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medial epicondyle fracture

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https://www.readbyqxmd.com/read/27861213/what-s-new-in-pediatric-medial-epicondyle-fractures
#1
Jennifer J Beck, Richard E Bowen, Mauricio Silva
BACKGROUND: Medial epicondyle fractures are predominantly seen in adolescent, male patients. Historically, nonoperative intervention was the mainstay of treatment. With increasing upper extremity demands of young athletes and reports of valgus instability after nonoperative treatment, there has been an increased interest in operative indications. Controversy regarding proper imaging and measurement of displacement complicates decision-making algorithms. Review of recent literature is required for improved decision making...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27810431/clinical-results-after-treatment-for-bidirectional-patellar-subluxation-minimum-2-years-follow-up
#2
Michael Saper, Candice Brady, Robert Zondervan, David Shneider
BACKGROUND: We describe the preliminary clinical results of a patellar stabilization technique to treat bidirectional patellar subluxation (BPS). METHODS: Patients: six patients (one male, five females; mean age 30.2years) underwent this procedure with a minimum of 24months follow-up. Patients were assessed for clinical instability, patellar complications, and need for revision surgery. Patient functional outcomes were evaluated using the criteria of Crosby and Insall and the Kujala Anterior Knee Pain Scale at the time of final follow-up...
December 2016: Knee
https://www.readbyqxmd.com/read/27741036/outcomes-of-nonoperative-pediatric-medial-humeral-epicondyle-fractures-with-and-without-associated-elbow-dislocation
#3
Derrick M Knapik, Cameron L Fausett, Allison Gilmore, Raymond W Liu
BACKGROUND: Medial epicondyle fractures may occur in isolation or with associated elbow dislocation. In the absence of open fracture or fragment incarceration, nonoperative management with immobilization has been shown to result in generally successfully outcomes comparable with those reported after surgical fixation. However, no comparative investigation has assessed outcomes after nonoperative treatment based on the presence or absence of elbow dislocation. METHODS: A systematic review was conducted investigating all studies in the literature reporting nonoperative outcomes for isolated medial epicondyle fractures and fracture-dislocations...
October 12, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27697406/diagnostic-value-of-ultrasonography-in-elbow-trauma-in-children-prospective-study-of-34-cases
#4
M Burnier, G Buisson, A Ricard, V Cunin, J P Pracros, F Chotel
INTRODUCTION: Among the various elbow injuries in children that initially have normal radiographs, a certain number of occult fractures are only diagnosed correctly after the fact, during a follow-up visit. PURPOSE: This study evaluated the diagnostic contribution of ultrasonography in the treatment of acute elbow injuries in children and the strategic and economic impact of using this tool alongside radiography. MATERIALS AND METHODS: During this prospective study performed between January 1 and April 1 2014, elbow ultrasonography was performed within 6 days in all children under 15 years of age with a suspected occult fracture...
September 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27538972/brachialis-periosteal-avulsion-injury-case-report-with-magnetic-resonance-imaging-findings
#5
Justin Chak Yiu Lam, Ka Lok Ryan Lee, James F Griffith
Brachialis periosteal avulsion injury is an uncommon injury occurring in young children. The injury may be misinterpreted or overlooked because of misleading or subtle radiological findings. A case of 7-year-old child with post-traumatic elbow pain and subtle findings on elbow radiography is presented. The injury was initially misinterpreted as an avulsion fracture of the medial epicondyle. Following radiological review, a diagnosis of brachialis periosteal avulsion injury was made. The radiographic and magnetic resonance imaging (MRI) findings of this injury are presented to stress the value of comparing the radiographic findings with previous imaging and to increase awareness of this uncommon injury...
November 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27477295/fracture-of-an-unossified-humeral-medial-epicondyle-use-of-magnetic-resonance-imaging-for-diagnosis
#6
Katsuhisa Tanabe, Nao Miyamoto
Fracture of the humeral medial epicondyle is a relatively common injury in children. Surgery is a good option for treatment, but correct diagnosis is important. Most fractures occur after the ossification of the medial epicondylar apophysis. If a fracture occurs before the ossification of the medial epicondyle, it is undetectable by radiographs. Here we report a case of an unossified medial epicondyle fracture of the humerus. A 9-year-old boy had persistent pain in the medial side of the right elbow after a fall...
October 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27393557/does-operative-fixation-affect-outcomes-of-displaced-medial-epicondyle-fractures
#7
Matthew Stepanovich, Tracey P Bastrom, John Munch, Joanna H Roocroft, Eric W Edmonds, Andrew T Pennock
PURPOSE: Long-term functional results remain equivocal between operative fixation and closed management of displaced humeral medial epicondyle fractures. The purpose of this study was to determine whether a functional difference exists between treatment types. METHODS: One hundred and forty patients with a displaced medial epicondyle fracture between 2007 and 2014 met the inclusion criteria. Of this large cohort, only 12 patients agreed to return to clinic at a mean follow-up of 3 years for prospective evaluation...
