25,352 results match your criteria Elbow Joint

A case of infection and severe soft tissue loss of the elbow. Planning surgical treatment in compliance with good clinical-care practices and medico-legal implications.

Acta Biomed 2022 Jun 30;93(S1):e2022106. Epub 2022 Jun 30.

Trauma Unit and Emergency Department, IRCCS Galeazzi Orthopedics Institute, Milano, Italy.

Soft tissue loss around  the elbow, with tendons, nerves and bone exposure,  represents a challenging condition, often requiring a complex and accurate surgical reconstruction. Inadequate repair of soft tissue defects may in fact compromise further reconstructive orthopedic procedures, including  osteosynthesis and joint replacement. A correct reparative sequence of these lesions usually starts with an appropriate debridement and removal of all non-viable and infected tissues, followed by soft tissues management through plastic and reconstructive techniques. Read More

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A novel sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular join.

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

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Rifampicin resistance and risk factors associated with significantly lower recovery rates after two stage revision in patients with prosthetic joint infection.

J Glob Antimicrob Resist 2022 Jun 25. Epub 2022 Jun 25.

Department of Orthopaedics, Semmelweis University, Budapest, Hungary.

Purpose: Rifampicin plays a key role in the management of prosthetic joint infections (PJIs), however, the emergence of rifampicin resistance is associated with less favorable clinical outcomes. The purpose of this study was to investigate the impact of rifampicin resistance and other patient-related factors on recovery rates among patients with PJI undergoing two-stage revision.

Methods: We reviewed medical records and microbiology reports of 73 patients (41 males and 32 females) undergoing two-stage revision due to PJI between 2017 and 2019. Read More

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Rehabilitation Variability Following Osteochondral Autograft and Allograft Transplantation of the Knee.

Cartilage 2022 Apr-Jun;13(2):19476035221093071

Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, NY, USA.

Objective: The aim of this study is to assess the variability of postoperative rehabilitation protocols used by orthopedic surgery residency programs for osteochondral autograft transplantation (OAT) and osteochondral allograft transplantation (OCA) of the knee.

Design: Online postoperative OAT and OCA rehabilitation protocols from US orthopedic programs and the scientific literature were reviewed. A custom scoring rubric was developed to analyze each protocol for the presence of discrete rehabilitation modalities and the timing of each intervention. Read More

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Sex-specific effects of localized muscle fatigue on upper body kinematics during a repetitive pointing task.

BMC Musculoskelet Disord 2022 Jun 27;23(1):613. Epub 2022 Jun 27.

Department of Kinesiology and Physical Education, McGill University, Montreal, QC, H2W 1S4, Canada.

Background: Females are reported to have a higher risk of musculoskeletal disorders than males. Repetitive motions can lead to muscle fatigue, which may play a mediator role in the development of musculoskeletal disorders. However, sex differences in adaptations to localized fatigue at different joints are poorly understood. Read More

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Performance fatigability and recovery after dynamic multi-joint maximal exercise in elbow flexors versus knee extensors.

Am J Physiol Regul Integr Comp Physiol 2022 Jun 27. Epub 2022 Jun 27.

Department of Molecular Medicine, grid.8982.bUniversity of Pavia, Pavia, Italy.

Elbow flexors (EF) and knee extensors (KE) have shown differences in performance fatigability and recovery of neuromuscular function after isometric and isotonic single-joint fatiguing contractions. However, dynamic multi-joint movements are more representative of real-world activities. The aim of the study was to assess central and peripheral mechanisms of fatigability after either arm-cranking or cycling. Read More

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Design of a Smart Elbow Brace as a Home-Based Rehabilitation Device.

Comput Intell Neurosci 2022 16;2022:3754931. Epub 2022 Jun 16.

School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.

