4,391 results match your criteria Dislocation Elbow


PrEvention of post-traumatic contractuRes with Ketotifen 1 (PERK 1): A randomized clinical trial.

J Orthop Trauma 2020 Jun 29. Epub 2020 Jun 29.

Associate Professor, Departments of Community Health Sciences & Clinical Neurosciences, Cumming School of Medicine, University of Calgary.

Objective: To assess the use of Ketotifen Fumarate (KF) to reduce post-traumatic contractures following elbow fractures and/or dislocations.

Design: Randomized clinical trial.

Setting: Three hospitals in Calgary, Canada including one Level 1 trauma center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001878DOI Listing

Displaced Radial Shaft Fracture: The Dorsal (Thompson) Approach to the Forearm.

J Orthop Trauma 2020 Aug;34 Suppl 2:S13-S14

NYU Langone Orthopaedic Hospital, NYU Langone Medical Center, New York, NY.

This video demonstrates a displaced radial shaft fracture repaired through a dorsal (Thompson) approach to the forearm. The patient is an 18-year-old man who sustained a left elbow dislocation and ipsilateral radial shaft fracture (OTA/AO: 22-B2) while playing basketball. The patient underwent a closed reduction of the elbow joint and was indicated for operative repair of the radius. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001827DOI Listing

Risk Factors for Elbow Joint Contracture After Surgical Repair of Traumatic Elbow Fracture.

J Am Acad Orthop Surg 2020 Jul 1. Epub 2020 Jul 1.

From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

Purpose: The ability to predict contracture development after elbow fracture would benefit patients and physicians. This study aimed to identify factors associated with the development of posttraumatic elbow joint contracture.

Methods: A retrospective review of elbow fractures (AO/Orthopaedic Trauma Association [OTA] type 13 and 21) treated at one institution between 2011 and 2015 was performed. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00801DOI Listing

Anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon allograft is effective for chronic acromioclavicular joint injuries at mid-term follow-up.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 30. Epub 2020 Jun 30.

Department of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.

Purpose: To evaluate the clinical and radiographic outcomes of patients undergoing anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon allografts for the treatment of chronic acromioclavicular joint (ACJ) injuries with a minimum 1-year follow-up.

Methods: Patients who underwent ACCR for chronic ACJ injuries between 2003 and 2017 were analyzed. Clinical outcome measures included American Shoulder and Elbow Surgeons (ASES), Constant-Murley (CM), Simple Shoulder Test (SST), and Single Assessment Numerical Evaluation (SANE) scores. Read More

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http://dx.doi.org/10.1007/s00167-020-06123-0DOI Listing

Risk factors for failure of reduction for anterior glenohumeral dislocation without sedation.

J Shoulder Elbow Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, Japan.

Background: Although anterior glenohumeral dislocations are common, the reduction procedure is often difficult, requiring sedation or anesthesia. To date, the risk factors for reduction failure without sedation has not been fully investigated. The present study aimed to clarify the predictive factors that render the reduction of anterior glenohumeral dislocation without sedation difficult using multivariate analyses. Read More

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http://dx.doi.org/10.1016/j.jse.2020.06.005DOI Listing

Terrible triad of the elbow with an ipsilateral Essex-Lopresti injury: case report.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa103. Epub 2020 Jun 15.

Department of Orthopaedy, University Hospital Tivoli, Université libre de bruxelles, La Louvière, Belgium.

Terrible triad of the elbow and the Essex-Lopresti injury are both rare lesions with a historically poor clinical outcome. We present the case of a unique association of the two injuries with an elbow dislocation, radial and coronoid process fractures and a distal radioulnar joint dislocation due to an interosseous membrane rupture. The case was managed with closed reduction of the elbow dislocation and distal radioulnar joint followed by open reduction and repair of the damaged structures in the elbow and an unloading of the interosseous membrane. Read More

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http://dx.doi.org/10.1093/jscr/rjaa103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297562PMC

Static and Dynamic External Fixation are Equally Effective for Unstable Elbow Fracture-Dislocations.

J Orthop Trauma 2020 Jun 22. Epub 2020 Jun 22.

St. Joseph's Health Care, Hand and Upper Limb Centre, University of Western Ontario, London, ON, Canada.

Objective: To compare the clinical outcomes of static versus dynamic external fixation for elbow fracture-dislocations with persistent instability after surgical management.

Design: Comparative, retrospective review.

