case-based-atlas-of-the-knee-shoulder-elbow-and-hip-edited-by-stephen-f-brockmeier-new-york-ny-springer-science-business-media-2015-isbn-978-1-4939-2644-2-hardcover-129-00-pp-481
#7
https://www.readbyqxmd.com/read/28866347/wearable-inertial-sensors-allow-for-quantitative-assessment-of-shoulder-and-elbow-kinematics-in-a-cadaveric-knee-arthroscopy-model
#8
Michael Rose, Carolin Curtze, Joseph O'Sullivan, Mahmoud El-Gohary, Dennis Crawford, Darin Friess, Jacqueline M Brady
PURPOSE: To develop a model using wearable inertial sensors to assess the performance of orthopaedic residents while performing a diagnostic knee arthroscopy. METHODS: Fourteen subjects performed a diagnostic arthroscopy on a cadaveric right knee. Participants were divided into novices (5 postgraduate year 3 residents), intermediates (5 postgraduate year 4 residents), and experts (4 faculty) based on experience. Arm movement data were collected by inertial measurement units (Opal sensors) by securing 2 sensors to each upper extremity (dorsal forearm and lateral arm) and 2 sensors to the trunk (sternum and lumbar spine)...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28862100/arthroscopy-assisted-versus-standard-intramedullary-nail-fixation-in-diaphyseal-fractures-of-the-humerus
#9
Süleyman Semih Dedeoğlu, Yunus İmren, Haluk Çabuk, Ali Çağrı Tekin, Mustafa Çağlar Kır, Hakan Gürbüz
PURPOSE: The aim of this study was to assess applicability of arthroscopic technique in intramedullary nail fixation of humerus shaft fractures and to compare with conventional nailing in terms of its effects on perioperative and postoperative intra-articular complication rates as well as on clinical and functional outcomes. METHODS: This prospective randomized controlled clinical trial included 40 patients (12 females and 28 males) indicated for surgery between either undergo arthroscopy-assisted (Arthroscopy-assisted intramedullary nailing [AIMN]; n = 20) or conventional (Intramedullary nailing [IMN]; n = 20) anterograde intramedullary nailing...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28844419/pediatric-elbow-arthroscopy-indications-and-safety
#10
Steven M Andelman, Kristen M Meier, Amanda L Walsh, Joung Heon Kim, Michael R Hausman
BACKGROUND: Elbow arthroscopy is a minimally invasive means by which to treat a variety of acute and chronic elbow conditions. Although the safety and efficacy is well documented in the adult population, comparatively little information is available about the role of elbow arthroscopy in the pediatric population. This study reports the indications for and safety of elbow arthroscopy in a series of pediatric patients. METHODS: A retrospective review was performed from 2001 to 2015 of a surgical database at a single institution...
August 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28822638/modified-anterolateral-portals-in-elbow-arthroscopy-a-cadaveric-study-on-safety
#11
Stephen Thon, Peter Gold, Lane Rush, Michael J O'Brien, Felix H Savoie
PURPOSE: To evaluate the proximity to the radial nerve on cadaveric specimens of 2 modified anterolateral portals used for elbow arthroscopy. METHODS: Ten fresh cadaveric elbow specimens were prepared. Four-millimeter Steinman pins were inserted into 3 anterolateral portal sites in relation to the lateral epicondyle: (1) the standard distal anterolateral portal, (2) a modified direct anterolateral portal, and (3) a modified proximal anterolateral portal. These were defined as follows: direct portals 2 cm directly anterior to the lateral epicondyle, and proximal portals 2 cm proximal and 2 cm directly anterior to the lateral epicondyle...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28779799/editorial-commentary-danger-zone-the-posteromedial-elbow-don-t-go-looking-for-trouble-and-it-won-t-find-you-arthroscopic-management-of-the-arthritis-elbow
#12
EDITORIAL
Felix H Savoie
Arthroscopy for elbow arthritis has been used by this author for 30 years. There are many benefits to arthroscopic management of the arthritic elbow. A complete understanding of the pathology is essential to correct surgical management. Excision of spurs and osteophytes, deepening of the coronoid or olecranon fossa, removal of loose bodies, and synovectomy are essential. Arthritis is usually not a capsular problem, so the releases needed for post-traumatic ankylosis takedown are not usually necessary in the arthritic elbow...
