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https://www.readbyqxmd.com/read/29027008/lateral-epicondylitis-associations-of-mr-imaging-and-clinical-assessments-with-treatment-options-in-patients-receiving-conservative-and-arthroscopic-managements
#1
Ji Young Jeon, Min Hee Lee, In-Ho Jeon, Hye Won Chung, Sang Hoon Lee, Myung Jin Shin
OBJECTIVES: We assessed the implications of MR imaging with clinical history in lateral epicondylitis management by evaluating imaging and clinical features in patients with lateral epicondylitis treated conservatively or operatively. METHODS: Sixty patients with lateral epicondylitis treated conservatively (n = 38) or operatively (n = 22) from 2011-2015 were included. MR imaging findings of common extensor tendon (CET), lateral collateral ligament (LCL) complex, muscle oedema, ulnar nerve and elbow joint were reviewed...
October 12, 2017: European Radiology
https://www.readbyqxmd.com/read/29025193/erratum-emergency-and-trauma-of-the-elbow
#2
Alberto Bazzocchi, Maria Pilar Aparisi Gómez, Alessandra Bartoloni, Giuseppe Guglielmi
No abstract text is available yet for this article.
November 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28975402/isolated-radial-neck-delayed-union-nonunion-after-conservative-treatment-in-adults-two-case-reports-and-a-literature-review
#3
Christa Babst, Alexander Brunner, Reto Babst
BACKGROUND: Treatment recommendations for isolated radial neck delayed union/nonunion are sparse, but include mainly conservative treatment, electro-stimulation, bone grafting, open reduction and internal fixation (ORIF) and radial head resection. The purpose of this study was to perform a literature review on isolated delayed union/nonunion of radial neck fractures and to evaluate the reported outcomes of proposed treatment strategies. Furthermore, we aimed to generate data-based recommendations for this rare pathology...
October 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28971653/-total-elbow-replacement-as-an-alternative-to-severely-comminuted-fractures-around-the-elbow
#4
Eyal Ginesin, Yaniv Keren, Ofer Zachs, Doron Norman
BACKGROUND: Intra-articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently, total elbow replacement (TER) has gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. METHODS: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient's satisfaction...
September 2017: Harefuah
https://www.readbyqxmd.com/read/28961945/age-as-a-predictor-of-long-term-results-in-patients-with-brachial-plexus-palsies-undergoing-surgical-repair
#5
Mariano Socolovsky, Gilda di Masi, Gonzalo Bonilla, Ana Carolina Lovaglio, Dan López
BACKGROUND: Among other factors, like the time from trauma to surgery or the number of axons that reach the muscle target, a patient's age might also impact the final results of brachial plexus surgery. OBJECTIVE: To identify (1) any correlations between age and the 2 outcomes: elbow flexion strength and shoulder abduction range; (2) whether childhood vs adulthood influences outcomes; and (3) other baseline variables associated with surgical outcomes. METHODS: Twenty pediatric patients (under age 20 yr) who had sustained a traumatic brachial plexus injury were compared against 20 patients, 20 to 29 yr old, and 20 patients, 30 yr old or older...
August 16, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28955693/olecranon-fractures-have-features-of-osteoporotic-fracture
#6
Seong Cheol Park, Hyun Sik Gong, Kahyun Kim, Seung Hoo Lee, Sehun Kim, Goo Hyun Baek
BACKGROUND: To determine whether olecranon fractures have osteoporotic features such as age-dependent, low bone attenuation and low-energy trauma as a cause of injury. METHODS: Elbow computed tomography (CT) and medical record review were performed in 114 patients (53 males and 61 females) with acute olecranon fractures. The mean age was 57 years. Bone attenuation was measured on the central part of the olecranon on sagittal CT images avoiding the fracture, and on the distal humerus (distal metaphysis and medial and lateral condyles) on coronal CT images...
August 2017: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/28954499/injuries-treated-in-hospital-among-urban-and-rural-inhabitants-of-eastern-poland
#7
Marek Kos, Bartłomiej Drop, Agnieszka Dziewa, Marian Jędrych
INTRODUCTION AND OBJECTIVE: Injuries are a serious medical and social problem, especially when accompanied by distant or deferred effects, often causing serious dysfunctions and permanent disability for life. The study aimed at presenting the incidence of injuries of urban and rural population treated in a district hospital in eastern Poland. MATERIAL AND METHODS: The study was carried out in the Independent Public Health Care Institution in Kraśnik in 2011 among patients hospitalized in the Department of Trauma Surgery and Orthopedic Unit who sustained injuries...
