1,156 results match your criteria Elbow Trauma Pediatric


Treatment of Knee Osteochondral Fractures.

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

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The Effects of Using K-Wire or Titanium Elastic Nails on Clinical and Radiological Outcomes in the Métaizeau Closed Reduction Technique.

Int J Clin Pract 2022 27;2022:9317837. Epub 2022 Mar 27.

University of Missouri-Kansas City, Department of Orthopaedic Surgery, Kansas City, USA.

Aim: The purpose of this study was to compare the effects of using Kirschner-wire (K-wire) or titanium elastic nails (TEN) on the functional results of patients treated with the Métaizeau closed reduction technique, which is a popular treatment modality for pediatric radial neck fractures (PRNF).

Methods: Patients who underwent the Métaizeau closed reduction technique for PRNF between May 2017 and May 2019 were assessed retrospectively. The Judet classification was used for the PRNF classification. Read More

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Rotational osteotomy with single incision and elastic fixation for congenital radioulnar synostosis in children: a retrospective cohort study.

Transl Pediatr 2022 May;11(5):687-695

Department of Joint Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.

Background: Derotational osteotomy remains the most commonly performed procedure in patients with congenital radioulnar synostosis (CRUS). Bone fixation is mostly performed using K-wires or plates. Many scars, loss of correction and neurovascular complications in the form were the most common complications across the studies. Read More

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Isolated trochlea osteochondral fracture of the distal humerus in a 6-year-old patient surgically fixed using biodegradable pins: A case study with over 3 years of follow-up.

Trauma Case Rep 2022 Aug 1;40:100666. Epub 2022 Jun 1.

Department of Orthopaedic Surgery, Trauma Center, Saga-ken Medical Centre Koseikan, Saga, Japan.

Isolated humeral trochlea fracture, particularly in skeletally immature children, is extremely rare. The exact mechanism of this injury remains unknown because the humeral trochlea is embraced within the olecranon fossa without any muscular or ligamentous attachment. We report the treatment of a 6-year-old boy who sustained an isolated trochlea osteochondral fracture when he fell with his elbow in a flexed position while skateboarding. Read More

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Gartland Type IIa Supracondylar Humerus Fractures: Outcomes of Attempted Nonoperative Management.

J Pediatr Orthop 2022 Jul 13;42(6):314-320. Epub 2022 Apr 13.

Orthopedic Surgery, University of Oklahoma, Oklahoma City, OK.

Background: The optimal treatment of Gartland type IIa supracondylar humerus fractures remains controversial. We report the results of a series of patients with type IIa fractures who underwent closed reduction and immobilization using conscious sedation in the emergency department. Our goal was to identify variables associated with fractures that were successfully managed nonoperatively. Read More

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Upper limb pediatric fractures in 22 tertiary children's hospitals, China: a multicenter epidemiological investigation and economic factor analysis of 32,832 hospitalized children.

J Orthop Surg Res 2022 Jun 3;17(1):300. Epub 2022 Jun 3.

Department of Pediatric Orthopedics, Shenzhen Children's Hospital of China Medical University, Shenzhen, Guangdong Province, People's Republic of China.

Background: Fractures are the most common type of unintentional injury in children, with traumatic upper limb fractures accounting for approximately 80% of all childhood fractures. Many epidemiological investigations of upper limb fractures in children have been conducted, but with the development of society, the patterns of childhood fractures may have changed. This study aimed to analyze the epidemiology and economic cost factors of upper limb fractures in Chinese children. Read More

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Can the Sup-ER Protocol Decrease the Prevalence and Severity of Elbow Flexion Deformity in Brachial Plexus Birth Injuries?

Hand (N Y) 2022 Jun 6:15589447221093673. Epub 2022 Jun 6.

The University of British Columbia, Vancouver, Canada.

Background: Brachial plexus birth injuries (BPBIs) can often result in functional and cosmetic deficits including, according to a recent scoping review, elbow flexion contractures in up to 48%. A treatment algorithm that includes a custom long-arm orthosis to optimize early glenohumeral joint positioning (Sup-ER protocol) has been shown to improve shoulder range of motion. Although the protocol was not intentionally designed to affect the elbow, this study investigates the prevalence and severity of elbow flexion contractures in children treated with that protocol. Read More

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Comparison of pre-high school and high school football quarterback injuries.

Phys Sportsmed 2022 Jun 2:1-5. Epub 2022 Jun 2.

The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.

Objective: To compare the common injuries of pre-high school American football quarterbacks (Pre-HS QBs) and high school American football quarterbacks (HS QBs) within the last 15 years.

