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https://www.readbyqxmd.com/read/29117014/what-s-new-in-pediatric-upper-extremity-sports-injuries
#1
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/29103848/the-posterior-bundle-s-effect-on-posteromedial-elbow-instability-after-a-transverse-coronoid-fracture-a-biomechanical-study
#2
Dave R Shukla, Elan Golan, Mitch C Weiser, Philip Nasser, Jack Choueka, Michael Hausman
PURPOSE: There has been increased interest in the role of the posterior bundle of the medial collateral ligament (pMUCL) in the elbow, particularly its effects on posteromedial rotatory stability. The ligament's effect in the context of an unfixable coronoid fracture has not been the focus of any study. The purposes of this biomechanical study were to evaluate the stabilizing effect of the pMUCL with a transverse coronoid fracture and to assess the effect of graft reconstruction of the ligament...
November 2, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29095655/efficacy-of-a-prevention-program-for-medial-elbow-injuries-in-youth-baseball-players
#3
Jun Sakata, Emi Nakamura, Tatsuhiro Suzuki, Makoto Suzukawa, Atsushi Akaike, Kuniaki Shimizu, Norikazu Hirose
BACKGROUND: Youth baseball players are at high risk for elbow injuries, which can lead to future functional disability. PURPOSE: To evaluate the effectiveness of a prevention program to lower the risk of medial elbow injury in these athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Youth baseball players, 8 to 11 years old, without a history of elbow and shoulder pain, were allocated to either the intervention (n = 136) or control (n = 169) group...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29081707/analysis-of-the-pattern-and-mechanism-of-elbow-injuries-related-to-armbar-type-armlocks-in-jiu-jitsu-fighters
#4
Thiago Bernardo Carvalho DE Almeida, Eiffel Tsuyoshi Dobashi, Alexandre Yukio Nishimi, Eduardo Bernardo DE Almeida, Luciano Pascarelli, Luciano Miller Reis Rodrigues
OBJECTIVE: The objective of this study was to analyze elbow injuries and their probable mechanism in Jiu-Jitsu fighters resulting from the armbar-type armlock. METHODS: We evaluated 5 high-performance Jiu-Jitsu fighters from the Gracie Elite gym who were injured during a tournament. All were healthy males with a mean age of 28.8 years. The right arm was involved in three patients (60%). The athletes were followed for approximately 4.6 months, and pain was present in all cases...
September 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29054383/arthroscopic-surgical-treatment-of-medial-epicondylitis
#5
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/29051873/median-nerve-entrapment-after-elbow-dislocation-and-the-role-of-ultrasonography-a-case-report
#6
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
#7
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/29037846/altered-bone-density-and-stress-distribution-patterns-in-long-standing-cubitus-varus-deformity-and-their-effect-during-early-osteoarthritis-of-the-elbow
#8
S Miyamura, K Oka, S Abe, A Shigi, H Tanaka, K Sugamoto, H Yoshikawa, T Murase
OBJECTIVE: To quantify the bone density and stress distribution patterns in long-standing cubitus varus and clarify the effects of the deformity on bone density. DESIGN: We created three-dimensional computed tomography (CT) elbow models from 21 patients with long-standing cubitus varus deformities without advanced osteoarthritis (OA) and assessed the deformity by superimposing the affected humerus onto a mirror-image of the contralateral normal. Elbows were divided into 13 regions before measuring the bone density of each region and comparing the percentage of high-density volume (%HDV) between affected and normal sides...
October 14, 2017: Osteoarthritis and Cartilage
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
#9
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/28993111/the-annular-ligament-revisited
#10
James W Barnes, Vijit L Chouhan, Nkem C Egekeze, Caroline E Rinaldi, Akin Cil
BACKGROUND: Studies investigating the annular ligament have presented confusing information about its anatomy and nomenclature. Cadaver elbow dissections were used to clarify the anatomy and terminology of the annular ligament. METHODS: Nineteen elbows were dissected (7 fresh frozen and 12 embalmed). Target structures were identified, photographed, and measured by independent observers. RESULTS: There are 3 layers to the lateral elbow ligaments: the superficial lateral ulnar collateral and radial collateral ligament; a deeper layer of the superior oblique band (SOB) and inferior oblique band (IOB) of the annular ligament; and the deepest capsular layer...
