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Elbow

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26 papers 1000+ followers MH Residency - Elbow
https://www.readbyqxmd.com/read/26354194/pre-and-postseason-dynamic-ultrasound-evaluation-of-the-pitching-elbow
#1
Robert A Keller, Nathan E Marshall, Michael J Bey, Hafeez Ahmed, Courtney E Scher, Marnix van Holsbeeck, Vasilios Moutzouros
PURPOSE: To use ultrasound imaging to document changes over time (i.e., preseason v postseason) in the pitching elbow of high school baseball pitchers. METHODS: Twenty-two high school pitchers were prospectively followed. Pitchers were evaluated after a 2-month period of relative arm rest via preseason physical exams, dynamic ultrasound imaging of their throwing elbow, and the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) assessment. Players were reevaluated within 1 week of their last game...
September 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/24731385/surgical-treatment-of-posterolateral-rotatory-instability-of-the-elbow
#2
REVIEW
Oke A Anakwenze, Dennis Kwon, Evan O'Donnell, William N Levine, Christopher S Ahmad
PURPOSE: The purpose of this systematic review was to critically examine the outcomes of lateral ulnar collateral ligament reconstruction for posterolateral rotatory instability (PLRI) of the elbow. METHODS: A systematic review of the literature was performed. Two reviewers assessed and confirmed the methodologic and patient data from the included studies. Frequency-weighted means were calculated for outcomes that were present in multiple studies. RESULTS: Eight studies fulfilled our criteria, and they included 130 patients...
July 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28796550/elbow-injuries-in-pediatric-overhead-athletes
#3
REVIEW
Tony T Wong, Dana J Lin, Rama S Ayyala, Jonathan K Kazam
OBJECTIVE: The purpose of this article is to discuss common elbow injuries found in pediatric athletes who participate in sports that entail overhead movements with focus on mechanism, clinical features, imaging appearance, and treatment options. CONCLUSION: Elbow injuries are commonly seen in pediatric overhead athletes and have been on the rise owing to the increased participation in and demand of youth sports. Imaging plays a critical role in identifying the type and severity of injury, which helps to determine appropriate treatment options...
October 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28095019/elbow-injuries-in-adult-overhead-athletes
#4
REVIEW
Tony T Wong, Dana J Lin, Rama S Ayyala, Jonathan K Kazam
OBJECTIVE: The purpose of this article is to review common elbow injuries found in overhead athletes with focus on mechanism, clinical features, imaging appearance, and treatment options. CONCLUSION: The overhead throwing motion subjects the elbow to a variety of complex forces, which places both osseous and soft-tissue structures at high risk for injury.
March 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/26546303/epidemiology-of-elbow-dislocations-in-high-school-athletes
#5
Ismar Dizdarevic, Sara Low, Dustin W Currie, R Dawn Comstock, Sommer Hammoud, Alfred Atanda
BACKGROUND: The elbow is the second most commonly dislocated major joint in the general population. Previous studies that focused on emergency department populations indicate that such injuries occur most frequently among adolescent athletes. PURPOSE: To describe the epidemiological rates and patterns of sports-related elbow dislocations in high school athletes. STUDY DESIGN: Descriptive epidemiology study. METHODS: Sports-related injury data for the 2005-2006 through 2013-2014 academic years from a national convenience sample of high schools participating in the National High School Sports-Related Injury Surveillance Study (High School Reporting Information Online [RIO]) were analyzed...
January 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#6
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27372804/injection-of-tennis-elbow-hit-and-miss-a-cadaveric-study-of-injection-accuracy
#7
Renée Keijsers, Michel P J van den Bekerom, Koen L M Koenraadt, Ronald L A W Bleys, C Niek van Dijk, Denise Eygendaal
PURPOSE: Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. METHODS: Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE...