September 21, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28929365/management-of-comminuted-fractures-of-the-distal-humerus-clinical-outcome-after-primary-external-fixation-versus-immediate-fixation-with-locking-plates
#8
Clemens Kösters, Simon Lenschow, Esther Schulte-Zurhausen, Steffen Roßlenbroich, Michael J Raschke, Benedikt Schliemann
OBJECTIVES: The surgical treatment of comminuted fractures of the distal humerus remains a challenging problem. The aim of the present study was to compare the clinical outcomes of primary external fixation with second-staged open reduction and internal fixation (ORIF) and initial definitive internal fixation in surgically treated patients with comminuted distal humerus fractures. DESIGN: Retrospective comparative study. SETTING: Level one trauma center...
September 19, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28886018/minimal-important-change-and-other-measurement-properties-of-the-oxford-elbow-score-and-the-quick-disabilities-of-the-arm-shoulder-and-hand-in-patients-with-a-simple-elbow-dislocation-validation-study-alongside-the-multicenter-funcsie-trial
#9
RANDOMIZED CONTROLLED TRIAL
Gijs I T Iordens, Dennis Den Hartog, Wim E Tuinebreijer, Denise Eygendaal, Niels W L Schep, Michael H J Verhofstad, Esther M M Van Lieshout
STUDY DESIGN: Validation study using data from a multicenter, randomized, clinical trial (RCT). OBJECTIVES: To evaluate the reliability, validity, responsiveness, and minimal important change (MIC) of the Dutch version of the Oxford Elbow Score (OES) and the Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) in patients with a simple elbow dislocation. BACKGROUND: Patient-reported outcome measures are increasingly important for assessing outcome following elbow injuries, both in daily practice and in clinical research...
2017: PloS One
https://www.readbyqxmd.com/read/28885965/olecranon-bursitis-in-a-military-population-epidemiology-and-evidence-for-prolonged-morbidity-in-combat-recruits
#10
Haggai Schermann, Isabella Karakis, Oleg Dolkart, Eran Maman, Assaf Kadar, Ofir Chechik
INTRODUCTION: Olecranon bursitis (OB) is a benign but disturbing condition that may adversely affect a military recruit's combat preparedness. This study was designed to assess incidence, risk factors, and associated medical burden of OB in the Israel Defense Forces. MATERIALS AND METHODS: This is a retrospective study drawing on medical records of all Israel Defense Forces soldiers diagnosed as having OB between 2005 and 2015. OB was classified as septic and noninfectious...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28882380/differences-between-orthopaedic-evaluation-and-radiological-reports-of-conventional-radiographs-in-patients-with-minor-trauma-admitted-to-the-emergency-department
#11
Michele Catapano, Domenico Albano, Grazia Pozzi, Riccardo Accetta, Sergio Memoria, Fabrizio Pregliasco, Carmelo Messina, Luca Maria Sconfienza
INTRODUCTION: During night and on weekends, in our emergency department there is no radiologist on duty or on call: thus, X-ray examinations (XR) are evaluated by the orthopaedic surgeon on duty and reported the following morning/monday by radiologists. The aim of our study was to examine the discrepancy rate between orthopaedists and radiologists in the interpretation of imaging examinations performed on patients in our tertiary level orthopaedic institution and the consequences of delayed diagnosis in terms of patient management and therapeutic strategy...
September 1, 2017: Injury
https://www.readbyqxmd.com/read/28854920/fibroma-of-tendon-sheath-around-large-joints-clinical-characteristics-and-literature-review
#12
Kayo Suzuki, Taketoshi Yasuda, Shun Suzawa, Kenta Watanabe, Masahiko Kanamori, Tomoatsu Kimura
BACKGROUND: Fibroma of tendon sheath (FTS) is a benign tumor arising from the synovium of the tendon sheath that occurs mostly around small joints such as the fingers, hands, and wrist. However, FTS rarely arises around a large joint (knee, shoulder, elbow, and ankle) with intra-articular or extra-articular involvement. The clinical characteristics of FTS arising around a large joint are unclear. An additional 3 cases of FTS arising around a large joint are presented. Furthermore, the published cases and the present cases are reviewed with respect to their clinical characteristics and imaging and histopathology findings...
August 30, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28852335/proximal-humerus-fracture-dislocation-with-laceration-of-the-axillary-artery-a-case-report
#13
Steven J Cotman, Thai Q Trinh, Stephen Vincent, Jeffrey R Backes
BACKGROUND: Proximal humerus fractures account for approximately 4-6% of all fractures. While the majority of these fractures are treated non-operatively, the amount of fracture displacement, concomitant injuries, and patient factors often result in the need for surgical stabilization. Although concomitant neurovascular injury in the setting of low-energy trauma is rare, injury to the surrounding neurovascular structures have previously been reported. METHODS: We report a case of a 79-year-old male who sustained a low energy fall resulting in a two-part fracture dislocation of the proximal humerus with an associated brachial plexopathy and axillary artery laceration...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28844418/early-results-of-latitude-primary-total-elbow-replacement-with-a-minimum-follow-up-of-2-years
#14
Saurabh S Mehta, Adam C Watts, Sumedh C Talwalkar, Ann Birch, David Nuttall, Ian A Trail
BACKGROUND: The aim of this study was to present outcomes of primary Latitude total elbow replacement (TER) with a minimum follow-up of 2 years. METHODS: A retrospective cohort study was undertaken with prospective outcome data collection for the latest outcome. Included were 63 consecutive primary Latitude TERs in 58 patients performed during a period of 5 years at a specialist orthopedic hospital. RESULTS: The mean age of the patients was 62 years (33-85 years)...
