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fracture olecranon

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https://www.readbyqxmd.com/read/27886684/controversies-in-fractures-of-the-proximal-ulna
#1
REVIEW
Christopher M Hopkins, James H Calandruccio, Benjamin M Mauck
The olecranon process, coronoid process, and greater sigmoid notch are important components of the complex proximal ulna. Along with providing bony stability to the ulnohumeral joint, the proximal ulna serves as the attachment site of many important muscles and ligaments that impart soft tissue stability to the elbow joint. Management of proximal ulnar fractures continues to evolve as advances in imaging and anatomic and biomechanical studies have led to improvements in available implants; however, controversies remain, as shown in the current relevant literature...
January 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/27858838/a-case-report-of-children-s-divergent-dislocation-of-the-elbow-and-review-of-literature
#2
Yongtao Wu, Hai Jiang, Wusheng Miao
BACKGROUND: The divergent dislocation of the elbow is not common in children, and the imaging is difficult and challenging. This often leads to misdiagnosis or inappropriate treatment. The literature has reported a total of 19 cases currently. METHODS: A 10-year-old girl with divergent dislocation of the elbow was admitted in our department in November 2013. When playing basketball, her right elbow was injured on the concrete floor. After injury, her right elbow joint became severely swollen, with obvious deformity...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27842568/efficacy-and-safety-of-tension-band-wiring-versus-plate-fixation-in-olecranon-fractures-a-systematic-review-and-meta-analysis
#3
Yi-Ming Ren, Hu-Yun Qiao, Zhi-Jian Wei, Wei Lin, Bao-You Fan, Jun Liu, Ang Li, Yi Kang, Shen Liu, Yan Hao, Xian-Hu Zhou, Shi-Qing Feng
BACKGROUND: Olecranon fracture (OF) is a common upper limb fracture, and the most commonly used techniques are still tension band wiring (TBW) and plate fixation (PF). The aim of the current study is to discuss whether TBW or PF technique of internal fixation is better in the treatment of OFs, using the method of meta-analysis. METHODS: The eligible studies were acquired from PubMed, CNKI, Embase, Cochrane Library, and other sources. The data were extracted by two of the coauthors independently and were analyzed by RevMan5...
November 14, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27832347/fracture-line-distribution-of-olecranon-fractures
#4
Bart Lubberts, Jos J Mellema, Stein J Janssen, David Ring
PURPOSE: The association between specific olecranon fracture characteristics (e.g., displacement, fragmentation, subluxation) and fracture line distribution might help surgeons predict intra-articular fracture location based on fracture characteristics that can be determined on radiographs. We hypothesized that fracture mapping techniques would reveal different fracture patterns for minimally displaced fractures, displaced fractures, and fracture-dislocations of the olecranon. METHODS: A consecutive series of 78 patients with olecranon fractures were evaluated using initial radiographs and computed tomography scans and characterized according to the Mayo classification...
November 10, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27812060/upper-limb-birth-trauma-in-a-jordanian-population-a-prospective-study-at-king-hussein-medical-centre-amman-jordan
#5
Firas Ahmad Suleiman, Ala Awwad Almaaitah, Hashim Ezzat Aqrabawi
OBJECTIVE: To determine the incidence of and the main risk factors related to upper limb injury at birth. METHODS: This prospective study was conducted at the King Hussein Medical Centre, Amman, Jordan, from October 2014 to May 2015, and comprised newborns. The probable predisposing factors for upper limb birth injury and their relation to injury were analysed. SPSS 17 was used for data analysis. RESULTS: Of the 5,030 live births, 5,003(99...
November 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27741076/useful-plain-radiographic-findings-in-diagnosis-of-pediatric-olecranon-fracture-complicated-with-proximal-radial-fracture
#6
Yuki Fujihara, Masahiro Tatebe, Nasa Fujihara, Hiromasa Tanaka, Hitoshi Hirata
OBJECTIVE: The aim of this study was to verify the use of initial plain radiographs, specifically the presence of a longitudinal crack on the olecranon, for diagnosing olecranon occult fractures in children. METHODS: We retrospectively reviewed all patients younger than 16 years who were diagnosed with proximal radial fractures treated at our hospital between April 1, 2006 and September 31, 2014. We included 22 patients (9 boys and 13 girls) with a mean age of 8...
October 6, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27686579/a-case-report-of-a-deep-surgical-site-infection-with-terrisporobacter-glycolicus-t-mayombei-and-review-of-the-literature
#7
Matthew P Cheng, Marc-Christian Domingo, Simon Lévesque, Cedric P Yansouni
BACKGROUND: There are increasing data regarding Terrisporobacter glycolicus as an emerging anaerobic pathogen. However, the few published cases to date usually report it as part of a polymicrobial infection. Here, we describe the first reported monomicrobial surgical site infection with this bacterium. Identification methods, taxonomy, and clinical management of this rarely identified pathogen are also discussed. CASE PRESENTATION: A previously healthy 66-year-old sustained an open olecranon fracture of his left arm after trauma...
