4,128 results match your criteria Dislocation Elbow


Reverse shoulder arthroplasty in the treatment of glenohumeral instability.

J Shoulder Elbow Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Orthopaedics, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Background: Glenohumeral instability is a rare indication for primary reverse total shoulder arthroplasty (RTSA), accounting for fewer than 1% of the indications in the literature. The aim of this study was to analyze the clinical and radiographic outcomes of RTSA for recurrent instability after failed operative repair or instability associated with major bone loss in elderly patients.

Methods: A retrospective matched case-control study was performed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193006
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http://dx.doi.org/10.1016/j.jse.2019.02.001DOI Listing
April 2019
1 Read

DOES SURGEON SPECIALIZATION CHANGE THE PROXIMAL HUMERAL OSTEO-SYNTHESIS APPROACH?

Acta Ortop Bras 2019 Mar-Apr;27(2):113-115

Universidade Estadual de Campinas (UNICAMP), Department of Orthopedics and Traumatology, Shoulder and Elbow Group, Campinas, São Paulo, Brazil.

Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making.

Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Read More

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http://dx.doi.org/10.1590/1413-785220192702212055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442719PMC
April 2019
1 Read

Comparison of Clinical Outcomes and CT Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor.

Arthroscopy 2019 Apr 12. Epub 2019 Apr 12.

Department of Orthopedic Surgery, Ewha Womans University, School of Medicine, Seoul, Korea. Electronic address:

Purpose: To compare the clinical outcomes and radiological findings at the anchor site after arthroscopic Bankart repair with all-suture anchors and biodegradable suture anchors in patients with recurrent anterior shoulder dislocation.

Methods: The patients who underwent arthroscopic Bankart repair were divided into 2 groups depending on the type of the suture anchor used in different periods. Power analysis was designed based on the postoperative Rowe score. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.12.011DOI Listing

Isolated open anterior shoulder release in brachial plexus birth palsy.

J Shoulder Elbow Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopedics, Service of Hand Surgery, Clinique du Mont Louis, Paris, France.

Background: In children with brachial plexus birth palsy (BPBP), a shoulder joint internal contracture is commonly observed, which may result in glenohumeral osseous deformities and posterior joint subluxation. The purpose of this retrospective study was to evaluate the impact of an isolated anterior shoulder release on osteoarticular disorders and assess the subsequent clinical improvements.

Methods: Forty consecutive BPBP patients with glenohumeral dysplasia underwent an open anterior shoulder release. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.016DOI Listing
April 2019
2 Reads

Most coronoid fractures and fracture-dislocations with no radial head involvement can be treated nonsurgically with elbow immobilization.

J Shoulder Elbow Surg 2019 Apr 4. Epub 2019 Apr 4.

Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery and Trauma Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Hypothesis: Conservative treatment of isolated coronoid fractures and fracture-dislocations focused on soft-tissue healing can provide good clinical results in the majority of patients. Our aims were (1) to evaluate the outcome of a conservative treatment protocol designed for isolated coronoid fractures with or without associated elbow dislocations (ICFs) and (2) to characterize the fractures with a dedicated image analysis protocol.

Methods: Of 38 consecutive patients sustaining acute ICFs, 28 were treated nonsurgically after meeting specific inclusion criteria, prospectively followed up, and clinically evaluated at least 1 year after sustaining their injuries. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.005DOI Listing
April 2019
3 Reads

[The treatment of elbow dislocations in children and adolescents : Consensus report of the pediatric trauma section of the German Trauma Society (DGU)].

Unfallchirurg 2019 Apr 2. Epub 2019 Apr 2.

Abteilung für Kinderchirurgie und Kinderurologie, Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland.

Dislocations of the elbow during growth are rare but because of associated fractures a range of therapeutic methods are employed. The postoperative care is even more varied, so the scientific working group of the section for pediatric trauma of the DGU developed the following recommendations for the treatment of elbow dislocations in children and adolescents based on own experience and a review of the literature. Diagnosis is made from radiographs with at least one (preferably lateral) view showing the dislocation. Read More

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http://dx.doi.org/10.1007/s00113-019-0632-xDOI Listing
April 2019
3 Reads

Tardy Ulnar Nerve Palsy.

