7,815 results match your criteria Fracture Elbow


[Pale and pulseless hand after luxation of the left elbow in a 9‑year-old boy].

Unfallchirurg 2019 Feb 20. Epub 2019 Feb 20.

Klinik für Gefäßchirurgie und Gefäßmedizin, Schwarzwald-Baar-Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Deutschland.

Background: Luxation of the elbow occurs around the age of 7 years instead of a supracondylar humeral fracture. The most common complication is a fracture of the medial epicondyle of the ulna in the sense of a bony avulsion of the ligament. There are only few case reports regarding collateral injuries of the brachial artery. Read More

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http://dx.doi.org/10.1007/s00113-019-0616-xDOI Listing
February 2019

A Cadaveric Study of Cutaneous Vascular Anatomy about the Elbow Using Computed Tomography Angiography.

Clin Anat 2019 Feb 19. Epub 2019 Feb 19.

University of Arkansas for Medical Sciences, Little Rock, Arkansas.

The posterior approach is a commonly employed exposure of the elbow that provides excellent visualization and efficacy for various orthopedic procedures, including total elbow arthroplasty (TEA) and fracture care. The posterior approach to the elbow has been associated with an increased rate of wound complications, including infection, skin necrosis, and wound dehiscence. Despite an association between these complications and decreased elbow perfusion, data regarding the intrinsic anatomic etiology for preferential complications in this area has been scarcely reported in the literature. Read More

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http://dx.doi.org/10.1002/ca.23341DOI Listing
February 2019

Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity with Use of Custom-Made Surgical Guides.

JBJS Essent Surg Tech 2014 Mar 26;4(1):e6. Epub 2014 Mar 26.

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita 565-0871, Osaka, Japan. E-mail address for T. Murase: E-mail address for Y. Takeyasu: E-mail address for K. Oka: E-mail address for T. Kataoka: E-mail address for H. Tanaka: E-mail address for H.Yoshikawa:

Introduction: We present a detailed description of our preoperative planning and surgical technique for three-dimensional (3-D) corrective osteotomy with use of custom-made surgical guides for cubitus varus deformity after supracondylar fracture.

Step 1 Create Computer Bone Models From Ct Data: Obtain CT data of both upper extremities and create computer bone models from these data.

Step 2 Evaluate The 3-d Deformity: Evaluate the deformity in three dimensions by comparing the affected humerus with the mirror image of the contralateral, normal humerus. Read More

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http://dx.doi.org/10.2106/JBJS.ST.M.00044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355040PMC

Optimal management of post-traumatic radioulnar synostosis.

Orthop Res Rev 2017 5;9:101-106. Epub 2017 Dec 5.

KSF Orthopaedic Center, Houston, TX, USA,

Post-traumatic radioulnar synostosis is a rare complication after forearm or elbow injury that can result in loss of motion and significant disability. Risk factors include aspects of the initial trauma and of the surgical treatment of that trauma. Surgical intervention for synostosis is the standard of care and is determined based on the location of the bony bridge. Read More

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http://dx.doi.org/10.2147/ORR.S109483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209360PMC
December 2017

Fragility of randomized clinical trials of treatment of clavicular fractures.

J Shoulder Elbow Surg 2019 Mar;28(3):415-422

Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.

Background: Statistical significance, as reported by the P value, has traditionally been the most commonly reported way to determine whether a difference exists between clinical interventions. Unfortunately, P values alone confer little about the robustness of a study's conclusions. An emerging metric, the fragility index (FI), helps to address this challenge by quantifying the number of events per outcome group that would need to be reversed to the alternative outcome in order to raise the P value above the 0. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.039DOI Listing

Complex radial head and neck fractures treated with modern locking plate fixation.

J Shoulder Elbow Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedics and Traumatology, University Medical Center of Johannes Gutenberg University, Mainz, Germany.

Background: Internal fixation of complex radial head and neck (CRHN) fractures is difficult, and postoperative complications are common. This study evaluated elbow function and patient clinical status after internal fixation of CRHN fractures with modern locking plates.

