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https://www.readbyqxmd.com/read/28803901/the-cubital-tunnel-syndrome-caused-by-the-intraneural-or-extraneural-ganglion-cysts-case-report-and-review-of-the-literature
#1
Wen Kai Chang, Yong Ping Li, Deng Feng Zhang, Bing Sheng Liang
Cubital tunnel syndrome is the second most common nerve compression syndrome in peripheral nerve compression disease. Although potential ulnar nerve entrapment can occur at multiple points along its course, such as the arcade of struthers, the medial intermuscular septum, the medial epicondyle, the cubital tunnel, and the deep flexor pronator aponeurosis, the most common site of entrapment is the cubital tunnel. However, cubital tunnel syndrome could also be caused by the occupying masses along the course of ulnar nerve, such as intraneural or extraneural ganglia...
July 6, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28802421/symptomatic-medial-humeral-epicondylar-fracture-non-union-rare-presentation-of-a-relatively-common-injury
#2
Vidisha S Kulkarni, Nitish Arora, Harshit Gehlot, Sagar Saxena, Sunil G Kulkarni, Supreet Bajwa
BACKGROUND: Symptomatic non-union of medial humeral epicondylar fractures is a limited entity. Some studies recommend surgical excision of the fragment, but the results are controversial. The purpose of this study is to evaluate the outcome of open reduction and internal fixation of a medial epicondyle non-union fragment. MATERIALS AND METHODS: A retrospective study was conducted in all the patients, who were operated in our hospital between the year 2010 and 2015 for symptomatic medial humeral epicondyle non-union...
August 2017: Injury
https://www.readbyqxmd.com/read/28795018/in-vivo-fluoroscopic-kinematography-of-dynamic-radio-ulnar-incongruence-in-dogs
#3
Thomas Rohwedder, Martin Fischer, Böttcher Peter
Aim of the study was to investigate dynamic radio-ulnar incongruence (dRUI) in the canine elbow joint comparing orthopedic healthy and dysplastic dogs in a prospective in vivo study design. In 6 orthopedic sound elbow joints (5 dogs, median age 17 months & mean body weight 27.9 kg) and 7 elbow joints with medial coronoid disease (6 dogs, median age 17.5 months & mean body weight 27.6 kg) 0.8 mm Ø tantalum beads were surgically implanted into radius, ulna and humerus for dynamic radiosteriometric analysis (RSA) using high-speed biplanar fluoroscopy with the dogs walking on a treadmill...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/28780703/radiolucent-rings-around-bioabsorbable-anchors-after-rotator-cuff-repair-are-not-associated-with-clinical-outcomes
#4
Jin-Young Park, Suk-Hwan Jang, Kyung-Soo Oh, Yi Jin Li
PURPOSE: Various researchers have observed small areas of osteolysis after using bioabsorbable anchors in shoulder surgeries. The purpose of this study is to determine whether radiographic perianchor radiolucent rings after rotator cuff repair are associated with the failure of repair and also assess their clinical implications. Further, the most frequent location of the radiolucent rings in the double-row suture bridge configuration was also assessed. METHODS: One hundred and twenty-nine consecutive patients who underwent arthroscopic rotator cuff repair by suture bridge technique were retrospectively evaluated radiographically and clinically...
August 5, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28770510/the-posterior-bundle-of-the-elbow-medial-collateral-ligament-biomechanical-study-and-proposal-for-a-new-reconstruction-surgical-technique
#5
A Sard, E Dutto, R Rotini, S Vanni, S Pastorelli, B Battiston
BACKGROUND: The medial collateral ligament (MCL) is one of the primary elbows stabilizers. It is composed of an anterior bundle (AB), a posterior bundle (PB) and a transverse bundle. In elbow dislocations, until today MCL reconstruction has addressed the AB only. The purpose of this paper is to understand the biomechanical role of the PB of the MCL and to propose a new surgical technique for the simultaneous reconstruction of the anterior and posterior bundles, preventing the risk of recurrent posterior dislocation or posteromedial rotational instability (PMRI)...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28758087/severe-ulnar-nerve-injury-after-bee-venom-acupuncture-at-a-traditional-korean-medicine-clinic-a-case-report
#6
Joon Sang Park, Yoon Ghil Park, Chul Hoon Jang, Yoo Na Cho, Jung Hyun Park
This case report describes a severe nerve injury to the right ulnar nerve, caused by bee venom acupuncture. A 52-year-old right-handed man received bee venom acupuncture on the medial side of his right elbow and forearm, at a Traditional Korean Medicine (TKM) clinic. Immediately after acupuncture, the patient experienced pain and swelling on the right elbow. There was further development of weakness of the right little finger, and sensory changes on the ulnar dermatome of the right hand. The patient visited our clinic 7 days after acupuncture...
