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J Shoulder Elbow Surg 2019 Feb 1. Epub 2019 Feb 1.

Center for Orthopedic and Trauma Surgery, University Medical Center of Cologne, Cologne, Germany.

Background: Radial head fractures lead to persisting disability in a considerable number of cases. This study aimed to investigate their most common revision causes and procedures.

Methods: This multicenter retrospective study reviewed the cases of 466 adult patients who had undergone surgical revision after operative or nonoperative treatment of a radial head fracture. Read More

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

J Hand Surg Asian Pac Vol 2018 Dec;23(4):539-546

1 Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Background: The purpose of this study was to assess the functional outcomes of simultaneous distal radius fractures (DRFs) and ipsilateral elbow injuries (IEI) and to evaluate whether the DRFs and IEI affect each other's outcomes.

Methods: From February 2008 to March 2015, 29 of 846 patients treated for DRFs were found to be associated with IEI and 26 patients with follow-up over 12 months were enrolled. There were 12 men and 14 women with a mean age of 55 years (range, 17-86 years). Read More

Bone Joint J 2018 11;100-B(11):1499-1505

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Aims: The crucial role of the radial head in the stability of the elbow in terrible triad injury is acknowledged. This retrospective study aims to compare the results of resection of a severely comminuted radial head with or without prosthetic arthroplasty as part of the reconstruction for this injury.

Patients And Methods: The outcome of radial head resection was compared with prosthetic arthroplasty in 29 and 15 patients with terrible triad injuries, respectively. Read More

Musculoskelet Surg 2018 Oct 20;102(Suppl 1):93-102. Epub 2018 Oct 20.

Orthopaedics and Traumatology Unit, Cattinara Hospital - ASUITS, Strada di Fiume 447, 34149, Trieste, Italy.

Chronic Monteggia fracture is defined as dislocation of the radial head that is still present 4 weeks after injury. The cause may reside in residual ulnar deformity after internal fixation, in failure of annular ligament healing, or both. This situation may lead to elbow pain, decreased motion, neurologic problems and valgus deformity. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(2):102-108

Department of Orthopaedic Surgery, The Affiliated Wujin Hospital of Jiangsu University, Changzhou, China.

PURPOSE OF THE STUDY This study aims to analyze the clinical and radiographic outcomes of a consecutive series of 18 patients with terrible triad injury. The coronoid fractures of these patients were repaired using Mother-Child screw (MCS). MATERIAL AND METHODS Twelve men and six women (mean age: 47. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(3):186-193

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY The aim of our study was to determine the indications for radial head resection at the present day. MATERIAL AND METHODS The radial head resection was performed in the period from 2008 to 2015 in 63 patients divided into three groups. The first group marked "CR" consisted of 33 patients with the Mason type III fracture. Read More

Ortop Traumatol Rehabil 2018 Feb;20(1):57-63

Klinika Chirurgii Urazowej Narządu Ruchu i Ortopedii CMKP, Otwock, Polska / Department of Traumatology and Orthopaedics, Centre for Post-Graduate Medical Education, Otwock, Poland.

We present a case of a neglected dislocation of the elbow joint. A 28-year-old patient suffered elbow joint dislocation with fracture of the radial head after a fall from a considerable height. Following a failed attempt at manual repositioning, the dislocation was reduced surgically and free fragments of the radial head were removed without stabilisation with a Kirschner wire. Read More

Pan Afr Med J 2018 18;29:216. Epub 2018 Apr 18.

Department of Orthopaedic Surgery, University Hospital, Monastir 5000, Tunisia.

Monteggia described a fracture of the proximal third of the ulna with anterior dislocation of the radial head from both the proximal radioulnar and radiocapitellar joints. The key treatment principle in Monteggia fractures is stable anatomic alignment of the ulna. We present an uncommon case of a Monteggia fracture-dislocation with an unreducable anterior dislocation of the radial head and associated with a lesion of the lateral collateral ligament of the elbow. Read More

BMJ Case Rep 2018 Aug 1;2018. Epub 2018 Aug 1.

Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Bone Joint J 2018 08;100-B(8):1060-1065

Department of Orthopedics, Biomechanics Laboratory, Mayo Clinic, Rochester, Minnesota, USA.

Aims: The aim of this study was to evaluate two hypotheses. First, that disruption of posterior bundle of the medial collateral ligament (PMCL) has to occur for the elbow to subluxate in cases of posteromedial rotatory instability (PMRI) and second, that ulnohumeral contact pressures increase after disruption of the PMCL.

Materials And Methods: Six human cadaveric elbows were prepared on a custom-designed apparatus which allowed muscle loading and passive elbow motion under gravitational varus. Read More

J Int Med Res 2018 Aug 20;46(8):3053-3064. Epub 2018 Jul 20.

2 Department of Orthopaedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.

Objective To report the results of the surgical treatment of terrible triad injury with anteromedial coronoid fracture through a combined surgical approach. Methods This retrospective study evaluated data from patients who underwent surgery to repair terrible triad injuries and anteromedial coronoid fractures. Surgical treatment involved radial head repair or replacement, medial and lateral collateral ligament repair, and coronoid fracture fixation through combined approaches. Read More

Hand (N Y) 2018 11 18;13(6):NP32-NP38. Epub 2018 Jul 18.

1 San Antonio Military Medical Center, TX, USA.

Background: "Floating forearm" injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat.

Methods: We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow. Read More

J Med Case Rep 2018 Jul 18;12(1):211. Epub 2018 Jul 18.

Hospital Sultan Ismail, Jalan Persiaran Mutiara Emas, Tmn Mount Austin, 81100, Johor Bahru, Malaysia.

Background: Blunt trauma causing brachial artery injury in a young patient is very rare. Cases of brachial artery injury may be associated with closed elbow dislocation or instability. Elbow dislocation may not be evident clinically and radiologically on initial presentation. Read More

Tech Hand Up Extrem Surg 2018 Sep;22(3):81-88

Leni & Peter W. May Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY.

Essex-Lopresti Lesions are rare injuries that are often missed in the acute setting. Delayed intervention may lead to chronic wrist and elbow pain and overall poor outcomes. The literature currently supports treatments that involve shortening of the ulna to reduce the relative degree of ulnar impaction, followed by attempted reduction of the distal radioulnar joint. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 12;31(12):1409-1413

Department of Orthopedics, the First Hospital of Jilin University, Changchun Jilin, 130021,

Objective: To observe the effectiveness of reduction and fixation by the improved elbow anteromedial approach in treatment of ulna coronoid process fracture.

Methods: Between January 2010 and December 2014, 13 patients with the ulna coronoid process fracture were treated with reduction and fixation by the improved elbow anteromedial approach. There were 10 males and 3 females with an average age of 37. Read More

Medicine (Baltimore) 2018 Apr;97(16):e0523

Department of Orthopedics, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.

The aim of the present study was to investigate the efficacy of the surgical treatment of terrible triad injuries of the elbow using a modified standard surgical approach, and treatment determined by the mode and mechanism of injury, and intraoperative findings.The study was a retrospective analysis of a prospective cohort of patients presenting with terrible triad injuries of the elbow, who underwent surgical treatment between July 2009 and January 2014. All patients were treated surgically according to a modified Pugh standard protocol. Read More

Tech Hand Up Extrem Surg 2018 Jun;22(2):46-50

Rothman Institute at Thomas Jefferson University, Philadelphia, PA.

Unstable fracture-dislocations of the elbow, and in particular the "terrible triad" injury consisting of an elbow dislocation with a fracture of the radial head and coronoid, are complex injuries that can be plagued and complicated by persistent instability. Acute and chronic instability is a difficult problem and is best managed early by avoidance and restoration of stability. A number of treatment options have been proposed to manage acute postfixation instability of the elbow joint. Read More

Medicine (Baltimore) 2018 Apr;97(15):e0398

Department of Emergency and Trauma Surgery, Jining No.1 People's Hospital, Jining.

