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https://www.readbyqxmd.com/read/29917008/mid-term-and-long-term-functional-and-radiographic-results-of-13-surgically-treated-adolescent-capitellum-fractures
#1
Tolga Onay, Seyit A Gümüştaş, Said E Baykan, Ahmet H Akgülle, Bülent Erol, Kaan S Irgit
BACKGROUND: Capitellum fractures are rare in adolescents, and information in literature is still limited. The purpose of this study was to report the mid-term and long-term functional and radiographic results of 13 surgically treated adolescent capitellum fractures in a level I trauma center. METHODS: This retrospective study included patients aged 10 to 16 years, who underwent surgery for a capitellum fracture and were followed up for at least 12 months. Fractures were classified according to the McKee modification of the Bryan and Morrey classification, and elbow arthritis was classified using the Broberg and Morrey system...
June 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29908927/physiological-loading-of-the-coonrad-morrey-nexel-and-discovery-elbow-systems-evaluation-by-finite-element-analysis
#2
Elizabeth A King, Philippe Favre, Amin Eldemerdash, Jeffrey E Bischoff, Mark Palmer, Jeffrey N Lawton
PURPOSE: Wear of polyethylene bearings represents a limiting factor in the long-term success of total elbow prostheses. Bearing stress is 1 factor contributing to accelerated wear. Physiological loading of total elbow prostheses and implant design influence upon bearing stresses have not been well described. This study evaluates bearing stresses in 3 commercially available implant designs under loads associated with daily living. METHODS: Motion tracking from a healthy volunteer helped establish a musculoskeletal model to simulate flexor and extensor muscle activation at 0°, 45°, and 90° of shoulder abduction with a 2...
June 13, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29876703/clinical-indications-for-musculoskeletal-ultrasound-updated-in-2017-by-european-society-of-musculoskeletal-radiology-essr-consensus
#3
Luca Maria Sconfienza, Domenico Albano, Georgina Allen, Alberto Bazzocchi, Bianca Bignotti, Vito Chianca, Fernando Facal de Castro, Elena E Drakonaki, Elena Gallardo, Jan Gielen, Andrea Sabine Klauser, Carlo Martinoli, Giovanni Mauri, Eugene McNally, Carmelo Messina, Rebeca Mirón Mombiela, Davide Orlandi, Athena Plagou, Magdalena Posadzy, Rosa de la Puente, Monique Reijnierse, Federica Rossi, Saulius Rutkauskas, Ziga Snoj, Jelena Vucetic, David Wilson, Alberto Stefano Tagliafico
OBJECTIVES: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe. METHODS: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Updated musculoskeletal ultrasound literature up to July 2017 was scored for shoulder, elbow, wrist/hand, hip, knee, and ankle/foot...
June 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29874278/age-related-changes-in-upper-limb-motion-during-typical-development
#4
Cristina Simon-Martinez, Gabriela Lopes Dos Santos, Ellen Jaspers, Ruth Vanderschueren, Lisa Mailleux, Katrijn Klingels, Els Ortibus, Kaat Desloovere, Hilde Feys
BACKGROUND AND AIM: Understanding the maturation of upper limb (UL) movement characteristics in typically developing (TD) children is key to explore UL deficits in those with neurodevelopmental disorders. Three-dimensional motion analysis (3DMA) offers a reliable tool to comprehensively evaluate UL motion. However, studies thus far mainly focused on specific pre-defined parameters extracted from kinematic waveforms. Here, we investigated age-related differences in UL movement characteristics over the entire movement cycle in TD children...
2018: PloS One
https://www.readbyqxmd.com/read/29859102/long-term-outcomes-of-modular-metal-prosthesis-replacement-in-patients-with-irreparable-radial-head-fractures
#5
Alvin Chao-Yu Chen, Ying-Chao Chou, Chun-Jui Weng, Chun-Ying Cheng
BACKGROUND: The purposes of this study were to investigate the long-term outcomes of radial head replacement and to analyze the relationship between functional outcomes and periprosthetic radiolucency. METHODS: We retrospectively reviewed 32 patients who underwent unilateral radial head replacement between 2004 and 2011. Data on patient characteristics including age, gender, injury complexity, associated trauma, injury chronicity, and number of surgeries were collected and analyzed...