June 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28753608/extensive-sonographic-ulnar-nerve-enlargement-above-the-medial-epicondyle-is-a-characteristic-sign-in-hansen-s-neuropathy
#7
Lokesh Bathala, Venkataramana N Krishnam, Hari Kishan Kumar, Vivekananda Neladimmanahally, Umashankar Nagaraju, Himanshu M Kumar, Johan A Telleman, Leo H Visser
OBJECTIVE: Earlier studies have shown sonographic enlargement of the ulnar nerve in patients with Hansen's neuropathy. The present study was performed to determine whether sonography or electrophysiological studies can detect the specific site of ulnar nerve pathology in leprosy. METHODS: Eighteen patients (thirty arms) with Hansen's disease and an ulnar neuropathy of whom 66% had borderline tuberculoid (BT), 27% lepromatous leprosy (LL) and 7% mid-borderline (BB) leprosy were included in the study...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28735845/anterior-and-posterior-bands-of-the-anterior-bundle-in-the-elbow-ulnar-collateral-ligament-ultrasound-anatomy
#8
Masahito Yoshida, Hideyuki Goto, Tetsuya Takenaga, Atsushi Tsuchiya, Katsumasa Sugimoto, Volker Musahl, Freddie Fu, Takanobu Otsuka
BACKGROUND: The anterior oblique bundle (AOL) of the ulnar collateral ligament (UCL) is composed of anterior and posterior bands. This study evaluated the anatomy of the anterior and posterior bands in the AOL of the UCL for their separate visualization with ultrasound (US). METHODS: We dissected 18 cadaveric elbow joints and recorded the direction of each band from the lateral view to determine the proper position for the US transducer. To determine the proper inclination of the transducer, we measured the inclinations of each band at the proximal and distal insertions from the transverse view...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28734534/elbow-vascularized-composite-allotransplantation-surgical-anatomy-and-technique
#9
Zvi Steinberger, Heng Xu, Nikolas H Kazmers, Stephanie Thibaudeau, Russel G Huffman, L Scott Levin
BACKGROUND: Elbow reconstruction with vascularized composite allotransplantation (VCA) may hold promise in treating end-stage arthritis as no current treatment is both functional and durable. We describe the vascular and gross anatomy of the elbow in the context of VCA procurement and propose a step-by-step surgical technique for human elbow VCA. METHODS: We injected latex in the arterial tree of 16 fresh adult cadaveric upper extremities. We identified and measured arteries and nerves and their branch points relative to the medial epicondyle...
August 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28723837/minimum-effective-volume-of-lidocaine-for-ultrasound-guided-costoclavicular-block
#10
Thitipan Sotthisopha, Maria Francisca Elgueta, Artid Samerchua, Prangmalee Leurcharusmee, Worakamol Tiyaprasertkul, Aida Gordon, Roderick J Finlayson, De Q Tran
BACKGROUND AND OBJECTIVES: This dose-finding study aimed to determine the minimum effective volume in 90% of patients (MEV90) of lidocaine 1.5% with epinephrine 5 μg/mL for ultrasound-guided costoclavicular block. METHODS: Using an in-plane technique and a lateral-to-medial direction, the block needle was positioned in the middle of the 3 cords of the brachial plexus in the costoclavicular space. The entire volume of lidocaine was deposited in this location. Dose assignment was carried out using a biased-coin-design up-and-down sequential method, where the total volume of local anesthetic administered to each patient depended on the response of the previous one...
July 19, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28689821/role-of-the-lateral-collateral-ligament-in-posteromedial-rotatory-instability-of-the-elbow
#11
Enrico Bellato, Youngbok Kim, James S Fitzsimmons, Alexander W Hooke, Lawrence J Berglund, Daniel R Bachman, Shawn W O'Driscoll
BACKGROUND: Posteromedial rotatory instability (PMRI) of the elbow consists of an anteromedial coronoid fracture with lateral collateral ligament (LCL) and posterior bundle of the medial collateral ligament (PMCL) tears. We hypothesized that the LCL tear is required for elbow subluxation/joint incongruity and that an elbow affected by an anteromedial subtype 2 coronoid fracture and a PMCL tear exhibits contact pressures different from both an intact elbow and an elbow affected by PMRI...
July 6, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28687096/surgical-management-of-osteochondrosis-in-foals
#12
REVIEW
Kyla F Ortved
Osteochondrosis is common in young, athletic horses. Some lesions respond to conservative therapy. Surgical management is the mainstay of treatment. Arthroscopic debridement is useful in the femoropatellar joint, tarsocrural joint, fetlock joint, and shoulder joint. Debridement is associated with good outcomes, except in the shoulder joint. Osteochondrosis lesions in the elbow may be difficult to access arthroscopically, thereby transosseous debridement. Surgical management of subchondral cystic lesions of the medial femoral condyle consists of debridement, debridement with grafting, transcondylar screws, and intralesional corticosteroid injection...