Background: The terrible triad of the elbow (TTE) is a difficult injury, and the usual TTE consists of posterior dislocation of the elbow, radial head fracture, and coronoid fracture. The target of this retrospective study is to explore the effect, postoperative complications, and prognostic factors in patients with TTE undergoing arthroscopic surgery with three different operative approaches.

Methods: Patients with TTE underwent arthroscopic surgery were treated using lateral, anterior medial, or combined lateral and anterior medial approaches, respectively. Read More

Chin J Traumatol 2018 Apr 20;21(2):122-124. Epub 2018 Feb 20.

Department of Orthopaedic Surgery, University Hospital, 5000 Monastir, Tunisia.

In this report, we describe an extremely unusual Monteggia equivalent type 1 lesion in a 10-year-old boy following a fall from a height of 1 m. On the plain radiographs, our patient had a particular Monteggia equivalent type 1 injury associating a posterior elbow dislocation with diaphyseal radius and ulna fractures. The patient was treated by closed reduction technique. Read More

J Shoulder Elbow Surg 2018 Apr;27(4):667-673

Department of Orthopaedic Surgery, University of Minnesota/Regions Hospital, St Paul, MN, USA. Electronic address:

Background: The purposes of this study were (1) to determine how supine versus upright patient position affects the measurement of diaphyseal clavicle fracture displacement, (2) to describe the incidence of progressive displacement in the peri-injury period, and (3) to investigate variables associated with the progressive displacement.

Methods: Between 2013 and 2015, patients aged 14 years or older presenting with a diaphyseal clavicle fracture within 7 days of injury were included (N = 50). A well-defined radiographic protocol was established. Read More

Zhongguo Gu Shang 2017 Nov;30(11):1029-1033

Department of Anesthesiology, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China;

Objective: To study the effects of ultrasound guided inter-scalene brachial plexus block and patient-controlled infraclavicular brachial plexus block for postoperative pain and surgical efficacy in patients with terrible tyriad of the elbow.

Methods: From March 2015 to August 2016, 60 patients with terrible tyriad of the elbows were treated in Ningbo No.6 Hospital with ASA I to II internal fixation. Read More

Bone Joint J 2018 Feb;100-B(2):212-218

Vivantes Klinikum Neukölln, Rudower Straße 48, 12351 Berlin, Germany.

Aims: The aim of this retrospective multicentre study was to evaluate mid-term results of the operative treatment of Monteggia-like lesions and to determine the prognostic factors that influence the clinical and radiological outcome.

Patients And Methods: A total of 46 patients (27 women and 19 men), with a mean age of 57.7 years (18 to 84) who had sustained a Monteggia-like lesion were followed up clinically and radiologically after surgical treatment. Read More

J Shoulder Elbow Surg 2018 May 5;27(5):940-949. Epub 2018 Feb 5.

E-LISA s.r.l., Naples, Italy.

Background: This study regards a volumetric analysis of proximal humeral fractures. The main purpose was to investigate the head displacement in relation to the shaft and its link to volume reductions ("bone loss") of the anatomic segments interposed between the head and the shaft: the tuberosities and the calcar. We call this area "control volume. Read More

Int J Surg 2018 Mar 3;51:49-55. Epub 2018 Feb 3.

Department of Orthopaedics Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, NO.109, Xue Yuan West Road, Wenzhou, Zhejiang Province, 325000, China. Electronic address:

Introduction: Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. This study is to compare the clinical outcome of a single lateral approach-the extensile splitting extensor digitorum communis (EDC) approach and combined lateral and medial (CML) approaches for the treatment of terrible traid of the elbow (TTE).

Material And Methods: After appropriate exclusion, 60 TTE patients (28 patients in the EDC group, 32 patients in the CML group) from 2009 January to 2015 August were reviewed in this study. Read More

Zhongguo Gu Shang 2017 Mar;30(3):222-226

Guangdong Provincial People Hospital, Guangzhou 510080, Guangdong, China.

Objective: To analyze the clinical efficacy of over-elbow small splint fixation for the treatment of comminuted Colles fractures.

