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fracture olecranon

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https://www.readbyqxmd.com/read/29127918/management-of-type-iib-and-iiib-olecranon-fractures-case-series
#1
Mohammed Ali, Catherine Hatzantonis, Dimitrios Aspros, Nirad Joshi, D I Clark, Amol Tambe
OBJECTIVES: to report and evaluate the functional outcome of plate fixation in comminuted olecranon fractures (Mayo types IIB and IIIB). METHOD: 23 consecutive patients with comminuted fractures of the olecranon presenting to our unit Between Feb 2011 and Jan 2015, at a mean follow-up of thirty-six months. Main outcome measurements include radiographic healing, post-operative range of motion, complications, outcome score and patient satisfaction. RESULTS: Our study included thirteen females and ten males with a mean age of 55(18-97)...
November 6, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29099893/acute-shortening-versus-bridging-plate-for-highly-comminuted-olecranon-fractures
#2
Meir Marmor, Keiko Amano, Akira Yamamoto, David Friedberg, Erik McDonald, Eric Meinberg
Severely comminuted olecranon fractures, for which elbow stability becomes the main goal of surgery, remain a challenge for surgeons. We conducted a study to determine the percentage loss of articular surface at which a bridge plating (BP) construct becomes too unstable and an acute shortening (AS) construct is required. The olecranon process of 8 fresh-frozen cadaveric upper limbs was serially resected. At each resection, the simulated fracture was fixed first with BP and then with AS. Stability was tested by performing valgus and varus stress tests at various angles under fluoroscopy...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29051884/curettage-using-soft-wire-for-enchondroma-in-the-hand-a-technical-note
#3
Akio Sakamoto, Shuichi Matsuda
INTRODUCTION: Enchondromas are benign bone cartilaginous lesions predominantly seen in the hand, possibly leading to a pathological fracture. When the lesion expands to the whole phalanx, curettage through a small fenestration is difficult. To overcome the problem, soft-wire (cerclage wire) was used as a curette. Soft-wire is commonly used for a tension band wiring method for patellar or olecranon fractures. TECHNIQUE: Two representative cases are presented: one is a 43-year-old male with enchondroma in the middle phalanx of the left index finger, and the other is a 28-year-old female with enchondroma in the distal phalanx of the right thumb...
May 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29037536/open-reduction-and-internal-fixation-for-nonunion-of-extra-articular-distal-humeral-fractures-in-patients-70-years-and-older
#4
Soo Min Cha, Hyun Dae Shin
HYPOTHESIS: The study purpose was to report the clinical and radiologic outcomes of osteosynthesis by open reduction and internal fixation for nonunion of extra-articular distal humeral fractures in patients aged 70 years or older. MATERIALS AND METHODS: This retrospective study included 28 patients who received osteosynthesis treatment between March 2010 and December 2015. Primary conservative treatment had failed in all patients. All surgical procedures were performed via the posterior approach without olecranon osteotomy and with the use of double-locking plates for each column...
October 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29025604/double-plating-for-bicolumnar-distal-humerus-fractures-in-the-elderly
#5
Andrea Pantalone, Daniele Vanni, Matteo Guelfi, Alberto Belluati, Vincenzo Salini
Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analysis in order to plan the optimal therapeutic strategy. In particular, bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years, double plating fixation became the standard treatment: this procedure helped surgeons to obtain a stable and anatomical fixation and an early mobilization, which is the main outcome for obtaining valuable functional results. In this retrospective study, we evaluated the use of open bicolumnar 90-90 plating for fixation of acute fragility fractures of the distal humerus in elderly patients, using the olecranon osteotomy as surgical approach...
October 2017: Injury
https://www.readbyqxmd.com/read/28988397/risk-factors-for-development-of-severe-post-traumatic-elbow-stiffness
#6
Wei Zheng, Jiazhi Liu, Jialin Song, Cunyi Fan
PURPOSE: The purpose of this study was to compare different grades of elbow stiffness and investigate demographic, injury, and treatment factors potentially associated with the development of severe elbow stiffness. METHODS: We performed a retrospective study involving 169 patients with post-traumatic elbow stiffness between June 2014 and June 2016. Patient demographics, injury, and treatment details were reviewed. Patients were classified into three groups according to the elbow motion...