October 6, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28964676/ulnar-neuropathy-and-medial-elbow-pain-in-women-s-fastpitch-softball-pitchers-a-report-of-6-cases
#11
Adam M Smith, Thomas H Butler, Michael S Dolan
BACKGROUND: Elite-level women's fastpitch softball players place substantial biomechanical strains on the elbow that can result in medial elbow pain and ulnar neuropathic symptoms. There is scant literature reporting the expected outcomes of the treatment of these injuries. This study examined the results of treatment in a series of these patients. METHODS: We identified 6 female softball pitchers (4 high school and 2 collegiate) with medial elbow pain and ulnar neuropathic symptoms...
September 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28955693/olecranon-fractures-have-features-of-osteoporotic-fracture
#12
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/28944946/nerve-grafting-vs-common-infraclavicular-intraplexal-nerve-transfer-in-elbow-flexion-restoration
#13
Vesna SİMİć, Andrija SAVİć, Milan JOVANOVİć, Filip VİTOšEVİć, Branko ĐUROVİć, Čedomir MİLOšEVİć, Novak LAKİćEVİć, Miroslav SAMARDžİć, Lukas RASULİć
AIM: The aim of this study is to compare the results of nerve grafting vs. common infraclavicular intraplexal nerve transfer in elbow flexion restoration. MATERIAL AND METHODS: The study included 39 patients with upper brachial plexus palsy who were operated using common intraplexal nerve transfer (Oberlin procedure) and the thoracodorsal and medial pectoral nerve transfer to the musculocutaneous nerve or grafting of C5 to the musculocutneous nerve, for elbow flexion restoration...
July 12, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28939425/kinematic-analysis-of-a-drinking-task-in-chronic-hemiparetic-patients-using-features-analysis-and-statistical-parametric-mapping
#14
Gabriela Lopes Santos, Thiago Luiz Russo, Angela Nieuwenhuys, Davide Monari, Kaat Desloovere
OBJECTIVE: To compare sitting posture and movement strategies between chronic hemiparetic and healthy subjects while performing a drinking task using Statistical Parametric Mapping (SPM) and feature analysis. DESIGN: Cross-sectional study. SETTING: Department of Physical Therapy of University. PARTICIPANTS: Thirteen chronic hemiparetic and thirteen healthy individuals matched for gender and age. INTERVENTION: Not applicable...
September 19, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28932488/medial-elbow-pain
#15
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/28913386/persistent-medial-subluxation-of-the-ulna-with-radiotrochlear-articulation
#16
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/28888384/ulnar-nerve-cross-sectional-area-for-the-diagnosis-of-cubital-tunnel-syndrome-a-meta-analysis-of-ultrasonographic-measurements
#17
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
https://www.readbyqxmd.com/read/28887648/evaluation-of-donor-site-morbidity-after-medial-triceps-brachii-free-flap-for-lower-limb-reconstruction
#18
A Delgove, R Weigert, V Casoli
INTRODUCTION: The medial head of the triceps brachii muscle (MTB)-free flap is an attractive solution to cover small-to-medium defects of the lower limb. This muscular head has no well-identified function, suggesting minimal impact of its removal on elbow mobility. The aim of this study was to evaluate the safety and reliability of the harvest procedure and the functional and cosmetic morbidity of this donor site. MATERIALS AND METHODS: Twenty-four consecutive MTB-free flaps were performed for reconstructive surgery of the lower limb between 2011 and 2015...
September 8, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28878540/bare-medial-epicondyle-physeal-fracture-of-the-humerus-a-case-report
#19
Takashi Oda, Kenji Watanabe
We identified an unusual case of the medial epiondyle physeal fracture, which has been caused by a direct blow, accompanied with complete stripping of soft tissue. Surgery was performed for open reduction and internal fixation of the medial epicondyle and reattachment of the anterior oblique bundle of medial collateral ligament and flexor muscle origin. Six months after the surgery, strength of wrist flexion and forearm pronation, range of motion and valgus stability of the left elbow had recovered. One year after the injury, radiographs showed atrophy and sclerosis of the medial epicondylar apophysis...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28878539/unusual-association-of-elbow-dislocation-with-humeral-biepicondylar-fracture-in-a-child-a-case-report-and-review-of-literature
#20
Prabhat Agrawal, Saubhik Das, Vikas Gupta, Sumit Arora
Humeral biepicondylar fracture with elbow dislocation is an unusual pattern of injury encountered in paediatric population. We reported a case of humeral biepicondylar fracture-dislocation of elbow in a 11-year-old boy, who presented with tender, swollen, and deformed left elbow following fall on his outstretched hand. Roentgenographic and CT evaluation confirmed the diagnosis, and also showed incarcerated medial epicondylar fragment. Closed reduction was unsuccessful; open reduction and internal fixation was performed with headless screws...
August 2017: Journal of Clinical Orthopaedics and Trauma
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