Methods: From October 2013 to October 2015, 52 patients with comminuted Colles fracture were divided into two groups (the traditional splint fixation group and the over-elbow small splint fixation group) according to the treatment strategy. There were 26 patients in the over-elbow small splint fixation group including 7 males and 19 females with an average age of (64. Read More

J Shoulder Elbow Surg 2018 Feb;27(2):270-275

NYU Hospital for Joint Diseases, New York, NY, USA. Electronic address:

Background: Whereas most radial head fractures are stable injuries, they sometimes occur as part of complex injury patterns with associated elbow instability. Radial head arthroplasty has been favored in patients with unreconstructable radial head fractures and unstable elbow injuries. The purpose of this study was to review radiographic outcomes, functional outcomes, and complications after radial head arthroplasty for radial head fracture in unstable elbow injuries. Read More

Zhongguo Gu Shang 2017 Jan;30(1):79-82

Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China.

Objective: To introduce and report the preliminary results of 7 old patients with fractures and dislocations of the elbow.

Methods: From July 2011 to August 2015, 7 old patients suffered from fractures and dislocations of the elbow(5 of which were terrible triad). One patient had type Iradial head fracture, 3 type IIand 1 type III according to the Mason classification, and 1 type I, 5 type IIand 1 type III according to the Regan-Morrey classification. Read More

J Shoulder Elbow Surg 2018 Apr 8;27(4):674-685. Epub 2018 Jan 8.

Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, USA. Electronic address:

Background: Anterior shoulder dislocations in young patients are associated with high rates of recurrent instability. Although some surgeons advocate for surgical stabilization after a single dislocation event in this population, there is sparse research evaluating surgical treatment for first-time dislocators.

Methods: Patients undergoing surgical stabilization for anterior shoulder instability were prospectively enrolled at multiple institutions from 2015-2017 and stratified by number of dislocations before surgery. Read More

J Shoulder Elbow Surg 2018 Jun 4;27(6S):S70-S75. Epub 2018 Jan 4.

Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA, USA.

Background: A large number of surgical techniques have been described to treat acromioclavicular (AC) joint separations. Despite the high success rates with double-tunnel reconstruction, this method has been associated with the risk of coracoid and clavicle fractures. This study aimed to evaluate the outcomes of the first cohort of patients who underwent single-tunnel AC and coracoclavicular (CC) ligament reconstruction. Read More

J Shoulder Elbow Surg 2018 Feb 10;27(2):189-195. Epub 2017 Nov 10.

Department of Trauma & Orthopaedic Surgery, Glasgow Royal Infirmary, Glasgow, UK.

Background: Glenohumeral dislocation is the most commonly encountered adult joint instability. The epidemiology in the United Kingdom and worldwide is unclear and often limited to young, active groups that are not representative of general populations. Information regarding epidemiology and outcome from a first dislocation is useful for trauma service planning and patient counseling. Read More

Skeletal Radiol 2018 Mar 2;47(3):397-400. Epub 2017 Oct 2.

Trauma Center, Ben Arous, Tunisia.

The Essex-Lopresti injury is an extremely rare condition combining radial head or neck fracture, distal radio-ulnar joint dislocation and rupture of the interosseous membrane. However, there are rare or unusual varieties or associated injuries. We report a case of a 46-year-old woman with a posterior dislocation of the radio-humeral joint, a radial shaft fracture, and a distal radio-ulnar joint dislocation. Read More

PLoS One 2017 28;12(9):e0185421. Epub 2017 Sep 28.

Universidad Nacional Mayor de San Marcos, Lima, Peru.

Objectives: Pacopampa, a ceremonial complex in Peru's northern highlands, reveals early evidence of trauma in the Middle to Late Formative Period coinciding with the emergence of social stratification in the area. We examine the prevalence of trauma in human remains found at the site and present evidence of the circumstances surrounding the deaths of individuals who lived during the early stages of Andean civilization.

Materials And Methods: The materials are the remains of 104 individuals (38 non-adult and 66 adult) from the Middle to Late Formative Periods. Read More

Iowa Orthop J 2017 ;37:53-55

Mount Carmel Medical Center793 West State Street Columbus, Ohio 43222.