Setting: Two tertiary referral upper extremity centers. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001876DOI Listing

Biomechanical evaluation of an independent acromioclavicular ligament repair for acromioclavicular joint reconstruction.

Shoulder Elbow 2020 Jun 29;12(3):184-192. Epub 2019 Jun 29.

Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, Australia.

Background: A number of surgical techniques for the treatment of acromioclavicular joint separations have been described; however, few have been able to create a strong intra-operative construct that provides minimal joint translation. A biomechanical study was conducted to examine joint translation in an independent acromioclavicular ligament repair.

Methods: Three variations of a novel independent acromioclavicular ligament repair technique underwent testing using a Sawbones model. Read More

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http://dx.doi.org/10.1177/1758573219857685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285976PMC

Medium- to long-term results of acromioclavicular joint stabilisation using the Ligament Augmentation Reconstruction System (LARS) ligament.

Shoulder Elbow 2020 Jun 13;12(3):163-169. Epub 2019 Mar 13.

Royal Stoke University Hospital, University Hospitals of North Midlands, Stoke-on-Trent, UK.

Background: Opinion is divided as to optimum management of grade III acromioclavicular joint injuries that have failed conservative management. We objectively investigated the radiological and functional outcome of acromioclavicular joint reconstruction using the Ligament Augmentation Reconstruction System (LARS®).

Methods: Retrospective review of patients with LARS reconstruction of acromioclavicular joint dislocations with minimum six-year follow-up. Read More

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http://dx.doi.org/10.1177/1758573219833697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285975PMC

Medial epicondyle avulsion after elbow dislocation in an adolescent non-professional soccer player treated with a cannulated screw: a case report.

Acta Biomed 2020 May 30;91(4-S):271-275. Epub 2020 May 30.

Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy.

Background And Aim Of The Work: Medial epicondyle fractures of the humerus account for 11-20% of all elbow injuries in children and in 30-55% of cases they are associated with an elbow dislocation. Undisplaced fractures are usually treated conservatively but literature is controversial regarding the treatment of displaced fractures (≥5mm) in paediatric fractures. In recent years, there is an emerging consensus that such patients may benefit more from open reduction and internal fixation. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9578DOI Listing

Simple and stable elbow dislocations: results after conservative treatment.

Acta Biomed 2020 05 30;91(4-S):224-231. Epub 2020 May 30.

Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy.

Background And Aim Of The Work: In adults, elbow dislocations are second in frequency after shoulder dislocations. They are often the result of a trauma due to accidental falls on the palm of the hand with the elbow flexed. In most cases this mechanism produces a posterior dislocation of the radius and ulna with respect to the humerus. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9637DOI Listing

The serious full-length forearm injury - a case report and literature review.

Authors:
Jun Wang

BMC Musculoskelet Disord 2020 Jun 15;21(1):381. Epub 2020 Jun 15.

Department of orthopedic, Xiaoshan 1st People's Hospital, Hangzhou, 311200, China.

Background: Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. Read More

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http://dx.doi.org/10.1186/s12891-020-03394-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296690PMC

Anatomic factors influencing the anterior stability of reverse total shoulder arthroplasty.

J Shoulder Elbow Surg 2020 Jun 9. Epub 2020 Jun 9.

Laboratory of Biomechanics and Biomaterials, Medical School Hannover, Germany.

Background: Several factors affect the stability of the reverse shoulder arthroplasty. The influence of bony anatomy on anterior stability remains unclear. This study aimed to identify the correlations between bony anatomy and anterior dislocation forces. Read More

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http://dx.doi.org/10.1016/j.jse.2020.03.045DOI Listing

Functional outcome and return to sports after the arthroscopic latarjet procedure in young and physically active patients.

Arch Orthop Trauma Surg 2020 Jun 10. Epub 2020 Jun 10.

Center for Minimally Invasive Surgery, Etzelclinic, Pfäffikon, Switzerland.

Purpose: The ideal treatment strategy for traumatic anterior shoulder instability with glenoid bone loss in young, physically active patients is still controversial. This study examines sporting activity, the ability to practice sports and the ability to return to sports after the arthroscopic Latarjet procedure.

Methods: A total of 47 physically active patients with an average age of 24. Read More

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http://dx.doi.org/10.1007/s00402-020-03513-4DOI Listing

Recurrent anterior sternoclavicular joint subluxation: long-term implant-related recurrence.