August 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28844197/functional-outcome-of-extra-articular-distal-humerus-fracture-fixation-using-a-single-locking-plate-a-retrospective-study
#15
Vivek Trikha, Prabhat Agrawal, Saubhik Das, Sahil Gaba, Arvind Kumar
PURPOSE: The optimal method for fixation of extra-articular distal humerus factures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates have emerged as a viable solution for these complex injuries. We assessed clinico-radiologic outcome in our retrospective case series of extra-articular distal humerus fractures managed with these plates. METHODS: Forty-five patients of extra-articular distal humerus fractures, who were operated at our level 1 trauma centre between January, 2012 and December, 2016, were identified...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28828129/salter-harris-i-fracture-of-the-distal-humerus-in-a-neonate-imaging-appearance-of-radiographs-ultrasound-and-arthrography
#16
Nicholas M Beckmann, Lindsay Crawford
Neonatal Salter-Harris I fractures of the distal humerus are a rare injury. This injury can be easily mistaken for a posterior elbow dislocation, creating a delay in diagnosis. We present a case of a neonate with a distal humerus Salter-Harris I fracture secondary to trauma during delivery. The patient presented with pseudoparesis of the left arm following birth. Posterior displacement of the elbow was identified on radiographs. Ultrasound of the elbow was performed after a gentle closed reduction of the left elbow was unsuccessful...
September 2017: Radiology case reports
https://www.readbyqxmd.com/read/28753234/manipulative-interventions-for-reducing-pulled-elbow-in-young-children
#17
REVIEW
Marjolein Krul, Johannes C van der Wouden, Emma J Kruithof, Lisette Wa van Suijlekom-Smit, Bart W Koes
BACKGROUND: Pulled elbow (nursemaid's elbow) is a common injury in young children. It often results from a sudden pull on the arm, usually by an adult or taller person, which pulls the radius through the annular ligament, resulting in subluxation (partial dislocation) of the radial head. It can also be caused by a fall or twist. The child experiences sudden acute pain and loss of function in the affected arm. Pulled elbow is usually treated by manual reduction of the subluxed radial head...
July 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28735848/the-outcomes-and-affecting-factors-after-arthroscopic-isolated-subscapularis-tendon-repair
#18
Yong Girl Rhee, Yeong Seok Lee, Yong Bok Park, Jung Youn Kim, Kwang Joon Han, Jae Chul Yoo
BACKGROUND: This study evaluated clinical outcomes for isolated subscapularis tendon tears treated by arthroscopic repair, the factors affecting clinical outcomes, and changes in tendon structural integrity using magnetic resonance imaging. METHODS: Between 2005 and 2013, 45 patients with isolated subscapularis tendon tears were enrolled from two institutions. Clinical outcomes were assessed using the pain visual analog scale, American Shoulder and Elbow Surgeons, and Simple Shoulder Test scores...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28718317/hand-surgeons-and-orthopedic-trauma-surgeons-call-coverage-of-acute-upper-extremity-injuries-where-should-the-line-be-drawn
#19
Matthew B Cantlon, Andrew J Miller, Asif M Ilyas
BACKGROUND: There is a lack of consensus as to which subspecialty service should cover acute upper extremity injuries in the emergency department (ED). The purpose of the present study is to understand how upper extremity injuries are currently triaged to specialists and to assess the current opinion among hand and orthopedic trauma specialists as to how these injuries should be best triaged based on injury location and severity. METHODS: The American Association for Hand Surgery (AAHS) membership and Orthopaedic Trauma Association (OTA) membership were surveyed using a 28-item online questionnaire...
January 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28680896/the-influence-of-incision-type-on-patient-satisfaction-after-plate-fixation-of-clavicle-fractures
#20
Dave R Shukla, William J Rubenstein, Leslie A Barnes, Mark J Klion, James N Gladstone, Jaehon M Kim, Edmond Cleeman, David A Forsh, Bradford O Parsons
BACKGROUND: Open reduction and internal fixation (ORIF) of the clavicle is a common procedure that has been shown to have improved outcomes over nonoperative treatment. Several incisions can be used to approach clavicle fractures, the decision of which is variable among surgeons. PURPOSE: To compare patient satisfaction and subjective outcomes between patients with a longitudinal incision versus those with a necklace incision for the treatment of diaphyseal clavicle fractures...
June 2017: Orthopaedic Journal of Sports Medicine
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