Background: Proximal humerus fractures account for approximately 4-6% of all fractures. While the majority of these fractures are treated non-operatively, the amount of fracture displacement, concomitant injuries, and patient factors often result in the need for surgical stabilization. Although concomitant neurovascular injury in the setting of low-energy trauma is rare, injury to the surrounding neurovascular structures have previously been reported. Read More

Acta Orthop Traumatol Turc 2017 Oct 26;51(5):362-366. Epub 2017 Aug 26.

Koç University, School of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey. Electronic address:

Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder.

Patients And Methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28-72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. Read More

J Shoulder Elbow Surg 2017 Aug;26(8):1342-1347

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Terrible triad (TT) is one of the severe injuries of the elbow that generally requires surgery. Nonsurgical treatment has recently been applied in selected cases of TT injury. Evaluation of the results of this treatment was the main aim of this study. Read More

Hand (N Y) 2017 09 13;12(5):NP162-NP165. Epub 2017 Jul 13.

1 University of Arizona College of Medicine, Tucson, USA.

Background: Sparse documentation of Galeazzi fracture with associated nerve injury exists in the medical literature. The purpose of this report is to review the available literature in regard to incidence, nerve injury type, treatment strategies, and expected outcomes.

Methods: We present a classic Galeazzi fracture dislocation with associated complete ulnar nerve transection injury at the level of the wrist. Read More

J Shoulder Elbow Surg 2017 Nov 6;26(11):e346-e351. Epub 2017 Jul 6.

Department of Orthopedics, Mayo Clinic Arizona, Scottsdale, AZ, USA. Electronic address:

Background: Reverse shoulder arthroplasty (RSA) is an important treatment option for 4-part proximal humerus fractures in the elderly and arthrosis of the glenohumeral joint with incompetence of the rotator cuff. Unique complications do occur with use of this type of prosthesis.

Methods: We present 4 cases of polyethylene dissociation after RSA. Read More

Am J Sports Med 2017 Oct 28;45(12):2835-2839. Epub 2017 Jun 28.

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

Background: The risk of re-engagement of bipolar bone defects in posterior shoulder instability has not yet been investigated.

Hypothesis: Posterior glenoid defects can lead to the engagement of supposedly noncritical reverse Hill-Sachs lesions (RHSLs).

Study Design: Descriptive laboratory study. Read More

Arch Orthop Trauma Surg 2017 Sep 20;137(9):1239-1245. Epub 2017 Jun 20.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore.

Background: Clinical outcomes of terrible triad injuries (TTIs) of the elbow are historically poor. To date, it is still debatable whether the coronoid needs to be fixed and if so, how and in which sequence.

Methodology: Between 2010 and 2013, 13 patients were treated surgically for acute TTIs of the elbow at a Tertiary Level 1 Trauma Centre by a single surgeon, using a standardized protocol, which included coronoid-brachialis complex fixation via pull-through trans-osseous sutures, radial head fixation or prosthetic replacement and a repair of the lateral ulnar collateral ligament. Read More

J Bone Joint Surg Am 2017 06;99(12):1043-1050

1Department of Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of Heidelberg, Ludwigshafen on the Rhine, Germany.

Background: The aim of this study was to investigate the outcomes in a large series of Essex-Lopresti injuries (ELIs) and to compare patients with early and late diagnoses.

Methods: Thirty-one patients with an ELI (average age and standard deviation [SD], 46 ± 10 years) who were followed for a minimum of 2 years were included in the study. Patients were grouped according to whether the ELI had been diagnosed early (on the day of the injury) or late (>4 weeks after the radial head injury). Read More

J Orthop Trauma 2017 Sep;31(9):e270-e274

*Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; and †Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Objective: To compare the outcomes of patients who underwent either open reduction internal fixation with a locking plate and screws or closed reduction internal fixation with an antegrade intramedullary nail (IMN) for displaced surgical neck fracture of the humerus.

Design: Retrospective comparative study.

Setting: Single institute, Level-I academic trauma center. Read More

J Shoulder Elbow Surg 2017 Oct 7;26(10):1732-1739. Epub 2017 Jun 7.

