4,098 results match your criteria Elbow Dislocation


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 Feb 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
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
1 Read

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

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

Chin J Traumatol 2018 Dec 30. 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
December 2018
4 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

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
2 Reads

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

Orthop Surg 2019 Feb 6. 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
1 Read

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
2 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
1 Read

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
2 Reads

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

Orthop Surg 2019 Feb 4. 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
1 Read

[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
1 Read

Nerve transfers for peripheral nerve injury in the upper limb.

Bone Joint J 2019 Feb;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
3 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 Jan 30:363546518819199. 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
January 2019
5 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
2 Reads

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

Plast Reconstr Surg 2019 Feb;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
1 Read

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

J Shoulder Elbow Surg 2019 Jan 23. 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
January 2019
2 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
1 Read

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
1 Read

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

Eur J Orthop Surg Traumatol 2019 Jan 16. 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
January 2019
2 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
1 Read

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 Jan 14:363546518819102. 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
January 2019
2 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
1 Read

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
4 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 Jan 8. 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
January 2019
5 Reads

Effect of the humeral neck-shaft angle and glenosphere lateralization on stability of reverse shoulder arthroplasty: a cadaveric study.

J Shoulder Elbow Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedic Surgery, Medical School Hannover, Hannover, Germany. Electronic address:

Background: Lateralizing the glenosphere and decreasing the humeral neck-shaft angles are implant design parameters that reduce the risk of scapular impingement. The effects of these parameters on joint stability remain unclear. This study evaluated the effect of glenosphere lateralization and humeral neck-shaft angle on joint stability by quantifying the anterior dislocation force in different arm positions. 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.2018.10.025DOI Listing
January 2019
9 Reads

Arthroscopic Findings and Clinical Outcomes in Patients 40 Years of Age and Older With Recurrent Shoulder Dislocation.

Arthroscopy 2019 Feb 3;35(2):314-322. Epub 2019 Jan 3.

Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:

Purpose: The present study investigates the intra-articular findings and clinical outcomes after arthroscopic surgery in patients after age 40 with chronic anterior shoulder instability.

Methods: Fifty patients older than 40 years who underwent arthroscopic stabilization for recurrent anterior shoulder dislocation were analyzed.

Results: The mean age at the time of surgery was 44. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183073
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http://dx.doi.org/10.1016/j.arthro.2018.08.041DOI Listing
February 2019
7 Reads

Ulnar osteotomy and the ilizarov mini-fixator for pediatric chronic monteggia fracture-dislocations.

Medicine (Baltimore) 2019 Jan;98(1):e13978

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Treatment of chronic Monteggia fracture-dislocations remains controversial in skeletally immature patients. The present study aimed to review the clinical outcomes of surgical treatment with an Ilizarov mini-fixator for chronic Monteggia fracture-dislocations in children. From April 2003 to March 2014, 5 pediatric patients (4 males, 1 female) with chronic Monteggia fracture-dislocation were treated with an Ilizarov mini-fixator at our institution. Read More

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http://Insights.ovid.com/crossref?an=00005792-201901040-0005
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http://dx.doi.org/10.1097/MD.0000000000013978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344151PMC
January 2019
2 Reads

Type-V Median Nerve Entrapment in a Pediatric Medial Condyle Fracture: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e108

Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio.

Case: A 30-month-old boy with a displaced medial condyle fracture and no history of an elbow dislocation was found to have an entrapped median nerve.

Conclusion: Entrapment of the median nerve is a potential consequence of a displaced medial condyle fracture, even when there are no neurologic deficits on presentation. This provides additional support for open reduction of these fractures rather than percutaneous treatment or nonoperative management. Read More

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http://Insights.ovid.com/crossref?an=01709767-201812000-0003
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http://dx.doi.org/10.2106/JBJS.CC.18.00168DOI Listing
January 2019
5 Reads

Pediatric Terrible Triad Injury of the Elbow: A Rare and Easily Missed Injury: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e106

Department of Orthopaedics, Southland Hospital/University of Otago, Invercargill, New Zealand.

Case: We report the case of a pediatric terrible triad injury of the elbow consisting of an ulnohumeral dislocation, a radial neck fracture, and a coronoid chondral injury, which was diagnosed at 14 days following injury. We describe our surgical technique and provide details of the postoperative course, including the development of a rotational contracture following heterotopic ossification.

Conclusion: We describe a rare and challenging injury that should be recognized early and managed surgically to maintain acceptable elbow function. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00114DOI Listing
January 2019
2 Reads

Prevention and management of early treatment failures in elbow injuries.

Orthop Traumatol Surg Res 2019 Feb 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183030
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http://dx.doi.org/10.1016/j.otsr.2018.05.016DOI Listing
February 2019
6 Reads

Adult Monteggia Lesion with Ipsilateral Distal Radius Fracture: A Case Report and Review of the Literature.

