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https://www.readbyqxmd.com/read/29335854/nonreconstruction-options-for-treating-medial-ulnar-collateral-ligament-injuries-of-the-elbow-in-overhead-athletes
#1
REVIEW
Nicholas J Clark, Vishal S Desai, Joshua D Dines, Mark E Morrey, Christopher L Camp
PURPOSE OF REVIEW: This review aims to describe the nonreconstructive options for treating ulnar collateral ligament (UCL) injuries ranging from nonoperative measures, including physical therapy and biologic injections, to ligament repair with and without augmentation. RECENT FINDINGS: Nonoperative options for UCL injuries include guided physical therapy and biologic augmentation with platelet-rich plasma (PRP). In some patients, repair of the UCL has shown promising return to sport rates by using modern suture and suture anchor techniques...
January 15, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29327545/-study-on-therapeutic-effects-of-arthroscopic-repair-on-medial-patellar-retinaculum-acute-injury
#2
Min Ren, Ping Zhen, Yu-Jun Fang, Xiao-Long Ren, Chen-Po Dang, Fei-Yi Hou, Shen-Song Li
OBJECTIVE: To accurately define the injury position of medial patellar retinaculum with acute injury under the guiding of high frequency ultrasonography, and to study therapeutic effects of suture operation on medial patellar retinaculum in the injuried position. METHODS: From June 2009 to March 2014, there were 17 patients with acute patellar dislocation, 6 males and 11 females with average age of (16.2±6.2) years old. The duration time of patellar dislocation was 2 weeks...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29320905/mid-to-long-term-outcomes-of-collateral-ligament-repairs-of-18-metacarpophalangeal-joints-with-bone-suture-anchors
#3
Pedro M Branco, Carolina Baptista, Carlos M Dias
No abstract text is available yet for this article.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29305621/-modern-treatment-strategies-for-the-long-head-of-the-biceps-tendon
#4
REVIEW
S Braun, A B Imhoff
The long head of the biceps and the biceps pulley sling are prone to acute or degenerative injury. As they both were identified as major pain generators, adequate diagnosis and treatment is vital for successful treatment of shoulder pain. Although the basic principles to address either pathology have not changed over the last decades, new trends have evolved to simplify surgical options. SLAP (superior labral tear from anterior to posterior) repair is seen more restrictive and is mostly performed in young individuals, whereas tenotomy or tenodesis are more often used in patients over 30...
January 5, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29290535/novel-ultrasound-assisted-suture-anchor-system-using-the-bonewelding%C3%A2-technology-yields-a-comparable-primary-stability-in-osteopenic-and-healthy-human-humeri-as-a-benchmark-anchor
#5
Mehmet F Güleçyüz, Christian Schröder, Matthias F Pietschmann, Stephanie Göbel, Mario Lehmann, Jörg Mayer, Andreas Ficklscherer, Volkmar Jansson, Peter E Müller
INTRODUCTION: The aim of this biomechanical study was to evaluate the primary stability of the SportWelding® Sombrero 3.6 mm suture anchor system in osteopenic and healthy cadaveric humeri. METHODS: The Sombrero® and BioCorkscrew® anchors were deployed in 8 osteopenic and 4 healthy cadaver humeri after the bone mineral density (BMD) measurements of the 32 specimens. Both anchors were loaded with a USP Nr. 2 FiberWire® suture. An established cyclic testing protocol was performed...
December 28, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29289493/clinical-and-radiologic-outcome-of-arthroscopic-rotator-cuff-repair-single-row-versus-transosseous-equivalent-repair
#6
Jeung Yeol Jeong, Keun Min Park, Shyam Sundar, Jae Chul Yoo
BACKGROUND: There is ongoing controversy regarding the ideal repair modality for rotator cuff tear, with single-row (SR) repair and double-row transosseous equivalent (TOE) repair as the main contenders. METHODS: This study included 415 patients who underwent arthroscopic rotator cuff type I (complete coverage of the greater tuberosity footprint) or II (incomplete coverage) repair between January 2006 and December 2012. SR repair followed the conventional protocol...
December 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29282115/efficacy-of-anchoring-the-four-arm-transvaginal-mesh-to-the-mid-urethra-vs-original-surgery-as-a-surgical-correction-for-stress-urine-incontinence-in-coexisting-anterior-vaginal-prolapse-grades-ii-and-iii-study-protocol-for-a-randomized-controlled-trial
#7
Zoltán Fekete, Andrea Surányi, Lórand Rénes, Gábor Németh, Zoltan Kozinszky
BACKGROUND: The prevalence of obesity with aging is escalating alarmingly; and pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are now becoming a growing epidemic among the elderly. Synthetic transvaginal mesh has been employed with increasing popularity in the treatment of POP and is usually highly effective in controlling the principal symptoms of prolapse. However, studies have reported that mesh operations provide fairly unfavorable SUI cure rates. Therefore, additional anti-incontinence surgical strategies are increasingly being scrutinized to achieve better postoperative continence without any significant side-effects for patients with both POP and SUI...
