8,497 results match your criteria Fracture Elbow


Aluminium Splint Incorporated Fibreglass Cast Preserves Limb Function in Bovines with Olecranon Fracture.

Vet Comp Orthop Traumatol 2020 Jul 13. Epub 2020 Jul 13.

Department of Veterinary Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India.

Objective:  Olecranon process fractures are rare in bovines. The aim of the study was to put on record satisfactory limb usage in cattle and buffaloes suffering from olecranon fractures and treated conservatively, primarily for carpal contracture or to prevent it, using aluminum splints incorporated within a fiberglass cast along with stall confinement.

Study Design:  This one year study included 19 olecranon fractures in bovines (15 buffaloes and 4 cattle). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709727DOI Listing

Mental health and substance use impact perioperative opioid demand in upper extremity trauma surgery.

J Shoulder Elbow Surg 2020 Jul 7. Epub 2020 Jul 7.

Duke University Medical Center, Department of Orthopaedic Surgery, 200 Trent Drive, Durham, NC 27710, USA.

Background: Patients undergoing upper extremity fracture surgery often have postoperative pain that can be mitigated with opioid pain medications. Opioid misuse and abuse are growing concerns regarding the liberal use of opioids in the perioperative setting. The impact of mental health disorders and substance abuse on perioperative opioid demand is largely unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.024DOI Listing

Efficacy of the modified frailty index and the modified Charlson comorbidity index in predicting complications in patients undergoing operative management of proximal humerus fracture.

J Shoulder Elbow Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA. Electronic address:

Background: Comorbidity indices such as the 5-factor modified Frailty Index (mFI-5) and modified Charlson Comorbidity Index (mCCI) are widely used in outcomes research.

Methods: 3,893 patients who underwent total shoulder arthroplasty (TSA, n=975), hemiarthroplasty (HA, n=495), or open reduction and internal fixation (ORIF, n=2,423) for the treatment of proximal humerus fracture (PHFx) from 2005-2017 were identified from the National Surgical Quality Improvement Program (NSQIP) database. Data regarding demographics, comorbidities, ASA class, and postoperative complications were collected, and the mFI-5 and mCCI were calculated for each case. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.014DOI Listing

Delto-Pectoral vs Deltoid split approach for proximal HUmerus fracture fixation with locking plate.

J Shoulder Elbow Surg 2020 Jul 7. Epub 2020 Jul 7.

CIUSS, Hopital Sacré Coeur de Montréal, QC, Canada, H4J 1C5; Faculty of Medicine, Université de Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, QC. Canada, H3T 1J4.

Background: This study aimed to compare the functional and clinical outcomes between the deltoid split (DS) approach and the classic deltopectoral (DP) approach for locking plate fixation of proximal humerus fractures (PHF) in a prospective randomized multicenter study.

Methods: From 2007 to 2015, all patients with a PHF Neer II/III, were invited to participate. Exclusion criteria were: pre-existing pathology to the limb, patient refusing or too ill to undergo surgery, patient needing another type of treatment (nail, arthroplasty), and axillary nerve impairment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.020DOI Listing

Bipolar Disruption of the Lateral Ulnar Collateral Ligament of the Elbow: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0335

1Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina 2Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi," Buenos Aires, Argentina 3Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.

Case: The lateral ulnar collateral ligament (LUCL) is one of the primary stabilizers of the elbow. Disruption typically occurs from the humeral origin and may be because of an elbow dislocation or fracture/dislocation. If not identified and properly managed, posterolateral rotatory instability may result from LUCL insufficiency. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.CC.19.00335DOI Listing

Medial Condyle Fractures of the Humerus in the Pediatric Population: Diagnostic Challenges: A Report of 3 Cases.

JBJS Case Connect 2020 Apr-Jun;10(2):e0438

1David Geffen School of Medicine, University of California, Los Angeles, California 2Orthopaedic Institute for Children, Los Angeles, California 3Harvard Medical School, Boston, Massachusetts 4Department of Orthopaedic Surgery, University of California, Los Angeles, California.

