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elbow epicondylitis

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https://www.readbyqxmd.com/read/29238734/platelet-rich-plasma-injection-with-percutaneous-needling-for-recalcitrant-lateral-epicondylitis-comparison-of-tenotomy-and-fenestration-techniques
#1
Michael P Gaspar, Michael A Motto, Sarah Lewis, Sidney M Jacoby, Randall W Culp, A Lee Osterman, Patrick M Kane
Background: Recalcitrant lateral epicondylitis (LE) is a common debilitating condition, with numerous treatment options of varying success. An injection of platelet-rich plasma (PRP) has been shown to improve LE, although it is unclear whether the method of needling used in conjunction with a PRP injection is of clinical importance. Purpose: To determine whether percutaneous needle tenotomy is superior to percutaneous needle fenestration when each is combined with a PRP injection for the treatment of recalcitrant LE...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29216764/quantifying-the-center-of-elbow-rotation-implications-for-medial-collateral-ligament-reconstruction
#2
Kraig S Graham, Sara Golla, Sebastian V Gehrmann, Robert A Kaufmann
BACKGROUND: Medial collateral ligament (MCL) reconstruction of the elbow mandates precise characterization of where the centerline of elbow rotation projects onto the medial epicondyle (ME). A muscle-splitting approach allows the flexor-pronator muscles to remain attached to the ME and facilitates visualization of the MCL remnant, the sublime tubercle, and the ulnohumeral joint line. Knowledge of where the centerline of rotation intersects the ME relative to the ulnohumeral joint line may assist the surgeon during placement of the proximal drill hole...
December 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29213017/topographical-anatomy-of-the-pronator-teres-muscle-and-median-nerve-a-study-using-histological-sections-of-human-fetuses
#3
Shinichi Abe, Naomitsu Tomita, Masahito Yamamoto, Minako Sato, Hiroshi Abe, Gen Murakami, Jose Francisco Rodríguez-Vázquez
The median nerve passes through the humeral and ulnar heads of the pronator teres muscle (PT), although variations such as absence of the ulnar head may exist. We observed histological sections of the upper extremity from 24 embryos and fetuses. In the early stage, the PT extended between the radius and the medial epicondyle of the humerus, but no candidate for the ulnar head was found. In mid-term fetuses, the ulnar margin of the PT was attached to the elbow joint capsule. Moreover, in late-stage fetuses, a small deep part of the PT arose from the thick joint capsule of the humero-ulnar joint near the coronoid process of the ulna...
2017: Okajimas Folia Anatomica Japonica
https://www.readbyqxmd.com/read/29201310/a-neglected-markedly-displaced-medial-epicondyle-fracture-with-simultaneous-ulnar-nerve-palsy-in-an-adolescent
#4
Tamer Ahmed El-Sobky, John Fathy Haleem, Hossam Moussa Sakr, Ahmad Saeed Aly
Humeral medial epicondyle fractures constitute around 15% of pediatric elbow fractures. Up to 60% occur in association with elbow dislocations. Knowledge of potential imaging pitfalls when examining acute elbow fractures in children contributes significantly to accurate diagnosis. Nevertheless, management of missed pediatric medial epicondyle fractures has rarely been reported. We present an 11-year-old boy with a neglected and severely displaced medial epicondyle fracture with concurrent ulnar nerve palsy...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29193820/osteology-and-radiological-anatomy-of-the-thoracic-limbs-of-temminck-s-ground-pangolin-smutsia-temminckii
#5
Christine Steyn, John T Soley, Martina R Crole
Temminck's ground pangolin is the only pangolin present in South Africa. It is a myrmecophagous mammal with a bipedal gait. The thoracic limbs are used to break open ant nests, dig for food and expand previously occupied burrows. This study describes the osteology and radiological anatomy of the thoracic limbs of this threatened species. Thoracic limbs from four Temminck's ground pangolins, which succumbed from electrocution or natural causes, were digitally radiographed in situ. The individual bones were then cleaned, described and digitally radiographed...
November 28, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29189597/ultrasonic-percutaneous-tenotomy-of-common-extensor-tendons-for-recalcitrant-lateral-epicondylitis
#6
Christopher T Battista, Matthew A Dorweiler, Michael L Fisher, Bernard F Morrey, Matthew P Noyes
Tennis elbow is a common musculoskeletal condition affecting middle-aged patients with symptoms usually lasting from 6 months to 2 years. The vast majority of individuals will respond to conservative therapy; however, some will require surgical intervention. A new treatment system has been developed for use with ultrasound guidance in the ultrasonic microresection of tendinopathic tissue. This technology has been implemented in the TX1 Tissue Removal System and is used to treat various tendinopathies by debridement using targeted ultrasonic energy...