Methods: We included 40 patients with 41 fractures (1 bilateral lesion). Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.056DOI Listing
February 2019
1 Read

Unusual combination of elbow dislocation with a retained intraarticular fragment and trochlear fracture and ipsilateral distal radius fracture in an amateur snowboarder: A case report and review of literatures.

Int J Surg Case Rep 2019 Feb 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.039DOI Listing
February 2019

Is the Charlson comorbidity index a good predictor of mortality and adverse effects in proximal humerus fractures?

Orthop Traumatol Surg Res 2019 Feb 11. Epub 2019 Feb 11.

Shoulder and Elbow Unit, Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Complutense University of Madrid, Madrid, Spain. Electronic address:

Introduction: Proximal humerus fractures (PHF) are frequent in elderly patients. This population also suffers from a series of associated comorbidities, and PHF increases morbidity and mortality. The Charlson Comorbidity Index (CCI) is a tool used for calculating comorbidity and therefore the mortality risk. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.11.016DOI Listing
February 2019

Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 14. Epub 2019 Feb 14.

Sporthopaedicum, Straubing and Regensburg, Bahnhofplatz, 27, 94315, Straubing, Germany.

Purpose: Most elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. Read More

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http://dx.doi.org/10.1007/s00167-019-05402-9DOI Listing
February 2019
1 Read

Evaluation of Fixation for Distal Humeral Diaphyseal Fracture by Locking Compression Plate.

Mymensingh Med J 2019 Jan;28(1):60-69

Dr Malay Kumar Saha, Associate Professor, Department of Orthopaedics, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Treatment of extra-articular distal humeral shaft fractures with plating techniques is often difficult. The recent development of LCP has improved the surgical treatment of fractures by overcoming the few drawbacks of older fixators. The aim of this prospective observational study was to assess the effectiveness of osteosynthesis of extra-articular diaphyseal fractures of the distal third of the humerus using a single locking compression plate (LCP) and was conducted from July 2016 to June 2018 at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh. Read More

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January 2019
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Comparative Study of Stabilization of Humerus Supracondylar Fracture in Children by Percutaneous Pinning From Lateral Side and Both Sides.

Mymensingh Med J 2019 Jan;28(1):15-22

Dr Malay Kumar Roy, Junior Consultant (Ortho-Surgery), Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:

The aim of this prospective experimental study was to analyze the radiological and clinical results of the supra condylar fracture of Humerus in children and conducted the functional outcome of closed reduction and internal fixation by percutaneous Kirschner-wire from lateral side and crossed technique in the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-E-Bangla Nagor, Dhaka, Bangladesh from July 2011 to June 2013. Patients diagnosed as closed Supracondylar fracture of Humerus in children due to trauma were the study population. Total 30 patients aged 2 to 12 years irrespective of sex were included in the study and were divided in 2 groups. Read More

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January 2019
3 Reads

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183009
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http://dx.doi.org/10.1016/j.cjtee.2018.04.007DOI Listing
December 2018
4 Reads

Type III Monteggia Equivalent Lesion with Ipsilateral Fracture Lateral Condyle of Humerus in a Four-year-old Child: A Case Report and Literature Review.

J Orthop Case Rep 2018 Sep-Oct;8(5):19-21

Department of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, Msida MSD 2090, Malta.

Introduction: Monteggia fracture-dislocations are uncommon injuries in children, rarely associated with other ipsilateral upper limb injuries. We present a case of type III Monteggia lesion associated with an ipsilateral fracture of the lateral condyle of the humerus in a child.

Case Report: A 4-year-old girl presented with a left elbow swelling after falling from a height of 2 meters. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367291PMC
February 2019
1 Read

Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries.

Patient Saf Surg 2019 4;13. Epub 2019 Feb 4.

1Department of Trauma, Universitaetsspital, University of Zurich, Raemistr.100, 8091 Zurich, Switzerland.

Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
Publisher Site
http://dx.doi.org/10.1186/s13037-019-0187-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360674PMC
February 2019
2 Reads

Approach to Medial Elbow Pain in the Throwing Athlete.

Authors:
L Pearce McCarty

Curr Rev Musculoskelet Med 2019 Feb 9. Epub 2019 Feb 9.

