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BMC Surg 2022 Jun 29;22(1):250. Epub 2022 Jun 29.

Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, No. 31, West Huanghe Road, Yunhe, Cangzhou, 061000, Hebei, China.

Purpose: The aim of this study was to explore the efficacy of sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint.

Methods: Between October 2016 and December 2020, 16 cases (9 male and 7 female patient, with a mean age of (42 ± 10) years) of proximal clavicle fracture with dislocation of sternoclavicular joint were included in the study. Injured side, injury mechanism, time to surgery, Complications and duration of follow-up were recorded. Read More

Healthcare (Basel) 2022 Jun 8;10(6). Epub 2022 Jun 8.

Department of Morphological Sciences, Carol Davila University of Medicine and Pharmacy, RO-020021 Bucharest, Romania.

Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. Read More

Cochrane Database Syst Rev 2022 06 21;6:CD000434. Epub 2022 Jun 21.

Centre for Evidence-Based Orthopaedics, Zealand University Hospital and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: Fractures of the proximal humerus, often termed shoulder fractures, are common injuries, especially in older people. The management of these fractures varies widely, including in the use of surgery. This is an update of a Cochrane Review first published in 2001 and last updated in 2015. Read More

J Orthop Surg Res 2022 Jun 7;17(1):303. Epub 2022 Jun 7.

University Centre for Orthopaedic, Trauma- and Plastic Surgery (OUPC), University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Background: Monteggia fractures and Monteggia-like lesions result after severe trauma and have high complication rates. Preliminary biomechanical studies suggested a correlation between ulnar fracture localization and clinical result.

Objectives: Key objective was to evaluate whether the site of the ulnar fracture can be correlated to clinical outcome after open reduction and internal stabilization. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):180-185

Background: Adult Monteggia fracture variants are rare but potentially devastating injuries to the elbow generally requiring surgical treatment. Monteggia injuries with co- existing fractures of the radial head and coronoid present a surgical challenge due to the need to adequately expose all components of the injury for internal fixation or arthroplasty. In this study, we evaluated the clinical outcomes following surgical treatment of adult Monteggia fracture variants in which a coexisting radial head or coronoid fracture was ad- dressed through a single extensile posterior trans-olecranon approach. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):582-586

Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing Jiangsu, 210008, P. R. China.

Objective: To investigate the effectiveness of a single threaded anchor fixation under shoulder arthroscopy in the treatment of fresh bony Bankart injury.

Methods: Between January 2017 and May 2021, 12 patients with fresh bony Bankart injury caused by trauma were treated with a single threaded anchor fixation under shoulder arthroscopy. There were 10 males and 2 females with an average age of 38. Read More

Am J Sports Med 2022 05 13;50(6):1512-1519. Epub 2022 Apr 13.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: Anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesions can occur in recurrent anterior shoulder instability, which may lead to the labrum scarring medially to the glenoid. ALPSA lesions have also been associated with greater preoperative dislocations, larger Hill-Sachs lesions, and greater degrees of glenoid bone loss. Therefore, patients with these lesions have historically had a higher failure rate after repair, with nearly double the recurrent instability rate compared with those undergoing standard arthroscopic Bankart repair. Read More

Br J Hosp Med (Lond) 2022 Feb 23;83(2):1-7. Epub 2022 Feb 23.

Department of Orthopaedics, Macclesfield District General Hospital, East Cheshire NHS Trust, Macclesfield, UK.

Olecranon fractures are common injuries, making up 10% of all fractures of the upper limb. They usually result from a fall from standing height in older people, or from a direct blow in young people. The olecranon's superficial location, with poor soft tissue and muscle protection, make it liable to fracture following direct impact. Read More

Orthop Surg 2022 Apr 22;14(4):769-774. Epub 2022 Feb 22.

Department of Orthopaedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.

Background: Simultaneous dislocation of the elbow, radioulnar joint and proximal radius fracture with rotary noose injury to the medial ulna tubercle is extremely rare. An emergency surgery was performed to reduce it. The radial head with the backbone was reset after two hammers were fixed, then the radial capitulum safety was fixed with a locking plate. Read More

BMC Surg 2022 Feb 17;22(1):60. Epub 2022 Feb 17.

Department of Orthopaedics, Shenzhen Ping Le Orthopaedic Hospital, Shenzhen, 518000, Guangdong, China.

Background: Ipsilateral fracture of the radial shaft with dislocation of the radial head was a rare injury, but a delayed radial head dislocation after radial shaft fracture fixation was more extremely rare.

Case Presentation: A 39-year-old man fell from the height on his outstretched hand and injured his left, non-dominant forearm. Preoperative radiographs demonstrated a comminuted fracture of the proximal third of the radius but with no apparent dislocation of the distal or proximal radioulnar joints or the elbow. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Feb;36(2):149-154

Department of Orthopedics, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P. R. China.

Objective: To analyze the possible injury mechanisms in patients with dorsal avulsion fracture of the capitellum combined with medial or posterior medial dislocation of the elbow joint, and to discuss their treatment and prognosis.

