880 results match your criteria Elbow Fractures and Dislocations - Adult


[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

View Article and Full-Text PDF

Isolated Radial Shaft Fracture with Unreducable Posterior Dislocation of the Radial Head in Adult: A Case Report.

J Orthop Case Rep 2020 Aug-Sep;10(5):61-64

Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Introduction: Isolated fracture of the radial diaphysis with dislocation of the radial head is a rare injury, which requires careful evaluation. Combined injuries associated with forearm shaft fractures and elbow dislocations are well recognized.

Case Report: A 35-year-old male presented to our emergency department with a history of fall in ditch under influence of alcohol with swelling of her right elbow and deformity of right upper limb. Read More

View Article and Full-Text PDF
December 2020

Determining On-/Off-track Lesions in Glenohumeral Dislocation Using Multiplanar Reconstruction Computed Tomography Is Easier and More Reproducible Than Using 3-dimensional Computed Tomography.

Am J Sports Med 2021 01 3;49(1):137-145. Epub 2020 Dec 3.

Shoulder and Elbow Surgery, Sports Traumatology, and Arthroscopic Surgery, Department of Orthopaedics and Traumatology, Universitair Ziekenhuis Brussel, Free University of Brussels, Brussels, Belgium.

Background: The glenoid track is a useful tool to predict engagement and therefore the risk of recurrence of dislocation in the presence of Hill-Sachs and/or bony Bankart lesions. To assess the glenoid track preoperatively, only methods using 3-dimensional reconstruction (3DR) have been described, but these lack a standardized, reliable, and easy description.

Purpose/hypothesis: The purpose was to evaluate a new method for determining the glenoid track using computed tomography (CT) scan with multiplanar reconstruction (MPR) in comparison with using 3DR images. Read More

View Article and Full-Text PDF
January 2021

Surgical treatment of the radial head is crucial for the outcome in terrible triad injuries of the elbow.

Bone Joint J 2020 Dec;102-B(12):1620-1628

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt, Germany.

Aims: To evaluate the outcomes of terrible triad injuries (TTIs) in mid-term follow-up and determine whether surgical treatment of the radial head influences clinical and radiological outcomes.

Methods: Follow-up assessment of 88 patients with TTI (48 women, 40 men; mean age 57 years (18 to 82)) was performed after a mean of 4.5 years (2. Read More

View Article and Full-Text PDF
December 2020

Infographic: Surgical treatment of the radial head in terrible triad injuries of the elbow.

Bone Joint J 2020 Dec;102-B(12):1618-1619

Department of Trauma and Orthopedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

View Article and Full-Text PDF
December 2020

Intraosseous Plate Reduction and Fixation of Complex Proximal Ulnar Fractures: A Report of 2 Cases.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900396

1Department of Orthopedic Surgery, Prisma Health-Upstate, Greenville, South Carolina.

Case: We describe 2 cases using a novel technique of intraosseous plating of the coronoid as a reduction tool and fixation construct for complex elbow fracture dislocations. Each patient sustained traumatic, complex injuries of the elbow and were radiographically healed at the final follow-up.

Conclusion: Elbow fracture dislocations are complex injuries because of the interplay between primary and secondary stabilizers. Read More

View Article and Full-Text PDF

Mechanism and patterns of bone loss in patients with anterior shoulder dislocation.

J Shoulder Elbow Surg 2020 Oct 9;29(10):1974-1980. Epub 2020 Jun 9.

Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan. Electronic address:

Background: Bony defects are common injuries associated with anterior shoulder dislocation. It is generally thought that these bony defects are created at the time of dislocation. However, there have been no biomechanical reports demonstrating the exact time point when these lesions occur. Read More

View Article and Full-Text PDF
October 2020

Reliability and validity of the Wrightington classification of elbow fracture-dislocation.

Bone Joint J 2020 Aug;102-B(8):1041-1047

Wrightington Hospital, Wigan, UK.

Aims: The Wrightington classification system of fracture-dislocations of the elbow divides these injuries into six subtypes depending on the involvement of the coronoid and the radial head. The aim of this study was to assess the reliability and reproducibility of this classification system.

Methods: This was a blinded study using radiographs and CT scans of 48 consecutive patients managed according to the Wrightington classification system between 2010 and 2018. Read More

View Article and Full-Text PDF

The impact of COVID-19 on shoulder and elbow trauma: an Italian survey.