September 29, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27682294/morphological-characteristics-of-olecranon-fractures-in-adults%C3%A2-a-computed-tomography-based-study
#8
Y Fujihara, M Tatebe, N Fujihara, H Tanaka, H Hirata
The aim of this study was to identify the fragment's shape by evaluating olecranon fractures. We examined the CT images of 48 olecranon fractures (28 women and 20 men). Mean age was 59.9 years. On the olecranon's posterior surface, we measured the distance between the apex of the olecranon fragment and the radial edge of the flat spot on the short axis and the width of the flat spot on the same short axis. The tip radial ratio (i.e., the tip radial edge to the flat spot width) was derived from these parameters...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27625539/outcomes-of-concomitant-fractures-of-the-radial-head-and-capitellum-the-kissing-lesion
#9
F M A P Claessen, A R Kachooei, K K J Verheij, G P Kolovich, Chaitanya S Mudgal
BACKGROUND: Radial head compression against the capitellum may cause concomitant fracture of the capitellum. The purpose of this study was to investigate if radial head fracture type is associated with a concomitant fracture of the capitellum. PATIENTS AND METHODS: Data were identified from five area hospitals. We retrieved records of patients older than 18 years of age who underwent treatment for concomitant capitellum fracture and radial head fracture between January 2002 and January 2013...
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27614671/impact-of-olecranon-fracture-malunion-study-on-the-importance-of-puda-proximal-ulna-dorsal-angulation
#10
Julien Chapleau, Frédéric Balg, Edward J Harvey, Jérémie Ménard, Frédéric Vauclair, G-Yves Laflamme, Jonah Hebert-Davies, Dominique M Rouleau
PURPOSE: The Proximal Ulna Dorsal Angulation (PUDA) is part of the proximal ulna's normal anatomy. The importance of restoring ulnar anatomy characteristics precisely after olecranon fracture is not known, however, failure to recreate the PUDA after surgery may result in poorer functional outcomes. The purpose of this study is to evaluate the impact of minimal proximal ulna malunion on elbow ROM and function at least one year after olecranon ORIF. METHOD: A retrospective comparative cohort study took place in three level-1 trauma centers...
August 30, 2016: Injury
https://www.readbyqxmd.com/read/27600569/-the-bare-area-of-the-proximal-ulna-an-anatomical-study-on-optimizing-olecranon-osteotomy
#11
M Hackl, S Lappen, W F Neiss, M Scaal, L P Müller, K Wegmann
BACKGROUND: Olecranon osteotomy is an established approach for the treatment of distal humerus fractures. It should be performed through the bare area of the proximal ulna to avoid iatrogenic cartilage lesions. OBJECTIVES: The goal of this study was to analyze the anatomy of the proximal ulna with regard to the bare area and, thereby, to optimize the hitting area of the bare area when performing olecranon osteotomy. MATERIALS AND METHODS: The bare areas of 30 embalmed forearm specimens were marked with a radiopaque wire and visualized three-dimensionally with a mobile C‑arm...
October 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27528837/construct-choice-for-the-treatment-of-displaced-comminuted-olecranon-fractures-are-locked-plates-cost-effective
#12
Edward M DelSole, Kenneth A Egol, Nirmal C Tejwani
BACKGROUND: Cost effective implant selection in orthopedic trauma is essential in the current era of managed healthcare delivery. Both locking and non-locking plates have been utilized in the treatment of displaced fractures of the olecranon. However, locking plates are often more costly and may not provide superior clinical outcomes. The primary aim of the present study is to assess the clinical and functional outcomes of olecranon fractures treated with locked and non-locking plate and screw constructs while providing insight into the cost of various implants...
2016: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/27521146/distal-third-diaphyseal-fractures-of-the-humerus-choice-of-approach-and-surgical-treatment
#13
A Maresca, R Fantasia, M Cianforlini, N Giampaolini, S Cerbasi, R Pascarella
PURPOSE: Distal-third diaphyseal fractures of the humerus are often hard to treat due to location and pattern of the fractures, radial nerve injury, and quality of bone and age of patients. The aim of this retrospective study is to propose the best approach and the best surgical technique according to the pattern of extra-articular fracture of the distal humerus. METHODS: We have treated 37 fractures of the distal humerus between January 2010 and July 2015 classified according to the AO classification...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27472849/polydimethylsiloxane-pressure-sensors-for-force-analysis-in-tension-band-wiring-of-the-olecranon
#14
Martin Zens, Frank Goldschmidtboeing, Ferdinand Wagner, Kilian Reising, Norbert P Südkamp, Peter Woias
BACKGROUND: Several different surgical techniques are used in the treatment of olecranon fractures. Tension band wiring is one of the most preferred options by surgeons worldwide. The concept of this technique is to transform a tensile force into a compression force that adjoins two surfaces of a fractured bone. Currently, little is known about the resulting compression force within a fracture. OBJECTIVE: Sensor devices are needed that directly transduce the compression force into a measurement quality...
