4,621 results match your criteria Elbow Dislocation

Atraumatic Anterior Hip Dislocation as High Grade of Hip Instability: A Case Report.

JBJS Case Connect 2021 Apr 14;11(2). Epub 2021 Apr 14.

Shoulder and Elbow, Orthopaedics, Macquarie University Hospital, Sydney, Australia.

Case: Fifty-year-old woman who presented an atraumatic anterior hip dislocation during a local traditional dance exhibition. The dislocation occurred during a dance step in which extreme hip position in extension and external rotation was held. After urgent closed reduction under general anesthesia, the patient underwent conservative management with a follow-up of 24 months. Read More

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Fractures of the proximal radius in children: management and results of 100 consecutive cases.

Arch Orthop Trauma Surg 2021 May 11. Epub 2021 May 11.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Introduction: Pediatric radial neck and head fractures are rare, accounting for only 1% of all fractures in children. The aim of this study is to describe the management and results of the respective fracture types and different injury characteristics.

Materials And Methods: This study performs a retrospective data analysis of 100 consecutive patients with a fracture of the proximal radius treated in a single high-volume pediatric trauma center. Read More

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Outcomes of Treatment of Monteggia Fractures with Reduction and Internal Titanium Elastic Nail Fixation of the Ulna.

Ortop Traumatol Rehabil 2021 Apr;23(2):79-91

Oddział Chirurgii Urazowo-Ortopedycznej, Szpital Dziecięcy im. prof. dr. med. Jana Bogdanowicza, Warszawa, Polska / Department of Trauma and Orthopaedic Surgery, Prof. Jan Bogdanowicz Children's Hospital, Warsaw, Poland.

Background: The purpose of this paper is to evaluate the usefulness of radiographic indices of humero-radial joint instability in order to predict treatment outcomes in Monteggia fractures.

Material And Methods: A retrospective analysis was conducted in a group of patients who underwent closed reduction and internal titanium elastic nail (TEN) fixation of the ulna and closed reduction of a dislocation of the radial head between 2016 and 2018. The indications for intrame-dullary fixation comprised transverse or short oblique fractures. Read More

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[Emergency treatment of dislocation of large joints].

Unfallchirurg 2021 May;124(5):391-406

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhaus Klinikum Hetzelstift, Stiftstraße 10, 67435, Neustadt an der Weinstraße, Deutschland.

Joint dislocations are always accompanied by rupture of the joint capsule. Depending on the forces exerted on the joint as well as individual bone quality, fractures (dislocation fractures) and injuries to ligaments occur. As blood vessels and nerves can also be damaged, reduction is an urgent measure. Read More

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Irreducible Traumatic Radial Head Dislocation Due to Annular Ligament Interposition in a Child with Ulnar Plastic Deformation: A Case Report.

Orthop Surg 2021 May 4. Epub 2021 May 4.

VietDuc University Hospital, Hanoi, Vietnam.

Background: The traumatic dislocation of the radial head in children is commonly treated by closed reduction. Sometimes, however, this strategy of treatment may not be effective due to the location of soft tissues in the radio-shoulder joint. The literature presents a few cases of the irreducible radial head dislocation with ulnar plastic deformation. Read More

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Cast immobilisation in situ versus open reduction and internal fixation of displaced medial epicondyle fractures in children between 7 and 16 years old. A study protocol for a randomised controlled trial.

BMJ Open 2021 May 3;11(5):e044627. Epub 2021 May 3.

Department of Pediatric Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Uusimaa, Finland.

Introduction: Medial epicondyle fracture of the humerus is a common injury in childhood. There is uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, fractures with joint incarceration or ulnar nerve dysfunction require surgery. Read More

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Mid-Term Outcomes of Arthroscopically-Assisted Anatomic Coracoclavicular Ligament Reconstruction using Tendon Allograft for High-Grade Acromioclavicular Joint Dislocations.