October 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28955693/olecranon-fractures-have-features-of-osteoporotic-fracture
#7
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/28953168/bipedicle-flaps-for-posterior-elbow-reconstruction
#8
Kyle J Chepla, Shirley Shue, Bram R Kafuman
Chronic posterior elbow soft tissue defects often require soft tissue reconstruction because of exposure of the underlying triceps tendon and proximal ulna. Current options for soft tissue coverage require sacrifice of a local muscle or microsurgery. The purpose of this study is to evaluate patient and surgical outcomes after reconstruction of small-sized to medium-sized (<50 cm) posterior elbow defects with bipedicle advancement flaps. A retrospective chart review was performed for 3 patients who underwent posterior elbow reconstruction with bipedicle flaps...
December 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28932288/tension-band-suture-fixation-for-olecranon-fractures
#9
Joideep Phadnis, Adam C Watts
Olecranon fractures are common and often require surgical treatment when displaced. Traditional methods of stabilization using tension band wire fixation and plate fixation achieve adequate union and function but are associated with a high rate of re-operation and wound problems because of prominent metalwork. The purpose of the present article is to describe an all suture technique for fixation of simple olecranon fractures that maintains inter-fragmentary compression, provides bony union and reduces the rate of re-operation caused by prominent metalwork...
October 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28932286/pilot-report-non-operative-treatment-of-mayo-type-ii-olecranon-fractures-in-any-age-adult-patient
#10
Matthew D Putnam, Christy M Christophersen, Julie E Adams
BACKGROUND: We report on the non-operative treatment of Mayo Type II olecranon fractures. METHODS: Fourteen isolated Mayo Type II olecranon fractures were treated non-operatively, followed to discharge, and retrospectively reviewed. Treatment was splinting in extension followed by protected active motion beginning 3 weeks to 4 weeks post-injury. Mayo Elbow Performance Index (MEPI) and Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores were available in 86% and 64% of cases, respectively...
October 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28927668/societal-costs-in-displaced-transverse-olecranon-fractures-using-decision-analysis-tools-to-find-the-most-cost-effective-strategy-between-tension-band-wiring-and-locked-plating
#11
Tittu Francis, Travis Washington, Karan Srivastava, Vasilios Moutzouros, Eric C Makhni, William Hakeos
BACKGROUND: Tension band wiring (TBW) and locked plating are common treatment options for Mayo IIA olecranon fractures. Clinical trials have shown excellent functional outcomes with both techniques. Although TBW implants are significantly less expensive than a locked olecranon plate, TBW often requires an additional operation for implant removal. To choose the most cost-effective treatment strategy, surgeons must understand how implant costs and return to the operating room influence the most cost-effective strategy...
September 15, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28913386/persistent-medial-subluxation-of-the-ulna-with-radiotrochlear-articulation
#12
Amir R Kachooei, David Ring
Two patients-one with a terrible triad fracture dislocation and one with an anterior olecranon fracture dislocation-were treated for maltracking of the elbow (medial subluxation). The radial head articulated with the lateral trochlea while the ulnar trochlear notch was perched over the medial trochlea. The late revision surgery could not correct the subluxation because the joints were accustomed to the new alignment, however the overall function was reasonable.
July 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28904732/-type-iii-monteggia-lesion-a-rare-association-about-a-case
#13
Mohamed Amine Oukhouya, Hind Abou El Jaoud, Saad Andaloussi, Hicham Abdellaoui, Karima Atarraf, Lamia Chater, My Abderrahman Afifi
Type III Monteggia lesion is very rare, usually occurring within a context of violent trauma and often going unnoticed. We report the case of a 11-year old boy presenting to the Emergency Department with blunt trauma of the upper limb. The radiological evaluation showed olecranon fracture and radial epiphyseal separation associated with dislocation of the radial head. The patient underwent orthopedic treatment with good outcome after a mean follow-up of 3 months.