J Shoulder Elbow Surg 2020 Sep 20;29(9):1737-1742. Epub 2020 May 20.

Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy; Istituto Clinico Ortopedico Traumatologico (ICOT), Latina, Italy. Electronic address:

Background: Because of the rapid spread of COVID-19, on March 8, 2020 Italy became a "protected area": people were told not to leave their homes unless it was essential. The aim of this study was to evaluate the activity of our trauma center, relative to shoulder and elbow, in the 30 days starting from March 8, 2020, the first day of restrictions in Italy, and to compare it with the same days of 2019 to weigh the impact of COVID-19 on shoulder and elbow trauma.

Materials And Methods: Patients managed in our trauma center between March 8, 2020, and April 8, 2020 (COVID period), for shoulder and elbow trauma were retrospectively included and compared to patients admitted in the same period of 2019 (no-COVID period). Read More

View Article and Full-Text PDF
September 2020

Prediction and Potential Preventions for the Development of Posttraumatic Osteoarthritis after the Terrible Triad Injury: A Multicenter Risk Factors Study.

Biomed Res Int 2020 21;2020:6508781. Epub 2020 Jun 21.

Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Objective: A multicenter study to evaluate risk factors for the development of moderate or severe posttraumatic osteoarthritis (PTOA) and to find potential preventions.

Methods: We conducted a retrospective multicenter study including the terrible triad injury (TTI) patients with surgical treatment from January 2007 to November 2014. Demographics, injury information, and treatment history were obtained retrospectively. Read More

View Article and Full-Text PDF

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.

J Am Acad Orthop Surg 2020 Oct;28(19):e839-e848

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

Monteggia fractures involve proximal ulna fracture associated with a radiocapitellar joint dislocation. The Bado classification is primarily based on the direction of the radial head dislocation. The Jupiter subtype classification of Bado II fractures further characterizes the severity of proximal ulna comminution and the involvement of the coronoid fragment. Read More

View Article and Full-Text PDF
October 2020

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

Authors:
Jun Wang

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

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

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

View Article and Full-Text PDF

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

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

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

View Article and Full-Text PDF
December 2019

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

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

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

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

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

View Article and Full-Text PDF

Mid-term to long-term results of primary arthroscopic Bankart repair for traumatic anterior shoulder instability: a retrospective study.

BMC Musculoskelet Disord 2020 Mar 27;21(1):191. Epub 2020 Mar 27.

Ethianum Clinic Heidelberg, Heidelberg, Germany.

Background: The arthroscopic method offers a less invasive technique of Bankart repair for traumatic anterior shoulder instability. The aim of the study is to determine the mid-/long-term functional outcome, failure rates and predictors of failure after primary arthroscopic Bankart repair for traumatic anterior shoulder instability.

Methods: A total of 100 patients were primarily operated using arthroscopic Bankart repair after traumatic anterior shoulder instability. Read More

View Article and Full-Text PDF

Chronic complex persistent elbow instability: a consecutive and prospective case series and review of recent literature.

J Shoulder Elbow Surg 2020 Apr;29(4):e103-e117

Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, "Sapienza" University of Rome-Policlinico Umberto I, Rome, Italy.

Background: Chronic complex persistent elbow instability (CCPEI) is a condition that even expert elbow surgeons find challenging to treat. The results of the few studies that have dealt with the treatment of this condition are conflicting. We describe the surgical results of a consecutive prospective series of patients with CCPEI and provide a review of the recent literature. Read More

View Article and Full-Text PDF

Midshaft clavicle fracture following osteosynthesis with a hook plate: a retrospective case analysis.

Arch Orthop Trauma Surg 2020 Nov 19;140(11):1713-1718. Epub 2020 Mar 19.

Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, No. 325, Cheng-gong Road Section 2, Taipei, 11472, Taiwan, Republic of China.

Purpose: The clavicle hook plate has been commonly used to treat distal clavicle fractures and acromioclavicular (AC) joint dislocations; however, midshaft clavicle fracture at the medial end of the hook plate remains an underestimated complication. We aimed to discover the risk factors for this complication and the influence of these risk factors on patients and to suggest preventive surgical techniques.