Methods: A retrospective chart review was performed at a sports medicine clinic at a tertiary-level pediatric medical center. Pediatric and adolescent American football quarterback patients who sustained sports-related injuries were extracted. Read More

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Missed Monteggia Fracture Dislocation in a 10-year-old Child - A Step-by-Step Approach to Properly Solving a Complex Problem: A Case Report.

J Orthop Case Rep 2022 Jan;12(1):41-44

Department of Orthopaedics, "Panagiotis and Aglaia Kyriakou" Athens General Children's Hospital, Athens, Greece.

Introduction: Monteggia injuries are relatively rare in the pediatric population. They can be missed leading to complications arising from a chronic radial head dislocation. There is limited information about their proper management in the literature. Read More

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January 2022

Decreased Case Volume for Orthopaedic Sports Medicine Fellows During the Early Stages of the COVID-19 Pandemic.

Arthrosc Sports Med Rehabil 2022 May 19. Epub 2022 May 19.

Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, RI.

Purpose: The purpose of the current study was to compare the surgical case volume for orthopaedic sports medicine fellows in the most recent classes to one another and in years preceding the pandemic.

Methods: ACGME case log reports of key procedures for orthopaedic sports medicine fellows during academic years 2018-2019, 2019-2020, and 2020-2021 were extracted. Comparisons between these years in adult, pediatric and total case volumes were performed using two-sample T-test to detect significant changes in the average number of key procedures completed between consecutive years. Read More

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[Current concepts in pediatric lateral humeral condyle fractures].

Ugeskr Laeger 2022 May;184(19)

Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Herlev-Gentofte Hospital.

Lateral humeral condyle fractures account for 10-20% of all paediatric elbow fractures. Diagnosis is made on plain radiographs; however, their interpretation is a challenge. Diagnostic MRI is used to apply the Song classification. Read More

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Pediatric Softball Injuries Presenting to Emergency Departments.

Pediatr Emerg Care 2022 May 13. Epub 2022 May 13.

Children's Hospital of Pennsylvania, Philadelphia, PA.

Introduction: This study sought to characterize the mechanisms of injury responsible for common softball-related injuries in recent years.

Methods: The National Electronic Injury Surveillance System database was queried for all pediatric softball-related injuries presenting to participating US emergency departments from 2010 to 2019. Patients were classified by age as children (7-12 years), adolescents (13-18 years), or young adults (19-21 years). Read More

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Pediatric Monteggia Fracture Outcome Assessment - Preliminary Report.

Ortop Traumatol Rehabil 2022 Apr;24(2):79-86

Klinika Ortopedii i Ortopedii Dziecięcej, Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi, Polska / Orthopedics and Pediatric Orthopedics Department, Central Teaching Hospital of the Medical University of Lodz, Poland.

Background: The term Monteggia fracture refers to a class of injuries encompassing the fracture of the proximal end of the ulna with subluxation or dislocation of the radial head. These injuries account for 0.4-1% of all forearm fractures in children. Read More

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Métaizeau Closed Reduction Technique and Open Reduction Technique for the Surgical Treatment of Pediatric Radial Neck Fractures.

J Coll Physicians Surg Pak 2022 May;32(5):613-617

Department of Orthopedics and Traumatology, Haseki Training and Research Hospital, Istanbul, Turkey.

Objective: To compare the functional outcomes of pediatric radial neck fractures treated with percutaneous reduction using Kirschner (K) wire with the Métaizeau technique, and that with open reduction plus internal fixation with K-wire.

Study Design: Comparative descriptive study.

Place And Duration Of Study: Haseki Training and Research Hospital Orthopedics and Traumatology Department, from December 2007 to December 2018. Read More

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Autologous replacement of the head of the radius-proximal fibula versus second metatarsal base: an anatomic feasibility study.

Arch Orthop Trauma Surg 2022 May 9. Epub 2022 May 9.

Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.

Introduction: This study investigated the anatomic feasibility of a new surgical therapy option for radial head arthrosis using an autologous vascularized bone graft of the second metatarsal and proximal fibula to recreate the proximal radiohumeral joint.

Materials And Methods: Upper and lower extremities of eleven body donors were evaluated using CT prior to anatomic dissection. Several distinct anatomic parameters were measured on the ipsi- and contralateral radial and fibular head and the second metatarsal base: bone diameter, articular surface diameter, head height, metaphyseal (neck) diameter, articular surface radius, total articular surface area, and angulation of the articular surfaces (facet). Read More

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Treatment of upper extremity nerve defects by direct suturing in high elbow or wrist flexion.

Eur J Trauma Emerg Surg 2022 May 5. Epub 2022 May 5.

Nerve and Brachial Plexus Surgery Unit, Mont-Louis Private Hospital, 8 rue de la Folie Regnault, 75011, Paris, France.