Case: We describe 3 cases of children, ages ranging from 3 years 11 months to 6 years 3 months, who presented with medial condyle fractures (MCF) over a 3-year period with 3 distinct treatment outcomes.

Conclusion: Pediatric MCFs are rare and difficult to diagnose, but evidence of severe edema in the presence of an apparent avulsion fracture on the medial side of the elbow in patients younger than 6 years old could suggest the possibility of a displaced fracture of the medial humeral condyle and additional assessment involving evaluation under anesthesia, arthrography, or advanced imaging may be warranted. Open reduction with internal fixation should be considered for displaced fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.CC.19.00438DOI Listing

Interposition Arthroplasty of the Elbow After Proximal Ulna Reconstruction With the Masquelet Technique: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0084

1Department of Orthopaedic Surgery, Brooke Army Medical Center, Ft. Sam Houston, Texas 2Department of Orthopaedic Surgery, United States Air Force Academy, Colorado Springs, Colorado 3Colorado Springs Orthopaedic Group, Colorado Springs, Colorado 4Colorado Center of Orthopaedic Excellence, Colorado Springs, Colorado.

Introduction: Periarticular bone loss in the upper extremity poses challenges for a functional reconstruction.

Case: A 32-year-old man sustained an open elbow fracture-dislocation from a high-velocity gunshot resulting in significant bone and soft-tissue loss about the proximal ulna. He underwent bony reconstruction with the Masquelet technique and delayed interposition arthroplasty in an attempt to preserve function. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.CC.19.00084DOI Listing

Olecranon fractures: do they lead to osteoarthritis? Long-term outcomes and complications.

Int Orthop 2020 Jul 9. Epub 2020 Jul 9.

Sección de Hombro y Codo, Servicio de Cirugía de la Mano y miembro superior, Departamento de Ortopedia y Traumatología, Hospital Militar Central. Cirujano Mayor Cosme Argerich, Luis Maria Campos Av. 726 piso 6, C1426BOS, Buenos Aires City, Argentina.

Purpose: To report radiologic, functional outcomes, and complications with a long-term follow-up in acute olecranon fractures treated with osteosynthesis and, secondly, to determine the predisposing factors to arthritis.

Methods: Forty-two patients treated with osteosynthesis for acute olecranon fractures were reviewed, with a minimum follow-up of 24 months. Radiological and clinical evaluations including DASH, MEPS, active range of motion, pain, arthritis, associated lesions, and complications were recorded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-020-04695-7DOI Listing

Systematic review of the treatment of acromioclavicular joint disruption comparing number of tunnels and graft type.

J Shoulder Elbow Surg 2020 Jul;29(7S):S92-S100

Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, Greenville, SC, USA.

Background: The management of high-grade acromioclavicular separations remains unclear. The surgical interventions have shifted to more anatomic, less invasive techniques. The purpose of this study was to systematically review the outcomes and complications of anatomic coracoclavicular ligament reconstruction using a tendon graft. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.04.008DOI Listing

Early results of reverse total shoulder arthroplasty using a patient-matched glenoid implant for severe glenoid bone deficiency.

J Shoulder Elbow Surg 2020 Jul;29(7S):S139-S148

Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA.

Background: Reverse total shoulder arthroplasty (rTSA) in the presence of significant glenoid bone loss remains a challenge. This study presents preliminary clinical and radiographic outcomes of primary and revision rTSA using a patient-matched, 3-dimensionally printed custom metal glenoid implant to address severe glenoid bone deficiency.

Methods: Between September 2017 and November 2018, 19 patients with severe glenoid bone deficiency underwent primary (n = 9) or revision rTSA (n = 10) using the Comprehensive Vault Reconstruction System (VRS) (Zimmer Biomet, Warsaw, IN, USA) at a single institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.04.024DOI Listing

Clinical and radiographic outcomes of a transosseous suture technique for displaced lateral clavicle fractures.