November 16, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29181396/isometric-tunnel-placement-in-ulnar-collateral-ligament-reconstruction-with-single-ct-scan
#7
Erica Kholinne, Rizki Fajar Zulkarnain, Arnold Adikrishna, Bin Zhu, Han Pyo Hong, In-Ho Jeon
Background: Isometric tunnel placement for anterior bundle of the medial collateral ligament (MCL) reconstruction is mandatory for successful surgery. Purpose: This study aimed to demonstrate a useful method for identifying isometric tunnel placement using a single computed tomography (CT) scan. Study Design: Descriptive Laboratory Study. Methods: Five normal elbows were scanned at 4 different flexion angles at 45° increment...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29153894/design-and-construction-of-a-tennis-elbow-brace-with-light-emitting-diode-in-subjects-with-lateral-epicondylitis
#8
Monireh Ahmadi Bani, Mokhtar Arazpour, Yashar Fardahi Tomaj
No abstract text is available yet for this article.
November 16, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29117014/what-s-new-in-pediatric-upper-extremity-sports-injuries
#9
Jennifer J Beck, Connor G Richmond, Marc A Tompkins, Ann Heyer, Kevin G Shea, Aristides I Cruz
BACKGROUND: Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the most recent literature, highlighting updates on sports-related upper extremity injuries in pediatric patients. METHODS: An electronic search of the PubMed, EMBASE, and Google Scholar databases was performed for keywords related to pediatric overhead athletes, osteochondritis dissecans (OCD) of the capitellum, medial epicondyle fractures, shoulder instability, and clavicle fractures...
November 7, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29065040/a-cadaveric-biomechanical-analysis-of-three-lateral-ulnar-collateral-ligament-reconstructions
#10
Aakash Chauhan, Mark E Baratz, Patrick Schimoler, David Ruch, Mark Carl Miller
OBJECTIVE: To biomechanically assess the angular stability provided by three techniques for reconstruction of the LUCL. METHODS: Eight cadaveric elbows were tested with the LCL-C intact, disrupted from the origin at the lateral epicondyle, and reconstructed with three different techniques utilizing ulnar bone tunnels: a suture "lasso" or palmaris longus (PL) tendon "lasso" both docked with a metal button at the origin, and a doubled-over PL tendon docked with metal buttons at both the origin and ulnar insertion...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29054383/arthroscopic-surgical-treatment-of-medial-epicondylitis
#11
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
BACKGROUND: The study purpose was to evaluate the outcomes of patients who received arthroscopic surgical treatment for medial epicondylitis refractory to conservative treatment. METHODS: This was a retrospective study of 7 patients who underwent arthroscopic surgical débridement of the common flexor tendon for treatment of medial epicondylitis refractory to conservative treatment. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand score; visual analog scale for pain; and Short Form 36 Health Survey...
October 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29051902/trends-in-surgical-practices-for-lateral-epicondylitis-among-newly-trained-orthopaedic-surgeons
#12
Dean Wang, Ryan M Degen, Christopher L Camp, Michael H McGraw, David W Altchek, Joshua S Dines
BACKGROUND: Much controversy exists regarding the optimal surgical intervention for lateral epicondylitis because of a multitude of options available and the lack of comparative studies. Knowledge of the current practice trends would help guide the design of comparative studies needed to determine which surgical technique results in the best outcome. PURPOSE: To review the latest practice trends for the surgical treatment of lateral epicondylitis among newly trained surgeons in the United States utilizing the American Board of Orthopaedic Surgery (ABOS) database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29051873/median-nerve-entrapment-after-elbow-dislocation-and-the-role-of-ultrasonography-a-case-report
#13
Vivek Dubey, Ali Saify, Ashwin Samant, Sunil Shahane
INTRODUCTION: Median nerve entrapment in the cases of posterior dislocation of elbow is a rare entity. The diagnosis is usually delayed. We describe here a case of median nerve entrapment in the posteromedial dislocation of elbow in a 10-year-old male child and the role of ultrasonography (USG) in localizing the median nerve in the elbow. The nerve release was done by osteotomy of medial epicondyle. USG thus proved to be a useful tool in the management of nerve injury. CASE REPORT: The authors present here a case of 10-year-old child with a history of dislocation of right elbow that was reduced elsewhere and the child presented to us with stiffness and restriction of movements at the elbow with the features of high median nerve injury...
May 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29049267/variation-among-pediatric-orthopaedic-surgeons-when-treating-medial-epicondyle-fractures
#14
Meghan Hughes, Karan Dua, Nathan N O'Hara, Brian K Brighton, Theodore J Ganley, William L Hennrikus, Martin J Herman, Joshua E Hyman, J Todd Lawrence, Charles T Mehlman, Kenneth J Noonan, Norman Y Otsuka, Richard M Schwend, M Wade Shrader, Brian G Smith, Paul D Sponseller, Joshua M Abzug
BACKGROUND: Medial epicondyle fractures are a common pediatric and adolescent injury accounting for 11% to 20% of elbow fractures in this population. This purpose of this study was to determine the variability among pediatric orthopaedic surgeons when treating pediatric medial epicondyle fractures. METHODS: A discrete choice experiment was conducted to determine which patient and injury attributes influence the management of medial epicondyle fractures by pediatric orthopaedic surgeons...