August 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28770509/it-s-time-to-change-perspective-new-diagnostic-tools-for-lateral-elbow-pain
#13
P Arrigoni, D Cucchi, A Menon, P Randelli
PURPOSE: The presence of intra-articular findings that may complement the extra-articular pathology in lateral epicondilytis has been suggested, and a role for minor instability of the elbow as part of the causative process of this disease has been postulated. This study was designed to describe two new clinical tests, aimed at detecting intra-articular pathology in patients affected by recalcitrant lateral epicondylitis and investigate their diagnostic performance. METHODS: Ten patients suffering of atraumatic lateral elbow pain unresponsive to conservative treatment were considered in this study...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28747275/classifying-glenohumeral-synovitis-a-novel-intraoperative-scoring-system
#14
Daniel E Davis, Mitchell Maltenfort, Joseph A Abboud, Charles Getz
BACKGROUND: Synovitis of the shoulder is a common entity that is poorly described. This study aims to create a simple and reliable classification system for glenohumeral synovitis, which would benefit further research related to synovitis and outcomes. METHODS: Twenty 30-second shoulder arthroscopy videos were distributed to 19 fellowship-trained orthopedic surgeons. The observers responded with their years in practice, fellowship type, whether synovitis affects outcomes, and whether synovitis affects plans...
July 24, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28729380/arthroscopic-excision-of-an-intra-articular-osteoid-osteoma-in-the-elbow-joint
#15
Sercan Akpinar, Esra Circi
An osteoid osteoma is a rare, small, benign and painful tumour occurring in the extra-articular portion of long bones seen most commonly in the lower extremities. This is a case report of a 23-year-old female patient who underwent arthroscopic resection of an intra-articular osteoid osteoma. The nidus was completely removed by arthroscopic excision. The diagnosis was confirmed by postoperative histopathological analysis. In the case presented we have shown that intra-articular arthroscopy can be successful in the surgical management of benign bony lesions involving the elbow joint...
July 19, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28706836/arthroscopic-treatment-of-capitellum-osteochondritis-dissecans-with-micronized-allogeneic-cartilage-scaffold
#16
Paul E Caldwell, Brett Auerbach, Sara E Pearson
Osteochondritis dissecans (OCD) of the capitellum is a common disorder that causes pain and functional limitation in the adolescent elbow. Although conservative management is the first line of treatment, surgical intervention is usually recommended for patients with persistent mechanical symptoms, loose bodies, or unstable lesions. Elbow arthroscopy has become the gold standard to evaluate and treat symptomatic OCD lesions. Arthroscopic debridement and bone marrow stimulation have been shown to yield good short-term results...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706798/arthroscopic-excision-of-osteoid-osteoma-of-the-elbow
#17
Deepak N Bhatia
Osteoid osteoma has been reported infrequently around the elbow joint, and is usually treated with radiofrequency ablation or open excision. Elbow arthroscopy is useful for excision of accessible lesions, and the accompanying elbow stiffness can be treated concurrently. This report describes an arthroscopic excision of an osteoid osteoma located in the juxta-articular distal humeral bone. An initial adhesiolysis and capsulectomy is performed to gain access to the region above the capitellar articular margin...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28680895/visualization-of-the-capitellum-during-elbow-arthroscopy-a-comparison-of-3-portal-techniques
#18
David P Trofa, Stephanie M Gancarczyk, Joseph M Lombardi, Eric C Makhni, Charles A Popkin, Christopher S Ahmad
BACKGROUND: Capitellar osteochondritis dissecans (OCD) is a debilitating condition of unknown etiology for which various arthroscopic treatments are available. Prior data suggest that greater than 75% of the capitellum can be visualized arthroscopically through a dual lateral portal approach. However, there is no literature assessing arthroscopic visualization of the capitellum via alternative portals. PURPOSE: To determine the percentage of capitellum visualized using the dual lateral, distal ulnar and soft spot, and posterolateral and soft spot portal configurations in a cadaver model...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28666671/arthroscopic-management-of-elbow-osteoarthritis
#19
REVIEW
Leo T Kroonen, Samantha L Piper, Andrew C Ghatan
The incidence of osteoarthritis in the general population is low, but it can be seen in manual laborers, throwing athletes, and people dependent on crutches and wheelchairs. Patients often complain of pain at the terminal extents of motion, and imaging shows osteophyte formation at the tips of the coronoid and olecranon processes as well as thickening of the bone between the coronoid and the olecranon fossae. Recent advances in arthroscopic instrumentation and techniques have led to a growing interest in the arthroscopic treatment of elbow osteoarthritis...
August 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28589876/short-term-results-after-arthroscopic-resection-of-synovial-plicae-in-the-radiohumeral-joint-a-case-series-of-64-procedures
#20
Jens Brahe Pedersen, Pia Kjær Kristensen, Peter Mønsted, Theis Muncholm Thillemann
INTRODUCTION: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results after arthroscopic plica resection of the elbow. METHODS: In this case series, we included a consecutive series of 64 arthroscopies (60 patients) with arthroscopic plica resection of the elbow...
2017: SICOT-J
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