Nottingham Shoulder & Elbow Unit, Nottingham City Hospital, Nottingham, UK.

Background: Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS).

Materials And Methods: This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Read More

Medicine (Baltimore) 2017 Jun;96(22):e6819

Department of Orthopaedics, the Affiliated YiWu Hospital of Wenzhou Medical University, Yiwu, P.R. China.

Background: This retrospective study aims to investigate the efficacy and safety of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow (TTE).

Methods: TTE patients who received a combination of posterior lateral and anteromedial approach or other conservative treatments were included in the present study. The postoperative functions of the elbow and the severity of traumatic arthritis were assessed using the Mayo Elbow Performance Score (MEPS) and visual analog scale (VAS). Read More

J Hand Surg Am 2017 Aug 24;42(8):660.e1-660.e7. Epub 2017 May 24.

Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, TX.

Purpose: Radial head arthroplasty (RHA) is a viable treatment for complex radial head fracture. Whereas elbow stability and function is typically restored at short- to mid-term follow-up, the outcome in higher-demand populations is not well defined. We sought to characterize the functional and occupational outcomes following RHA in an active duty military population with intense upper extremity demands. Read More

J Orthop Trauma 2017 Sep;31(9):468-471

*Department of Orthopedic Surgery, University of South Florida, Tampa, FL; †Geisinger Medical Center, Orthopaedic Institute, Danville, PA; ‡Orthopaedic Trauma Service, Florida Orthopaedic Institute, Tampa, FL; §Shoulder and Elbow Surgery Service, Florida Orthopaedic Institute, Tampa, FL; and ‖Department of Orthopaedics, Harborview Medical Center, Seattle, WA.

Objectives: To determine whether a difference in plate position for fixation of acute, displaced, midshaft clavicle fractures would affect the rate of secondary intervention.

Design: Retrospective Comparative Study.

Setting: Two academic Level 1 Regional Trauma Centers. Read More

J Shoulder Elbow Surg 2017 Oct 15;26(10):e293-e299. Epub 2017 May 15.

Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Background: Fracture-dislocation is the extreme variant of injury to the proximal humerus that occurs more commonly in young adults as a result of high-velocity trauma. We evaluated the functional and radiologic outcome of fixation of proximal humeral fracture-dislocations with locked plates.

Methods: This was a retrospective review of 33 proximal humeral fracture-dislocations in 29 patients with a mean age of 35 years (range, 19-60 years) treated by open reduction and internal fixation with locked plates between January 2009 and December 2013. Read More

J Orthop Trauma 2017 Sep;31(9):503-509

*Department of Orthopaedic Surgery, University of Puerto Rico School of Medicine, San Juan, PR; and †School of Public Health, University of Puerto Rico School of Medicine, San Juan, PR.

Objective: This study aimed to compare clinical outcomes and radiographic findings between patients who received 2 different implants (smooth-stemmed modular implant or an anatomic press-fit implant) on patients with acute terrible triad injuries.

Design: Prospective cohort.

Setting: Level II Trauma center, University hospital. Read More

Arch Orthop Trauma Surg 2017 Jul 8;137(7):953-957. Epub 2017 May 8.

Orthopaedic Department, Servicio Cirugía Ortopédica, Hospital Santa Cruz y San Pablo, Barcelona Autonoma University, Barcelona, Spain.

Introduction: Radial nerve palsy is a rare but serious complication following elbow external fixation. Only 11 cases have been reported in the literature to date, but the incidence may be underreported. We present three new cases of this complication. Read More

J Shoulder Elbow Surg 2017 Jul 3;26(7):1294-1297. Epub 2017 May 3.

Department of Orthopedic Surgery, Linköping University, Linköping, Sweden; Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. Electronic address:

Background: The majority of simple elbow dislocations (no associated fractures) can be treated nonoperatively with a short period of immobilization followed by guided aftercare. This case series describes the soft tissue injuries in a rare subset of patients in whom the elbow redislocated despite adequate immobilization.

Methods: During a 6-year period, 8 patients were identified. Read More