Sports & Orthopaedic Specialists, part of Allina Health, 8100 W 78th Street, Suite 225, Edina, MN, 55439, USA.

Purpose Of Review: Injury to the ulnar collateral ligament is the most common, significant injury affecting the medial elbow of the overhead athlete. However, there are many other significant sources of pathology that should be considered. This review seeks to present a broad range of conditions that providers should consider when evaluating the overhead athlete with medial elbow pain. Read More

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http://dx.doi.org/10.1007/s12178-019-09534-wDOI Listing
February 2019
1 Read

Management of Concomitant Preoperative Rotator Cuff Pathology and Adhesive Capsulitis: A Systematic Review of Indications, Treatment Approaches, and Outcomes.

Arthroscopy 2019 Feb 4. Epub 2019 Feb 4.

UPMC Lemieux Sports Complex, Cranberry, Pennsylvania, U.S.A.

Purpose: Concomitant preoperative adhesive capsulitis (AC) and rotator cuff (RC) pathology pose therapeutic challenges in light of contrasting interventional and rehabilitative goals. The purposes of this systematic review were to assess the literature regarding the management and rehabilitation of patients with concomitant RC tears and preoperative AC and to compare overall clinical outcomes between strategies for this common scenario.

Methods: In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 3 databases (MEDLINE, Embase, and PubMed) were searched and screened in duplicate using predetermined criteria for studies on the aforementioned patient population. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.10.126DOI Listing
February 2019
2 Reads

The Needle-and-Knife Technique: A Safe Technique for Anterolateral Portal Placement in Elbow Arthroscopy.

Orthop J Sports Med 2019 Jan 11;7(1):2325967118817232. Epub 2019 Jan 11.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Safe and effective portal placement is crucial for successful elbow arthroscopy. Various techniques for anterolateral portal placement in elbow arthroscopy have been described, yet radial nerve injuries are commonly reported.

Purpose: To report on the technique and safety of anterolateral portal placement by the needle-and-knife method and its clinical applications. Read More

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http://dx.doi.org/10.1177/2325967118817232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350134PMC
January 2019

Yoga-Induced Myositis Ossificans Traumatica of the Scapholunate Ligament.

J Wrist Surg 2019 Feb 26;8(1):80-83. Epub 2018 Jun 26.

Department of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, California.

 Myositis ossificans traumatica (MOT) involves the heterotopic development of lamellar bone after a traumatic injury. Despite being termed "myositis," MOT is not limited to muscle but rather can involve tendons, fat, and fascia. "Traumatica" reflects that lesions are usually associated with a history of significant trauma, that is, fractures or surgery; however, many reports suggest they can also be linked to repetitive low-energy insults. Read More

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http://dx.doi.org/10.1055/s-0038-1661354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358443PMC
February 2019
1 Read

Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients.

Shoulder Elbow 2019 Feb 4;11(1):9-16. Epub 2018 Jun 4.

Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Introduction: The hypothesis of this study was that patient selection for midshaft clavicle fracture (open reduction internal fixation with plate conservative) would give better functional outcome than random treatment allocation.

Methods: We performed a systematic literature search for primary studies providing functional score and non-union rate after conservative or surgical management of midshaft clavicle fractures. Six randomized controlled trial and 19 non-randomized controlled trial studies encompassing a total of 1348 patients were included. Read More

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http://dx.doi.org/10.1177/1758573218777996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348584PMC
February 2019

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.031DOI Listing
February 2019
1 Read

Annular ligament repair using allograft for the treatment of chronic radial head dislocation: a case report.

Acta Biomed 2018 Dec 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8010DOI Listing
December 2018
2 Reads

External Fixator-assisted Ulnar Osteotomy: A Novel Technique to Treat Missed Monteggia Fracture in Children.

Orthop Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

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http://dx.doi.org/10.1111/os.12426DOI Listing
February 2019
1 Read

A biomechanical comparison of new techniques for distal clavicular fracture repair versus locked plating.