December 28, 2017: Trials
https://www.readbyqxmd.com/read/29281797/biomechanical-comparison-of-3-glenoid-side-fixation-techniques-for-superior-capsular-reconstruction
#8
Jonas Pogorzelski, Kyle J Muckenhirn, Justin J Mitchell, J Christoph Katthagen, Jason M Schon, Kimi D Dahl, Alan M Hirahara, Joshua S Dines, Christopher R Adams, Thomas Dooney, Patrick J Denard, Travis Lee Turnbull, Peter J Millett
BACKGROUND: Superior capsular reconstruction (SCR) was recently introduced as a treatment for irreparable superior rotator cuff tears in younger patients. Purpose/Hypothesis: The purpose was to assess the biomechanical strength of 3 methods for fixation of the graft to the glenoid for SCR. It was hypothesized that a 4-anchor technique would provide greater load to failure than 3-anchor techniques. STUDY DESIGN: Controlled laboratory study. METHODS: Thirty-six cadaveric specimens were randomized into 3 groups of previously established glenoid-side graft fixation techniques: (1) three 3...
December 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29279750/anterior-longitudinal-ligament-reconstruction-to-reduce-hypermobility-of-cervical-and-lumbar-disc-arthroplasty
#9
Ralph J Mobbs, Jia Xi Julian Li, Kevin Phan
Study Design: Retrospective case series. Purpose: This study aims to present the early clinical and radiological outcomes of anterior longitudinal ligament (ALL) reconstruction following disc arthroplasty. Overview of Literature: Although cervical and lumbar disc arthroplasty have entered the clinical setting, there are still concerns regarding the short and long term complications arising from hypermobility of current prosthesis designs. Reconstruction of the ALL is a potential solution to disc arthroplasty hypermobility...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29276539/triceps-tendon-rupture-repair-and-rehabilitation
#10
Cezary Kocialkowski, Rebecca Carter, Chris Peach
Triceps tendon ruptures are rare injuries and are frequently missed on initial presentation to the emergency department. In cases of complete rupture, surgical repair is recommended but no guidelines exist on the optimum reconstructive technique or rehabilitation. We present a surgical technique and rehabilitation programme for the management of these injuries. A midline posterior incision is performed, the ruptured triceps tendon is identified and mobilized, and the tendon footprint is prepared. The tendon is then repaired using bone suture anchors, with a parachute technique, and held in 40° of flexion...
January 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29247364/laparoscopic-repair-of-traumatic-flank-hernias
#11
Y W Novitsky
INTRODUCTION: Traumatic flank hernias (TFH) are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of healthy fascia to anchor the mesh, TFH represent a challenging surgical problem. Although laparoscopic repair of ventral hernias has become very common, no series of laparoscopic repairs of TFH has been reported to date. We present a series of patients undergoing laparoscopic repair of TFH...
December 15, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29244664/glenoid-erosion-leading-to-contact-with-retained-metallic-suture-anchors-bilateral-metallosis-after-bilateral-shoulder-hemiarthroplasty-a-case-report
#12
Justin J Mitchell, Dimitri S Tahal, J Christoph Katthagen, Alexander R Vap, Peter J Millett
CASE: Hemiarthroplasty of the shoulder is commonly indicated for younger patients with osteoarthritis who desire to continue recreational and employment activities. In patients who have undergone prior shoulder surgery, metallic suture anchors may be present in the glenoid. We present a case of bilateral shoulder metallosis following bilateral resurfacing hemiarthroplasty for arthropathy in the setting of previous shoulder instability; the prostheses caused eventual glenoid erosion, leading to contact with the retained metal anchors...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29237480/achilles-tenodesis-for-calcaneal-insufficiency-avulsion-fractures-associated-with-diabetes-mellitus
#13
Youngrak Choi, Young-Woo Kwon, Young-Suk Sim, Taeho Kim, Dayoung Song, Soohyun Lee
BACKGROUND: Calcaneal insufficiency avulsion (CIA) fractures often present with neuropathic etiology, such as Charcot neuroarthropathy (CN). Under the same surgical procedures, the outcomes of CIA fractures are less desirable, compared to the outcomes of the traumatic calcaneal avulsion fractures. Here, the study suggests Achilles tenodesis technique using suture anchor after resection of the CIA fracture fragments could provide satisfactory clinical results in the cases of surgically indicated CIA fractures...
