7,878 results match your criteria Fracture Elbow


Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results.

J Shoulder Elbow Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Orthopaedic Surgery and Traumatology, St. Gallen, Switzerland.

Background: On the basis of patients' demands, bone quality, and fracture type, we developed an evidence-based treatment algorithm for proximal humerus fractures (PHF) that includes all treatment modalities from open reduction and internal fixation, hemiprosthesis, to reverse total shoulder arthroplasty. This study was done to assess its feasibility and early clinical outcome.

Materials And Methods: Patients with isolated PHF in 2014 and 2015 were included in this prospective study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.02.015DOI Listing

Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases.

Malays Orthop J 2019 Mar;13(1):30-35

Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi, India.

Olecranon osteotomy is well described approach for complex intra-articular distal humeral fractures. In this study, we investigated the usefulness and complications of olecranon osteotomy approach for such fractures. We hypothesise that outcome is comparable in young adults and middle age group and also functional outcome is independent of fracture subtype following surgical fixation. Read More

View Article

Download full-text PDF

Source
http://www.morthoj.org/2019/v13n1/olecranon-osteotomy-fractu
Publisher Site
http://dx.doi.org/10.5704/MOJ.1903.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459036PMC
March 2019
1 Read

An anterior neurovascular interval approach to coronal shear fractures of the distal humerus: a prospective clinical study with short- to mid-term follow-up.

Rev Assoc Med Bras (1992) 2019 Mar 11;65(3):355-360. Epub 2019 Apr 11.

Emergency Center of Trauma, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China.

Object: To explore the treatment effect of the anterior medial neurovascular interval approach to coronal shear fractures of the distal humerus.

Methods: This prospective study included two female patients who were 30-64 years old, with a mean age of 47 years. Fractures were caused by falling from a bicycle. Read More

View Article

Download full-text PDF

Source
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/1806-9282.65.3.355DOI Listing
March 2019
1 Read

Factors affecting blood loss and blood transfusion in patients with proximal humeral fractures.

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

Center for Orthopedics and Trauma Surgery, University Hospital Marburg, Marburg, Germany.

Background: The aim of this study was to determine the amount of blood loss and the rate of blood transfusion in patients receiving surgery for proximal humeral fractures depending on the treatment and fracture classification. Moreover, factors associated with blood loss and blood transfusion were analyzed.

Methods: The study included 420 patients who had received surgery for proximal humeral fractures. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10582746193006
Publisher Site
http://dx.doi.org/10.1016/j.jse.2019.01.018DOI Listing
April 2019
2 Reads

[54-year-old male after bicycle accident with elbow luxation fracture : Preparation for the medical specialist examination: Part 14].

Authors:
U Schwemmer

Anaesthesist 2019 Apr;68(Suppl 2):140-145

Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt/Opf., Nürnberger Str. 12, 91318, Neumarkt in der Oberpfalz, Deutschland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00101-019-0551-9DOI Listing

DOES SURGEON SPECIALIZATION CHANGE THE PROXIMAL HUMERAL OSTEO-SYNTHESIS APPROACH?

Acta Ortop Bras 2019 Mar-Apr;27(2):113-115

Universidade Estadual de Campinas (UNICAMP), Department of Orthopedics and Traumatology, Shoulder and Elbow Group, Campinas, São Paulo, Brazil.

Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making.

Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192702212055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442719PMC
April 2019
2 Reads

[Treatment of distal humerus fracture with unexposed ulnar nerve medial elbow incision and anatomical locking compression plate].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):440-444

Department of Orthopaedics, Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To investigate the feasibility and effectiveness of unexposed ulnar nerve medial elbow incision, open reduction and internal fixation of anatomical locking compression plate (LCP) for distal humerus fractures.

Methods: Fourteen patients with distal humerus fracture were treated between January 2014 and June 2017. There were 5 males and 9 females, aged 18-85 years (mean, 65. Read More

View Article

Download full-text PDF

Source
http://www.rrsurg.com/article/10.7507/1002-1892.201808077
Publisher Site
http://dx.doi.org/10.7507/1002-1892.201808077DOI Listing
April 2019
4 Reads

Distal humeral septic non-union treated with debridement and vascularized fibular transfer: case report and review of the literature.

Eur Rev Med Pharmacol Sci 2019 Apr;23(2 Suppl):12-18

Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.