Arthroscopy 2021 Apr 30. Epub 2021 Apr 30.

Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA; The Steadman Clinic, 181 West Meadow Drive, Suite 1000, Vail, CO 81657, USA. Electronic address:

Purpose: The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically-assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA-ACCR) for the treatment of Rockwood type III-V injuries at minimum 2-year follow-up, and to perform subgroup analyses of clinical and radiographic outcomes for acute vs. chronic and type III vs. type IV-V injuries. Read More

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An Update on Simple Elbow Dislocations: A Protocol for Early Return to Sport in High School Wrestlers.

Curr Sports Med Rep 2021 May;20(5):266-270

Department of Orthopaedic Surgery, University of Arizona, Tucson, AZ.

Abstract: The principles and management of simple elbow dislocations have evolved over time. In the past, a conservative approach of immobilization and slow rehabilitation were used. More modern treatments emphasize an understanding of the soft tissues about the elbow joint and prescribe an aggressive approach to regaining motion. Read More

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The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation in people aged 16-40: Results from a national cohort study.

Shoulder Elbow 2021 Apr 21;13(2):223-232. Epub 2020 May 21.

School of Health Sciences, University of Brighton, Brighton, UK.

Background: Limited evidence exists which details changes in quality of life, shoulder activity level, kinesiophobia, shoulder pain and disability following a first-time traumatic anterior shoulder dislocation (FTASD) in people treated non-operatively. This study had three objectives: (1) to examine quality of life, pain, disability and kinesiophobia after an FTASD within 12 weeks, (2) to examine whether these variables were different in people with and without recurrent shoulder instability and (3) to assess how these variables changed over 12 months.

Methods: A prospective cohort study was undertaken in people with an FTASD aged between 16 and 40 years. Read More

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Radial head excision and Achilles allograft interposition arthroplasty for the treatment of chronic pediatric radiocapitellar pathologies: A report of four cases.

Shoulder Elbow 2021 Apr;13(2):213-222

Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Severe radiocapitellar pathologies represent a unique problem in the pediatric population, as radial head excision can lead to substantial long-term complications. We present a case series of four pediatric patients treated by a novel technique-radial head excision followed by Achilles allograft interposition arthroplasty.

Methods: Four children (ages 12-15 years) are described. Read More

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Optimal Prosthesis Sizing for Radial Head Arthroplasty: A Review of Current Evidence and Guidelines.

JBJS Rev 2021 04 22;9(4). Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri.

»: Radial head arthroplasty is a viable surgical option when a radial head fracture cannot be reconstructed. Radial head arthroplasty provides a load-bearing articular structure against the capitellum in unstable fractured elbows.

»: Studies have emphasized the importance of choosing the correct implant size to replicate the native radial head anatomy, citing various consequences of improperly sized radial head prostheses. Read More

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Locked Anterior-Inferior Sternoclavicular Joint Dislocation: A Case Report.

JBJS Case Connect 2021 04 22;11(2). Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Division of Shoulder and Elbow, New York University Langone Health, Grossman School of Medicine, New York, New York.

Case: We report a rare variant of sternoclavicular joint (SCJ) dislocation, namely locked anterior-inferior dislocation, with unique clinical, radiographic, and intraoperative findings. In this variant, the medial clavicle was displaced anteriorly and inferiorly and locked in the manubrial-intercostal space, with corresponding mechanical dysfunction of the ipsilateral shoulder girdle joints. Symptoms unique to this variant included painful neck spasms and limited glenohumeral elevation. Read More

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Comparison between all-suture and biocomposite anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A retrospective cohort study.

J Orthop 2021 Mar-Apr;24:264-270. Epub 2021 Mar 27.

3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, Marousi, 15123, Athens, Greece.

