9,675 results match your criteria Fracture Elbow

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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Terrible triad injury of the elbow: A PROCESS-compliant surgical case series from Eastern Morocco.

Ann Med Surg (Lond) 2022 Jun 4;78:103914. Epub 2022 Jun 4.

Department of Traumatology and Orthopedics, Mohammed VI University Hospital, Oujda, Morocco.

Introduction: The terrible triad of the elbow (TTE) is a lesion associating a dislocation of the elbow, a fracture of the radial head, and a fracture of the coronoid process, with a high potential of complication. The treatment is based on the restoration of bone lesions and external capsular ligament repair. The systematic repair of the medial collateral ligament (MCL) is still debated in the literature. Read More

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Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome.

Strategies Trauma Limb Reconstr 2022 Jan-Apr;17(1):7-13

Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, Greece.

Purpose: This is a retrospective cohort study of type C distal humeral fractures (AO classification system) aimed at evaluating the effectiveness of current operative treatment options.

Materials And Methods: Thirty-seven patients with type C distal humeral fractures, treated operatively from January 2002 to September 2016, were retrospectively studied. Thirty-two were eligible for inclusion. Read More

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Trans-fracture approach for ORIF of coronal shear fractures of the distal humerus.

Arch Orthop Trauma Surg 2022 Jun 22. Epub 2022 Jun 22.

Faculty of Medicine, University of Cologne, Cologne, Germany.

Introduction: Open reduction and internal fixation (ORIF) of comminuted coronal shear fractures of the distal humerus is challenging. When a concomitant lateral condyle fracture is present, it may be used for a trans-fracture approach to facilitate exposure and fracture reduction. This study aimed to investigate the frequency of lateral condyle fractures in coronal shear fractures of the distal humerus and analyze fracture reduction, fracture union and clinical results following ORIF through a trans-fracture approach. Read More

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

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

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

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

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

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Effects of fibular strut augmentation for the open reduction and internal fixation of proximal humeral fractures: a systematic review and meta-analysis.

J Orthop Surg Res 2022 Jun 21;17(1):322. Epub 2022 Jun 21.

Department of Orthopedic Surgery, Lianyungang 2nd People's Hospital, No. 41 Hailian East Road, Haizhou District, Lianyungang, 222000, Jiangsu, China.

Background: There is still a lack of remarkable consensus regarding the clinical efficacy of the application of fibular strut augmentation (FSA) combined with a locking plate for proximal humeral fractures. A systematic review and meta-analysis to assess the effect of the use of FSAs in open reduction and internal fixation of proximal humeral fractures was conducted.

Methods: A literature search was conducted in PubMed, Embase, Cochrane, Web of Science Core Collection, and ClinicalTrials. Read More

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Interventions for treating proximal humeral fractures in adults.

Cochrane Database Syst Rev 2022 06 21;6:CD000434. Epub 2022 Jun 21.

Centre for Evidence-Based Orthopaedics, Zealand University Hospital and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: Fractures of the proximal humerus, often termed shoulder fractures, are common injuries, especially in older people. The management of these fractures varies widely, including in the use of surgery. This is an update of a Cochrane Review first published in 2001 and last updated in 2015. Read More

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Terrible triad injury of the elbow: a historical perspective.

Int Orthop 2022 Jun 20. Epub 2022 Jun 20.

Department of Orthopedics and Traumatology, Hôpital Pellegrin, Place Amélie Raba-Léon, 33000, Bordeaux, France.

Purpose: The aims of this study are to summarize (1) the history of terrible triad injury (TTi) treatment and (2) the clinical and biomechanical data that engendered its evolution.

Methods: A literature search was performed using five electronic databases. Results were discussed as a chronologic review of the relevant literature between 1920 and 2022. Read More

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

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

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

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

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Missed post-traumatic radial head dislocation in a three-year-old child: A case report.

J Taibah Univ Med Sci 2022 Jun 16;17(3):529-532. Epub 2021 Oct 16.

Orthopedic Department, College of Medicine and King Saud University Medical City, King Saud University, Riyadh, KSA.

In children, traumatic radial head dislocation (RHD) is usually associated with ulnar fracture or deformation as reported in a Monteggia injury or its Monteggia variant. Isolated traumatic RHD is extremely rare and exceptional. Traumatic RHD is frequently missed on initial radiographs, particularly if it is isolated. Read More

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Comparison of Early Range of Motion in Reverse Shoulder Arthroplasty Based on Indication: A Single Center Retrospective Review.

J Shoulder Elb Arthroplast 2022 14;6:24715492221108283. Epub 2022 Jun 14.

Department of Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.