July 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29498885/surgical-treatment-of-lateral-epicondylitis-a-prospective-randomized-double-blinded-placebo-controlled-clinical-trial
#8
Martin Kroslak, George A C Murrell
BACKGROUND: A number of surgical techniques for managing tennis elbow have been described. One of the most frequently performed involves excising the affected portion of the extensor carpi radialis brevis (ECRB). The results of this technique, as well as most other described surgical techniques for this condition, have been reported as excellent, yet none have been compared with placebo surgery. HYPOTHESIS: The surgical excision of the degenerative portion of the ECRB offers no additional benefit over and above placebo surgery for the management of chronic tennis elbow...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29513547/medial-elbow-joint-space-increases-with-valgus-stress-and-decreases-when-cued-to-perform-a-maximal-grip-contraction
#9
Brett S Pexa, Eric D Ryan, Joseph B Myers
BACKGROUND: Previous research indicates that the amount of valgus torque placed on the elbow joint during overhead throwing is higher than the medial ulnar collateral ligament (UCL) can tolerate. Wrist and finger flexor muscle activity is hypothesized to make up for this difference, and in vitro studies that simulated activity of upper extremity musculature, specifically the flexor digitorum superficialis and flexor carpi ulnaris, support this hypothesis. PURPOSE: To assess the medial elbow joint space at rest, under valgus stress, and under valgus stress with finger and forearm flexor contraction by use of ultrasonography in vivo...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28575638/elbow-injuries-in-professional-baseball-epidemiological-findings-from-the-major-league-baseball-injury-surveillance-system
#10
Michael G Ciccotti, Keisha M Pollack, Michael C Ciccotti, John D'Angelo, Christopher S Ahmad, David Altchek, James Andrews, Frank C Curriero
BACKGROUND: Elbow injuries cause significant disability for the throwing athlete. Scant data are available on the distribution and characteristics of these injuries in elite baseball players. No study exists that focuses solely on the epidemiological characteristics of elbow injuries in professional baseball players using a comprehensive injury surveillance system. HYPOTHESIS: Professional baseball players have a high occurrence of elbow injuries influenced by factors including length of time playing, time period within the annual baseball season, and specific position played...
August 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26989928/elbow-imaging-in-sport-sports-imaging-series
#11
REVIEW
Matthew D Bucknor, Kathryn J Stevens, Lynne S Steinbach
Elbow pain is a frequent presenting symptom in athletes, particularly athletes who throw. The elbow can be injured as a result of acute trauma, such as a direct blow or a fall onto an outstretched hand or from chronic microtrauma. In particular, valgus extension overload during the throwing motion can precipitate a cascade of chronic injuries that can be debilitating for both casual and high-performance athletes. Prompt imaging evaluation facilitates accurate diagnosis and appropriate targeted interventions...
April 2016: Radiology
https://www.readbyqxmd.com/read/28249855/physical-examination-of-the-elbow-what-is-the-evidence-a-systematic-literature-review
#12
REVIEW
Elisa L Zwerus, Matthijs P Somford, François Maissan, Jelle Heisen, Denise Eygendaal, Michel Pj van den Bekerom
OBJECTIVE: Primary to provide an overview of diagnostic accuracy for clinical tests for common elbow (sport) injuries, secondary accompanied by reproducible instructions to perform these tests. DESIGN: A systematic literature review according to the PRISMA statement. DATA SOURCES: A comprehensive literature search was performed in MEDLINE via PubMed and EMBASE. ELIGIBILITY CRITERIA: We included studies reporting diagnostic accuracy and a description on the performance for elbow tests, targeting the following conditions: distal biceps rupture, triceps rupture, posteromedial impingement, medial collateral ligament (MCL) insufficiency, posterolateral rotatory instability (PLRI), lateral epicondylitis and medial epicondylitis...
March 1, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27469590/corticosteroid-injections-give-small-and-transient-pain-relief-in-rotator-cuff-tendinosis-a-meta-analysis
#13
REVIEW
Amin Mohamadi, Jimmy J Chan, Femke M A P Claessen, David Ring, Neal C Chen
BACKGROUND: The ability of injection of corticosteroids into the subacromial space to relieve pain ascribed to rotator cuff tendinosis is debated. The number of patients who have an injection before one gets relief beyond what a placebo provides is uncertain. QUESTIONS/PURPOSES: We asked: (1) Do corticosteroid injections reduce pain in patients with rotator cuff tendinosis 3 months after injection, and if so, what is the number needed to treat (NNT)? (2) Are multiple injections better than one single injection with respect to pain reduction at 3 months? METHODS: We systematically searched seven electronic databases for randomized controlled trials of corticosteroid injection for rotator cuff tendinosis compared with a placebo injection...