JSES Int 2020 Mar 20;4(1):55-58. Epub 2019 Dec 20.

Department of Orthopaedic Surgery and Sports Medicine, Elbow Shoulder Research Center, University of Kentucky, Lexington, KY, USA.

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http://dx.doi.org/10.1016/j.jses.2019.10.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075775PMC

Bony increased-offset-reverse shoulder arthroplasty: 5 to 10 years' follow-up.

J Shoulder Elbow Surg 2020 Jun 3. Epub 2020 Jun 3.

PanAm Clinic, University of Manitoba, Winnipeg, Manitoba, Canada.

Background: Glenoid lateralization has been shown to be the most imortant factor in maximizing passive range of motion and shoulder stability while preventing scapular impingement and notching. We aimed to evaluate mid- to long-term functional and radiologic outcomes after bony increased-offset-reverse shoulder arthroplasty (BIO-RSA) using a Grammont-style (medialized) humeral implant.

Methods: The study included 143 consecutive shoulders (140 patients; mean age, 72 years) treated with a BIO-RSA for rotator cuff deficiency. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.008DOI Listing

Arthroscopic Latarjet for Shoulder Instability.

Orthop Clin North Am 2020 Jul 5;51(3):373-381. Epub 2020 May 5.

Rothman Orthopaedic Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.

Arthroscopic Latarjet is a relatively new, but viable option for the treatment of anterior shoulder instability. Arthroscopic Latarjet has the advantage of faster recovery, reduced stiffness, identification of additional shoulder pathology, and improved cosmesis when compared with open Latarjet. By the majority of clinical and radiographic parameters, arthroscopic Latarjet produces equivalent outcomes compared with open Latarjet. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.002DOI Listing

Revision anterior glenohumeral instability: is arthroscopic treatment an option?

JSES Int 2020 Jun 7;4(2):287-291. Epub 2020 May 7.

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.

Background: The purpose of this study was to determine the short-term outcomes for patients who underwent revision surgery for shoulder instability, including both revision arthroscopic repair and Latarjet.

Methods: This study included patients who underwent revision of a prior arthroscopic labral repair to arthroscopic labral repair or Latarjet at our institution from 2012 to 2017. After collection of preoperative demographic data, preoperative 3-dimensional imaging was reviewed to determine percent glenoid bone loss (%GBL) and to determine whether each shoulder was on-track or off-track. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.02.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256882PMC

Prolonged dislocation and delay to surgery are associated with higher rates of heterotopic ossification in operatively treated terrible triad injuries.

JSES Int 2020 Jun 27;4(2):238-241. Epub 2020 Apr 27.

Department of Orthopaedic Surgery, Harborview Medical Center, Seattle, WA, USA.

Background: Heterotopic ossification (HO) formation after complex elbow injuries can significantly impact function. Prior studies have reported a 3%-45% incidence of HO following elbow trauma in a heterogeneous cohort of fracture patterns. The purpose of our study was to evaluate the prevalence of and identify risk factors for HO specifically in patients with terrible triad injuries. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256879PMC

Elbow Dislocation.

Clin Sports Med 2020 Jul;39(3):637-655

Orlando Health, 1222 South Orange Street, Orlando, FL 32806, USA.

This article is a brief overview of the elbow dislocations focusing on updates in treatment and rehabilitation protocols. The fight between obtaining elbow stability without leading to long-term elbow stiffness has been a continued focus in field of sports medicine. This article highlights advances made to help treat the injuries appropriately and obtain optimal patient outcomes. Read More

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http://dx.doi.org/10.1016/j.csm.2020.02.009DOI Listing

Elbow Fractures.

Clin Sports Med 2020 Jul;39(3):623-636

The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA. Electronic address:

The elbow joint consists of the humeroulnar, humeroradial, and proximal radioulnar joints. Elbow stability is maintained by a combination of static and dynamic constraints. Elbow fractures are challenging to treat because the articular surfaces must be restored perfectly and associated soft tissue injuries must be recognized and appropriately managed. Read More

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http://dx.doi.org/10.1016/j.csm.2020.03.002DOI Listing

The Biomechanical Effect of Bone Grafting and Bone Graft Remodeling in Patients With Anterior Shoulder Instability.

Am J Sports Med 2020 Jul 21;48(8):1857-1864. Epub 2020 May 21.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: Individual constitutional differences in glenoid shape and bone remodeling require a patient-specific and longitudinal approach to evaluate the biomechanical effects of glenoid bone grafting in patients with anterior shoulder instability.