June 1, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29806569/comparison-of-an-epicondylitis-bandage-with-a-wrist-orthosis-in-patients-with-lateral-epicondylitis
#6
Halil Ekrem Akkurt, Hilal Kocabaş, Halim Yılmaz, Cemile Eser, Zafer Şen, Kemal Erol, Hamit Göksu, Gülten Karaca, Süleyman Baktık
BACKGROUND: Lateral epicondylitis is one of the most common causes of elbow pain. It is generally observed in people between the ages of 40 and 50 years, and the dominant extremity is more frequently affected. Various noninvasive methods are frequently used; however, studies investigating the effectiveness of the orthoses are limited and with controversial outcomes. OBJECTIVE: To investigate the effectiveness of a hand-wrist resting orthosis and an epicondylitis bandage in lateral epicondylitis...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29804912/immediate-physical-therapy-without-postoperative-restrictions-following-open-subpectoral-biceps-tenodesis-low-failure-rates-and-improved-outcomes-at-a-minimum-2-year-follow-up
#7
Daniel J Liechti, Justin J Mitchell, Travis J Menge, Thomas R Hackett
HYPOTHESIS: We aimed to determine patient-reported outcomes in patients undergoing open subpectoral biceps tenodesis with a dual-fixation construct who had no postoperative range-of-motion or weight-bearing restrictions. Our hypothesis was that patients without postoperative restrictions would have low failure rates with improved patient-reported outcomes. We further hypothesized that this technique would allow an earlier return to activity and similar functional outcomes when compared with those reported in the literature...
May 25, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29785225/bipolar-dislocation-of-the-arm-shoulder-and-elbow-about-one-case-in-an-african-teaching-hospital
#8
D A Songahir Christophe, Korsaga Alexandre, Tinto Sayouba, Sawadogo Mamoudou, Kafando Hamado, Ouedraogo Anatole Jean Innocent, Zeida Charles, Keita Namori, Tall Mohamed
We report an exceptional clinical case of an ipsilateral dislocation fracture of the shoulder and right elbow, realizing a "swinging arm". Following a violent road accident, patient S.I, a 43-year-old left-handed sports educator, presented with an antero-medial shoulder dislocation fracture and a posterolateral ipsilateral elbow fracture-dislocation. The reduction in urgency, followed by the orthopedic compression by Mayo Clinic and functional rehabilitation, allowed obtaining a good result after seven months...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29776470/clinical-outcomes-of-anconeus-interposition-arthroplasty-after-radial-head-resection-in-native-and-prosthetic-radial-heads
#9
Hithem Rahmi, Julie A Neumann, Christopher Klein, Carola F van Eck, Brian K Lee, John Itamura
BACKGROUND: Radiocapitellar pathology after traumatic injury to the elbow can be challenging to treat. The anconeus interposition arthroplasty has been proposed to treat radiocapitellar or proximal radioulnar joint dysfunction and pain, or both. This study evaluated whether radial head excision (native or prosthetic), followed by an anconeus interposition arthroplasty, relieves pain and improves subjective and objective elbow function in patients with post-traumatic radiocapitellar pathology...
June 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29742468/native-septic-arthritis-is-not-an-immediate-surgical-emergency
#10
Nicolas Lauper, Marie Davat, Ergys Gjika, Camillo Müller, Wilson Belaieff, Didier Pittet, Benjamin A Lipsky, Didier Hannouche, Ilker Uçkay
Acute native joint septic arthritis is generally considered a surgical emergency, requiring drainage within hours, including during night, weekend or holiday shifts. However, there are few data supporting the need for the disruption caused by this degree of urgency. METHODS: We performed a retrospective review of all adult patients seen in our medical center from 1997-2015 with culture-proven septic arthritis and noted the epidemiology of sequelae, and their possible association with a delay in surgical drainage...
May 6, 2018: Journal of Infection
https://www.readbyqxmd.com/read/29734889/oberlin-s-transfer-long-term-outcomes
#11
Karlis Verdins, Martins Kapickis
BACKGROUND: Brachial plexus injury is very commonly associated with road traffic accidents, and frequently affects young adults, causing significant disability and impact on quality of life. The successful treatment of upper plexus injury with the Oberlin technique to restore elbow flexion with good functional results. METHODS: We retrieved the records of all patients with upper plexus injury who underwent Oberlin transfer operation between March 2007 and July 2012...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29730139/failure-following-arthroscopic-bankart-repair-for-traumatic-anteroinferior-instability-of-the-shoulder-is-a-glenoid-labral-articular-disruption-glad-lesion-a-risk-factor-for-recurrent-instability
#12
Jonas Pogorzelski, Erik M Fritz, Marilee P Horan, J Christoph Katthagen, Matthew T Provencher, Peter J Millett
BACKGROUND: Recurrent instability is a frequent complication following arthroscopic Bankart repair. The purpose of this study was to investigate risk factors for poor patient-reported clinical outcome scores and failure rates. METHODS: Patients who underwent arthroscopic Bankart repair at least 2 years earlier were included. Preoperative and postoperative Single Assessment Numeric Evaluation; Quick Disabilities of the Arm, Shoulder and Hand; American Shoulder and Elbow Surgeons; and satisfaction scores were collected...