J Shoulder Elbow Surg 2020 Jul;29(7S):S101-S106

W.B. Carrell Memorial Clinic, Dallas, TX, USA.

Background: The purpose of this study was to evaluate the clinical and radiographic outcomes of a transosseous suture fixation technique for the treatment of unstable lateral clavicle fractures. The appropriate treatment for lateral clavicle fractures is controversial. Many authors have argued for nonsurgical treatment of these injuries; however, recent literature has shown a role for the surgical treatment of unstable fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.04.041DOI Listing

PrEvention of post-traumatic contractuRes with Ketotifen 1 (PERK 1): A randomized clinical trial.

J Orthop Trauma 2020 Jun 29. Epub 2020 Jun 29.

Associate Professor, Departments of Community Health Sciences & Clinical Neurosciences, Cumming School of Medicine, University of Calgary.

Objective: To assess the use of Ketotifen Fumarate (KF) to reduce post-traumatic contractures following elbow fractures and/or dislocations.

Design: Randomized clinical trial.

Setting: Three hospitals in Calgary, Canada including one Level 1 trauma center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001878DOI Listing

Displaced Radial Shaft Fracture: The Dorsal (Thompson) Approach to the Forearm.

J Orthop Trauma 2020 Aug;34 Suppl 2:S13-S14

NYU Langone Orthopaedic Hospital, NYU Langone Medical Center, New York, NY.

This video demonstrates a displaced radial shaft fracture repaired through a dorsal (Thompson) approach to the forearm. The patient is an 18-year-old man who sustained a left elbow dislocation and ipsilateral radial shaft fracture (OTA/AO: 22-B2) while playing basketball. The patient underwent a closed reduction of the elbow joint and was indicated for operative repair of the radius. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001827DOI Listing

Triceps-Sparing Total Elbow Arthroplasty for Distal Humerus Fracture: The Lateral Paraolecranon Approach.

Authors:
Michael H Amini

J Orthop Trauma 2020 Aug;34 Suppl 2:S9-S10

The CORE Institute, Mesa, AZ.

Distal humerus fractures in the elderly are a difficult problem to treat. Open reduction internal fixation has a high rate of complications, particularly because osteopenia compromises what is already tenuous fixation in a metaphyseal fracture. Total elbow arthroplasty is a more predictable outcome and easier recovery for these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001830DOI Listing

Total Elbow Arthroplasty for Distal Humerus Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S7-S8

Department of Orthopaedic Surgery, Baylor Scott and White, Temple, TX.

Distal humerus fractures in elderly patients are challenging due to poor bone quality and may threaten the independence of elderly patients due to loss of functional range of motion. Total elbow arthroplasty has gained popularity in the treatment of these injuries. This video demonstrates total elbow arthroplasty in an elderly patient with a comminuted distal humerus fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001821DOI Listing

"Suspension bridge" external fixation technique for the treatment of proximal humeral fractures.

J Shoulder Elbow Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China. Electronic address:

Background: The purpose of this study was to investigate the clinical efficacy of the "suspension bridge" external fixation technique for the treatment of proximal humeral fractures with or without soft tissue defects and infection, as well as postoperative revision.

Methods: From August 2013 to June 2018, 9 patients with proximal humeral fractures were selected. There were 5 males and 4 females, with an average age of 55. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.03.011DOI Listing

One additional shot of brachial plexus block equates to less postoperative pain for younger children with elbow surgeries.

J Orthop Surg Res 2020 Jul 6;15(1):246. Epub 2020 Jul 6.

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: Postoperative pain in children has always been inadequately evaluated. This study aims to evaluate the postoperative pain response using an additional dose of brachial plexus block (BPB) for younger children receiving elbow surgeries under general anesthesia (GA).