Background: Reverse shoulder arthroplasty (RSA) is commonly used in the treatment of rotator cuff arthropathy. Indications for RSA have expanded to include complex proximal humerus fractures. Studies directly comparing outcomes between traumatic and traditional elective indications are limited. Read More

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Long-stemmed Hemiarthroplasty with Cerclage Wiring for the Treatment of Split-Head Fractures of the Proximal Humerus with Metaphyseal Extension: A Report of 2 Cases.

J Shoulder Elb Arthroplast 2022 14;6:24715492221108285. Epub 2022 Jun 14.

Department of Shoulder & Elbow Surgery, Patras University Hospital, Rio-Patras, Greece.

Introduction: Complex fractures of the proximal humerus with splitting-head component and metaphyseal propagation are very rare injuries that are difficult to treat. Preservation of the humeral head is always considered except in cases with severe comminution and compromised vascularity where shoulder hemiarthroplasty is an alternative option.

Case Report: We present two male patients, 57- and 62-years-old who sustained such a complex proximal humeral fracture after a high-energy injury. Read More

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Safety and Short-Term Outcomes of Anatomic versus Reverse Total Shoulder Arthroplasty in an Ambulatory Surgery Center.

J Shoulder Elbow Surg 2022 Jun 16. Epub 2022 Jun 16.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee - Campbell Clinic, Memphis, TN, USA.

Background: A paucity of literature exists comparing outcomes of outpatient anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA). This study was performed to compare early outcomes between the two procedures in a free-standing ambulatory surgery center (ASC) and to determine if the addition of preoperative interscalene nerve blockade (ISNB) with peri-articular liposomal bupivacaine injection (PAI) in the post-anesthesia care unit (PACU) would improve outcomes over PAI alone.

Methods: Medical charts of all patients undergoing outpatient primary aTSA or rTSA at two ASCs from 2012 to 2020 were reviewed. Read More

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The devastating effects of humeral nonunion on health-related quality of life.

J Shoulder Elbow Surg 2022 Jun 16. Epub 2022 Jun 16.

Fondren Orthopedic Research Institute, Houston, TX, USA; Fondren Orthopedic Group, Houston, TX, USA; Texas Orthopedic Hospital, Houston, TX, USA. Electronic address:

Background: Humeral nonunion is estimated to occur at a rate of 1.1% - 25% depending on the fracture location and pattern, mechanism of injury, patient compliance with the immobilization protocol, patient's nutritional status and medical coomorbidities. Fracture nonunion can cause chronic pain, limited range of motion, and may hinder normal function. Read More

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

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

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

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Loop Anchor Tension Band Fixation for Olecranon Fractures and Chevron Olecranon Osteotomy.

Tech Hand Up Extrem Surg 2022 May 5. Epub 2022 May 5.

Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital.

Although tension band wiring is effective for treating olecranon fractures, it is associated with a high reoperation rate because of hardware-related problems. The loop anchor tension band technique is a novel modification of the Arbeitsgemeinschaft für Osteosynthesefragen (AO)-modified tension band wiring technique. This technique is suitable for treating olecranon fractures without severe comminution and olecranon osteotomy. Read More

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Arthroscopically Assisted Stabilization of Chronic Acromioclavicular Joint Instability.

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

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

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

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November 2021

Are Outcomes Comparable for Repair of AO/OTA Type 13C1 and Type 13C2 Distal Humeral Fractures Using the Paratricipital Approach?

Clin Orthop Surg 2022 Jun 26;14(2):169-177. Epub 2022 Apr 26.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.

Background: Studies have reported favorable outcomes using the paratricipital approach for fixation of distal humeral intra-articular fractures. However, literature evaluating the clinical results of the approach remains limited. The objective of this study was to compare clinical outcomes between type 13C2 and type 13C1 distal humeral fractures after open reduction and internal fixation performed using the same approach and same type of plate. 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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Medial Epicondyle Fracture in Children and Its Association with Increased Carrying Angle.

Int J Clin Pract 2022 31;2022:6414247. Epub 2022 Jan 31.

Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: This study aimed to evaluate the injury mechanism of medial epicondylar fractures in children and adolescents and its association with increased carrying angle (CA) as a predisposing factor.

Materials And Methods: We evaluated 37 patients with medial epicondylar fractures who were surgically treated at our institution. Medical records and plain radiographs were reviewed to determine the mechanism of injury and the humerus-elbow-wrist angle (HEWA) and CA of the uninjured arm. Read More

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Antegrade intramedullary locking nail in the management of proximal and middle thirds of humeral diaphyseal fractures.

Int Orthop 2022 Jun 9. Epub 2022 Jun 9.

Balneal and Rehabilitation Sanatorium, Techirghiol, Romania.