Purpose: To evaluate functional outcomes after direct suturing of upper extremity nerve defects in high elbow or wrist flexion.

Methods: A retrospective review was conducted in patients treated for median, ulnar, or radial nerve defects between 2011 and 2019. Inclusion criteria were a defect > 1 cm and a minimal follow-up period of 1 year. Read More

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Are resident research projects correlated to future subspecialty choice in orthopaedic surgery? A ten-year retrospective review of a single centre's experience.

Int Orthop 2022 Jul 5;46(7):1459-1463. Epub 2022 May 5.

Department of Orthopaedic Surgery, University of Michigan, 1500 East Medical Center Drive, 2912 Taubman Center, SPC 5328, Ann Arbor, MI, 48109, USA.

Aim: To determine (1) frequency of resident research projects being in the same orthopaedic subspecialty that they ultimately choose for fellowship and practice; (2) percentage of research projects that were published.

Methods: Resident Thesis Day programs were independently assessed by two reviewers from 2010 to 2020. Reviewers classified projects based on orthopaedic subspecialty: Spine, Joints, Trauma, Hand, Foot and Ankle, Sports, Pediatrics, Oncology, and Shoulder Elbow. Read More

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Dexamethasone Does not Compensate for Local Anesthetic Cytotoxic Effects on Tenocytes: Morphine or Morphine Plus Dexamethasone May Be a Safe Alternative.

Arthrosc Sports Med Rehabil 2022 Apr 23;4(2):e459-e469. Epub 2021 Dec 23.

Department of Orthopedic Surgery, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.

Purpose: The purposes of this in vitro study were to investigate whether the addition of dexamethasone can compensate for any cytotoxic effects of the amide-type local anesthetics (LA) bupivacaine and ropivacaine and whether morphine and morphine-6-glucuronide (M6G) may be a safe alternative for peritendinous application.

Methods: Biopsies of human biceps tendons ( = 6) were dissected and cultivated. Cells were characterized by the expression for tenocyte markers, collagen I, biglycan, tenascin C, scleraxis, and RUNX via reverse transcriptase-polymerase chain reaction and immunohistochemistry. Read More

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Continuous Peripheral Block as a Pain Treatment for Redressment and Physical Therapy in a 7-Year-Old Child - A Case Report.

Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2022 Apr 22;43(1):99-104. Epub 2022 Apr 22.

University Clinic of Traumatology, Orthopedics, Anesthesiology, Reanimation, Intensive Care and Emergence Center, Skopje, R. N. Macedonia.

Continuous peripheral nerve block, also known as "local anesthetic perineural infusion," refers to percutaneous placement of a catheter near a peripheral nerve or plexus followed by administration of a local anesthetic through a catheter to provide anesthesia, or analgesia for several days, in some cases even for a month. This report describes the case of a 7 year old boy with left elbow contracture with limited flexion and extension who was admitted to the Clinic of Pediatric Surgery for redressment of the elbow and physical therapy. An ultrasound-guided axillary brachial plexus block was performed, with placement of a non-tunneled perineural catheter. Read More

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Traumatic subcutaneous emphysema of the hand/forearm: A case report.

Chin J Traumatol 2022 Apr 4. Epub 2022 Apr 4.

St. Joseph's University Medical Center, Department of Orthopaedic Surgery, 703 Main Street, Paterson, NJ, 07503, USA; Seton Hall University, 400 S Orange Ave, South Orange, NJ, 07079, USA.

Subcutaneous emphysema is commonly associated with infection caused by gas-producing organisms. In this case report, we describe a rare instance of traumatic subcutaneous emphysema of the hand and forearm caused by a puncture injury to the first web space of the hand. Our objective is to increase awareness of the potential for seemingly minor trauma to cause entrapment of significant air in subcutaneous tissues, thereby decreasing the likelihood that a clinically benign-appearing patient will be started down an unnecessarily aggressive treatment pathway. Read More

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Agreement on fixation of pediatric supracondylar humerus fractures.

Eur J Trauma Emerg Surg 2022 Apr 16. Epub 2022 Apr 16.

LUMC, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.

Background: Pediatric supracondylar humerus fractures (pSCHFs) may be challenging injuries to treat because of the potential residual deformity. There is debate regarding the technical aspects of adequate closed reduction and crossed Kirschner wire (K-wire) fixation.

Purpose: Do surgeons have an agreement on the aspects of the fixation of pSCHFs?

Methods: Radiographs of 20 patients from a cohort of 154 patients with pSCHFs treated with closed reduction and crossed K-wire fixation were selected. Read More

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Long-Term Outcomes of Operatively Treated Medial Epicondyle Fractures in Pediatric and Adolescent Patients.