Purpose: To quantify the longitudinal, in vivo, biomechanical effects of bone grafting, bone graft remodeling, and glenoid shape in patients with anterior shoulder instability by means of patient-specific finite element models.

Study Design: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/0363546520919958DOI Listing

Patient and Surgeon Factors Associated With Prosthetic Replacement Rather Than With Open Reduction and Internal Fixation of a Radial Head Fracture.

Hand (N Y) 2020 May 20:1558944720918358. Epub 2020 May 20.

The University of Texas at Austin, USA.

The decision between radial head arthroplasty and open reduction internal fixation in the context of a terrible triad elbow fracture-dislocation is debated. This study investigated both surgeon and patient factors associated with surgeons' recommendations to use arthroplasty. One hundred fifty-two surgeon members of the Science of Variation Group participated. Read More

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http://dx.doi.org/10.1177/1558944720918358DOI Listing

The long-term efficacy of the GraftRope technique.

J Shoulder Elbow Surg 2020 May 15. Epub 2020 May 15.

Centro Traumatologico Ortopedico, Shoulder Unit, Torino, Italy.

Background: Acromioclavicular joint separations continue to be a challenge for surgeons, and modern arthroscopically assisted techniques are becoming increasingly widespread. The aim of this study is to evaluate if the use of a biological support in association with a nonresorbable subcoracoid fixation can improve long-term stability in acromioclavicular joint dislocation surgically treated. We assessed clinical and radiographic results, patients' return to daily activities and the risk of complications. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.014DOI Listing

The pronator teres and the flexor carpi radialis interval approach for operative fixation of ulna coronoid process fractures.

Orthop Traumatol Surg Res 2020 May 14. Epub 2020 May 14.

Department of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, No.169, Donghu Road, Wuchang District, Wuhan 430071, China. Electronic address:

Background: The optimal approach for the fixation of coronoid process fractures is unknown. We present the advantages and the clinical effect of the pronator teres and the flexor carpi radialis interval approach for the treatment of ulna coronoid process fractures.

Methods: The patients, who had operative treatment of closed ulna coronoid process fracture by the pronator teres and the flexor carpi radialis interval approach between January 2011 to December 2016, were studied retrospectively. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.04.004DOI Listing

Constrained or unconstrained shoulder replacement for musculoskeletal tumor resections?

J Shoulder Elbow Surg 2020 May 13. Epub 2020 May 13.

Queensland Bone and Soft Tissue Sarcoma Service, Princess Alexandra Hospital, Brisbane, QLD, Australia; The Wesley Hospital, Brisbane, QLD, Australia.

Background: Many options exist for reconstructing the shoulder after large bony resections of the proximal humerus. One of the more widely used is endoprosthetic replacement. Proximal migration of unconstrained hemiarthroplasty articulations may cause difficulties particularly in the setting of loss of the rotator cuff and/or deltoid musculature. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.006DOI Listing

Declining trends in Medicare physician reimbursements for shoulder surgery from 2002 to 2018.

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:

Background: As the current health care system evolves toward cost-containment and value-based approaches, evaluating trends in physician reimbursements will be critical for assessing and ensuring the financial stability of shoulder surgery as a subspecialty.

Methods: The Medicare Physician Fee Schedule Look-up Tool was used to retrieve average reimbursement rates for 39 shoulder surgical procedures (arthroscopy with or without repair, arthroplasty, acromioclavicular or clavicular open reduction-internal fixation, fixation for proximal humeral fracture and/or shoulder dislocation, open rotator cuff repair or tendon release and/or repair, and open shoulder stabilization) from 2002 to 2018. All reimbursement data were adjusted for inflation to 2018 dollars. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.005DOI Listing

[Diagnosis of upper arm, elbow, and proximal lower arm fractures].

Radiologe 2020 Jul;60(7):581-590

Radiologische Klinik, Städtisches Klinikum Dresden Friedrichstadt, Dresden, Deutschland.

The complex anatomy of the elbow joint enables a wide range of movement and complex functions in everyday and professional life. Typical injuries of this joint include a variety of different pathologies. Due to overlaying structures in plain radiographs, diagnosis of injuries to the elbow joint places high demands on the treating physicians and often needs further diagnostic imaging. Read More

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http://dx.doi.org/10.1007/s00117-020-00686-2DOI Listing

Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature.