December 13, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29201292/factors-associated-with-the-risk-of-articular-surface-perforation-during-anchor-placement-for-arthroscopic-acetabular-labral-repair
#14
Jun-Il Yoo, Yong-Chan Ha, Sun-Chul Hwang, Jin-Young Oh, Eui-Chan Chang, Young-Kyun Lee, Kyung-Hoi Koo
Background: The purpose of this study was to evaluate factors associated with the risk of articular surface perforation during anchor placement for arthroscopic acetabular labral repair using follow-up computed tomographic arthrography (CTA). Methods: Forty-six patients (29 males and 17 females) underwent arthroscopic labral repair using 142 suture anchors (55 large anchors and 87 small anchors). The patients were followed with CTA 1 year postoperatively. Anchor position was assessed by the insertion angle and the distance of the suture anchor tip from the articular cartilage...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29198737/stabilization-of-the-fourth-metatarsal-cuboid-lateral-lisfranc-injury-early-results-of-an-innovative-technique-using-suture-anchors
#15
Amol Saxena, Deann Hofer
This report presents an innovative surgical technique for the correction of cuboid-metatarsal subluxation at the level of the lateral Lisfranc joint. This stabilization technique reinforces the dorsal fourth tarsometatarsal ligament by incorporating sutures and anchors, establishing a more stable joint. The data from 5 female patients undergoing stabilization using a suture anchor construct were reviewed. All 5 patients were able to resume their activities, including the adolescent athletes. Anatomic reconstruction of the dorsal fourth tarsometatarsal ligament complex can lead to full mechanical and functional stability, which ultimately allows for a return to activity, even in highly demanding sports and athletes...
December 1, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29192932/a-novel-technique-to-repair-acute-and-chronic-proximal-hamstring-avulsions
#16
Michael T Cain, Matthew C Jones, Dale N Reed
Treatment of proximal hamstring avulsions is challenging regarding both timing and choice of repair. In chronic situations, the tissue can become attenuated, bringing into question the need for adjunctive allograft. In general, proximal hamstring avulsions are affixed back to the ischial tuberosity with suture anchors, with allograft used as needed for chronic situations. This article reports on a novel technique of suspensory fixation with a unicortical button but without allograft to repair both acute and chronic proximal hamstring avulsions...
November 30, 2017: Orthopedics
https://www.readbyqxmd.com/read/29191201/single-versus-double-row-suture-anchor-fixation-for-greater-tuberosity-fractures-a-biomechanical-study
#17
Gernot Seppel, Tim Saier, Frank Martetschläger, Johannes E Plath, Alberto Guevara-Alvarez, Julia Henschel, Martin Winkler, Peter Augat, Andreas B Imhoff, Stefan Buchmann
BACKGROUND: Fractures of the humeral greater tuberosity (GT) are a frequent injury progressively treated with arthroscopic suture anchor repair. Yet, no biomechanical study has been performed comparing fixation strength of arthroscopic single- (SR) vs. double row (DR) fixation. METHODS: Standardized fractures of the greater tuberosity were created in 12 fresh frozen proximal humeri. After random assignation to the SR or DR group the fixed humeri were tested applying cyclic loading to the supraspinatus and infraspinatus tendon...
December 1, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29166912/neurofilament-distribution-in-the-superior-labrum-and-the-long-head-of-the-biceps-tendon
#18
Sandra Boesmueller, Antal Nógrádi, Patrick Heimel, Christian Albrecht, Sylvia Nürnberger, Heinz Redl, Christian Fialka, Rainer Mittermayr
BACKGROUND: The postoperative course after arthroscopic superior labrum anterior to posterior (SLAP) repair using suture anchors is accompanied by a prolonged period of pain, which might be caused by constriction of nerve fibres. The purpose was to histologically investigate the distribution of neurofilament in the superior labrum and the long head of the biceps tendon (LHBT), i.e. the location of type II SLAP lesions. METHODS: Ten LHBTs including the superior labrum were dissected from fresh human specimen and immunohistochemically stained against neurofilament (NF)...
November 22, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29158646/management-of-comminuted-tibial-end-bony-avulsion-of-posterior-cruciate-ligament-by-open-posterior-approach-using-suture-bridge-technique-a-case-series
#19
Vivek Pandey, Naveen Mathai, A Varshini, Kiran Acharya
Background: Comminuted tibial end bony avulsion of posterior cruciate ligament (PCL) is a challenging problem in terms of accurate reduction, fixation and union to provide a stable knee. Arthroscopic reduction or a screw fixation is good option for a large fragment but comminuted fragment reduction remains a challenge. Suture bridge technique using two anchors can provide an accurate reduction and stable fixation. Method: 10 patients of isolated comminuted PCL avulsion with a mean age of 30 years were fixed by standard posterior approach using suture bridge technique...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29153287/avulsion-fracture-of-the-calcaneal-tuberosity-case-report-and-literature-review
#20
Thomas Rauer, Reto Twerenbold, Roman Flückiger, Valentin Neuhaus
Avulsion fractures of the calcaneal tuberosity are predominantly seen in patients with poor bone quality, the commonly used lag screw fixation might not be strong enough even with bony fragments of sufficient size. We present a case of a closed displaced avulsion fracture of the calcaneal tuberosity due to blunt trauma to the calf in a 74-year-old female. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. Without further trauma, secondary displacement of the fracture occurred on day 3...
November 15, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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