Purpose: Suture anchors have revolutionized arthroscopic surgery, enabling direct soft tissue-to-bone repair. There are many types of anchors still used in arthroscopic shoulder operations. We sought to compare the clinical outcome of all-suture and biocomposite anchors when used in arthroscopic Bankart repair for patients suffering from anterior shoulder instability. Read More

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Post-traumatic entrapment of the median nerve in the ulno-humeral joint: Diagnosis, treatment and literature review.

J Orthop Sci 2021 Apr 14. Epub 2021 Apr 14.

Department of Hand Surgery and Microsurgery, Azienda Ospedaliero Universitaria Modena, Largo Del Pozzo, 71, 41125 Modena, Italy.

Background: The incidence of median nerve injuries in pediatric elbow dislocations is approximately 3% and avulsion of the open medial epicondylar epiphysis in the pediatric population is one predisposing factor that may explain this age predilection. These lesions can be difficult to diagnose in the acute phase because symptoms tend to be mild or delayed, consequently their management can be challenging and functional outcome poorer.

Methods: We present the case of an unrecognized median nerve entrapment in a 16-year-old boy with posterior dislocation of the elbow and a medial epicondyle fracture, treated initially with close reduction and open stabilization with a cannulated screw. Read More

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[Extensor digitorum communis split approach combined with loop-plate technique for treatment of ulnar coronoid fracture in terrible triad of elbow].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):420-425

Department of Orthopaedic Trauma, Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To explore the effectivenesss of simple lateral extensor digitorum communis (EDC) split approach combined with loop-plate fixation in the treatment of ulnar coronoid fracture in terrible triad of elbow (TTE).

Methods: The clinical data of 60 patients with TTE who met the selection criteria between January 2015 and May 2018 were retrospectively analyzed. There were 48 males and 12 females, aged from 18 to 60 years (mean, 37. Read More

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[Radiographic study of effect of lateral placement of bone graft on shoulder joint degeneration after modified arthroscopic Latarjet surgery with elastic fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):414-419

Department of Sports Medicine, the First Affiliated Hospital of Shenzhen University (Shenzhen Second People's Hospital), Shenzhen Guangdong, 518000, P.R.China.

Objective: To investigate the mid-term effect of lateral placement of bone graft on shoulder joint degeneration after modified arthroscopic Latarjet surgery with elastic fixation for recurrent anterior shoulder dislocation with an anterior glenoid bone defect.

Methods: According to the inclusion and exclusion criteria, 18 patients with recurrent anterior shoulder dislocation and anterior glenoid bone defect who received the modified arthroscopic Latarjet surgery with elastic fixation between January 2015 and November 2016 were enrolled in this study. There were 12 males and 6 females with an average age of 26. Read More

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Complex paediatric fracture dislocation of the elbow - A rare case report.

Trauma Case Rep 2021 Apr 26;32:100445. Epub 2021 Feb 26.

Noble's Hospital, Isle of Man, Braddan IM4 4RJ, UK.

Traumatic elbow dislocation with concomitant fractures of the lateral condyle and the medial epicondyle in the paediatric population is an extremely rare injury. We are reporting a case of a locked fracture-dislocation of the elbow in an 11-year-old girl. The dislocation was treated by open reduction and the lateral condyle was surgically fixed. Read More

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Trans-olecranon fracture-dislocation of the elbow in children.

Int Orthop 2021 Apr 12. Epub 2021 Apr 12.

Department of Pediatric Orthopedics, Beijing Jishuitan Hospital, Beijing, 100035, China.

Objectives: Trans-olecranon fracture-dislocations are rare in children. To our knowledge, only 12 cases have been described in children till now and the treatment strategy for this injury in children remains unclear. To provide a clear clinical description and more accurate treatment options, we retrospectively reviewed cases with this kind of injury in our institution. Read More

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Arthroscopic Soft Tissue Stabilization With Selective Augmentations for Traumatic Anterior Shoulder Instability in Competitive Collision Athletes.

Am J Sports Med 2021 May 12;49(6):1604-1611. Epub 2021 Apr 12.