Methods: We retrospectively reviewed the records of 150 patients with acute distal clavicle fractures or acute AC joint dislocations treated by internal fixation with a clavicle hook plate. Read More

View Article and Full-Text PDF
November 2020

Clinical outcomes of arthroscopic lateral ulnar collateral ligament repair with or without intra-articular fracture.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020908348

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

Background: The pathoanatomy and biomechanics of elbow instability have been previously reported; however, few researchers have dealt with the operative management and clinical consequence of recurrent elbow instability. Recent studies on arthroscopic lateral collateral ligament (LCL) complex repair have reported successful outcomes similar to those achieved by open repair. We aimed to determine the validity of arthroscopic repair of the LCL complex in elbows with unstable dislocation with or without intra-articular fracture. Read More

View Article and Full-Text PDF
December 2020

Human serum mast cell tryptase levels in elbow fractures or dislocations and its association with injury severity.

J Orthop Res 2020 09 11;38(9):2015-2019. Epub 2020 Mar 11.

Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Mast cells contain an abundance of tryptase, and preclinical models have shown elevated serum mast cell tryptase (SMCT) in the setting of posttraumatic joint contractures. Therefore, SMCT emerged as a potential biomarker to help recognize patients with more severe injuries and a higher likelihood of developing contractures. The objective of this study is to assess SMCT levels in participants with varying severity of elbow fractures and/or dislocations. Read More

View Article and Full-Text PDF
September 2020

Proximal radioulnar translocations in adults: a tertiary centre study.

Eur J Orthop Surg Traumatol 2020 Jul 27;30(5):851-858. Epub 2020 Feb 27.

Addenbrooke's Hospital, Cambridge, UK.

We present three cases of proximal radioulnar translocation in adults. Although rare, it is most commonly seen in paediatric cases. There have been three previously documented cases in adults, all requiring surgery and associated with ulnohumeral dislocations. Read More

View Article and Full-Text PDF

PrEvention of posttraumatic contractuRes with Ketotifen 2 (PERK 2) - protocol for a multicenter randomized clinical trial.

BMC Musculoskelet Disord 2020 Feb 24;21(1):123. Epub 2020 Feb 24.

Department of Community Health Sciences, University of Calgary, Calgary, Canada.

Background: Injuries and resulting stiffness around joints, especially the elbow, have huge psychological effects by reducing quality of life through interference with normal daily activities such as feeding, dressing, grooming, and reaching for objects. Over the last several years and through numerous research results, the myofibroblast-mast cell-neuropeptide axis of fibrosis had been implicated in post-traumatic joint contractures. Pre-clinical models and a pilot randomized clinical trial (RCT) demonstrated the feasibility and safety of using Ketotifen Fumarate (KF), a mast cell stabilizer to prevent elbow joint contractures. Read More

View Article and Full-Text PDF
February 2020

A retrospective comparative cohort study of radial head arthroplasty versus resection in complex elbow dislocations.

Injury 2020 Apr 10;51 Suppl 1:S89-S93. Epub 2020 Feb 10.

Unidad de Cirugía de Hombro y Codo, Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Introduction: The management of radial head fractures for the treatment of complex elbow dislocations remains controversial. Until the publication of recent therapeutic algorithms, different actions have been carried out, including resection or arthroplasty of the radial head. This study aims to compare the clinical and radiological results of these two techniques. Read More

View Article and Full-Text PDF

Effect of ulnar angulation and soft tissue sectioning on radial head stability in anterior Monteggia injuries: an in vitro biomechanical study.

J Shoulder Elbow Surg 2020 Jun 8;29(6):1249-1258. Epub 2020 Feb 8.

Roth-McFarlane Hand & Upper Limb Centre, St Joseph's Health Care, London, ON, Canada; Division of Orthopaedic Surgery, Department of Surgery, London, ON, Canada.

Background: Radial head instability continues to be a challenge in the management of anterior Monteggia injuries; however, there is a paucity of literature on the factors that contribute to this instability. The aim of this biomechanical investigation was to examine the effects of ulnar angulation and soft tissue insufficiency on radial head stability in anterior Monteggia injuries.

Methods: Six cadaveric arms were mounted in an elbow motion simulator. Read More

View Article and Full-Text PDF

The lateral ligament is injured preferentially in posterolateral dislocation of the elbow joint.

Bone Joint J 2020 Feb;102-B(2):227-231

Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, South Korea.

Aims: The purpose of this study was to evaluate the relationships between the degree of injury to the medial and lateral collateral ligaments (MCL and LCL) and associated fractures in patients with a posterolateral dislocation of the elbow, using CT and MRI.