Authors:
Lujie Xu Wensong Ye

BMC Musculoskelet Disord 2020 May 6;21(1):282. Epub 2020 May 6.

Department of Orthopaedics, Children's Hospital, Zhejiang University School of Medicine, 14th Floor, Inpatient Building, No. 3333 Binsheng Road, Hangzhou, Zhejiang, People's Republic of China.

Background: Monteggia equivalent lesion represents a series of combined elbow and forearm injuries that resemble typical Monteggia fracture either in presentation or mechanism. The term has gradually evolved since its introduction, as sporadic case reports continued to complement it. The aim of this study was to present a furthermore type of that lesion which no previous study had reported and arouse pediatric orthopedists' additional awareness of it. Read More

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http://dx.doi.org/10.1186/s12891-020-03315-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204043PMC

Reconstruction of complex radial head fractures using fine-threaded K-wires : clinical outcome and remaining instability.

Acta Orthop Belg 2019 Dec;85(4):437-447

Radial head replacement or ORIF are established treatment options for Mason type-III and type-IV fractures. The aim of this study was to provide results for reconstruction of these complex fractures using fine-threaded K-wires. We present results after reconstruction of 15 Mason type-III and 8 Mason type-IV fractures. Read More

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December 2019

Radial head fractures.

Br J Hosp Med (Lond) 2020 Apr 14;81(4):1-6. Epub 2020 Apr 14.

Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK.

Radial head fractures are a common fracture involving the elbow joint. Patients typically present after a fall onto an outstretched hand with elbow pain and swelling. Without adequate treatment, this can lead to long-term complications, including loss of elbow motion and pain. Read More

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http://dx.doi.org/10.12968/hmed.2019.0404DOI Listing

Ulnar nerve subluxation and dislocation: a review of the literature.

Neurosurg Rev 2020 Apr 27. Epub 2020 Apr 27.

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, 131 S. Robertson St. Suite 1300, New Orleans, LA, 70112, USA.

The pathogenesis of ulnar nerve subluxation and dislocation is widely debated. Upon elbow flexion, the ulnar nerve slips out of the groove for the ulnar nerve, relocates medial or anterior to the medial epicondyle, and returns to its correct anatomical position upon extension. This chronic condition can cause neuritis or neuropathy; however, it has also been suggested that it protects against neuropathy by reducing tension along the nerve. Read More

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http://dx.doi.org/10.1007/s10143-020-01286-3DOI Listing

Comparison between hook plate fixation with and without coracoclavicular ligament suture for acute acromioclavicular joint dislocations.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020905058

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Background: Hook plates are widely used for repair of acromioclavicular joint (ACJ) dislocations. However, it is unclear whether repair of torn coracoclavicular (CC) ligament is necessary. The purpose of this study was to evaluate the outcomes of the hook plate fixation with direct CC ligament repair for acute ACJ dislocation in comparison with the hook plate fixation without direct CC ligament repair. Read More

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http://dx.doi.org/10.1177/2309499020905058DOI Listing

The Kite technique: a new all-arthroscopic technique for the treatment of acute acromioclavicular joint dislocation.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 25. Epub 2020 Apr 25.

Department of Anatomy, Histology, Legal Medicine and Orthopedics, Sapienza University of Rome-Polo Pontino (ICOT), Latina, Italy.

Purpose: Although many open techniques have been developed, no all-arthroscopic technique has been introduced to reduce acute acromioclavicular joint dislocation (ACJD) and augment both coracoclavicular (CC) ligaments. The Kite technique is the first all arthroscopic technique with this aim.

Methods: Forty-one consecutive patients [35M-6F; median: 29. Read More

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http://dx.doi.org/10.1007/s00167-020-06013-5DOI Listing

Treatment of medial humeral epicondyle fractures in children using absorbable self-reinforced polylactide pins.

Authors:
Yuxi Su Guoxin Nan

Medicine (Baltimore) 2020 Apr;99(17):e19861

Department II of Orthopaedics; Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders; Children's Hospital of Chongqing Medical University, Chongqing, China.

The best treatment for medial humeral epicondyle fractures in children has been debated. In case of incarceration of the epicondylar fragment, particularly after elbow dislocation, several materials are used for fixation, including Kirschner wires (K-wires), metallic compression screws, tension band wire, and suture anchors. Herein, we introduce a new fixation material: the absorbable self-reinforced polylactide (SR-PLA) pin. Read More

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http://dx.doi.org/10.1097/MD.0000000000019861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220675PMC

The unicortical sternoclavicular joint reconstruction using synthetic graft.