Poststroke and traumatic elbow injuries are the most common cause of elbow stiffness, which results in loss of functional range of motion (ROM). Various studies support early mobilization of the elbow joint after injury or after surgery to reduce risks of elbow stiffness development. After hospitalization, patients are required to follow a long-term rehabilitation program during home recovery. Read More

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Reliability, validity and critical appraisal of the cross-cultural adapted German version of the Mayo Elbow Performance Score (MEPS-G).

J Orthop Surg Res 2022 Jun 25;17(1):328. Epub 2022 Jun 25.

Arcus Sportklinik, Pforzheim, Germany.

Background: The Mayo Elbow Performance Score (MEPS) is a rating system consisting of four dimensions to evaluate elbow performance. It is a common tool for assessment of elbow impairments worldwide. We determined the validity and reliability of its German version (MEPS-G) after cross-cultural adaptation. Read More

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Drivers of Inpatient Hospitalization Costs, Joint-Specific Patient-Reported Outcomes, and Health-Related Quality of Life in Shoulder Arthroplasty for Cuff Tear Arthropathy.

J Shoulder Elbow Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA, USA. Electronic address:

Background: Cuff tear arthropathy (CTA) can be successfully treated with various types of shoulder arthroplasty. While reverse total shoulder arthroplasty (RSA) is commonly used to treat CTA, CTA hemiarthroplasty (CTA-H, hemiarthroplasty with an extended humeral articular surface) can also be effective in patients with preserved glenohumeral elevation and an intact coracoacromial arch. As the value of arthroplasty is being increasingly scrutinized, cost containment has become a priority. Read More

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Complications and range of motion of patients with an elbow dislocation treated with a hinged external fixator: a retrospective cohort study.

Eur J Trauma Emerg Surg 2022 Jun 25. Epub 2022 Jun 25.

Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Purpose: Elbow dislocations are at risk for persistent instability and stiffness of the joint. Treatment with a hinged external fixation provides elbow joint stability, and allows early mobilization to prevent stiffness. Mounting a hinged elbow fixator correctly, however, is technically challenging. Read More

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Simultaneous control of 2DOF upper-limb prosthesis with body compensations-based control: a multiple cases study.

IEEE Trans Neural Syst Rehabil Eng 2022 Jun 24;PP. Epub 2022 Jun 24.

Controlling several joints simultaneously is a common feature of natural arm movements. Robotic prostheses shall offer this possibility to their wearer. Yet, existing approaches to control a robotic upper-limb prosthesis from myoelectric interfaces do not satisfactorily respond to this need: standard methods provide sequential joint-by-joint motion control only; advanced pattern recognition-based approaches allow the control of a limited subset of synchronized multi-joint movements and remain complex to set up. Read More

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Ulnar nerve decompression with osteocapsular arthroplasty for primary elbow osteoarthritis.

J Orthop Surg (Hong Kong) 2022 May-Aug;30(2):10225536221109914

Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, 587171Eulji University School of Medicine, Uijeongbu, Korea.

Purpose: The aim of this study was to suggest treatment guidline for primary elbow OA with ulnar nerve neuropathy or high-grade stiffness by evaluating the effect of ulnar nerve decompression on the outcome of osteocapsular arthroplasty.

Methods: A total of 30 patients who underwent primary osteocapsular arthroplasty for elbow OA were retrospectively reviewed. The surgical outcomes were evaluated for pain score (visual analog scale; VAS), range of motion (ROM), and Mayo Elbow Performance Score (MEPS). Read More

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The Morphology of the Acromioclavicular Joint Does Not Influence the Postoperative Outcome Following Acute Stabilization-A Case Series of 81 Patients.

Arthrosc Sports Med Rehabil 2022 Jun 15;4(3):e835-e842. Epub 2022 Apr 15.

Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Munich, Germany.

Purpose: To specifically evaluate the influence of the acromioclavicular (AC)-joint morphology on the outcome after arthroscopically assisted coracoclavicular (CC) stabilization surgery with suspensory fixation systems and to investigate whether an additional open AC-joint reduction and AC cerclage improves the clinical outcome for patients with certain morphologic AC-joint subtypes.