Methods: Retrospective analysis was made on the clinical data of 4 patients with dorsal avulsion fracture of the capitellum combined with medial or posterior medial dislocation of the elbow joint admitted between September 2014 and September 2020, including 3 males and 1 female with an average age of 20.7 years (range, 13-32 years). Read More

J Shoulder Elbow Surg 2022 Jul 19;31(7):1510-1514. Epub 2022 Jan 19.

Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Los Angeles, CA, USA.

Background: Total elbow arthroplasty is a treatment for unreconstructable distal humerus fractures; implant longevity remains a concern, especially in younger patients. However, distal humeral hemiarthroplasty (DHH) offers an alternative with potential long-term advantages.

Methods: This is a retrospective study of 10 patients who underwent DHH for distal humerus fractures over a 4-year period (2008-2012) by a single surgeon. Read More

BMC Musculoskelet Disord 2022 Jan 3;23(1):15. Epub 2022 Jan 3.

Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Road Jing Wu Wei Qi, Jinan, 250021, Shandong Province, China.

Purpose: Double-endobutton technique, as a widely accepted strategy for the treatment of acromioclavicular joint dislocation, is undergoing constant improvement. This study aims to assess the clinical effect of a modified single-endobutton combined with the nice knot in the fixation of Rockwood type III or V acromioclavicular joint dislocation.

Methods: From January 2016 to June 2019, 16 adult patients (13 males and 3 females) with Rockwood type III or V acromioclavicular joint dislocation were treated with a modified single-endobutton technique combined with the nice knot in our department. Read More

J Shoulder Elbow Surg 2022 Jun 29;31(6):e259-e269. Epub 2021 Dec 29.

Department of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

Background: Proximal humerus fractures (PHFs) are managed with open reduction and internal fixation (ORIF), hemiarthroplasty (HA), reverse shoulder arthroplasty (RSA), or nonoperatively. Given the mixed results in the literature, the optimal treatment is unclear to surgeons. The purpose of this study was to survey orthopedic shoulder and trauma surgeons to identify the patient- and fracture-related characteristics that influence surgical decision-making. Read More

J Orthop Surg Res 2021 Dec 20;16(1):722. Epub 2021 Dec 20.

Department of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.

Background: This study evaluates whether a circumferential cast compared to a plaster splint leads to less fracture redisplacement in reduced extra-articular distal radius fractures (DRFs).

Methods: This retrospective multicentre study was performed in four hospitals (two teaching hospitals and two academic hospitals). Adult patients with a displaced extra-articular DRF, treated with closed reduction, were included. Read More

Unfallchirurg 2022 Feb 18;125(2):97-106. Epub 2021 Dec 18.

Orthopädie Ackermann, Raiffeisenstr. 58-60, 47259, Duisburg, Deutschland.

In this article the basic principles of fracture sonography and meaningful areas of application in children and adults are explained. The sonographic fracture signs are presented and the typical areas of application, i.e. Read More

JSES Int 2021 Nov 8;5(6):1132-1138. Epub 2021 Aug 8.

Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.

Background: Minimal clinically important difference (MCID) estimates are useful for gauging clinical relevance when interpreting changes or differences in patient-reported outcomes scores. These values are lacking in the setting of elbow trauma. Our primary purpose was to estimate the MCID of the Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) computer adaptive test (CAT), the PROMIS upper extremity (UE) CAT, and the QuickDASH using an anchor-based approach for patients recovering from elbow trauma and related surgeries. Read More

Orthop Surg 2021 Dec 27;13(8):2310-2317. Epub 2021 Oct 27.

Department of Trauma Emergency Center, The Third Hospital of Hebei Medical University, Orthopaedics Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, China.

Objective: To describe the epidemiological features of major joints fracture-dislocations between 2015 and 2019.

Methods: This retrospective study enrolled patients with majorintra-articular fracture-dislocations who were treated in the third hospital of Hebei Medical University from January 2015 to December 2019. A total of 582 patients (389 [66. Read More

J Shoulder Elbow Surg 2022 Apr 20;31(4):813-818. Epub 2021 Oct 20.

Sports Surgery Clinic, Dublin, Ireland.

Background: The purpose of this study was to compare the preoperative magnetic resonance arthrography findings in patients who underwent glenohumeral stabilization with a history of primary instability, recurrent instability, or failed stabilization.

Methods: All patients who presented with glenohumeral instability and underwent stabilization performed by a single surgeon in our institution between 2008 and 2020 were considered for inclusion in this study. The magnetic resonance arthrography findings of all patients were recorded. Read More

Trauma Case Rep 2021 Dec 1;36:100541. Epub 2021 Oct 1.

Emergency Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, Emergency Medicine, Holy Cross Hospital, Chicago, IL, United States of America.

Introduction: Fractures of the proximal ulnar shaft accompanied by dislocation of the radial head have been described as "Monteggia fracture-dislocations," since the early nineteenth century. In 1967 Bado further classified these Monteggia fractures into four subtypes, based largely on the direction of the radial head dislocation (Bado, 1967). Despite being frequently discussed in the literature, Monteggia fracture dislocations are rare and represent only 0. Read More

J Shoulder Elbow Surg 2022 Apr 11;31(4):792-798. Epub 2021 Oct 11.