Shoulder Elbow 2020 Apr 6;12(2):144-147. Epub 2018 Aug 6.

Upper Limb Research Unit, The Upper Limb Unit, Wrightington Hospital, Wigan, UK.

Sternoclavicular joint injuries represent 5% of all injuries to the shoulder complex. We report a safe and reproducible technique for reconstruction of anterior sternoclavicular joint dislocations, employing a synthetic graft using a unicortical technique with minimal dissection anterior to the joint. Read More

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http://dx.doi.org/10.1177/1758573218790964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153205PMC

Congenital unilateral proximal radioulnar synostosis: A surgical case report.

Medicine (Baltimore) 2020 Apr;99(16):e19782

Department of Orthopedics, Jilin Province FAW General Hospital.

Rationale: Congenital proximal radioulnar synostosis is a rare genetic malformation of the upper limb. This deformity, which is found mainly in preschool-aged children, has no recognized diagnosis and treatment. Current diagnostic methods cannot effectively assess both bone structure and soft tissue abnormalities, and most surgical treatments introduce complications and do not prevent recurrence. Read More

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http://dx.doi.org/10.1097/MD.0000000000019782DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220528PMC

Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient: a case report and review of literature.

BMC Surg 2020 Apr 15;20(1):71. Epub 2020 Apr 15.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 200233, Shanghai, People's Republic of China.

Background: Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture (Criss-Cross Injury) in an adult patient is rarely reported in previous studies. The pathological changes and injury patterns have not been clearly demonstrated.

Case Presentation: A 26-year-old woman presented with acute pain of the right wrist and elbow after a fall from cycling. Read More

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http://dx.doi.org/10.1186/s12893-020-00717-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160939PMC

Arthroscopic iliac crest bone grafting in recurrent anterior shoulder instability: minimum 5-year clinical and radiologic follow-up.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 13. Epub 2020 Apr 13.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Purpose: To investigate the clinical and radiologic mid- to long-term results of arthroscopic iliac crest bone-grafting for anatomic glenoid reconstruction in patients with recurrent anterior shoulder instability.

Methods: Seventeen patients were evaluated after a minimum follow-up of 5 years. Clinical [range of motion, subscapularis tests, apprehension sign, Subjective Shoulder Value (SSV), Constant Score (CS), Rowe Score (RS), Walch Duplay Score (WD), Western Ontario Shoulder Instability Index (WOSI)], and radiologic [X-ray (true a. Read More

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http://dx.doi.org/10.1007/s00167-020-05986-7DOI Listing

Four different management strategies in missed Monteggia lesions in children.

J Orthop 2020 Sep-Oct;21:207-212. Epub 2020 Mar 28.

University of Health Sciences, Kartal Dr. Lütfi Kırdar Research and Training Hospital, Department of Orthopaedics and Traumatology, Denizer St. Cevizli 34806, Kartal, İstanbul, Turkey.

Objectives: Management of missed Monteggia lesions presents a challenging clinical scenario for pediatric orthopaedic surgeons as the patient may be exposed to possible morbidities and increased complications. There are several evidenced surgical strategies described. We aimed to present 18 patients diagnosed within 4 months of injury who were treated using 4 of the identified many surgical strategies. Read More

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http://dx.doi.org/10.1016/j.jor.2020.03.055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132059PMC

Treatment of terrible triad injuries at a mean follow-up of nine years.

Shoulder Elbow 2019 Dec 6;11(6):450-458. Epub 2018 Nov 6.

Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.

Background: To evaluate the sustainability of the early clinical and radiological outcomes of terrible triad injuries at long-term follow-up.

Methods: Twelve consecutive patients who underwent fixation of terrible triad injuries with minimum of seven years of follow-up. Functional and radiological outcomes at one year and final follow-up were compared. Read More

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http://dx.doi.org/10.1177/1758573218809375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094064PMC
December 2019

Does the innate relative size of the humeral head and glenoid affect the risk of anterior shoulder instability?

Shoulder Elbow 2019 Dec 23;11(6):424-429. Epub 2018 Oct 23.

JointResearch, Department of Orthopaedic Surgery, OLVG Amsterdam, the Netherlands.