Methods: Patients with an acute acromioclavicular joint injury, who underwent arthroscopically assisted CC stabilization with suspensory fixation systems with or without concomitant AC cerclage between January 2009 and June 2017 were identified and included in this retrospective cohort analysis. AC-joint morphology was assessed on preoperative radiographs and categorized as "flat" or "non-flat" ("oblique"/"curved") subtypes. Read More

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Arthroscopic Repair of Isolated Subscapularis Tears Show Clinical and Structural Outcome Better for Small Tears Than Larger Tears.

Arthrosc Sports Med Rehabil 2022 Jun 28;4(3):e1133-e1139. Epub 2022 May 28.

Sports Medicine and Joint Center, Funabashi Orthopaedic Hospital, Funabashi, Chiba, Japan.

Purpose: To retrospectively investigate the mid-term outcomes after arthroscopic repair of isolated subscapularis tears with a relatively large number of patients and to compare them by tear size.

Methods: Medical records were reviewed for patients who underwent arthroscopic rotator cuff repair between 2010 and 2017 at our institute. The inclusion criterion was isolated subscapularis tears that underwent arthroscopic rotator cuff repair. Read More

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Intra-Articular Injections of Allogeneic Mesenchymal Stromal Cells vs. High Molecular Weight Hyaluronic Acid in Dogs With Osteoarthritis: Exploratory Data From a Double-Blind, Randomized, Prospective Clinical Trial.

Front Vet Sci 2022 7;9:890704. Epub 2022 Jun 7.

Department of Clinical Sciences, Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, CO, United States.

This double-blind, randomized, prospective clinical trial was conducted to obtain exploratory data comparing the efficacy of intra-articular allogeneic mesenchymal stem/stromal cells (MSC) to high molecular weight hyaluronic acid (HA) for the treatment of pain associated with canine osteoarthritis (OA). Objective gait analysis (%Body Weight Distribution, %BWD), accelerometry, clinical metrology instruments and veterinary exams were used as outcome measures during various time points throughout the 48-week study period. Fourteen dogs with elbow or coxofemoral OA were enrolled and assigned in a 2:1 ratio to the treatment groups. Read More

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Polygenic Models Partially Predict Muscle Size and Strength but Not Low Muscle Mass in Older Women.

Genes (Basel) 2022 May 30;13(6). Epub 2022 May 30.

Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester Metropolitan University, Manchester M15 6BH, UK.

Background: Heritability explains 45-82% of muscle mass and strength variation, yet polygenic models for muscle phenotypes in older women are scarce. Therefore, the objective of the present study was to (1) assess if total genotype predisposition score (GPS) for a set of polymorphisms differed between older women with low and high muscle mass, and (2) utilise a data-driven GPS (GPS) to predict the variance in muscle size and strength-related phenotypes.

Methods: In three-hundred 60- to 91-year-old Caucasian women (70. Read More

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Distal biceps tendon ruptures occur with the almost extended elbow and supinated forearm - an online video analytic study.

BMC Musculoskelet Disord 2022 Jun 22;23(1):599. Epub 2022 Jun 22.

Department of Sports Orthopaedics, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Background: Distal biceps tendon ruptures can lead to significant restrictions in affected patients. The mechanisms of injury described in scientific literature are based exclusively on case reports and theoretical models. This study aimed to determine the position of the upper extremities and forces involved in tendon rupture through analyzing video recordings. Read More

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[Three-dimensional printing combined with distal humeral osteotomy for cubital varus deformity in children].

Zhongguo Gu Shang 2022 Jun;35(6):578-82

Department of Orthopaedics, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China.

Objective: To explore clinical effect of three-dimensional(3D) printing combined with distal humerus osteotomy for children with cubital varus deformity.