October 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27100037/medial-epicondyle-fractures-in-the-pediatric-overhead-athlete
#8
Aristides I Cruz, Joshua T Steere, J Todd R Lawrence
The medial epicondyle serves as the proximal attachment of the medial ulnar collateral ligament and the origin of the flexor pronator musculature and as such it is responsible for resisting the main static and dynamic restraints to valgus force at the elbow. Fractures through the physis in the developing elbow are common and treatment remains controversial. Biomechanical modeling predicts that anterior should be the direction of greatest displacement. Anatomic considerations predict that anterior displacement should have the greatest effect on elbow stability and range of motion making the ulnar collateral ligament too loose in flexion and too tight in extension and potentially leading to valgus laxity in flexion and a block to full extension...
June 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27042437/a-study-of-the-supratrochlear-foramen-of-the-humerus-anatomical-and-clinical-perspective
#9
Asha Joselet Mathew, Geetha Sulochana Gopidas, Tintu Thottiyil Sukumaran
INTRODUCTION: The Supratrochlear Foramen (STF) is a variably shaped perforation present in the bony septum that separates the olecranon and coronoid fossae at the distal end of the humerus, between the two epicondyles. Its incidence varies widely from 0.3% to 58% in different races. AIM: This study aims to describe its prevalence and morphometry in relation to its shape and size and distance from the epicondyles. MATERIALS AND METHODS: A prospective study of 244 unpaired humerii, 130 of the left side and 114 of the right side of unknown age and sex were examined for the presence of STF and prevalence stated...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26974528/fixation-of-displaced-medial-epicondyle-fractures-in-adolescents
#10
Gregory I Pace, William L Hennrikus
BACKGROUND: Open reduction and internal fixation of displaced medial epicondyle fracture dislocations in adolescents is recommended for incarceration of the epicondyle in the joint and for athletes who need a stable elbow for their sport. A screw placed across the epicondyle into the medial column avoiding the olecranon fossa is a common fixation method. One author has recommended adding a metal washer to the screw fixation because of the perceived risk of epicondyle fragmentation or penetration when using a screw alone...
March 11, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26960966/-nerve-injuries-after-elbow-luxation-fractures-in-childhood-indication-and-timing-for-surgical-revision
#11
A Wenger, J Berger, H Piza-Katzer
BACKGROUND: Supracondylar humerus fractures are very common in pediatric populations. In cases of dislocated fractures, closed reduction and percutaneous K‑wire fixation is recommended. Initially, 10-16 % of the patients also present lesion of the ulnar nerve as well as median nerve palsy in 6.4% and radial nerve palsy in 2.6 % of cases, respectively. METHOD: We present the case of a 10-year-old boy with a dislocation of the elbow and fracture of the medial epicondyle...
August 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26688991/fracture-of-the-medial-humeral-epicondyle-in-children-a-comparison-of-operative-and-nonoperative-management
#12
COMPARATIVE STUDY
Marcus D Biggers, Timothy M Bert, Alice Moisan, David D Spence, William C Warner, James H Beaty, Jeffrey R Sawyer, Derek M Kelly
To compare clinical and radiographic outcomes of medial epicondylar fractures treated operatively to those treated nonoperatively, 30 patients with 31 fractures were divided into three groups: (a) nondisplaced, six treated nonoperatively; (b) incarcerated fragment, four with operative treatment; and (c) displaced but not incarcerated, 21 fractures, 14 treated operatively and seven nonoperatively. Clinical outcomes were assessed with follow-up examination and the Japanese Orthopaedic Association elbow assessment score...
2015: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/26683504/adolescent-distal-humerus-fractures-orif-versus-crpp
#13
Phillip Bell, Brian P Scannell, Bryan J Loeffler, Brian K Brighton, R Glenn Gaston, Virginia Casey, Melissa E Peters, Steven Frick, Lisa Cannada, Kelly L Vanderhave
BACKGROUND: Although supracondylar humerus fractures are common in young children, the incidence in adolescents is much lower. As a result, there is a paucity of literature to guide treatment. The purpose of this study was to review the treatment and outcomes for a consecutive series of distal humerus fractures in adolescents and to compare outcomes between patients treated with percutaneous skeletal fixation and those treated with open reduction and fixation. METHODS: A retrospective review of patients 10 to 17 years of age who underwent surgical treatment for a distal humerus fracture from 2005 to 2014 was performed...