August 2017: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/28680895/visualization-of-the-capitellum-during-elbow-arthroscopy-a-comparison-of-3-portal-techniques
#13
David P Trofa, Stephanie M Gancarczyk, Joseph M Lombardi, Eric C Makhni, Charles A Popkin, Christopher S Ahmad
BACKGROUND: Capitellar osteochondritis dissecans (OCD) is a debilitating condition of unknown etiology for which various arthroscopic treatments are available. Prior data suggest that greater than 75% of the capitellum can be visualized arthroscopically through a dual lateral portal approach. However, there is no literature assessing arthroscopic visualization of the capitellum via alternative portals. PURPOSE: To determine the percentage of capitellum visualized using the dual lateral, distal ulnar and soft spot, and posterolateral and soft spot portal configurations in a cadaver model...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28645832/the-relation-between-elbow-range-of-motion-and-patient-satisfaction-after-open-release-of-stiff-elbow
#14
Hakan Gundes, Özgür Selek, Umit Gok, Bora Gumuslu, Levent Buluc
OBJECTIVE: The aim of this retrospective study was to find out whether a cut off value existed for elbow flexion and extension after open surgical release of elbow contracture that would correlate with subjective patient satisfaction. METHODS: The study enrolled 77 patients (53 males and 24 females with a mean age of 35.1 (18-77) years at the time of operation) with elbow contracture who attended regular follow-up appointments for more than 12 months. The mean follow up period was 44...
June 20, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28634742/outcomes-of-coronoid-first-repair-in-terrible-triad-injuries-of-the-elbow
#15
Junren Zhang, Mark Tan, Ernest Beng Kee Kwek
BACKGROUND: Clinical outcomes of terrible triad injuries (TTIs) of the elbow are historically poor. To date, it is still debatable whether the coronoid needs to be fixed and if so, how and in which sequence. METHODOLOGY: Between 2010 and 2013, 13 patients were treated surgically for acute TTIs of the elbow at a Tertiary Level 1 Trauma Centre by a single surgeon, using a standardized protocol, which included coronoid-brachialis complex fixation via pull-through trans-osseous sutures, radial head fixation or prosthetic replacement and a repair of the lateral ulnar collateral ligament...
June 20, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28611612/spasticity-measurement-based-on-tonic-stretch-reflex-threshold-in-children-with-cerebral-palsy-using-the-pedianklebot
#16
Marco Germanotta, Juri Taborri, Stefano Rossi, Flaminia Frascarelli, Eduardo Palermo, Paolo Cappa, Enrico Castelli, Maurizio Petrarca
Nowadays, objective measures are becoming prominent in spasticity assessment, to overcome limitations of clinical scales. Among others, Tonic Stretch Reflex Threshold (TSRT) showed promising results. Previous studies demonstrated the validity and reliability of TSRT in spasticity assessment at elbow and ankle joints in adults. Purposes of the present study were to assess: (i) the feasibility of measuring TSRT to evaluate spasticity at the ankle joint in children with Cerebral Palsy (CP), and (ii) the correlation between objective measures and clinical scores...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28607764/chronic-medial-instability-of-the-elbow
#17
REVIEW
Felix H Savoie, Michael O'Brien
Damage to the medial collateral ligament of the elbow from an instability episode usually heals with non-operative treatment. In some cases, residual instability may occur, leading to functional impairment.Non-operative management can be successful when bracing, taping and therapy are used to stabilise the elbow.A recent report detailing the efficacy of platelet-rich plasma in effectively treating ulnar collateral ligament (UCL) injuries in throwers has shown promise. However, there remain specific groups that should be considered for repair or reconstruction...
January 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28594491/cubital-tunnel-syndrome
#18
Claudius D Jarrett, Loukia K Papatheodorou, Dean G Sotereanos
Cubital tunnel syndrome is the most common cause of symptomatic ulnar neuropathy. The unique anatomic course of the ulnar nerve around the elbow makes it particularly vulnerable at a location far from its terminal destination. The natural progression of cubital tunnel syndrome allows patients who have mild symptoms to be adequately treated nonsurgically. Minor changes in activity combined with appropriate splinting may acceptably alleviate symptoms. Surgical intervention is recommended for patients who have more severe symptoms...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28589162/age-specific-prevalence-and-clinical-characteristics-of-humeral-medial-epicondyle-apophysitis-and-osteochondritis-dissecans-ultrasonographic-assessment-of-4249-players
#19
Kenichi Otoshi, Shinichi Kikuchi, Kinshi Kato, Ryohei Sato, Takahiro Igari, Takahiro Kaga, Shinichi Konno
BACKGROUND: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. PURPOSE: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. STUDY DESIGN: Descriptive epidemiology study...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28581816/serial-changes-in-3-dimensional-supraspinatus-muscle-volume-after-rotator-cuff-repair
#20
Seok Won Chung, Kyung-Soo Oh, Sung Gyu Moon, Na Ra Kim, Ji Whan Lee, Eungjune Shim, Sehyung Park, Youngjun Kim
BACKGROUND: There is considerable debate on the recovery of rotator cuff muscle atrophy after rotator cuff repair. PURPOSE: To evaluate the serial changes in supraspinatus muscle volume after rotator cuff repair by using semiautomatic segmentation software and to determine the relationship with functional outcomes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Seventy-four patients (mean age, 62.8 ± 8.8 years) who underwent arthroscopic rotator cuff repair and obtained 3 consecutive (preoperatively, immediately postoperatively, and later postoperatively [≥1 year postoperatively]) magnetic resonance imaging (MRI) scans having complete Y-views were included...
August 2017: American Journal of Sports Medicine
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