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

Miami Orthopaedics and Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL, USA. Electronic address:

Background: Unstable distal clavicular fractures treated surgically are associated with high failure rates and hardware-related complications. Newer techniques have shown promising early clinical results with fewer hardware complications; however, their biomechanical performance has not been assessed. This study biomechanically compared a distal-third locking plate with 3 newer techniques that incorporate coracoid fixation into the construct. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.041DOI Listing
February 2019

Surgical revision of radial head fractures: a multicenter retrospective analysis of 466 cases.

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

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http://dx.doi.org/10.1016/j.jse.2018.11.047DOI Listing
February 2019
1 Read

Evaluation of radial nerve continuity early after humeral shaft fracture fixation using high-resolution nerve ultrasonography: a pilot study of feasibility.

J Shoulder Elbow Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.

Background: This study evaluated the feasibility and reliability of high-resolution ultrasonography (HRUS) of the radial nerve in the early, postoperative period after operative stabilization of humeral shaft fractures.

Methods: This study enrolled patients between September 2015 and April 2018 with a humeral shaft fracture who were assessed with HRUS within 2 weeks after surgery. Based on the ultrasound artifacts, the examiners subjectively defined quality of ultrasound as "bad" or "good. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.042DOI Listing
January 2019

The shape match of the olecranon tip for reconstruction of the coronoid process: influence of side and osteotomy angle.

J Shoulder Elbow Surg 2019 Jan 31. Epub 2019 Jan 31.

Roth|McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, University of Western Ontario, London, ON, Canada.

Background: The integrity of the coronoid process is critical to maintaining elbow stability. Unreconstructible fractures and chronic coronoid deficiency are challenging clinical problems with no clear solution. The purposes of this study were to investigate the shape match of the ipsilateral and contralateral olecranon tips as graft options and to determine the influence of the osteotomy angle on fitment. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.022DOI Listing
January 2019

Outcomes of Uncemented Versus Cemented Reverse Shoulder Arthroplasty for Proximal Humerus Fractures.

Orthopedics 2019 Jan 30:1-6. Epub 2019 Jan 30.

Reverse shoulder arthroplasty (RSA) for proximal humerus fractures (PHFs) is traditionally performed with cemented humeral fixation. The purpose of this study was to compare the clinical and radiographic outcomes of cemented and cementless RSA for PHF. Between 2010 and 2014, 38 acute PHFs were treated with RSA and followed for a minimum of 2 years (mean, 37 months; range, 24-66 months). Read More

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http://dx.doi.org/10.3928/01477447-20190125-03DOI Listing
January 2019

Shoulder and Elbow Fractures in Athletes.

Curr Rev Musculoskelet Med 2019 Jan 31. Epub 2019 Jan 31.

Department of Orthopedic Surgery, Mayo Clinic and Mayo College of Medicine, Gonda 14, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose Of Review: The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play.

Recent Findings: Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Read More

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http://dx.doi.org/10.1007/s12178-019-09530-0DOI Listing
January 2019
1 Read

Treatment of unstable distal-third clavicule fractures using minimal invasive closed-loop double endobutton technique.

J Orthop Surg Res 2019 Jan 31;14(1):37. Epub 2019 Jan 31.

Department of Orthopaedic Surgery, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 10449, Taiwan.

Background: Clavicle fractures are common clinical problems, accounting for approximately 10% of all fractures. Neer's type II fractures disrupt the integrity of the coracoclavicular ligament and, therefore, are inherently unstable, requiring an extended period time to achieve bone union and being associated with a high rate of non- or malunion. Restoration of the stability of the distal clavicle is an important factor to decrease the rate of non- or malunion. Read More

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http://dx.doi.org/10.1186/s13018-019-1073-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357394PMC
January 2019

Biomechanical comparison of screw-based zones of a spatial subchondral support plate for proximal humerus fractures.

Proc Inst Mech Eng H 2019 Jan 31:954411919827984. Epub 2019 Jan 31.