Shoulder and Elbow Service, Funabashi Orthopaedic Sports Medicine and Joint Center, Funabashi, Japan.

Background: Many surgeons prefer bony stabilization including Bristow or Latarjet procedures for shoulder instability in collision athletes, even though several potential complications have been reported. There has been a limited number of studies on the midterm outcomes of arthroscopic soft tissue stabilization for anterior shoulder instability in competitive collision athletes.

Purpose: To assess the outcomes of arthroscopic soft tissue stabilization in combination with selective augmentation procedures for collision athletes with traumatic anterior shoulder instability. Read More

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Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review.

Ther Clin Risk Manag 2021 30;17:275-283. Epub 2021 Mar 30.

Department of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.

Background: Spondyloepiphyseal dysplasia is the clinical term applied to a group of rare genetic disorders with primary involvement of the vertebrae and epiphyses, predisposing the afflicted individuals toward the premature development of osteoarthritis. There are few reports concerning joint replacement therapy in these patients, particularly describing the role of total hip arthroplasty. In this report, we describe the anatomical and technical aspects of spondyloepiphyseal dysplasia that must be considered during surgical planning and performance of total knee arthroplasty. Read More

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Treatment of elbow instability: state of the art.

J ISAKOS 2021 03 15;6(2):102-115. Epub 2020 Dec 15.

Department of Orthopaedic and Arthroscopic Surgery, New Sassuolo Hospital, Sassuolo, Italy.

The elbow is a congruent joint with a high degree of inherent stability, provided by osseous and soft-tissue constraints; however, when substantial lesions of these stabilising structures happen, instability of the elbow occurs. Significant improvements in surgical elbow instability diagnosis and treatment have been recently introduced both for acute and chronic cases. Specific stress tests, recently introduced in the clinical practice, and different imaging techniques, both static and dynamic, allow assessment of the elbow stabilisers and detection of the instability direction and mechanism even in subtle forms. Read More

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Novel Use of a Medially Applied Internal Joint Stabilizer for Recurrent Elbow Instability After a Terrible Triad.

JBJS Case Connect 2021 04 8;11(2). Epub 2021 Apr 8.

Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas.

Case: A 31-year-old man with recurrent instability after treatment of a terrible triad elbow fracture-dislocation that was reconstructed with revision coronoid fixation and a novel use of a medially applied internal joint stabilizer (IJS).

Conclusion: A medially applied IJS is an option to supplement coronoid fixation in cases with tenuous repair because of comminution or relative coronoid insufficiency. This location may be more protective for this instability pattern and, in revision settings, can avoid a second lateral incision. Read More

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An Unusual Case of Anterior Elbow Dislocation Without Bony Injury.

Cureus 2021 Mar 2;13(3):e13655. Epub 2021 Mar 2.

Orthopaedics, St. James's Hospital, Dublin, IRL.

While elbow dislocation is a common occurrence, the vast majority of them dislocate posteriorly and are due to disruption of the elbow stabilizers, which start on the lateral side and proceed medially, disrupting the anterior and posterior stabilizing structures. We present an unusual case of anterior elbow dislocation, with disruption of the medial stabilizing structures and anterior capsule, without any bony injury. A 44-year-old man presented to the ED after being assaulted. Read More

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Long-Term Outcomes of Radial Head Arthroplasty for Radial Head Fractures - A Systematic Review at Minimum 8-Year Follow-Up.

J Shoulder Elbow Surg 2021 Mar 31. Epub 2021 Mar 31.

Sports Surgery Clinic, Dublin, Ireland.

Background: The purpose of this study was to systematically review the literature to evaluate the functional outcomes, radiological outcomes and revision rates following radial head arthroplasty (RHA) at a minimum of 8 years follow-up.