Methods: This retrospective case-control study included pediatric patients (3-10 years) who underwent surgeries for elbow injuries between January 2015 and January 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13018-020-01778-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339565PMC
July 2020
1.577 Impact Factor

Operative treatment of 2-part surgical neck type fractures of the proximal humerus in the elderly: Cement augmented locking plate PHILOS™ vs. proximal humerus nail multiloc®.

Injury 2020 Jun 16. Epub 2020 Jun 16.

Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Germany.

Introduction: The purpose of this prospective randomized controlled clinical trial was to compare locked plating with intramedullary nailing in the treatment of displaced 2-part surgical neck type proximal humeral fractures in elderly patients.

Patients And Methods: Patients ≥60 years of age with a displaced 2-part surgical neck type fracture of the proximal humerus were surgically treated and randomized for either augmented locking plate fixation Group LP or multiplanar intramedullary nailing Group IN. The primary outcome parameter was the Disabilities of the Shoulder, Arm and Hand (DASH) Score after 24 months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2020.06.026DOI Listing

The Influence of Reverse Arthroplasty Humeral Component Design Features on Scapular Spine Strain.

J Shoulder Elbow Surg 2020 Jul 1. Epub 2020 Jul 1.

Investigations conducted at the Bioengineering Laboratory at the Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada. Electronic address:

Background: Reverse shoulder arthroplasty (RSA) humeral implant parameters have been previously studied with respect to range-of-motion, deltoid function, and stability. However, limited literature exists on the influence of humeral design features on scapular spine strain. The purpose of this cadaveric biomechanical simulator study was to evaluate the role of humeral component lateralization and neck-shaft angle (NSA) on scapular spine strain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.011DOI Listing

The Relationship of Bilateral Shoulder Arthroplasty Timing and Postoperative Complications.

J Shoulder Elbow Surg 2020 Jul 1. Epub 2020 Jul 1.

Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA. Electronic address:

Background: Though several case series have described bilateral shoulder arthroplasty results with range of motion, patient-reported outcomes, and complications, little guidance exists regarding the optimal interval timing between surgeries.

Methods: All patients from two insurance databases who underwent staged bilateral shoulder arthroplasty between 2005 and 2016 were identified. These patients were then stratified by elapsed time between surgeries into four study groups: (1) less than three months, (2) 3-6 months, (3) 6-9 months, and (4) 9-12 months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.010DOI Listing

Biodegradable Magnesium versus Polylactide Pins for Radial Head Fracture Stabilization: A Biomechanical Study.

J Shoulder Elbow Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Orthopedics and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Germany; Department of Trauma Surgery, Asklepios Klinikum Hamburg, Germany.

Background: Biodegradable implants gain increasing importance for the fixation of simple displaced radial head fractures to supersede implant removal and to minimize cartilage destruction. Commonly used polylactide pins still lead to higher rates of secondary loss of reduction compared to metal implants. Alternatively, implants made from a magnesium alloy meanwhile are available in a pin design which hypothetically could perform superior to polylactide pins. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.007DOI Listing

Risk Factors for Elbow Joint Contracture After Surgical Repair of Traumatic Elbow Fracture.

J Am Acad Orthop Surg 2020 Jul 1. Epub 2020 Jul 1.

From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

Purpose: The ability to predict contracture development after elbow fracture would benefit patients and physicians. This study aimed to identify factors associated with the development of posttraumatic elbow joint contracture.

Methods: A retrospective review of elbow fractures (AO/Orthopaedic Trauma Association [OTA] type 13 and 21) treated at one institution between 2011 and 2015 was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOS-D-18-00801DOI Listing

Severe Osteoarthritis of the Elbow after a Non-Displaced Radial Head Fracture: Case Report.

Rev Bras Ortop (Sao Paulo) 2020 Jun 7;55(3):383-385. Epub 2020 Feb 7.

Hospital Municipal Dr. Moysés Deutsch, São Paulo, SP, Brasil.

Fractures of the radial head account for over 50% of all fractures of the forearm. Broberg and Morrey (modification of the Mason classification) classify them in four types. Type 1 fractures are non-displaced or minimally displaced, considered stable and without mechanical joint blockage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3402468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316552PMC

Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints.