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28902760/common-ice-hockey-injuries-and-treatment-a-current-concepts-review
#14
William Mosenthal, Michael Kim, Robert Holzshu, Bryan Hanypsiak, Aravind Athiviraham
Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28864862/is-the-novel-olecranon-tension-plate-a-valid-alternative-to-tension-band-wiring-of-olecranon-fractures-a-biomechanical-study-on-cadaver-bones
#15
Dominik Gruszka, Charlotte Arand, Julia Greenfield, Tobias E Nowak, Raphael Kuechle, Sebastian Kuhn, Pol M Rommens
INTRODUCTION: Tension band wiring (TBW) used for olecranon fractures is afflicted with a high rate of complications. The aim of this study was to compare the stability of the TBW versus an alternative, novel low-profile olecranon tension plate (OTP) with angular stable screws in a simulated complex fracture model. MATERIALS AND METHODS: Nine fresh-frozen pairs of cadaver proximal ulnae with an oblique osteotomy and an additional wedge fragment simulating an unstable fracture were tested...
September 1, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28844418/early-results-of-latitude-primary-total-elbow-replacement-with-a-minimum-follow-up-of-2-years
#16
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/28837601/age-and-severity-adjusted-treatment-of-proximal-humerus-fractures-in-children-and-adolescents-a-systematical-review-and-meta-analysis
#17
REVIEW
Lisa Hohloch, Helge Eberbach, Ferdinand C Wagner, Peter C Strohm, Kilian Reising, Norbert P Südkamp, Jörn Zwingmann
BACKGROUND: Fractures of the proximal humerus in patients under the age of 18 years show a low incidence; existing clinical studies only comprise small patient numbers. Different treatment methods are mentioned in the literature but a comparison of the outcome of these methods is rarely made. Up to now, no evidence-based algorithm for conservative and operative treatment is available. The aim of this systematic review with meta-analysis was therefore to gather the best evidence of different treatment methods and their associated functional outcome, complication rates, rates of limb length discrepancies and radiological outcome...
2017: PloS One
https://www.readbyqxmd.com/read/28819614/acute-compartment-syndrome-after-an-olecranon-fracture-in-a-patient-with-mild-hemophilia-b
#18
John M Reynolds, Christy Christophersen, Mary K Mulcahey
INTRODUCTION: Compartment syndrome is a serious condition characterized by compartmental pressures within 20 mmHg of diastolic blood pressure, or clinical signs of pain, paresthesia, pallor, and lack of pulses. Often a surgical intervention is necessary. Increased surveillance for compartment syndrome is important when a patient with a bleeding disorder sustains a traumatic injury. CASE REPORT: We present a case of forearm compartment syndrome in a patient with mild hemophilia B who sustained an olecranon fracture...
March 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28763412/plate-versus-tension-band-wire-fixation-for-olecranon-fractures-a-prospective-randomized-trial
#19
RANDOMIZED CONTROLLED TRIAL
Andrew D Duckworth, Nicholas D Clement, Timothy O White, Charles M Court-Brown, Margaret M McQueen
BACKGROUND: The aim of this single-center, single-blinded, prospective randomized trial was to compare the outcomes of tension-band wire (TBW) and plate fixation for simple isolated, displaced fractures of the olecranon. METHODS: We performed a prospective randomized trial involving 67 patients who were ≥16 to <75 years of age and had an acute isolated, displaced fracture of the olecranon. Patients were randomized to either TBW (n = 34) or plate fixation (n = 33) and were evaluated at 6 weeks, 3 months, 6 months, and 1 year following surgery...
August 2, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28745249/-a-hardening-in-the-forearm-after-an-olecranon-fracture
#20
C M M Peeters, J C Sluimer, T Gosens
A 77-year-old male who had had an olecranon fracture 15 years ago presented himself with mild pain of the right elbow. Physical examination revealed painless hardening of the finger and wrist flexors in an area of 10 cm from the origin. Conventional radiographs showed a mature myositis ossificans.
2017: Nederlands Tijdschrift Voor Geneeskunde
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