Methods: Two independent reviewers performed a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines using PubMed, Embase and Web of Science databases. Only studies reporting on outcomes of RHA with a minimum of mean 8 years' follow-up were considered for inclusion. Read More

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Complications after open Latarjet procedure: influence of arm positioning on musculocutaneous and axillary nerve function.

Eur J Orthop Surg Traumatol 2021 Mar 31. Epub 2021 Mar 31.

Shoulder and Elbow Unit, Department of Traumatology and Orthopaedic Surgery, Clínico San Carlos Hospital, 5º Planta, Ala Sur. Calle Profesor Martín Lagos S/N, 28004, Madrid, Spain.

Background: Alterations in the anatomical relationships of the musculocutaneous (MCN) and axillary nerves and the influence of arm positioning on these relationships after a Latarjet procedure have been demonstrated in the cadaver, but there are no studies in the literature that establish if there is any neurophysiological repercussion.

Methods: We retrospectively identified 24 patients with a primary or revision open Latarjet procedure. A prospective clinical (Constant-Murley, Rowe and Walch-Duplay and active range of motion), radiographic (with CT), and electrodiagnostic evaluation was made at the most recent follow-up. Read More

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[Isolated elbow dislocation in pediatric patients: non-operative treatment and complications associated with an infrequent pathology. Series of 4 cases].

Arch Argent Pediatr 2021 04;119(2):e133-e137

Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi". Buenos Aires, Argentina.

Even though the elbow is the most often dislocated joint in children, this injury accounts for 3-6 % of elbow pathology. Dislocations without associated fractures are extremely rare. They result from a fall onto an outstretched hand. Read More

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Characteristics of Elbow Dislocation in Patients with Preexisting Cubitus Varus.

Clin Orthop Surg 2021 Mar 15;13(1):83-87. Epub 2021 Feb 15.

Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

Background: The aim of this study was to investigate the clinical presentations, patterns of soft-tissue injuries, and outcomes of treatment of elbow dislocations in patients with preexisting cubitus varus.

Methods: Four cases of elbow dislocation in patients with preexisting cubitus varus, which were treated at 3 residency training hospitals, were retrospectively reviewed. Soft-tissue injury patterns were investigated using magnetic resonance imaging (MRI). Read More

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Spontaneous Reduction of Incarcerated Medial Epicondyle Fragment: A Report of 3 Cases and Review of the Literature.

JBJS Case Connect 2021 03 17;11(1). Epub 2021 Mar 17.

Randall Children's Hospital at Legacy Emanuel, Portland Oregon.

Case: Three cases of incarcerated medial epicondyle fracture with spontaneous reduction without operative manipulation are presented. Two patients were treated conservatively, and one treated surgically, all with good clinical outcomes.

Conclusion: Elbow dislocation is a common pediatric injury. Read More

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Two-stage strategy for neglected Monteggia fracture in children: A retrospective study of 51 patients.

Medicine (Baltimore) 2021 Mar;100(10):e25129

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.

Abstract: A neglected Monteggia fracture is defined as the fracture of the proximal ulna associated with radial head dislocation (RHD) without undergoing any treatment for 4 weeks or more after injury. One-stage operation of ulnar corrective osteotomy and open reduction of RHD might result in many complications. Therefore, a two-stage strategy, including ulnar osteotomy (UO) with or without annular ligament reconstruction (ALR), was adopted at our institute since 2010. Read More

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A juvenile recurrent elbow dislocation resolved by internal fixation of the avulsed lateral chondral fragment after ossification: A case report.

J Clin Orthop Trauma 2021 Apr 5;15:42-45. Epub 2020 Nov 5.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-ku, Sapporo, 060-8543, Hokkaido, Japan.

We report a case of juvenile recurrent posterior dislocation of the elbow with an avulsed cartilage fragment. The avulsed fragment from the lateral condyle gradually became larger since the initial dislocation, and was ossified. After three dislocations, the avulsed bone fragment was secured with screws and the anterior capsule was repaired. Read More

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