Methods: From January 2017 to January 2020, 17 cubital varus deformity children treated with distal humerus osteotomy were retrospective analysis, included 11 boys and 6 girls, aged from 5 to 11 years old with an average of (7.8±1. Read More

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Telephone-based joint protection education in lateral epicondylitis: A randomized controlled trial.

Work 2022 Jun 10. Epub 2022 Jun 10.

Department of Physical Therapy andRehabilitation, Faculty of Health Sciences, Trakya University, Edirne, Turkey.

Background: Lateral epicondylitis (LE) can occur for many different reasons such as compelling repetitive movements in daily readings, incorrect posture use and work-related factors. Although several treatments are available for LE, the optimal evidence-based treatment remains uncertain. Joint protection techniques have been developed as a self-management intervention to reduce pain and disability and improve functionality by applying ergonomic approaches. Read More

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The radial recurrent artery propeller flap for elbow coverage in an extensive burn.

J Surg Case Rep 2022 Jun 15;2022(6):rjac283. Epub 2022 Jun 15.

Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Canada.

Obtaining durable coverage of the elbow may be challenging when surrounding tissue as well as standard free flap donor sites are not available for use. Here we describe the application of the radial recurrent artery perforator propeller flap to good effect for the coverage of the elbow joint and ulnar nerve in the context of an extensive flame burn injury of over 80% of the body surface area. Despite few descriptions of its use in the literature, it is a relatively straightforward flap to elevate and inset, the donor area was effectively autografted and there were no postoperative complications. Read More

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Utilization of MRI in surgical decision making in the shoulder.

BMC Musculoskelet Disord 2022 Jun 18;23(1):588. Epub 2022 Jun 18.

Department of Orthopaedics, University of British Columbia, Chan Gunn Pavilion, Allen McGavin Sports Medicine Clinic, 2553 Wesbrook Mall, Vancouver, BC, V6T1Z3, Canada.

Background: The aim of this study is to evaluate both the utility of MRI scans and reports used in the current practice routine of shoulder surgeons and their surgical decision-making process.

Methods: Ninety-three shoulder-specialised orthopaedic surgeons of the Canadian Shoulder and Elbow Society (CSES) Orthopaedic Association were surveyed in 2020 anonymously online to help identify the use of MR-imaging and reports in managing shoulder disorders and surgical decision process.

Results: Thirty out of 93 (32. Read More

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Affection of glenoid wear on clinical results after humeral head replacement using a single prosthesis in cuff tear arthropathy with more than 8 years follow-up.

J Shoulder Elbow Surg 2022 Jun 15. Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Nanbu Tokusyukai Hospital, Okinawa, Japan.

Background: Glenoid wear (GW) is a long-term complication after HHR, and one of the major reasons for revision surgery. This study evaluated GW after more than 8 years follow-up after HHR in patients with CTA using a modified classification of GW, to examine the relationship between GW and clinical outcomes, and identify risk factors for GW progression.

Methods: This retrospective case series study included 34 shoulders (13 male, 21 female; mean age at surgery: 70. Read More

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Influence of ulnar bow sign on surgical treatment of missed Bado type I Monteggia fracture in children.

Sci Rep 2022 Jun 17;12(1):10238. Epub 2022 Jun 17.

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi, China.

The present study aimed to explore the influence of ulnar bow on the surgical treatment of Bado type I missed Monteggia fracture in children. A retrospective review of 28 patients was conducted between November 2010 and June 2020. All patients were treated with open reduction of the radial head and ulnar opening wedge osteotomy without annular ligament reconstruction. Read More

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Biomechanical characteristics of slashing attack on different body parts of a dummy using a kitchen knife.

Int J Legal Med 2022 Jun 17. Epub 2022 Jun 17.

Research Center for Sports Psychology and Biomechanics, China Institute of Sport Science, Beijing, 100061, China.

Background: Slashing attack is one of the most common ways of committing a homicide. The purpose of this study was to evaluate the biomechanical characteristics of slashing different body parts of a dummy by young males and females using a Chinese kitchen knife and thus provide scientific evidence for criminal investigations and court trials.