J Korean Assoc Oral Maxillofac Surg 2020 Jun;46(3):174-182

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.

Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5125/jkaoms.2020.46.3.174DOI Listing

A pilot biomechanical study comparing a novel, intramedullary Nail/Plate construct to standard Dual-Plate fixation of intra-articular C2.3 distal humerus fractures.

Injury 2020 Jun 23. Epub 2020 Jun 23.

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, 450 Clarkson Ave, MSC 30, Brooklyn, NY 11203, USA. Electronic address:

Background: The gold-standard treatment for intra-articular distal humerus fractures (DHFs) is dual-plate/dual-column fixation, though optimal orientation is not yet established. With a superior method not yet identified, we propose a load-sharing construct, combining absolute stability (extramedullary plate fixation) for distal articular fragments and relative stability (load-sharing intramedullary nail) for the metaphyseal segment. The purpose of this pilot study was to evaluate the biomechanical performance of a novel implant compared to orthogonal dual-plating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2020.06.034DOI Listing

Risk factors for failure of reduction for anterior glenohumeral dislocation without sedation.

J Shoulder Elbow Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, Japan.

Background: Although anterior glenohumeral dislocations are common, the reduction procedure is often difficult, requiring sedation or anesthesia. To date, the risk factors for reduction failure without sedation has not been fully investigated. The present study aimed to clarify the predictive factors that render the reduction of anterior glenohumeral dislocation without sedation difficult using multivariate analyses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.06.005DOI Listing

Epidemiology and the economic burden of pediatric fractures in China: A retrospective study of 14,141 fractures.

Bone 2020 Jun 24:115498. Epub 2020 Jun 24.

Medical Record Department, Dalian Children's Hospital, Dalian, China; Information Department, Dalian Children's Hospital, Dalian, China; Medical Record Department, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, China; Medical Record Department, Guiyang Children's Hospital, Guiyang, China; Information Center, Guiyang Children's Hospital, Guiyang, China; Information Department, Hangzhou Children's Hospital, Hangzhou, China; Information Center, Hunan Children's Hospital, Hangzhou, China; Medical Record Department, Inner Mongolia Children's Hospital, Hohhot, China; Information Department, Inner Mongolia Children's Hospital, Hohhot, China; Medical Record Department, Jinan Children's Hospital, Jinan, China; Information Department, Jinan Children's Hospital, Jinan, China; Medical Record Department, Kunming Children's Hospital, Kunming, China; Information Department, Kunming Children's Hospital, Kunming, China; Medical Record Department, Liaocheng Children's Hospital, Liaocheng, China; Information Department, Liaocheng Children's Hospital, Liaocheng, China; Medical Record Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Information Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Medical Record Department, Nanjing Children's Hospital, Nanjing, China; Information Department, Nanjing Children's Hospital, Nanjing, China; Medical Record Department, Qinghai Children's Hospital, Xining, China; Information Department, Qinghai Children's Hospital, Xining, China; Department of Quality Control, Qinghai Children's Hospital, Xining, China; Medical Record Department, Shanxi Children's Hospital, Taiyuan, China; Information Center, Shanxi Children's Hospital, Taiyuan, China; Medical Record Department, Shenzhen Children's Hospital, Shenzhen, China; Information Department, Shenzhen Children's Hospital, Shenzhen, China; Medical Record Department, Urumqi Children's Hospital, Urumqi, China; Medical Record Department, Wuhan Children's Hospital, Wuhan, China; Information Center, Wuhan Children's Hospital, Wuhan, China; Medical Record Department, Anhui Children's Hospital, Hefei, China; Information Center, Anhui Children's Hospital, Hefei, China.

Background: Previous studies have explored the epidemiology of fractures in children, however, differences in incidence over time and between countries and regions was noted. The purpose of the present study was to investigate the epidemiology and the economic burden of pediatric inpatients with fractures in China.