July 22, 2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/27441925/olecranon-osteotomy-with-tension-band-wire-repair
#15
David A Fuller
PURPOSE: The purpose of this video is to demonstrate the surgical technique of olecranon osteotomy with tension band wire repair. METHODS: A patient with a comminuted, intra-articular distal humerus fracture requiring ORIF is presented in this video demonstration of the surgical technique of an olecranon osteotomy. The olecranon osteotomy is an established technique for approaching the distal humerus for surgical repair of fracture. In the video, the patient is positioned laterally allowing a dorsal incision...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27441924/open-reduction-internal-fixation-distal-intraarticular-distal-humerus-fracture
#16
David A Fuller
PURPOSE: The purpose of this video is to demonstrate the surgical repair of an intraarticular distal humerus fracture. METHODS: A polytrauma patient with an intraarticular distal humerus fracture is shown. The patient is positioned laterally, with a posterior skin incision and olecranon osteotomy for exposure. An anatomic reduction is achieved, and internal fixation with perpendicular plating of the distal humerus is performed. RESULTS: The video is 18 minutes, 34 seconds duration in time and 2,048,752,000 bytes in size...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27424532/triceps-reflecting-anconeus-pedicle-approach-with-double-precontoured-locking-plate-fixation-is-efficient-in-the-treatment-of-orthopaedic-trauma-association-type-c-distal-humerus-fracture
#17
Ying-Chao Chou, Yung-Heng Hsu, Yi-Hsun Yu, Chi-Chuan Wu
BACKGROUND: The purpose of this study was to determine if the triceps-reflecting anconeus pedicle (TRAP) approach combined with the precontoured locking plate can provide acceptable clinical outcomes in the treatment of comminuted distal humerus fracture. METHODS: Between August 2008 and June 2014, 48 patients with Orthopaedic Trauma Association type C (21 with C2, 27 with C3) distal humerus fractures underwent open reduction and internal fixation with orthogonal precontoured locking plate fixation using the TRAP approach...
October 2016: Injury
https://www.readbyqxmd.com/read/27422461/a-new-posterior-triceps-approach-for-total-elbow-arthroplasty-in-patients-with-osteoarthritis-secondary-to-fracture-preliminary-clinical-experience
#18
Andrea Celli
BACKGROUND: During the past decade, total elbow arthroplasty (TEA) procedures have increased because of an increase in the number of trauma patients. Even though most current posterior approaches to the elbow provide excellent joint exposure, they involve the risk of extensor mechanism injury and of eventual insufficiency, particularly in patients with osteoarthritis (OA) secondary to fracture. I describe a new triceps exposure approach for TEA, the anconeus-triceps lateral flap, which has proved valuable in patients with distal humeral and olecranon fracture malunion, and its preliminary results at a minimum follow-up of 24 months...
August 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27418993/stress-fracture-and-nonunion-of-coronoid-process-in-a-gymnast
#19
T Hetling, P Bourban, B Gojanovic
Background. Gymnasts have high mechanical loading forces of up to 14 times body weight. Overuse lesions are typical in wrists and stress fractures in the olecranon, while isolated fractures of the coronoid process are uncommon. We present a case of retraumatized nonunion stress fracture of the ulnar coronoid process. Case Description. A 19-year-old gymnast presented with elbow pain after training. Imaging confirmed an old fracture of the coronoid process. We describe a 6-month multiphase return to competition rehabilitation program, which allowed him to compete pain-freely...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27281883/-modified-classification-and-management-of-terrible-triad-of-elbow
#20
You Zhang, Shiqing Liu, Hongbin Zhou, Xiaorong Qin, Xiangwei Zhang
OBJECTIVE: To investigate the feasibility of modified classification of terrible triad of the elbow and the effectiveness of treatment strategy which was chosen by modified classification results. METHODS: Between March 2007 and November 2013, 12 cases of terrible triad of the elbow were treated by operation. There were 5 males and 7 females with an average age of 37.2 years (range, 26-74 years). The mechanism of injury was falling from height in 8 cases and traffic accident in 4 cases...
March 2016: Chinese Journal of Reparative and Reconstructive Surgery
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