October 18, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29037630/hypoalgesic-effects-of-three-different-manual-therapy-techniques-on-cervical-spine-and-psychological-interaction-a-randomized-clinical-trial
#15
Jose Luis Alonso-Perez, Almudena Lopez-Lopez, Roy La Touche, Sergio Lerma-Lara, Emilio Suarez, Javier Rojas, Mark D Bishop, Jorge Hugo Villafañe, Josué Fernández-Carnero
OBJECTIVE: The purpose of this study was to evaluate the extent to which psychological factors interact with a particular manual therapy (MT) technique to induce hypoalgesia in healthy subjects. METHODS: Seventy-five healthy volunteers (36 female, 39 males), were recruited in this double-blind, controlled and parallel study. Subjects were randomly assigned to receive: High velocity low amplitude technique (HVLA), joint mobilization, or Cervical Lateral glide mobilization (CLGM)...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29027008/lateral-epicondylitis-associations-of-mr-imaging-and-clinical-assessments-with-treatment-options-in-patients-receiving-conservative-and-arthroscopic-managements
#16
Ji Young Jeon, Min Hee Lee, In-Ho Jeon, Hye Won Chung, Sang Hoon Lee, Myung Jin Shin
OBJECTIVES: We assessed the implications of MR imaging with clinical history in lateral epicondylitis management by evaluating imaging and clinical features in patients with lateral epicondylitis treated conservatively or operatively. METHODS: Sixty patients with lateral epicondylitis treated conservatively (n = 38) or operatively (n = 22) from 2011-2015 were included. MR imaging findings of common extensor tendon (CET), lateral collateral ligament (LCL) complex, muscle oedema, ulnar nerve and elbow joint were reviewed...
October 12, 2017: European Radiology
https://www.readbyqxmd.com/read/29022039/paediatric-supracondylar-humeral-fractures-a-technique-for-safe-medial-pin-passage-with-zero-incidence-of-iatrogenic-ulnar-nerve-injury
#17
Chin Yee Woo, Han Loong Ho, Mohammad Bin Zainuddin Ashik, Kevin Boon Leong Lim
INTRODUCTION: The cross Kirschner wire (k-wire) configuration in closed reduction and percutaneous pinning of paediatric supracondylar humeral fracture afford superior stability. However, medial pin placement presents a risk of iatrogenic ulnar nerve injury. This study describes, in step-by-step detail, another safe method of percutaneous medial pin insertion. METHODS: The technique involved placing the patient's arm in external rotation, with elbow flexed no more than 45° after closed reduction...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28990575/a-systematic-review-of-the-concept-and-clinical-applications-of-bone-marrow-aspirate-concentrate-in-tendon-pathology
#18
Mohamed A Imam, James Holton, Saman Horriat, Ahmed S Negida, Florian Grubhofer, Rohit Gupta, Ali Narvani, Martyn Snow
Tendon pathologies are a group of musculoskeletal conditions frequently seen in clinical practice. They can be broadly classified into traumatic, degenerative and overuse-related tendinopathies. Rotator cuff tears, Achilles tendinopathy and tennis elbow are common examples of these conditions. Conventional treatments have shown inconsistent outcomes and might fail to provide satisfactory clinical improvement. With the growing trend towards the use of mesenchymal stem cells (MSCs) in other branches of medicine, there is an increasing interest in treating tendon pathologies using the bone marrow MSC...
2017: SICOT-J
https://www.readbyqxmd.com/read/28932488/medial-elbow-pain
#19
REVIEW
Raul Barco, Samuel A Antuña
Medial elbow pain is uncommon when compared with lateral elbow pain.Medial epicondylitis is an uncommon diagnosis and can be confused with other sources of pain.Overhead throwers and workers lifting heavy objects are at increased risk of medial elbow pain.Differential diagnosis includes ulnar nerve disorders, cervical radiculopathy, injured ulnar collateral ligament, altered distal triceps anatomy or joint disorders.Children with medial elbow pain have to be assessed for 'Little League elbow' and fractures of the medial epicondyle following a traumatic event...
August 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28888384/ulnar-nerve-cross-sectional-area-for-the-diagnosis-of-cubital-tunnel-syndrome-a-meta-analysis-of-ultrasonographic-measurements
#20
REVIEW
Ke-Vin Chang, Wei-Ting Wu, Der-Sheng Han, Levent Özçakar
OBJECTIVE: This meta-analysis aimed to examine the performance of sonographic cross-sectional area (CSA) measurements, in the diagnosis of cubital tunnel syndrome (CuTS). DATA SOURCE: Electronic databases, comprising of PubMed and Embase, were searched for the pertinent literature before July 2017. STUDY SELECTION: Fourteen trials comparing the ulnar nerve CSA measurements between participants, with and without CuTS, were included. DATA EXTRACTION: Study design, participants' demographics, diagnostic reference of CuTS and methods of CSA measurement...
September 6, 2017: Archives of Physical Medicine and Rehabilitation
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