1 School of Mechanical, Aerospace and Civil Engineering, The University of Manchester, Manchester, UK.

Stabilisation of proximal humerus fractures remains a surgical challenge. Spatial subchondral support (S3) plate promises to overcome common complications associated with conventional proximal humerus plates. This study compared the biomechanical performance of S3 plate with a fixed-angle hybrid blade (Equinoxe Fx) plate and a conventional fixed-angle locking plate (PHILOS). Read More

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http://dx.doi.org/10.1177/0954411919827984DOI Listing
January 2019

Terrible triad injuries of the elbow.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) that are best understood in the context of injury mechanism as well as the role and relevance of the various elbow stabilizers. The goals of this article are to review the pertinent anatomy, mechanism of injury, classification and imaging of terrible triad injuries of the elbow with brief descriptions of treatment, and complications of this complex injury. Read More

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http://dx.doi.org/10.1007/s10140-019-01676-1DOI Listing
January 2019
2 Reads

Biomechanical Comparison of Ulnar Collateral Ligament Reconstruction With a Modified Docking Technique With and Without Suture Augmentation.

Am J Sports Med 2019 Jan 28:363546518820304. Epub 2019 Jan 28.

West Coast Sports Institute, San Francisco, California, USA.

Background:: Throwing athletes with ulnar collateral ligament (UCL) injury and symptomatic valgus instability can expect to return to the same or higher level of play. Reconstruction with tendon graft is the dominant method of surgical treatment. Recent evidence suggests that spanning the joint with a suture anchored on both sides is biomechanically equivalent to reconstruction, with faster time to return to play. Read More

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http://dx.doi.org/10.1177/0363546518820304DOI Listing
January 2019
3 Reads

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.

Plast Reconstr Surg 2019 Feb;143(2):503-510

Salt Lake City, Utah From the Department of Orthopaedics, Division of Public Health, and the Department of Pediatric Research Enterprise, School of Medicine, University of Utah.

Background: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition.

Methods: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352723PMC
February 2019
1 Read

Effect of Tuberosity Healing on Clinical Outcomes in Elderly Patients Treated With a Reverse Shoulder Arthroplasty for 3- and 4-Part Proximal Humerus Fractures.

J Orthop Trauma 2019 Feb;33(2):e39-e45

Department of Orthopaedic Surgery, Hospital for Joint Disease, NYU Langone Medical Center, New York, NY.

Objectives: To evaluate tuberosity union rate and clinical outcome after 3- and 4-part proximal humerus fractures in the elderly.

Design: Retrospective, multicenter database cohort study.

Setting: Level I and Level II trauma centers. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001348DOI Listing
February 2019

Treatment of Periprosthetic Humeral Shaft Fracture after Total Elbow Arthroplasty in an Osteoporotic Patient, using the Ilizarov External Ring Fixator: A Case Report.

J Orthop Case Rep 2018 Jul-Aug;8(4):82-85

Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Introduction: Periprosthetic humeral shaft fracture after total elbow arthroplasty (TEA) and open reduction and internal fixation at the same side humeral neck fracture in patients with osteoporosis poses a treatment challenge. Herein, we describe our experience with its treatment using the Ilizarov external ring fixator.

Case Report: A 74-year-old Japanese woman with rheumatoid arthritis and osteoporosis sustained a periprosthetic humeral shaft fracture. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343564PMC
January 2019
1 Read

Acute elbow trauma similar to Osborne-Cotterill lesion, capitellar impaction fracture associated with posterolateral rotatory instability: A case report and literature review.

J Orthop Sci 2019 Jan 25. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, Seikeikai Hospital, 1-1-1 Minamiyasuicho, Sakai-ku, Sakai City, Osaka, 590-0064, Japan.

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http://dx.doi.org/10.1016/j.jos.2018.12.025DOI Listing
January 2019

Clinical outcomes following reverse shoulder arthroplasty-allograft composite for revision of failed arthroplasty associated with proximal humeral bone deficiency: 2- to 15-year follow-up.

J Shoulder Elbow Surg 2019 Jan 25. Epub 2019 Jan 25.

Florida Orthopaedic Institute, Tampa, FL, USA. Electronic address:

Background: Patients with pain and disability due to a prior failed shoulder arthroplasty with associated proximal humeral bone loss have limited reconstruction options. Our purpose was to report the results of a large cohort of patients treated with a reverse shoulder allograft-prosthetic composite (APC).