Methods: A total of 14,141 pediatric inpatients (≤18 years of age) with fractures were included in the present study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bone.2020.115498DOI Listing

Intravenous tranexamic acid versus topical thrombin in shoulder arthroplasty.

J Shoulder Elbow Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Orthopaedic Surgery , Duke University Medical Center , DUMC 104002, Durham, NC 27710, USA. Electronic address:

Background: Blood loss and transfusions have been highlighted as a significant predictor of postoperative morbidity. Tranexamic acid has been shown to decrease blood loss and transfusion in shoulder arthroplasty. However, the utility of topical thrombin in total shoulder arthroplasty is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.05.039DOI Listing

Use of a locking intramedullary nail for the treatment of initial varus proximal humeral fracture: a prospective pilot study.

J Int Med Res 2020 Jun;48(6):300060520935286

Department of Orthopaedic Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: To evaluate the feasibility of locked intramedullary nailing, rather than locking plate fixation combined with fibular allograft augmentation, for initial varus proximal humeral fractures.

Methods: This prospective pilot study enrolled patients with initial varus proximal humeral fractures that were treated with a locking intramedullary nail. Radiography was performed to evaluate fracture healing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0300060520935286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323304PMC
June 2020
1.095 Impact Factor

Capitellum fractures: Treatment with headless screws and outcomes.

Jt Dis Relat Surg 2020 18;31(2):291-297. Epub 2020 Jun 18.

Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34147 Bakırköy İstanbul, Türkiye.

Objectives: This study aims to present the results of 21 patients with capitellum fractures treated with open reduction and headless screws by a single experienced surgeon.

Patients And Methods: Twenty-one patients (13 males, 8 females; mean age 39 years; range, 18 to 63 years) who were admitted to our clinic between June 2011 and January 2018 with the diagnosis of capitellum fracture and followed-up for a mean period of 45 months (range, 12 to 90 months) were included in this retrospective study. The fractures were fixed with headless cannulated screws by a single surgeon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5606/ehc.2020.72821DOI Listing

Arthroscopically-assisted reduction and pinning of a radial neck fracture in a child: a case report and review of the literature.

J Med Case Rep 2020 Jun 25;14(1):78. Epub 2020 Jun 25.

Department of Orthopaedic and Traumatology Surgery, Azienda Ospedaliero-Universitaria S. Anna Cona, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.

Background: Displaced radial neck fractures in children are challenging to treat. The age of the patient and the degree of angulation are the main criteria to consider when managing these fractures in children. Various surgical techniques have been described in the literature for both indirect and direct reduction and for fixation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-020-02390-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315511PMC

Static and Dynamic External Fixation are Equally Effective for Unstable Elbow Fracture-Dislocations.

J Orthop Trauma 2020 Jun 22. Epub 2020 Jun 22.

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

Objective: To compare the clinical outcomes of static versus dynamic external fixation for elbow fracture-dislocations with persistent instability after surgical management.

Design: Comparative, retrospective review.

Setting: Two tertiary referral upper extremity centers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001876DOI Listing

A new classification of impacted proximal humerus fractures based on the morpho-volumetric evaluation of humeral head bone loss with a 3D model.

J Shoulder Elbow Surg 2020 Jun 9. Epub 2020 Jun 9.

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

Background: This study aimed to classify the pathomorphology of impacted proximal humeral fractures according to the control volume theory, with the intention to introduce a severity index to support surgeons in decision making.

Methods: In total, 50 proximal humeral fractures were randomly selected from 200 medical records of adult patients treated from 2009 to 2016. Four nonindependent observers used 2 different imaging modalities (computed tomography scans plus volume rendering; 3D model) to test the classification reliability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.02.022DOI Listing

The Ideal Implant for Mayo 2A Olecranon Fractures? An Economic Evaluation Ideal Implant Mayo 2A Olecranon Fracture (short form running title).

J Shoulder Elbow Surg 2020 Jun 19. Epub 2020 Jun 19.