J Am Acad Orthop Surg 2019 Mar 28. Epub 2019 Mar 28.

From the Orthopedic Department (Dr. Rubin, Dr. Orbach, Dr. Bor, and Prof. Rozen), Emek Medical Center, Afula, Israel, and the Faculty of Medicine (Dr. Rubin, Dr. Bor, and Prof. Rozen), Technion, Haifa, Israel.

Tardy ulnar nerve palsy is a chronic clinical condition characterized by a delayed onset ulnar neuropathy after an injury to the elbow. Typically, tardy ulnar nerve palsy occurs as a consequence of nonunion of pediatric lateral condyle fractures at the elbow, which eventually lead to a cubitus valgus deformity. While the child grows, the deformity worsens and the ulnar nerve is gradually stretched until classic symptoms of ulnar nerve neuropathy appear. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00138DOI Listing
March 2019
2 Reads

[Simple elbow dislocation - really "simple"?]

MMW Fortschr Med 2019 Apr;161(6):49-50

Arcus Sportklinik, Pforzheim, Deutschland.

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http://dx.doi.org/10.1007/s15006-019-0360-8DOI Listing
April 2019
2 Reads

Traumatic Anteromedial Radial Head Dislocation in an Adult: A Case of Brachialis Tendon Entrapment.

Cureus 2019 Jan 21;11(1):e3924. Epub 2019 Jan 21.

Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, Izmir, TUR.

Isolated traumatic anteromedial radial head dislocation is an uncommon injury in adults. The brachialis tendon interposition rarely interferes with the radial head reduction procedure. In the present paper, we report the case of an 18-year-old male who sustained an injury to his right elbow during a wrestling match and developed isolated anteromedial radial head dislocation. Read More

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http://dx.doi.org/10.7759/cureus.3924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433092PMC
January 2019
1 Read

[Essex-Lopresti lesion is often undiagnosed].

Ugeskr Laeger 2019 Mar;181(13)

In this review, the diagnostics of the Essex-Lopresti lesion is discussed. The lesion is a combination of fracture of the head of radius, rupture of the interosseous mebrane (IOM) and dislocation of the distal radioulnar joint. The lesion is often overlooked in the primary clinical settings, and it is correlated to severe instability, osteoarthritis and pain if untreated. Read More

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March 2019
10 Reads

Current Approach to the Management of Forearm and Elbow Dislocations in Children.

Pediatr Emerg Care 2019 Apr;35(4):293-298

Assistant Professor and Director of Ultrasound (Gottlieb), Department of Emergency Medicine, Rush University Medical Center, Chicago, IL; Assistant Professor (Suleiman), Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

Pediatric orthopedic injuries are a common reason for presentation to the emergency department. This article sequentially discusses 2 important upper extremity injuries that require prompt management in the emergency department. Radial head subluxations are discussed with a focus on current evidence for imaging, reduction techniques, and follow-up. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001805DOI Listing

An Unreported Variant of Convergent Dislocation of Elbow.

J Orthop Case Rep 2018 Nov-Dec;8(6):79-81

Department of Paediatric Orthopaedics, OrthoKids Clinic, Ahmedabad, Gujarat, India.

Introduction: Pediatric traumatic elbow dislocation is an uncommon injury accounting for 3-% of all pediatric elbow injuries. It can present as an isolated injury or in association with fractures of radius, ulna, or humerus. Posterolateral type is the most common accounting for 70% of all pediatric elbow dislocations. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424311PMC
March 2019
1 Read

Isolated Regan-Morrey Type III Fracture of the Ulnar Coronoid Process: A Report of Two Cases.

J Orthop Case Rep 2018 Nov-Dec;8(6):65-67

Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.

Introduction: Fracture of the ulnar coronoid process is uncommon. It is commonly associated with posterior dislocation of the elbow, but it may also present as an isolated fracture. In general, all ulnar coronoid process fractures with elbow joint instability and large fracture fragments are fixed surgically. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424314PMC
March 2019
1 Read

Floating Forearm with Terrible Triad Injury of the Elbow: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):38-41

Department of Orthopedic Surgery, Trauma Center, Ben Arous, Tunisia.