December 17, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26546588/paediatric-medial-epicondyle-fracture-without-elbow-dislocation-associated-with-intra-articular-ulnar-nerve-entrapment
#14
Mohamed Elbashir, Peter Domos, Mark Latimer
Elbow fractures are not uncommon in children, and some are associated with neurovascular injuries. Having a nerve injury in an elbow fracture without dislocation is rare and was not described in the literature. Here, we have reported probably the first case of an ulnar nerve injury in an elbow fracture without dislocation. A 9-year-old female presented to the emergency department after falling off a monkey bar. She had a painful, swollen and tender right elbow with no history or clinical signs of an elbow dislocation but had complete ulnar nerve palsy...
2015: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/26536011/early-outcomes-of-pediatric-elbow-dislocation-risk-factors-associated-with-morbidity
#15
Robert F Murphy, Carley Vuillermin, Manahil Naqvi, Patricia E Miller, Donald S Bae, Benjamin Shore
INTRODUCTION: Ulnohumeral elbow dislocation is a rare elbow injury in children. We reviewed a large cohort of pediatric ulnohumeral elbow dislocations and sought to identify risk factors associated with poor functional outcomes. METHODS: Medical charts and radiographs were reviewed for all acute pediatric ulnohumeral elbow dislocations evaluated at our facility during a 7-year period. Charts were abstracted for demographics, injury characteristics, treatments, and complications...
November 3, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26340870/medial-epicondyle-fractures-in-children-and-adolescents-shifting-care-from-general-hospitals-to-children-s-hospitals
#16
MULTICENTER STUDY
Peter D Fabricant, Mark A Seeley, Jason B Anari, Theodore J Ganley, John M Flynn, Keith D Baldwin
OBJECTIVES: To determine if there is a shift in the treatment of children with medial epicondyle fractures toward children's hospitals, and to explore potential confounders of any observed effect. STUDY DESIGN: The Healthcare Cost and Utilization Project Kids' Inpatient Database was used to examine the epidemiology of medial epicondyle fractures, particularly with attention to whether they were admitted to a general hospital or a children's hospital (defined as free-standing children's hospitals, specialty children's hospitals, and children's units within general hospitals)...
November 2015: Journal of Pediatrics
https://www.readbyqxmd.com/read/26164405/functional-outcomes-and-complications-after-surgical-repair-of-triceps-tendon-rupture
#17
Ozkan Kose, Omer Faruk Kilicaslan, Ferhat Guler, Baver Acar, Halil Yalçın Yuksel
OBJECTIVE: The purpose of this study was to present the functional outcomes and complications after primary repair of triceps tendon ruptures (TTR). PATIENTS AND METHODS: A retrospective review was performed on eight patients (six males, two females) who underwent transosseous suture repair for TTR. Mayo elbow score, range of motion, muscle strength and patient satisfaction were evaluated after at least 1-year follow-up. RESULTS: The mean age of the patients was 25...
October 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/26084895/resorbable-osteosynthetic-devices-in-pediatric-traumatology-a-prospective-series-of-24-cases
#18
J M Poircuitte, D Popkov, P Popkov, H Huber, D H Huber, E Polirsztok, P Lascombes, P Journeau
UNLABELLED: Bioresorbable devices are commonly used in traumatology. The biomechanical stability of these materials has improved in the past decade, and they have proven to be biologically non-hazardous, while their main advantage is that their use avoids reintervention for removal of the device. A prospective monocentric study was conducted: 24 patients presenting with a fracture that was amenable to osteosynthesis by small-diameter screws were included. These comprised ten tibial spine fractures, four osteochondritis dissecans of the distal femur, eight fractures of the medial epicondyle of the distal humerus, and two distal tibial apophyseal fractures...
August 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/25983522/tardy-ulnar-nerve-palsy-after-fracture-non-union-medial-epicondyle-of-humerus-an-unusual-case
#19
Rajesh Thiyam, Rajesh Lalchandani
Tardy ulnar nerve palsy is a chronic clinical condition characterised by delayed onset ulnar neuropathy. Typically tardy ulnar nerve palsy occurs as a consequence of non-union of lateral condyle in child resulting in cubitus valgus deformity which ultimately is the cause of ulnar nerve palsy. However very few literature are available for tardy ulnar nerve palsy as a result of old fracture of medial epicondyle without cubitus varus or valgus deformity. We report a rare case of tardy ulnar nerve in an adult male with fracture non-union of medial epicondyle of humerus...
June 2015: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/25944253/applied-anatomical-study-of-the-modified-anconeus-flap-approach
#20
Huan-jian Sun, Ye Zhang, Chun-lin Xia, Wen-feng Zhu, Jia-dong Wu
PURPOSE: Conventional surgical therapy for an intercondylar humerus fracture might result in multiple potential complications. Our study was conducted to evaluate the modified anconeus flap approach by adequately exposing the distal humeral articular surface, avoiding osteotomy of the olecranon and transection of the main part of the triceps brachial tendon from the olecranon. METHODS: Preparations of 20 upper limb specimens from adult cadavers were used in this study...
November 2015: Surgical and Radiologic Anatomy: SRA
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