Methods: Between 2002 and 2012, a total of 73 patients were treated with a reverse shoulder APC and had adequate follow-up. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.023DOI Listing
January 2019

A biomechanical study of headless compression screws versus a locking plate in radial head fracture fixation.

J Shoulder Elbow Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Orthopaedics, The Gold Coast University Hospital, Gold Coast, QLD, Australia.

Hypothesis: Fixation of a 3-part radial head fracture with cannulated compression screws will show equivalent stiffness to a locking plate under axial load. Debate exists regarding the management of Mason type III fractures, with many believing that open reduction and internal fixation provides advantages over other options. By virtue of their subarticular placement, screw fixation is less likely to cause impingement compared with plate fixation, which can result in loss of rotation and requirement for hardware removal. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.008DOI Listing
January 2019
5 Reads

[Reduction techniques for minimally invasive stabilization of proximal humeral fractures].

Oper Orthop Traumatol 2019 Feb 25;31(1):63-80. Epub 2019 Jan 25.

Klinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Spitalstrasse 31, 6000, Luzern 16, Schweiz.

Objective: The aim of surgical stabilization of proximal humerus fractures is to restore the anatomical relations between the greater and lesser tubercle, to reconstruct the joint and preserve the vascular supply of the fragments.

Indications: Approximately 80% of proximal humeral fractures can be treated conservatively. Surgical treatment is indicated based on the fracture pattern, patient-related factors and the risk of avascular head necrosis. Read More

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http://dx.doi.org/10.1007/s00064-018-0586-0DOI Listing
February 2019
1 Read

The use of static progressive and serial static orthoses in the management of elbow contractures after complex fracture dislocation injuries: A pediatric case study.

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.

Introduction: Contractures are the most common complication after traumatic injury to the elbow. Although evidence supporting the use of static progressive and serial static orthoses to help recover range of motion after these complex injuries is growing, there is currently a paucity of literature exploring its efficacy in pediatric populations.

Case Description: The following case study presents the results of the use of static progressive and serial static orthoses with a young patient who presented with both elbow extension and flexion contractures after a complex fracture dislocation injury. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.004DOI Listing
January 2019
1 Read

Analysis of radial head and coronoid process fractures in terrible triad of elbow.

Eur J Orthop Surg Traumatol 2019 Jan 23. Epub 2019 Jan 23.

Beijing Ji Shui Tan Hospital, No 31. Xinjiekoudongjie, Xicheng District, Beijing, 100035, China.

Purpose: To describe the morphological characteristics of radial head and coronoid fractures and evaluate the relationship of two fracture patterns in terrible triad.

Methods: Distributions of all types of radial head and coronoid fractures according to the Mason, Regan-Morrey, and O'Driscoll classifications were firstly described by reviewing radiographs and computed tomography scans in 92 consecutive terrible triads. Then, distributions of all combinations of radial head and coronoid fractures were reported. Read More

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http://dx.doi.org/10.1007/s00590-019-02385-8DOI Listing
January 2019

Case Series of Comminuted Olecranon Fracture Treated by Plate Fixation; Do We Have to Remove the Plate?

Kobe J Med Sci 2018 Nov 12;64(3):E115-E118. Epub 2018 Nov 12.

Department of Orthopaedic surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Comminuted olecranon fracture requires surgical intervention. Plate fixation has been performed on the majority of cases. We reviewed the cases of comminuted olecranon fracture in young and middle age treated by plate osteosynthesis and analyzed the functional outcome, complications and ratio and timing of hardware removal. Read More

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November 2018

Complications of open reduction and internal fixation of distal humerus fractures.

EFORT Open Rev 2018 Oct 24;3(10):558-567. Epub 2018 Oct 24.

First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece.

Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution.Fixation with two precontoured anatomical locking plates at 90:90 orthogonal or 180 parallel is the optimal treatment. Read More

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http://dx.doi.org/10.1302/2058-5241.3.180009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335604PMC
October 2018
4 Reads

Management of supracondylar fractures of the humerus in children.