Introduction: Floating forearm is rare. Simultaneous terrible triad injury of the elbow is even rarer.

Case Report: A 47-year-old male patient presented with concurrent dorsal perilunate dislocation of the left wrist combined with a terrible triad injury of the left elbow after a fall from the second floor. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424312PMC
March 2019
1 Read

Intra-articular Monteggia Fracture: A Case Study of Using the Center of Rotational Angulation to Improve a Functional Outcome.

J Orthop Case Rep 2018 Nov-Dec;8(6):27-30

Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.

Introduction: Elbow fractures are the most common pediatric fracture to require operative fixation and can be associated with significant morbidities such as vascular injury, neurologic injury, and loss of function. Specifically, the chronic Monteggia fracture-dislocation causes devastating losses in range of motion. Presenting as a proximal to midshaft ulna fracture and radiocapitellar joint disruption, the acute injury can be successfully managed with closed reduction, serial casting, and close follow-up. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424305PMC
March 2019
1 Read

On-field Management of Shoulder and Elbow Injuries in Baseball Athletes.

Curr Rev Musculoskelet Med 2019 Mar 18. Epub 2019 Mar 18.

Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, 525 E. 71st Street, New York, NY, 10021, USA.

Purpose Of Review: The goal of this review article is to help medical personnel of all levels and backgrounds identify and appropriately manage on-field acute shoulder and elbow injuries in the baseball athlete. This article discusses the most common acute shoulder and elbow injuries in baseball players along with recommendations for appropriate on-field management.

Recent Findings: Shoulder and elbow injuries are very common in baseball players and can be problematic because of the unique demands placed on the shoulder and elbow during the throwing and swinging motions. Read More

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http://dx.doi.org/10.1007/s12178-019-09535-9DOI Listing
March 2019
2 Reads

A rare case of type 2 entrapment of the median nerve after posterior elbow dislocation with MRI and ultrasound correlation.

Skeletal Radiol 2019 Mar 13. Epub 2019 Mar 13.

Department of Orthopedics, Medical University of South Carolina, Charleston, SC, USA.

A 9-year-old boy sustained an ulnohumeral dislocation with a medial epicondyle fracture and experienced incomplete post-traumatic median nerve palsy in addition to post-traumatic stiffness following closed reduction and cast immobilization. When his motor palsy and stiffness did not improve, MRI and ultrasound were obtained, which demonstrated entrapment of the median nerve in an osseous tunnel at the fracture site, compatible with type 2 median nerve entrapment. Subsequently, the patient underwent surgery to mobilize the medial epicondyle and free the median nerve, resulting in improved range of motion, near complete restoration of motor function, and complete restoration of sensory function in the median nerve distribution within 6 months of surgery. Read More

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http://dx.doi.org/10.1007/s00256-019-03201-4DOI Listing
March 2019
1 Read

Ulnar nerve instability in the cubital tunnel of asymptomatic volunteers.

J Ultrasound 2019 Mar 12. Epub 2019 Mar 12.

Department of Radiology, Logan University, 1851 Schoettler Rd, Chesterfield, MO, 63017, USA.

Purpose: Ulnar nerve instability (UNI) in the cubital tunnel is defined as ulnar nerve subluxation or dislocation. It is a common disorder that may be noted in patients with neuropathy or in the asymptomatic. Our prospective, single-site study utilized high-resolution ultrasonography (US) to evaluate the ulnar nerve for cross-sectional area (CSA) and measures of shear-wave elastography (SWE). Read More

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http://dx.doi.org/10.1007/s40477-019-00370-9DOI Listing
March 2019
1 Read

The use of static external fixation for chronic instability of the elbow.

J Shoulder Elbow Surg 2019 Mar 8. Epub 2019 Mar 8.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. Electronic address:

Background: Chronic elbow instability after trauma is a challenging problem. Clinical results of external elbow fixation in this setting are limited, with most studies focusing on hinged external fixation. A static fixator is an alternative for maintaining joint reduction. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.007DOI Listing

The Role of Periarticular Soft Tissues in Persistent Motion Loss in a Rat Model of Posttraumatic Elbow Contracture.