Methods: We retrospectively reviewed 64 patients who presented between March 2009 and March 2018 with a posterolateral dislocation of the elbow and who underwent CT and MRI. CT revealed fractures of the radial head, coronoid process, and medial and lateral humeral epicondyles. Read More

View Article and Full-Text PDF
February 2020

Shoulder Terrible Triad: Classification, Functional Results, and Prognostic Factors.

J Am Acad Orthop Surg 2020 Mar;28(5):200-207

From the Orthopaedic Department, Hospital del Trabajador and Clínica Universidad de los Andes (Dr. Marsalli), Orthopaedic Department, Hospital del Trabajador (Dr. Sepúlveda and Dr. Morán), and Orthopaedic Department, Hospital del Trabajador and Clínica Alemana (Dr. Breyer), Santiago, Chile.

Introduction: The shoulder terrible triad (STT) is a traumatic anterior shoulder dislocation, associated with rotator cuff (RC) tear and nerve injury from the brachial plexus. This study aimed to describe the functional results and prognostic factors of surgery in patients with STT.

Methods: Thirty consecutive patients with acute STT were included at the same institution. Read More

View Article and Full-Text PDF

Monteggia-like lesions in adults treated with radial head arthroplasty-mid-term follow-up of 27 cases.

J Orthop Surg Res 2020 Jan 3;15(1). Epub 2020 Jan 3.

Clinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of Heidelberg, Ludwig-Guttmann-Strasse 13, 67071, Ludwigshafen on the Rhine, Germany.

Background: The aim of the study was to analyze the functional and radiological outcome of Monteggia-like lesions in adults with unreconstructible fracture of the radial head and treatment with radial head arthroplasty.

Methods: Twenty-seven patients (mean age 56 years; range 36 to 79 years) with a Monteggia-like lesion and treatment with radial head replacement were included in this retrospective study. Minimum follow-up was 2 years. Read More

View Article and Full-Text PDF
January 2020

Case Series of All-Arthroscopic Treatment for Terrible Triad of the Elbow: Indications and Clinical Outcomes.

Arthroscopy 2020 02 19;36(2):431-440. Epub 2019 Dec 19.

Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Republic of Korea. Electronic address:

Purpose: To evaluate the results of all-arthroscopic treatment of the terrible triad of the elbow, a combination of elbow dislocation, radial head dislocation, and coronoid process fracture, and its complications.

Methods: We performed a retrospective review of consecutive patients with terrible triad who underwent all-arthroscopic treatment between January 2011 and December 2016. All-arthroscopic treatment was performed in the unstable elbows after manual reduction. Read More

View Article and Full-Text PDF
February 2020

Clinical results of radial arthroplasty in Hotchkiss' terrible triad, a case series of 47.

Rev Esp Cir Ortop Traumatol 2020 Mar - Apr;64(2):83-91. Epub 2019 Dec 18.

Servicio de Cirugía Ortopédica y Traumatología, Hospital Fremap Sevilla, Sevilla, España.

Introduction: Radial head fractures represent 33-75% of elbow fractures (30 cases/100,000 population/year). "Terrible triad's Hotchkiss" is characterized by radial head fracture, coronoid fracture and elbow dislocation. Our principal goal is to compare our results on each type of prosthesis in the context of the triad. Read More

View Article and Full-Text PDF
January 2021

Surgical treatment of the radial head is critical to the outcome of Monteggia-like lesions.

Bone Joint J 2019 Dec;101-B(12):1512-1519

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Aims: The aim of this study was to evaluate the outcome of Monteggia-like lesions at midterm follow-up and to determine whether the surgical treatment of the radial head influences the clinical and radiological results.

Patients And Methods: A total of 78 patients with a Monteggia-like lesion, including 44 women and 34 men with a mean age of 54.7 years (19 to 80), were available for assessment after a mean 4. Read More

View Article and Full-Text PDF
December 2019

Instability of the proximal radioulnar joint in Monteggia fractures-an experimental study.

J Orthop Surg Res 2019 Nov 28;14(1):392. Epub 2019 Nov 28.

Orthopaedic-Traumatology Centre (OUC), Carl Gustav Carus University, Technical University Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Background: A Monteggia fracture is defined as a fracture of the proximal ulna combined with a luxation of the radial head. The aim of the present work is to evaluate the extent of instability of the radius head in the proximal radioulnar joint (PRUJ) as a function of the severity of elbow fracture and ligamentous injury in an experimental biomechanical approach.

Methods: Eight fresh-frozen cadaver arms were used. Read More

View Article and Full-Text PDF
November 2019