January 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/25762150/lateral-trunk-lean-in-pitchers-affects-both-ball-velocity-and-upper-extremity-joint-moments
#14
Matthew J Solomito, Erin J Garibay, Jessica R Woods, Sylvia Õunpuu, Carl W Nissen
BACKGROUND: The incidence of upper extremity injuries in baseball pitchers is increasing. Over the past decade there has been a great deal of research attempting to elucidate the cause of these injuries, focusing mainly on the mechanics of the pitching arm with no examination of other key segments, such as the trunk. This is surprising, as coaches will often comment on trunk position in an effort to improve pitching outcomes. PURPOSE: To determine the association between contralateral trunk lean and ball velocity and the moments about the elbow and glenohumeral joint...
May 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25442643/arthroscopic-management-of-chronic-unstable-scaphoid-nonunions-effects-on-restoration-of-carpal-alignment-and-recovery-of-wrist-function
#15
Jong Pil Kim, Joong Bae Seo, Jun Young Yoo, Jee Young Lee
PURPOSE: The purpose of this study was to assess the effects of arthroscopically assisted reduction and osteosynthesis on restoration of carpal alignment and recovery of clinical wrist function in patients with unstable scaphoid nonunion. METHODS: Thirty-six patients who underwent arthroscopically assisted osteosynthesis with or without bone grafting for unstable scaphoid nonunion between July 2006 and January 2012 were enrolled. The average time from injury to surgery was 51 ± 78...
March 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25455395/scaphoid-fractures
#16
REVIEW
John R Fowler, Thomas B Hughes
Scaphoid fractures are the most common carpal bone fracture, usually occurring in young men, although the incidence in women has increased over the past decade. Snuffbox tenderness and/or pain with axial loading of the thumb should be treated as a scaphoid fracture until proved otherwise and the diagnosis confirmed with serial radiographs and/or advanced imaging. Nearly all displaced scaphoid fractures should undergo operative intervention to reduce the risk of nonunion. Nondisplaced fractures have high union rates with cast treatment, but require extended periods of immobilization...
January 2015: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/25522919/corticosteroid-injection-in-patients-with-ulnar-neuropathy-at-the-elbow-a-randomized-double-blind-placebo-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Kiril E B vanVeen, Kees C L Alblas, Imanda M E Alons, Joost P Kerklaan, Marry C Siegersma, Michel Wesstein, Leo H Visser, Viviane Vankasteel, Korné Jellema
INTRODUCTION: We conducted a randomized, double-blind, placebo-controlled trial to evaluate the effect of ultrasound-guided corticosteroid injection in patients with ulnar neuropathy at the elbow (UNE). METHODS: Fifty-five patients were randomized between an ultrasound-guided injection of 1 ml containing 40 mg methylprednisolone acetate and 10 mg lidocaine hydrochloride or a placebo injection. The primary outcome was the subjective change of symptoms after 3 months...
September 2015: Muscle & Nerve
https://www.readbyqxmd.com/read/25455393/sports-specific-injuries-of-the-hand-and-wrist
#18
REVIEW
R Glenn Gaston, Bryan J Loeffler
This article provides a philosophic overview of the management of athletes at all levels from high school to professional. It further reviews sports-specific injury patterns and position-specific injury patterns. This aspect is crucial, as many injuries may be relatively common for specific sports but rare in the general population, so recognition of these injuries requires a high degree of suspicion. The guiding principles of management are also discussed.
January 2015: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/24220014/a-systematic-review-of-ulnar-collateral-ligament-reconstruction-techniques
#19
REVIEW
Jonathan N Watson, Peter McQueen, Mark R Hutchinson
BACKGROUND: Ulnar collateral ligament (UCL) reconstruction of the elbow has become increasingly more frequent among elite overhead athletes. The purpose of this study was to conduct a systematic review comparing the clinical outcomes and biomechanical results of the Jobe, modified Jobe, docking, modified docking, Endobutton, and interference screw techniques for UCL reconstruction. HYPOTHESIS: The docking technique will have significantly fewer complications and improved return-to-play rate...
October 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/24859180/editorial-in-response-to-the-systematic-review-by-de-vos-et-al-strong-evidence-against-platelet-rich-plasma-injections-for-chronic-lateral-epicondylar-tendinopathy-a-systematic-review
#20
EDITORIAL
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