J Bone Joint Surg Am 2019 Mar;101(5):e17

Departments of Biomedical Engineering (C.L.D. and S.P.L.), Mechanical Engineering & Materials Science (R.M.C. and S.P.L.), and Orthopaedic Surgery (A.M.C. and S.P.L.), Washington University in St. Louis, St. Louis, Missouri.

Background: Elbow injuries disrupt the surrounding periarticular soft tissues, which include the muscles, tendons, capsule, ligaments, and cartilage. Damage to these tissues as a result of elbow trauma causes clinically significant contracture in 50% of patients. However, it is unclear which of these tissues is primarily responsible for the decreased range of motion. Read More

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http://dx.doi.org/10.2106/JBJS.18.00246DOI Listing
March 2019
6 Reads

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.

Clin Orthop Surg 2019 Mar 18;11(1):103-111. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. Read More

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http://dx.doi.org/10.4055/cios.2019.11.1.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532PMC
March 2019
9 Reads

The effect of subscapularis repair on dislocation rates in reverse shoulder arthroplasty: a meta-analysis and systematic review.

J Shoulder Elbow Surg 2019 May 1;28(5):989-997. Epub 2019 Mar 1.

Orthopaedic Surgery, Pan Am Clinic, University of Manitoba, Winnipeg, MB, Canada.

Background: Reverse total shoulder arthroplasty is an effective treatment for patients with rotator cuff arthropathy; however, complication rates are relatively high (19%-50%), with implant instability and infection being particularly devastating to overall outcomes. The objective of this study was to analyze the highest level of data comparing dislocation rates and outcomes in reverse total shoulder arthroplasty with and without the subscapularis tendon repaired.

Methods: The databases MEDLINE, Embase, and CINAHL were searched using a sensitive search strategy for this meta-analysis/systematic review. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.069DOI Listing
May 2019
2 Reads

Clinical outcomes of the reverse McLaughlin procedure for Hill-Sachs lesions in anterior shoulder instability.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018816444

2 Department of Orthopaedic Surgery, University Orthopaedics, Hand & Reconstructive Microsurgery Cluster, National University Hospital, National University Health System, Singapore.

Introduction:: Engaging Hill-Sachs lesions in recurrent anterior shoulder dislocation have been managed with the remplissage procedure. Clinical and cadaveric studies have reported limitation of rotation after this procedure. We introduce the reverse McLaughlin procedure where the infraspinatus and the underlying capsule are detached and approximated into the Hill-Sachs defect with transosseous sutures. Read More

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http://dx.doi.org/10.1177/2309499018816444DOI Listing
February 2019

[Pale and pulseless hand after luxation of the left elbow in a 9‑year-old boy].

Unfallchirurg 2019 Feb 20. Epub 2019 Feb 20.

Klinik für Gefäßchirurgie und Gefäßmedizin, Schwarzwald-Baar-Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Deutschland.

Background: Luxation of the elbow occurs around the age of 7 years instead of a supracondylar humeral fracture. The most common complication is a fracture of the medial epicondyle of the ulna in the sense of a bony avulsion of the ligament. There are only few case reports regarding collateral injuries of the brachial artery. Read More

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http://link.springer.com/10.1007/s00113-019-0616-x
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http://dx.doi.org/10.1007/s00113-019-0616-xDOI Listing
February 2019
4 Reads

Unusual combination of elbow dislocation with a retained intraarticular fragment and trochlear fracture and ipsilateral distal radius fracture in an amateur snowboarder: A case report and review of literatures.

Int J Surg Case Rep 2019 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374697PMC
February 2019

Congenital orthopaedic limp deformities in Corpus Hippocraticum.

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

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http://link.springer.com/10.1007/s00264-019-04308-y
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http://dx.doi.org/10.1007/s00264-019-04308-yDOI Listing
February 2019
7 Reads

Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 14. Epub 2019 Feb 14.

Sporthopaedicum, Straubing and Regensburg, Bahnhofplatz, 27, 94315, Straubing, Germany.