Department of Orthopaedic Surgery, Woodland Health Campus, National Healthcare Group, Singapore.

Background And Objectives: The ideal implant for stable, non-comminuted olecranon fractures is controversial. Tension Band Wiring (TBW) is associated with lower cost but higher implant removal rates. Plate fixation (PF) is purported to be biomechanically superior with lower failure and implant removal rates however associated with higher cost. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.05.035DOI Listing

Surgical and Nonoperative Management of Olecranon Fractures in the Elderly: A Systematic Review and Meta-Analysis.

J Orthop Trauma 2020 Jun 17. Epub 2020 Jun 17.

Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA.

Objectives: The aim of this comparative effectiveness study was to perform a meta-analysis of adverse events and outcomes in closed geriatric olecranon fractures, without elbow instability, after treatment with surgical or nonoperative management.

Data Sources: PubMed, Web of Science, and Embase databases.

Study Selection: Articles were included if they contained clinical data evaluating outcomes in patients ≥65 years of age with closed olecranon fractures, without elbow instability, treated surgically, or with nonoperative management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001865DOI Listing

The Role of Reverse Shoulder Arthroplasty in Elderly Trauma: A Systematic Review.

Cureus 2020 May 18;12(5):e8180. Epub 2020 May 18.

Trauma and Orthopedics, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, GBR.

Objectives: The primary objective of this systematic review was to evaluate pain relief and shoulder functional outcome following reverse shoulder arthroplasty for three- and four-part proximal humerus fractures in patients over the age of 60 years. The secondary objective was to assess the clinical end radiological complications following this procedure for this indication.

Methods: Studies were identified using a MEDLINE search for relevant articles on 20th May 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301430PMC

Radial head fractures.

Shoulder Elbow 2020 Jun 25;12(3):212-223. Epub 2019 Sep 25.

Upper Limb Unit, Wrightington Hospital, UK.

The shape and size of the radial head is highly variable but correlates to the contralateral side. The radial head is a secondary stabilizer to valgus stress and provides lateral stability. The modified Mason-Hotchkiss classification is the most commonly used and describes three types, depending on the number of fragments and their displacement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758573219876921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285971PMC

Indications and outcomes of radial head excision: A systematic review.

Shoulder Elbow 2020 Jun 31;12(3):193-202. Epub 2019 Jul 31.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background: Radial head excision has historically been a common surgical procedure for the operative management of radial head fractures and post-traumatic conditions. With recent advances in other surgical techniques, controversy exists regarding its indications. This review evaluates the indications and outcomes of radial head excision in traumatic and non-traumatic elbow pathology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758573219864305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285979PMC

Medial epicondyle avulsion after elbow dislocation in an adolescent non-professional soccer player treated with a cannulated screw: a case report.

Acta Biomed 2020 May 30;91(4-S):271-275. Epub 2020 May 30.

Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy.

Background And Aim Of The Work: Medial epicondyle fractures of the humerus account for 11-20% of all elbow injuries in children and in 30-55% of cases they are associated with an elbow dislocation. Undisplaced fractures are usually treated conservatively but literature is controversial regarding the treatment of displaced fractures (≥5mm) in paediatric fractures. In recent years, there is an emerging consensus that such patients may benefit more from open reduction and internal fixation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23750/abm.v91i4-S.9578DOI Listing

Medial Epicondyle Fractures: Biomechanical Evaluation and Clinical Comparison of 3 Fixation Methods Used in Pediatric Patients.

J Pediatr Orthop 2020 Jun 16. Epub 2020 Jun 16.

Department of Orthopedic Surgery, University of California.