Background: Bony lesions after shoulder dislocation reduce the joint contact area and increase the risk of recurrent instability. It is unknown whether the innate relative sizes of the humeral head and glenoid may predispose patients to shoulder instability. This study evaluated whether anterior shoulder instability is associated with a larger innate humeral head/glenoid ratio (IHGR). Read More

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http://dx.doi.org/10.1177/1758573218805099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094061PMC
December 2019

Juberg-Hayward syndrome is a cohesinopathy, caused by mutation in ESCO2.

Eur J Orthod 2020 Apr 7. Epub 2020 Apr 7.

School of Chemistry, Institute of Science, and Center for Biomolecular Structure, Function and Application, Suranaree University of Technology, Nakhon Ratchasima, Thailand.

Background: Juberg-Hayward syndrome (JHS; MIM 216100) is a rare autosomal recessive malformation syndrome, characterized by cleft lip/palate, microcephaly, ptosis, short stature, hypoplasia or aplasia of thumbs, and dislocation of radial head and fusion of humerus and radius leading to elbow restriction.

Objective: To report for the first time the molecular aetiology of JHS.

Patient And Methods: Clinical and radiographic examination, whole exome sequencing, Sanger sequencing, mutant protein model construction, and in situ hybridization of Esco2 expression in mouse embryos were performed. Read More

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http://dx.doi.org/10.1093/ejo/cjaa023DOI Listing
April 2020
1.390 Impact Factor

Clinical and Functional Outcomes of Ulnar Lengthening in the Treatment of Masada Type I Forearm Deformities in Hereditary Multiple Osteochondromas.

J Hand Surg Am 2020 Apr 3. Epub 2020 Apr 3.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Purpose: Forearm deformity is common in hereditary multiple osteochondromas (HMO). The results of ulnar lengthening and osteochondroma excision are generally favorable, both clinically and radiographically. This study aimed to assess the clinical, radiographic, and functional results of forearm reconstruction in patients with Masada type I deformity (osteochondroma in the distal ulna with radial bowing, without radial head dislocation). Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.02.010DOI Listing

[Effect of decoction (, BYHWD) on X-ray evaluation of early callus and level of serum alkaline phosphatase in elderly patients with Colles fracture after manual reduction and splint external fixation].

Zhongguo Gu Shang 2020 Mar;33(3):241-6

The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410208, Hunan, China.

Objective: To explore effects of Decoction (, BYHWD) on early callus X-ray evaluation and level of serum alkaline phosphatase in elderly patients with Colles fracture after manual reduction and splint external fixation.

Methods: From October 2016 to October 2018, 60 elderly patients with Colles fractures were treated with manual reduction and splint external fixation and were divided into experimental group and control group. There were 30 patients in control group, including 15 males and 15 females; aged from 56 to 75 years old with an average of (67. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.03.011DOI Listing

Does overcorrection cause any negative effect on pediatric missed Monteggia lesion?

Eur J Orthop Surg Traumatol 2020 Aug 26;30(6):1017-1024. Epub 2020 Mar 26.

Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand.

Purposes: To evaluate the outcome of different types of ulna osteotomy in missed Monteggia fracture with a particular interest in anatomical correction and overcorrection techniques. The outcome between the two groups were compared on aspects of (1) clinical outcome (2) radiologic outcome.

Methods: Twenty-one patients with type 1 missed Monteggia fracture who underwent surgery between January 2005-2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00590-020-02660-zDOI Listing

Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?

Case Rep Orthop 2020 26;2020:3260106. Epub 2020 Feb 26.

Departamento de Ortopedia y Traumatologia, Servicio de Cirugía de Miembro Superior, Hospital Militar Central "Cosme Argerich", Buenos Aires., Argentina.

Case: We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. Read More

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http://dx.doi.org/10.1155/2020/3260106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079214PMC
February 2020

Old unreduced elbow dislocation: Patients' perspectives on outcome of open reduction.

Surgeon 2020 Mar 21. Epub 2020 Mar 21.

Clinical Services & Training Department, National Orthopaedic Hospital Dala, Kano, Nigeria.

Introduction: Old unreduced elbow dislocation is not uncommon in developing countries. Many authors have reported outcome of open reduction in the management of this problem. However, we did not find any study that document patient reported outcome. Read More

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http://dx.doi.org/10.1016/j.surge.2020.03.001DOI Listing