Department of Orthopaedic Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA. Electronic address:

Background: Shoulder fracture-dislocations can represent a challenging management scenario in the emergency department (ED) because of concern for the presence of occult fractures that may displace during a reduction attempt. The alternative, a closed reduction attempt in the operating room, has the benefit of full paralysis but requires additional resource utilization. There is limited guidance in the literature about the risks of an initial reduction attempt in the ED as a function of fracture pattern to help guide physicians with this decision. Read More

Orthop Traumatol Surg Res 2021 12 30;107(8):103089. Epub 2021 Sep 30.

Department of orthopaedic surgery and traumatology, Centre Hospitalier Métropole de Savoie, BP 31125, 73160 Chambéry cedex, France.

Background: For displaced olecranon fractures, surgery is the standard of care in young adults but remains controversial in patients aged 75 years or over. The objective of this study was to assess the functional and radiological outcomes and to describe the complications of surgical treatment in this older population.

Hypothesis: Surgery is the optimal treatment for displaced olecranon fractures in patients aged 75 years or over. Read More

Orthop Clin North Am 2021 Oct 29;52(4):381-401. Epub 2021 Jul 29.

TRIA Orthopedic Center, 155 Radio Drive, Woodbury, MN 55125, USA. Electronic address:

Approximately 4.1% of all fractures in the elderly involve the elbow. Most elbow injuries in geriatric patients occur as the result of low-energy mechanisms such as falls from standing height. Read More

J Hand Surg Am 2021 11 7;46(11):1006-1015. Epub 2021 Sep 7.

Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Monteggia fractures classically involve a proximal ulna fracture with an associated radial head dislocation. The presence of radial head/neck fracture and comminution of the proximal ulna with coronoid involvement elevates the complexity of surgical reconstruction considerably. The Jupiter classification captures this injury pattern as a subgroup of Bado posterior Monteggia lesions. Read More

Clin Orthop Surg 2021 Sep 9;13(3):366-375. Epub 2021 Mar 9.

Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Backgroud: Coracoacromial ligament transfer is the traditional procedure for treating chronic acromioclavicular separation, but it is significantly inferior to ligament reconstruction according to biomechanical and clinical studies. However, ligament reconstruction carries the risk of complications of graft loosening and peri-tunnel fractures. Currently, there is no ligament reconstruction procedure optimal for preventing such complications. Read More

Ann R Coll Surg Engl 2021 Sep;103(8):612-614

Glasgow Royal Infirmary, Glasgow, UK.

Background: Radial head replacement is used to confer joint stability in the management of acute unstable elbow fractures and dislocations associated with instability. We determined the annual incidence of radial head replacement over a 22-year period in a defined population.

Materials And Methods: Hospital episode statistics were collected prospectively at a national level. Read More

Indian J Orthop 2021 Jul 29;55(Suppl 2):486-492. Epub 2021 Mar 29.

Department of Orthopaedics, Northern Railway Central Hospital, New Delhi, India.

Dislocations of elbow are often associated with fractures in proximal radius and/or ulna. In adults, fracture dislocations involving humeral condyle are exceptional and have been reported only in association with lateral humeral Condyle. Medial condyle Fracture dislocations have not been reported in adults. Read More

Am J Sports Med 2021 07 8;49(8):2006-2012. Epub 2021 Jun 8.

Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

Background: The Latarjet procedure is often used to address off-track Hill-Sachs lesions (OFF-HS) in shoulders with anterior instability. There are concerns as to whether the Latarjet procedure is able to convert all OFF-HS into on-track Hill-Sachs lesions (ON-HS) and whether this limitation could explain the cases of recurrent postoperative instability.

Hypothesis: Latarjet surgery converts many preoperative OFF-HS lesions, but not all of them, and there is a difference in the failure rate between shoulders with converted lesions and those with persistent OFF-HS lesions. Read More

J Pediatr Orthop 2021 Jul;41(6):e470-e474

Children's Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA.

Background: Complex fracture-dislocations of the elbow, including terrible triad of the elbow, are serious injuries with guarded outcomes in adults. Although described extensively in adults, little is known about similar complex fracture-dislocations of the elbow in the pediatric population. The purpose of this study was to describe patterns of elbow dislocations with associated fractures in children and report the outcomes of these injuries. Read More

BMJ Case Rep 2021 May 27;14(5). Epub 2021 May 27.

Department of Orthopaedic Surgery, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA

Paediatric lateral condyle fractures of the distal humerus are common but a concomitant elbow dislocation is rare. Typically, paediatric orthopaedic surgeons will treat lateral condyle fractures with pin or metaphyseal single-screw fixation and supplementary immobilisation for several weeks. These techniques sacrifice the early stability and mobilisation necessary to avoid stiffness after a complex elbow fracture-dislocation. Read More