Methods: A total of 12 male and 12 female college students participated in this study. Read More

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Adverse events associated with manual therapy of peripheral joints: A scoping review.

J Bodyw Mov Ther 2022 Jul 20;31:159-163. Epub 2022 Apr 20.

North American Institute of Orthopedic Manual Therapy, United States; Chatham University, United States. Electronic address:

Methods: We performed a systematic review of potential adverse events (AEs) of manual therapy to peripheral joints using PubMed, CINAHL, PEDro, AMED, and Google Scholar with a single term for each peripheral body region (shoulder, elbow, wrist, hand, hip, knee, ankle, foot). Inclusion criteria included articles that examined or reported the occurrence of AEs. Exclusion criteria included literature discussing treatment other than manual therapy or surgery. Read More

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Muscle responses during radial nerve-biased upper limb neurodynamic test in asymptomatic individuals: a cross-sectional study.

J Man Manip Ther 2022 Jun 16:1-8. Epub 2022 Jun 16.

Musculoskeletal Research Unit (UIM), University Center for Assistance, Teaching and Research (CUADI), University of Gran Rosario (UGR), Rosario, Argentina.

This laboratory cross-sectional study aimed at explore the muscle response (MR) of the upper trapezius, infraspinatus, biceps brachii and extensor carpi radialis brevis (ECRB) during the radial nerve-biased upper limb neurodynamic test (RN-ULNT) in healthy participants. Myoelectric activity was stage-by-stage recorded during two sequencing variants of the RN-ULNT: S1, in which elbow extension was the last movement; and S2, in which wrist flexion was the last movement. Final elbow and wrist joint angle and sensory response (SR) in five zones (Z1-Z5) were also registered. Read More

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Olecranon Stress Fracture Management Challenges in a High School Baseball Pitcher: A Case Report and Review of the Literature.

Curr Sports Med Rep 2022 06 1;21(6):171-173. Epub 2022 Jun 1.

Department of Orthopedics and Rehabilitation, University of Florida, Gainesville, FL.

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Needle arthroscopy for exploration of the elbow joint: a case series of six dogs with preliminary cadaveric study.

N Z Vet J 2022 Jun 15:1-21. Epub 2022 Jun 15.

Department of Small Animal Surgery, Centre Hospitalier Universitaire Vétérinaire d'Alfort (CHUVA), Université Paris Est, École Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.

Case History: Dogs (n = 6) suffering from elbow-associated lameness for a median of 3.5 (min 2, max 12) months duration requiring arthroscopic exploration according to imaging results were prospectively included in this study.

Clinical Findings: Dogs that met the inclusion criteria were of various breeds with a median body weight of 18 (min 13. Read More

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Four-dimensional computed tomography: musculoskeletal applications.

Can J Surg 2022 May-Jun;65(3):E388-E393. Epub 2022 Jun 14.

From the Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary Alta.

Four-dimensional computed tomography (4DCT), or dynamic CT, is an emerging modality with a wealth of orthopedic applications for both clinical practice and research. This technology creates CT volumes of a moving structure at multiple time points to depict real-time motion. Recent advances in acquisition technology and reduction in radiation dosage have allowed for increased adoption of the modality and have made imaging of joint motion feasible and safe. Read More

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Arthroscopically Assisted Stabilization of Chronic Acromioclavicular Joint Instability.

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Nov 8.

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

This video article demonstrates biological and synthetic acromioclavicular (AC) and coracoclavicular stabilization with use of a hamstring tendon graft and a low-profile TightRope implant (Arthrex). The low-profile TightRope reduces soft-tissue irritation due to knot stacks. The tendon graft is wrapped around the clavicle and the coracoid to avoid weakening of the osseous structures as a result of clavicular and coracoidal tunnel placement. Read More

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November 2021