Purpose: The aim of the study was to evaluate the antegrade intramedullary locking nail osteosynthesis for the treatment of the proximal and middle thirds of humeral shaft fractures.

Methods: A retrospective study was made on 218 patients diagnosed with humeral diaphysis fractures who undergo surgery with antegrade intramedullary locking nail between January 2017 and December 2021. The clinical follow-up started two days after surgery and continued at one month, three months, six months and one year. Read More

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Interventions for treating supracondylar elbow fractures in children.

Cochrane Database Syst Rev 2022 06 9;6:CD013609. Epub 2022 Jun 9.

Department of Trauma and Orthopaedics, University of Nottingham, Nottingham, UK.

Background: Elbow supracondylar fractures are common, with treatment decisions based on fracture displacement. However, there remains controversy regarding the best treatments for this injury.

Objectives: To assess the effects (benefits and harms) of interventions for treating supracondylar elbow fractures in children. 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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Determinants of Complex Regional Pain Syndrome Type I among Radial Head Fracture Patients with Unilateral Arthroplasty.

Orthop Surg 2022 Jun 8. Epub 2022 Jun 8.

Department of Anesthesiology, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi, China.

Objective: This study aims to assess the proportions of complex regional pain syndrome type I (CRPS I) in radial head fracture patients undergoing unilateral arthroplasty and to explore associated factors.

Methods: This is a prospective observational study. From March 2016 to May 2019, a total of 221 adult patients with radial head fracture patients were included in consecutive studies and completed the 1-year follow-up. Read More

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Characterization of Musculoskeletal Injuries in Gymnastics Participants From 2013 to 2020.

Sports Health 2022 Jun 7:19417381221099005. Epub 2022 Jun 7.

Department of Orthopaedic Surgery, Brown University Warren Alpert Medical School, Providence, Rhode Island.

Background: Many studies have analyzed gymnastics-related injuries in collegiate and elite athletes, but there is minimal literature analyzing the epidemiological characteristics of injuries in the greater gymnastics community.

Hypothesis: A higher incidence of injuries in younger gymnasts between the ages of 6 and 15 years compared with those 16 years and older and a difference in the distribution of injuries between male and female gymnasts.

Study Design: Retrospective cross-sectional study. Read More

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Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization.

J Orthop Surg Res 2022 Jun 7;17(1):303. Epub 2022 Jun 7.

University Centre for Orthopaedic, Trauma- and Plastic Surgery (OUPC), University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Background: Monteggia fractures and Monteggia-like lesions result after severe trauma and have high complication rates. Preliminary biomechanical studies suggested a correlation between ulnar fracture localization and clinical result.

Objectives: Key objective was to evaluate whether the site of the ulnar fracture can be correlated to clinical outcome after open reduction and internal stabilization. Read More

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Inlay versus Onlay Humeral Design for Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis.

J Shoulder Elbow Surg 2022 Jun 4. Epub 2022 Jun 4.

Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA. Electronic address:

Introduction: Since the introduction of the Grammont style reverse total shoulder arthroplasty (RTSA), the humeral stem design has been modified with improved clinical outcomes. Two distinct humeral designs have been utilized extensively: the inlay where the humeral tray is seated within the metaphysis and the onlay design where the humerus tray sits on the metaphysis at the level of the humeral neck cut. The purpose of this systematic review is to determine if there are differences in clinical outcomes and complication rates between these designs. Read More

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Total Elbow Arthroplasty and Antegrade Posterior Interosseous Flap for Infected Posttraumatic Arthritis with an Active Fistula. A Rationale for Comprehensive Treatment. Case Report.

J Shoulder Elb Arthroplast 2022 29;6:24715492221090745. Epub 2022 Mar 29.

Orthopedic Surgeon, Orthopedic Surgery Department. Centro Médico ABC.

The indication for total elbow arthroplasty (TEA) for primary and posttraumatic elbow arthritis has increased, however, its indication after infection remains elusive. Wound closure about the elbow increases the challenge of treating a previously infected elbow, often necessitating soft tissue coverage with local or regional flaps. We present a 75-year-old male patient with an elbow infection following a failed complex intraarticular fracture open reduction and internal fixation of the distal humerus. 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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One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report.

Trauma Case Rep 2022 Aug 26;40:100655. Epub 2022 May 26.

Department of Orthopaedic Trauma Center, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura-shi, Kanagawa, Japan.

Since the range of access of each surgical approach around the elbow has limitations, it is difficult to treat all types of fractures using only one approach. In the case reported herein, anterior and medial fragments of the comminuted ulnar coronoid process fracture were treated by preparing two access routes through one skin incision and effectively performing the buttress plating of each fragment. The subject was a 27-year-old female who sustained a fracture of the coronoid process of the right ulna by falling during snowboarding. Read More

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