Purpose: Most elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. Read More

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http://dx.doi.org/10.1007/s00167-019-05402-9DOI Listing
February 2019
6 Reads

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Chin J Traumatol 2019 Feb 30;22(1):59-62. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183009
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http://dx.doi.org/10.1016/j.cjtee.2018.04.007DOI Listing
February 2019
11 Reads

Type III Monteggia Equivalent Lesion with Ipsilateral Fracture Lateral Condyle of Humerus in a Four-year-old Child: A Case Report and Literature Review.

J Orthop Case Rep 2018 Sep-Oct;8(5):19-21

Department of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, Msida MSD 2090, Malta.

Introduction: Monteggia fracture-dislocations are uncommon injuries in children, rarely associated with other ipsilateral upper limb injuries. We present a case of type III Monteggia lesion associated with an ipsilateral fracture of the lateral condyle of the humerus in a child.

Case Report: A 4-year-old girl presented with a left elbow swelling after falling from a height of 2 meters. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367291PMC
February 2019
1 Read

Biomechanical comparison of two biplanar and one monoplanar reconstruction techniques of the acromioclavicular joint.

Arch Orthop Trauma Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Inselspital, Freiburgstrasse, Bern, Switzerland.

Introduction: The purpose of this proof-of-concept study was to investigate the biomechanical performance of two surgical techniques, namely (1) the double Tight-Rope fixation with an additional acromioclavicular FiberTape fixation (DTRC) and (2) the fixation of the clavicle to the acromion and coracoid in a bipodal manner (Bipod) using a Poly-Tape and FiberTape. Both techniques intend to address vertical and horizontal instability after acromioclavicular dislocation. They were compared with the commonly used (3) double Tight-Rope (DTR) technique, which only stabilizes the clavicle to the coracoid. Read More

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http://dx.doi.org/10.1007/s00402-019-03137-3DOI Listing
February 2019
5 Reads

Replacement or repair of terrible triad of the elbow: A systematic review and meta-analysis.

Medicine (Baltimore) 2019 Feb;98(6):e13054

Department of Surgery, College of Clinical Medicine, Dali University, Dali 671000,Yunnan Province, China.

Background: Surgical treatment for terrible triad injuries remains a challenging clinical problem, and controversy exists of whether it is better to repair or replace the radial head. The objective of this systematic review was to evaluate the clinical outcomes of repair and arthroplasty replacement of the radial head in patients with terrible triad injury.

Methods: Medline, Cochrane Library, EMBASE, and Google Scholar were searched up to July 30, 2018 to identify the relevant studies, which included patients who had received treatments of the terrible triad of the elbow and also had reported with the quantitative outcomes. Read More

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http://dx.doi.org/10.1097/MD.0000000000013054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380772PMC
February 2019
18 Reads

Treatment of Anterior Sternoclavicular Joint Dislocation with Acromioclavicular Joint Hook Plate.

Orthop Surg 2019 Feb 6;11(1):91-96. Epub 2019 Feb 6.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Objective: To evaluate the safety and efficacy of using acromioclavicular joint hook plates for the treatment of anterior sternoclavicular joint dislocation.

Methods: Ten patients who suffered anterior sternoclavicular joint dislocation were retrospectively analyzed, and underwent acromioclavicular joint hook plate surgeries from January 2015 to May 2017. There were 7 male and 3 female patients, with a mean age of 43. Read More

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http://dx.doi.org/10.1111/os.12422DOI Listing
February 2019
3 Reads

Comparative Systematic Review of Fixation Methods of the Coracoid and Conjoined Tendon in the Anterior Glenoid to Treat Anterior Shoulder Instability.

Orthop J Sports Med 2019 Jan 25;7(1):2325967118820539. Epub 2019 Jan 25.

University of São Paulo, São Paulo, Brazil.

Background: Coracoid process transfer for the treatment of recurrent glenohumeral dislocations is a safe and reliable procedure; however, there is no consensus as to which is the best method, the Bristow or Latarjet procedure.

Purpose: To analyze the results of coracoid process transfer for the treatment of recurrent glenohumeral dislocations and to compare the results of this transfer between the Bristow and Latarjet techniques.

Study Design: Systematic review; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/2325967118820539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348521PMC
January 2019
5 Reads

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.031DOI Listing
February 2019
2 Reads

Annular ligament repair using allograft for the treatment of chronic radial head dislocation: a case report.