Background: Screw fixation is the most commonly employed fixation strategy for displaced medial epicondyle fractures, but in younger patients with minimal ossification, the fracture fragment may not accommodate a screw. In these situations, Kirschner-wires (K-wire) or suture anchors may be utilized as alternatives. The purposes of this study were to examine the biomechanical properties of medial epicondyle fractures fixed with a screw, K-wires, or suture anchors, to evaluate clinical outcomes and complications of patients 10 years of age or younger treated with these approaches, and to perform a cost-analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BPO.0000000000001601DOI Listing

Tension Band Wiring Provides Excellent Patient-Reported Long-Term Results for Both Comminuted and Simple Displaced Olecranon Fractures.

J Orthop Trauma 2020 Jul;34(7):e239-e244

Departments of Trauma Surgery, and.

Objectives: To assess the long-term functional results of both simple and comminuted olecranon fractures treated with tension band wiring (TBW).

Design: Retrospective.

Setting: Level 1 trauma center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001728DOI Listing

Operative versus nonoperative treatment of humeral shaft fractures: a systematic review and meta-analysis.

J Shoulder Elbow Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - Part of Hospital Lillebaelt, Kolding, Denmark. Electronic address:

Background: The humeral shaft fracture accounts for 1-3% of all fractures and occurs in both the young and old population. However, the optimal treatment is still a matter of debate. Even though nonoperative treatment is commonly considered the gold standard, advantages have been described using operative stabilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.05.030DOI Listing

Treatment methods for post-traumatic elbow stiffness caused by heterotopic ossification.

J Shoulder Elbow Surg 2020 Jul;29(7):1380-1386

Department of Orthopaedic Surgery, Columbia University Medical Center/Presbyterian Hospital, New York, NY, USA.

Hypothesis: Heterotopic ossification (HO) is a common complication of surgically treated elbow fractures that can inhibit range of motion and impair quality of life. Although there are many treatment methods for HO, there is a lack of consensus as to the best option. We hypothesized that contracture release combined with Botox injection would lead to improved functional outcome scores when compared with current treatment methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.02.026DOI Listing

A case report of extensive segmental defect of the humerus treated with Masquelet technique.

J Shoulder Elbow Surg 2020 Jul;29(7):1368-1374

F.I. Inozemtsev City Clinical Hospital, Moscow, Russia; Russian Medical Academy of Continuous Professional Education, Moscow, Russia. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.03.018DOI Listing

Quick-DASH as a main early outcome of humeral shaft fractures: A Latin American multicenter prospective study.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020929436

Orthopaedic Biomaterials Laboratory, School of Medical Sciences, University of Campinas, Brazil.

Purpose: The main objective of this study was to evaluate the Quick-Disabilities of the Arm, Shoulder and Hand Score (DASH) score as the main early (90 days) outcome in a prospective multicenter observational Latin American study on isolated humeral shaft fractures.

Methods: From December 2015 to April 2017, in six Latin American countries, patients 18 years or older with a closed, isolated nonpathological 12A, 12B, or 12C AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) fractures were included. The 90 (±10)-day Quick-DASH score was used to compare the results of the different treatments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499020929436DOI Listing

Current Management of Paediatric Supracondylar Fractures of the Humerus.

Cureus 2020 May 15;12(5):e8137. Epub 2020 May 15.

Trauma and Orthopaedics, Apollo Hospitals, Bangalore, IND.

Supracondylar fractures of the humerus in children are common and can be distressing injuries to the child, the parents and to the surgical team. Type 1 fractures are managed non-operatively, however displaced fractures (Types 2, 3 and 4) are usually managed surgically. Accurate and repetitive neuromuscular assessment is critical not just for medicolegal reasons but also to expedite management with different specialists if needed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294900PMC

Comparison of blind surgical zone in the Henry vs. Kocher approach in the treatment of partial radial head fractures.

JSES Int 2020 Mar 12;4(1):25-29. Epub 2019 Dec 12.

Department of Orthopedics, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, Shanghai, China.

Background: The Kocher approach is often adopted for surgical treatment of partial radial head fractures. However, anterior exposure of the radial head is limited by the Kocher approach. Radial head fractures are predisposed to be located at the anterior radius. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jses.2019.10.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075769PMC