May 2, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29721653/-instability-after-operative-and-conservative-treatment-of-isolated-mason-type-ii-fractures
#13
A von Glinski, V Rausch, M Königshausen, M Dudda, T A Schildhauer, D Seybold, J Geßmann
BACKGROUND: Radial head fractures are the most frequent fractures of the elbow joint in adults. For Mason type II fractures without concomitant injuries favorable results have been shown with operative and conservative management. There is insufficient evidence concerning elbow joint stability after conservative treatment compared to open reduction and internal fixation (ORIF). MATERIALS AND METHODS: All patients with isolated Mason type II (two part fracture displaced >2 mm and <5 mm) radial head fractures between 1 January 2003 and 1 April 2013 were retrospectively reviewed...
May 2, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29719315/the-short-term-effects-of-shock-wave-therapy-for-tennis-elbow-a-clinical-trial-study
#14
Mehran Razavipour, Masoud Shayesteh Azar, Mohamad Hosein Kariminasab, Salman Gaffari, Mehran Fazli
Background: Tennis elbow is one of the most often diagnosed pathology of the upper extremity and different treatments have been suggested for this disease, so this study was to investigate the effects of extracorporeal shock wave therapy in Tennis elbow treatment. Materials and Methods: We design a before and after clinical trial study (registry number: IRCT2012072610405N1) and investigated 40 patients with tennis elbow disease. All patients received 2000 pulses extracorporeal shock wave by piezoelectric device (WOLF Company) daily for one-week...
2018: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29716414/what-is-the-best-lateral-radiograph-positioning-technique-for-assessment-of-sagittal-balance-a-biomechanical-study-on-influence-of-different-arm-positions
#15
Koon-Man Sieh, Yue-Yan Chan, Po-Yan Ho, Kwai-Yau Fung
PURPOSE: To evaluate the influence of different arm postures from the physiological standing position using force plate analysis of the gravity line. METHODS: Forty healthy volunteered university students were enrolled. Each subject assumed different standing positions including standing with arms resting on the side (control), with fist over the clavicle (clavicular position), with active shoulder flexion in 30°, 60° and 90° with elbows extended (active flexion A), with hand rest on a bar with a static support (passive flexion P), and with hand rest on a bar with a drip stand (passive flexion D)...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29707051/treatment-strategy-and-long-term-functional-outcome-of-traumatic-elbow-dislocation-in-childhood-a-single-centre-study
#16
G Nussberger, S Schädelin, J Mayr, D Studer, P Zimmermann
Purpose: Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED. Methods: We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29702048/nerve-transfer-surgery-for-penetrating-upper-extremity-injuries
#17
Efstathios Karamanos, Ilya Rakitin, Sophie Dream, Aamir Siddiqui
CONTEXT: Nerve transfer surgery is an option for repair of penetrating injuries of the upper extremity. In the right setting, it has advantages over tendon transfers and nerve grafting. OBJECTIVE: To review our experience since 2006 of nerve transfer surgery in the upper extremities. DESIGN: We included cases performed to repair penetrating trauma within three months of injury with at least three years' follow-up. MAIN OUTCOME MEASURES: Preoperative and postoperative muscle strength of the affected extremity...
April 9, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29701103/results-of-primary-repair-of-distal-triceps-tendon-ruptures-in-a-general-population
#18
MULTICENTER STUDY
G Giannicola, G Bullitta, R Rotini, L Murena, D Blonna, M Iapicca, G Restuccia, G Merolla, M Fontana, A Greco, M Scacchi, G Cinotti
Aims The aim of the study was to analyze the results of primary tendon reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the general population. Patients and Methods A total of 28 patients were operated on for primary DTTR reinsertions, including 21 male patients and seven female patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained an acute DTTR and five had a chronic injury. One patient had a non-simultaneous bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or dislocation...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#19
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29667850/a-survey-of-fellowship-trained-upper-extremity-surgeons-on-treatment-of-lateral-epicondylitis
#20
Steven R Niedermeier, Nisha Crouser, Amy Speeckaert, Kanu S Goyal
BACKGROUND: The aim of the study is to investigate current management strategies for lateral epicondylitis by fellowship-trained upper extremity surgeons. METHODS: A 17-question survey of treatment approaches and outcomes related to lateral epicondylitis was sent to 3354 surgeons using the American Society for Surgery of the Hand and American Shoulder and Elbow Surgeons member databases. RESULTS: Six hundred twelve upper extremity surgeons completed the survey...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
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