Acta Biomed 2018 Dec 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8010DOI Listing
December 2018
3 Reads

External Fixator-assisted Ulnar Osteotomy: A Novel Technique to Treat Missed Monteggia Fracture in Children.

Orthop Surg 2019 Feb 4;11(1):102-108. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

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http://dx.doi.org/10.1111/os.12426DOI Listing
February 2019
2 Reads

[The clinical effects of reverse shoulder arthroplasty for the patients with the cuff tear arthritis].

Zhonghua Wai Ke Za Zhi 2019 Feb;57(2):124-128

Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

To analyze the clinical effects of reverse shoulder arthroplasty (RSA) for the patients with the cuff tear arthritis(CTA). A retrospective analysis of 12 patients who had underwent primary RSA for treatment of CTA from January 2012 to June 2017 in Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University. There were 8 males and 4 females, aged 69. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.02.010DOI Listing
February 2019
2 Reads

Nerve transfers for peripheral nerve injury in the upper limb: a case-based review.

Bone Joint J 2019 02;101-B(2):124-131

Division of Hand Surgery, Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.

Nerve transfer has become a common and often effective reconstructive strategy for proximal and complex peripheral nerve injuries of the upper limb. This case-based discussion explores the principles and potential benefits of nerve transfer surgery and offers in-depth discussion of several established and valuable techniques including: motor transfer for elbow flexion after musculocutaneous nerve injury, deltoid reanimation for axillary nerve palsy, intrinsic re-innervation following proximal ulnar nerve repair, and critical sensory recovery despite non-reconstructable median nerve lesions. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
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http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0839.R1DOI Listing
February 2019
11 Reads

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 Mar 30;47(3):682-687. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose:: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

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http://dx.doi.org/10.1177/0363546518819199DOI Listing
March 2019
14 Reads

Terrible triad injuries of the elbow.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) that are best understood in the context of injury mechanism as well as the role and relevance of the various elbow stabilizers. The goals of this article are to review the pertinent anatomy, mechanism of injury, classification and imaging of terrible triad injuries of the elbow with brief descriptions of treatment, and complications of this complex injury. Read More

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http://dx.doi.org/10.1007/s10140-019-01676-1DOI Listing
January 2019
3 Reads

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.

Plast Reconstr Surg 2019 02;143(2):503-510

Salt Lake City, Utah From the Department of Orthopaedics, Division of Public Health, and the Department of Pediatric Research Enterprise, School of Medicine, University of Utah.

Background: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition.

Methods: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352723PMC
February 2019
2 Reads

Evaluation of the Instability Severity Index score in predicting failure following arthroscopic Bankart surgery in an active military population.

J Shoulder Elbow Surg 2019 May 23;28(5):e156-e163. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Background: The Instability Severity Index (ISI) score is a preoperative risk stratification tool used to identify patients at heightened risk of recurrent anterior instability after an arthroscopic Bankart procedure. The primary objective of this study was to validate the utility of the ISI score in predicting failure of primary arthroscopic Bankart surgery in an active-duty military population.

Methods: A retrospective study was performed to compare all military service members undergoing primary arthroscopic Bankart repairs at a single military treatment facility between 2007 and 2014. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.048DOI Listing
May 2019
3 Reads

The use of static progressive and serial static orthoses in the management of elbow contractures after complex fracture dislocation injuries: A pediatric case study.

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.

Introduction: Contractures are the most common complication after traumatic injury to the elbow. Although evidence supporting the use of static progressive and serial static orthoses to help recover range of motion after these complex injuries is growing, there is currently a paucity of literature exploring its efficacy in pediatric populations.

Case Description: The following case study presents the results of the use of static progressive and serial static orthoses with a young patient who presented with both elbow extension and flexion contractures after a complex fracture dislocation injury. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.004DOI Listing
January 2019
2 Reads

ERRATUM: Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient.

Orthop Rev (Pavia) 2018 Dec 12;10(4):7968. Epub 2018 Dec 12.

Department of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MA.

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http://dx.doi.org/10.4081/or.2018.7968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315301PMC
December 2018
2 Reads

Ligaments injuries check-up and assessment of their healing potential in simple posterolateral elbow dislocation: about 25 cases.