EFORT Open Rev 2018 Oct 1;3(10):526-540. Epub 2018 Oct 1.

Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain.

Supracondylar fractures of the humerus are the most frequent fractures of the paediatric elbow, with a peak incidence at the ages of five to eight years.Extension-type fractures represent 97% to 99% of cases. Posteromedial displacement of the distal fragment is the most frequent; however, the radial and median nerves are equally affected. Read More

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http://dx.doi.org/10.1302/2058-5241.3.170049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335593PMC
October 2018
1 Read

Acute versus delayed reverse total shoulder arthroplasty for the treatment of proximal humeral fractures in the elderly population: a systematic review and meta-analysis.

J Shoulder Elbow Surg 2019 Jan 15. Epub 2019 Jan 15.

Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA.

Background: Recent literature has shown that acute reverse total shoulder arthroplasty (RTSA) yields good outcomes in the treatment of displaced proximal humeral fractures, and there have also been recent studies showing that delayed RTSA can be successfully used for sequelae of proximal humeral fractures such as nonunion and malunion. The use of meta-analysis affords the opportunity to formally compare the outcomes of acute RTSA for fracture and delayed RTSA for fracture sequelae.

Methods: We searched the MEDLINE, Embase, and Cochrane Library databases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183073
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http://dx.doi.org/10.1016/j.jse.2018.10.004DOI Listing
January 2019
5 Reads

Outcomes of Arthroscopy-assisted Closed Reduction and Percutaneous Pinning for a Displaced Pediatric Lateral Condylar Humeral Fracture.

J Pediatr Orthop 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Olympic-ro, Songpa-gu, Seoul, Republic of Korea.

Background: Since 2015, we have performed arthroscopy-assisted closed reduction and percutaneous pinning (A/S-CRPP) for children with a displaced lateral condylar humeral fracture (LCF). The purpose of this study is to introduce our A/S-CRPP method and present its outcomes.

Methods: In total, 39 displaced (>2 mm) LCFs for which A/S-CRPP was initially attempted and with available follow-up data of >12 months were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001319DOI Listing
January 2019
4 Reads

Heterotopic ossification after total elbow arthroplasty: a systematic review.

J Shoulder Elbow Surg 2019 Mar 11;28(3):587-595. Epub 2019 Jan 11.

Department of Surgery, St Joseph's Healthcare, Hamilton, ON, Canada.

Background: Heterotopic ossification (HO) is a known complication that can arise after total elbow arthroplasty (TEA). In most cases, it is asymptomatic; however, in some patients, it can limit range of motion and lead to poor outcomes. The objective of this review was to assess and report the incidence, risk factors, prophylaxis, and management of HO after TEA. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.003DOI Listing
March 2019
6 Reads

Bedside Ultrasonography for Early Diagnosis of Occult Radial Head Fractures in Emergency Room: A CT-Comparative Diagnostic Study.

Arch Bone Jt Surg 2018 Nov;6(6):539-546

Research performed at Orthopaedic Department, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Background: Some of the Mason type I fractures cannot be detected on early radiographic images. These occult fractures are considered as a diagnostic challenge for physicians. Our aim was to determine the value of bedside ultrasonography for the detection of Mason I radial head fractures that are non-visible in early X-ray's. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310192PMC
November 2018

Reverse vascularized bone graft of the lateral distal humerus for non-union of the radial neck fracture: anatomical study and case report.

J Plast Surg Hand Surg 2019 Feb 12;53(1):20-24. Epub 2019 Jan 12.

a Department of Orthopaedic Surgery , Nara Medical University , Kashihara , Japan.

A few treatment options for radial neck non-union have been reported, including radial head excision, radial head replacement, and internal fixation with a bone graft. We describe a new treatment for radial neck non-union using a reverse vascularized bone graft of the lateral distal humerus. In the anatomical study, the posterior radial collateral artery (PRCA) was dissected in eight fresh-frozen cadaver arms. Read More

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http://dx.doi.org/10.1080/2000656X.2018.1520122DOI Listing
February 2019