J Orthop Case Rep 2018 May-Jun;8(3):77-80

Department of Orthopaedics, Spine and Trauma Unit, General Hospital of Patras, Greece.

Introduction: Monteggia lesion is a well-known injury that constitutes 0.7% of forearm fractures-dislocations. The combined presentation of Monteggia injury with ipsilateral distal radius fracture is an extremely rare lesion, especially in adults. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298714PMC
December 2018
1 Read

Long-term clinical outcome of arthroscopic Bankart repair with suture anchors.

J Shoulder Elbow Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Orthopedics, Deventer Hospital, Deventer, The Netherlands. Electronic address:

Background: The most common surgical technique in traumatic anterior shoulder instability is the arthroscopic Bankart repair, which has excellent short-term results. The long-term results of the arthroscopic Bankart repair are less frequently studied, with a high recurrence rate of 23% to 35%. The aim of this study was to evaluate the medium-term to long-term results of arthroscopic Bankart repair using suture anchors and to identify specific risk factors for recurrent instability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183071
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http://dx.doi.org/10.1016/j.jse.2018.09.027DOI Listing
December 2018
11 Reads

Complications of biceps tenodesis based on location, fixation, and indication: a review of 1526 shoulders.

J Shoulder Elbow Surg 2019 Mar 18;28(3):461-469. Epub 2018 Dec 18.

Department of Orthopaedic Surgery, Kaiser Permanente Southern California, Baldwin Park, CA, USA. Electronic address:

Background: Long head of the biceps tendon (LHBT) tenodesis is predominantly performed for 2 reasons: anterior shoulder pain (ASP) or structural reasons (partial tear, dislocation).

Methods: Between 2006 and 2014, all cases of primary LHBT tenodesis performed at an integrated health care system were retrospectively reviewed. Complications were analyzed by tenodesis location (below or out of the groove [OOG] vs leaving tendon in the groove [ITG]), fixation method (soft tissue vs implant), and indication (preoperative ASP vs structural). Read More

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http://dx.doi.org/10.1016/j.jse.2018.09.005DOI Listing

[Treatment of severe distal humeral bone defects with three-dimensional printing technology].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1534-1539

Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei, 430071,

Objective: To explore the application of three-dimensional (3D) printing technology in precise and individualized surgical treatment of severe distal humeral bone defect.

Methods: Five patients with severe distal humeral bone defects were treated with customized 3D printing prostheses between December 2010 and December 2015. There were 4 males and 1 female, with an age of 23-57 years (mean, 35 years); and the length of the bone defect was 5-12 cm (mean, 8 cm). Read More

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http://dx.doi.org/10.7507/1002-1892.201803008DOI Listing
December 2018
2 Reads

Subscapularis Repair Is Unnecessary After Lateralized Reverse Shoulder Arthroplasty.

JB JS Open Access 2018 Sep 12;3(3):e0056. Epub 2018 Jul 12.

Mayo Clinic Arizona, Phoenix, Arizona.

Background: Controversy exists as to whether the subscapularis should be repaired after reverse shoulder arthroplasty. The purpose of the present study was to evaluate the utility of repairing the subscapularis after reverse shoulder arthroplasty with regard to complications, objective findings, and patient-reported outcome measures.

Methods: We retrospectively reviewed the records for 99 patients who had undergone a lateralized reverse shoulder arthroplasty with (n = 58) or without (n = 41) subscapularis repair. Read More

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http://dx.doi.org/10.2106/JBJS.OA.17.00056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242322PMC
September 2018
1 Read

Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant.

Case Rep Orthop 2018 8;2018:7430297. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, USA.

"Floating elbow" injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. Read More

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https://www.hindawi.com/journals/crior/2018/7430297/
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http://dx.doi.org/10.1155/2018/7430297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250006PMC
November 2018
8 Reads

Pure Medial Elbow Dislocation without Concomitant Fracture in a 10-Year-Old Child.

Indian J Orthop 2018 Nov-Dec;52(6):678-681

Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Pediatric elbow dislocations are rare injuries and are often accompanied by concomitant fractures. We report a rare case of medial dislocation of the right elbow without accompanying fracture in a 10.5-year-old boy after fall from a bicycle. Read More

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http://www.ijoonline.com/text.asp?2018/52/6/678/244983
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http://dx.doi.org/10.4103/ortho.IJOrtho_534_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241057PMC
December 2018
4 Reads

A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults.

Indian J Orthop 2018 Nov-Dec;52(6):584-589

Department of Trauma Surgery, University Hospital Brno, Brno, Czech Republic.

Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-term immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Read More

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http://www.ijoonline.com/text.asp?2018/52/6/584/244987
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http://dx.doi.org/10.4103/ortho.IJOrtho_578_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241047PMC
December 2018
2 Reads

Chronic Monteggia.

Curr Opin Pediatr 2019 Feb;31(1):54-60

Pontifícia Universidade Católica do Paraná, Brasil.

Purpose Of Review: The chronic Monteggia may lead to pain, mobility limitation, progressive valgus deformity, lateral elbow instability, late ulnar nerve paralysis, and degenerative changes. In this review, we discuss the current procedures in the literature focused on correcting chronic Monteggia to avoid these complications.

Recent Findings: Correction of the ulnar deformity with elongation and angulation of the ulna in the opposite direction of the dislocation of the radial head is the most important factor for the reduction and consequent preservation of the radial head. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000710DOI Listing
February 2019
2 Reads

The Elbow Technique: A Novel Reduction Technique for Anterior Shoulder Dislocations.

J Emerg Med 2019 Feb 6;56(2):201-204. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: Anterior dislocation of the glenohumeral joint is a common upper extremity injury in orthopedic and emergency medicine. The aim of this study was to introduce a novel reduction technique, "elbow technique," for anterior shoulder dislocations.

Discussion: This study included 26 patients with anterior shoulder dislocation who were treated using the elbow technique in our hospital's emergency department between October 2014 and December 2015. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.10.018DOI Listing
February 2019
1 Read

Total knee arthroplasty in a patient with nail-patella syndrome (NPS).

Knee 2019 Jan 29;26(1):273-278. Epub 2018 Nov 29.

Houston Methodist Othopedics & Sports Medicine, Houston, TX, United States of America. Electronic address:

Nail-patella syndrome (NPS) or hereditary onycho-osteodyaplasia is a rare genetic condition involving a mutation in the LMX1B gene affecting nails, elbows, knees, and pelvis. Due to the regulatory functions of the gene in many developmental processes through the body, patients with NPS experience wide-ranging musculoskeletal problems including patellar instability, fingernail anomalies, iliac exostoses/horns, and elbow abnormalities. The patellar changes often involve aplasia, hypoplasia, and chronic dislocation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09680160183094
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http://dx.doi.org/10.1016/j.knee.2018.11.014DOI Listing
January 2019
13 Reads
1.702 Impact Factor

Incidence of posterior shoulder instability and trends in surgical reconstruction: a 22-year population-based study.

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: The incidence of posterior shoulder instability (PSI) in the general population is not well defined. This study aimed to define the population-based incidence of PSI and describe trends in incidence and surgery rates.

Methods: The study population included 143 patients (16 females, 127 males) diagnosed with new-onset PSI between January 1, 1994, and December 31, 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183065
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http://dx.doi.org/10.1016/j.jse.2018.08.046DOI Listing
November 2018
3 Reads

Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.10.007DOI Listing
November 2018
4 Reads

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00051DOI Listing
December 2018
4 Reads

Risk factors for anterior shoulder instability: a matched case-control study.

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. Electronic address:

Background: Anatomic skeletal features of the shoulder play important roles in anterior shoulder dislocation. However, studies on the effect of the humeral structure are few. This case-control study aimed to analyze the risk factors of anterior shoulder instability, including glenoid and humeral factors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183070
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http://dx.doi.org/10.1016/j.jse.2018.09.014DOI Listing
November 2018
11 Reads
2.289 Impact Factor

Glenoid morphology is associated with the development of instability arthropathy.

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin, Berlin, Germany.

Background: Instability arthropathy (IA) is a major long-term concern in patients with anterior shoulder instability. This study investigated the association of glenoid morphology with the development of IA.

Methods: The study included 118 patients with unilateral anterior shoulder instability and available bilateral computed tomography scans. Read More

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http://dx.doi.org/10.1016/j.jse.2018.09.010DOI Listing
November 2018
2 Reads

Reattachment of the flexor and extensor tendons at the epicondyle in elbow instability: a biomechanical comparison of techniques.

BMC Musculoskelet Disord 2018 Dec 3;19(1):432. Epub 2018 Dec 3.

Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Elbow dislocation represents a common injury, especially in the younger population. If treated surgically, the reattached tendons require a high amount of primary stability to allow for an early rehabilitation to avoid postoperative stiffness. The purpose of this study was to assess the biomechanical properties of a single and a double row technique for reattachment of the common extensor and common flexor muscles origin. Read More

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http://dx.doi.org/10.1186/s12891-018-2341-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278143PMC
December 2018
2 Reads

Traumatic Divergent Elbow Dislocation with Associated Forearm Amputation in an Adult: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e92-5

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00252DOI Listing
November 2018
2 Reads