Eur J Orthop Surg Traumatol 2019 May 16;29(4):785-792. Epub 2019 Jan 16.

Service de Chirurgie Orthopédique et Traumatologique, CHRU de Lille, Avenue du Professeur Emile Laine, Lille, France.

Introduction: Elbow dislocation can lead to instability and stiffness of the elbow. The main goal of this study was to list the initial elbow ligaments injuries caused by simple posterolateral elbow dislocations. The secondary goals were to assess ligament healing 2 months after the initial dislocation, to research a correlation between ligaments injuries and clinical course, and to search for predictive factors of instability. Read More

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http://dx.doi.org/10.1007/s00590-019-02374-xDOI Listing
May 2019
3 Reads

Recurrent Elbow Dislocation Reconstruction with Triceps Fascia Graft. Case Study.

Ortop Traumatol Rehabil 2018 Aug;20(4):327-336

Servicio de Cirugía Ortopédica y Traumatología, Hospital Virgen de los Lirios, Alcoy, Hiszpania / Department of Orthopaedics and Traumatology, Hospital Virgen de los Lirios, Alcoy, Spain.

We present an alternative method of treatment of recurrent elbow dislocation using the triceps fascia and a synthetic tape (Fibretape). The publication consists of a case study, indications for the surgery and conclusions. Read More

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http://dx.doi.org/10.5604/01.3001.0012.6466DOI Listing
August 2018
2 Reads

Challenging the Current Concept of Critical Glenoid Bone Loss in Shoulder Instability: Does the Size Measurement Really Tell It All?

Am J Sports Med 2019 Mar 14;47(3):688-694. Epub 2019 Jan 14.

Julius Wolff Institute, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Background:: Bone loss at the anterior glenoid rim is a main reason for failure of soft-tissue based surgical stabilization procedures in patients with anterior shoulder instability.

Purpose:: To evaluate the capability of conventional glenoid bone loss measurement techniques to provide an adequate estimation of the actual biomechanical effect of glenoid defects.

Study Design:: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/0363546518819102DOI Listing
March 2019
4 Reads

[Post-traumatic pure dislocation of the elbow: what is the outcome?]

Pan Afr Med J 2018 30;30:299. Epub 2018 Aug 30.

Service de Chirurgie Orthopédique, CHU Rabat, Hopital Ibn Sina, Université Mohammed V, Souissi, Maroc.

Elbow dislocations are very frequent. We conducted a retrospective study of 40 patients with dislocations of the elbow whose data were collected between 2013 and 2015. All patients underwent emergency reduction under sedation or under general anesthesia. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.299.14237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320452PMC
January 2019
3 Reads

Comparison of treatment methods for pediatric Monteggia fracture: Met vs missed radial head dislocation.

Medicine (Baltimore) 2019 Jan;98(2):e13942

Department of Pediatric Surgery.

Various methods are applied in the treatment of fresh and neglected Monteggia fractures. The purpose of this retrospective study was to evaluate the efficacy of various treatment methods, and assess the complexity associated with missed radial head dislocation.All fracture patients were reviewed between Jan 2012 and Dec 2016. Read More

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http://dx.doi.org/10.1097/MD.0000000000013942DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336613PMC
January 2019
7 Reads

Clinical outcome of Niigata-Senami-Kyocera modular unconstrained total elbow arthroplasty for destructive elbow in patients with rheumatoid arthritis.

J Shoulder Elbow Surg 2019 May 8;28(5):915-924. Epub 2019 Jan 8.

Department of Rheumatology, Nagaoka Red Cross Hospital, Nagaoka, Japan.

Background: Total elbow arthroplasty (TEA) is a treatment option for destructive and painful unstable elbows in rheumatoid arthritis (RA). We evaluated the clinical outcomes of unconstrained TEA (Niigata-Senami-Kyocera modular system).

Methods: Seventy-five unconstrained TEAs were performed in patients with RA (mean age, 64 years; age range, 41-79 years; follow-up rate, 97%). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183078
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http://dx.doi.org/10.1016/j.jse.2018.10.030DOI Listing
May 2019
14 Reads