J Hand Surg Glob Online 2021 May 5;3(3):124-128. Epub 2021 Apr 5.

Department of Orthopaedic Surgery, Washington University School of Medicine & St Louis Children's Hospital, St Louis, MO.

Purpose: Medial epicondyle fractures are among the most common pediatric elbow injuries. The management of these fractures continues to be debated. To better understand patient results with operative fixation, we reviewed the outcomes of operatively treated medial epicondyle fractures. Read More

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Rare Presentation of Ulnar Nerve Palsy in Closed Both Bone Forearm Fracture in Pediatric Population.

J Orthop Case Rep 2021 Sep;11(9):62-66

Department of Orthopedics, Holy Spirit Hospital, Mahakali Caves Road, Andheri (E), Mumbai, Maharashtra, India.

Introduction: Ulnar nerve injury in closed both bone forearm fracture is rare. Most nerve injuries are neuropraxia and rarely the nerve is trapped or is transected. Most of the time recovery is spontaneous but sometimes requires surgical exploration. Read More

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September 2021

A New Pediatric Monteggia Fracture Type 4 Variant.

Authors:
Ehab S Saleh

J Orthop Case Rep 2021 Oct;11(10):17-20

Department of Orthopedic Surgery, William Beaumont Hospital, Royal Oak, Michigan.

Introduction: Monteggia fracture-dislocations are rare and complex injuries that usually involve a fracture of the proximal ulna associated with a proximal radioulnar and radiocapitellar joint dislocations. These injuries comprise <1% of all pediatric forearm fractures. We report on a pediatric Monteggia fracture-dislocation variant that included an irreducible divergent ulnohumeral joint dislocation, an irreducible anterior radial head dislocation, and a proximal and distal radius and ulna fracture. Read More

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October 2021

Supracondylar humerus fractures in children caused by monkey bar-related injuries: a comparative study.

J Pediatr Orthop B 2022 Apr 5. Epub 2022 Apr 5.

Department of Orthopaedic Surgery, University of Missouri Kansas City, Kansas City, Missouri, USA.

We evaluated the functional and radiological outcomes of surgically treated supracondylar humerus fractures based on injury mechanisms, as well as the therapeutic and prognostic aspects of monkey bar-related injuries, in this study. Between December 2014 and December 2018, pediatric patients who had undergone surgical treatment for supracondylar humerus fractures were analyzed retrospectively. According to the mechanism of injury, patients were divided into two groups: monkey bar-related injuries and other injuries. Read More

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Nonaccidental Trauma in Pediatric Elbow Fractures: When You Should Be Worried.

J Pediatr Orthop 2022 Jul 12;42(6):e601-e606. Epub 2022 Apr 12.

Department of Pharmacology, Vanderbilt University.

Background: Nonaccidental trauma (NAT) is a rising source of morbidity and mortality in the pediatric population. Fractures are often the first cause for presentation to health care providers in the case of NAT but can be misidentified as accidental. Given that elbow fractures are the most common accidental injuries among pediatric patients, they are not traditionally associated with NAT. Read More

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Efficacy of ultra-early rehabilitation on elbow function after Slongo's external fixation for supracondylar humeral fractures in older children and adolescents.

J Orthop Surg Res 2022 04 7;17(1):207. Epub 2022 Apr 7.

Higher Orthopaedic Trainee, Paediatric Division, Department of Paediatric Orthopaedics, Cambridge University Hospitals NHS Trust, Cambridge, UK.

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The characteristics and treatment strategy for transolecranon fracture-dislocation of the elbow in children: a retrospective study.

BMC Musculoskelet Disord 2022 Mar 29;23(1):298. Epub 2022 Mar 29.

Pediatric Orthopaedic Hospital, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710000, China.

Background: Transolecranon fracture-dislocation of the elbow is rarely seen in children. The purpose of this retrospective study was to discuss the pathological characteristics and treatment strategy for this injury in children.

Methods: From October 2016 to March 2019, 15 patients seen and treated at our institutions for transolecranon fracture-dislocation of the elbow were identified, and their medical records and radiographs were reviewed retrospectively. Read More

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Supracondylar Fractures of the Humerus: Association of Neurovascular Lesions with Degree of Fracture Displacement in Children-A Retrospective Study.

Children (Basel) 2022 Feb 24;9(3). Epub 2022 Feb 24.

Institute of Physics, Faculty of Science and Technology, University of Silesia, 40-007 Katowice, Poland.

Supracondylar humerus fractures (ScHF) account for 60% of fractures of the elbow region in children. We assessed the relationship between neurovascular complications and the degree of fracture displacement as rated on the basis of modified Gartland classification. Moreover, we aimed to evaluate predisposing factors, e. Read More

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February 2022