Clinical management of a septic non-union of the distal humerus is challenging and is complicated by the diversity of potential treatments which are variably successful. We report a novel and very successful treatment of a 58-year-old man presenting an infected non-union of the right distal humerus, secondary to a closed fracture initially treated with two anatomic plates. After hardware removal, a two-stage reconstruction was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.26355/eurrev_201904_17469DOI Listing

A new technique for olecranon osteotomy in the treatment of distal humeral fractures.

JSES Open Access 2019 Mar 24;3(1):1-4. Epub 2018 Dec 24.

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR, USA.

Background: Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a Gigli saw is used to perform the osteotomy while the plate is in place.

Methods: By use of a standard posterior approach, a precontoured olecranon plate is applied to the olecranon and affixed with screws both proximally and distally to the planned osteotomy site. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S24686026183003
Publisher Site
http://dx.doi.org/10.1016/j.jses.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443936PMC
March 2019
2 Reads

Early Ultrasound Follow-Up of Extension-Type Supracondylar Fractures Treated by the Collar-and-Cuff (Blount) Technique.

Pediatr Emerg Care 2019 Apr 9. Epub 2019 Apr 9.

Department of Pediatric Imaging, Armand Trousseau Hospital, Université Pierre et Marie Curie Paris6, Paris, France.

Background: Extension-type supracondylar fractures can be treated with external immobilization, with the elbow flexed 100°. However, this technique requires early evaluation by true lateral x-ray of the elbow to detect secondary fracture displacement.

Questions/purpose: The purpose of this work is to evaluate whether ultrasound imaging is suitable for demonstrating initial reduction of supracondylar fractures and early secondary displacement of the fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PEC.0000000000001822DOI Listing

Fixation of the Various Coronal Plane Fracture Fragments, Including the Entire Coronoid Process, in Patients with Mayo Type IIB Olecranon Fractures - Four Methods for Fixation.

Indian J Orthop 2019 Mar-Apr;53(2):224-231

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.

Background: We introduce several methods for fixation of unique Mayo type II olecranon fractures with the coronal plane fragment (CPF) including the entire coronoid process and report the radiological and clinical results through a case series.

Materials And Methods: 12 patients were operated using this method with a mean age of 44 years. CPFs were fixed with concurrent fixation by a locking plate screw for the olecranon in three patients (method 1), cerclage wiring in six patients (method 2), a mini plate in two patients (method 3), and a double-locking plate (method 4) in one patient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ortho.IJOrtho_42_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415574PMC
April 2019
1 Read

Most coronoid fractures and fracture-dislocations with no radial head involvement can be treated nonsurgically with elbow immobilization.

J Shoulder Elbow Surg 2019 Apr 4. Epub 2019 Apr 4.

Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery and Trauma Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Hypothesis: Conservative treatment of isolated coronoid fractures and fracture-dislocations focused on soft-tissue healing can provide good clinical results in the majority of patients. Our aims were (1) to evaluate the outcome of a conservative treatment protocol designed for isolated coronoid fractures with or without associated elbow dislocations (ICFs) and (2) to characterize the fractures with a dedicated image analysis protocol.

Methods: Of 38 consecutive patients sustaining acute ICFs, 28 were treated nonsurgically after meeting specific inclusion criteria, prospectively followed up, and clinically evaluated at least 1 year after sustaining their injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.01.005DOI Listing
April 2019
3 Reads

Clinical outcomes of dual 3.5-mm locking compression plate fixation for humeral shaft fractures: Comparison with single 4.5-mm locking compression plate fixation.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839608

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Background:: Recently, several in vitro biomechanical studies that used dual small locking plate fixation for humeral shaft fractures have investigated. However, in vivo studies about dual plate fixation for humeral shaft fractures are limited. The purpose of our study was to report the outcomes of dual small plating for humeral shaft fractures in comparison with those of single large fragment plating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499019839608DOI Listing
April 2019
1 Read

[Conservative treatment of scaphoid fractures].

Ned Tijdschr Geneeskd 2019 Mar 21;163. Epub 2019 Mar 21.

Luzerner Kantonsspital, afd. Orthopedie en Traumatologie, Luzern, Zwitserland.

Considering that pseudoarthrosis, or non-union, often occurs in patients with scaphoid fractures it is very important to start adequate treatment as soon as possible. On the basis of the literature, we advise immobilisation in a below-elbow cast, whereby the thumb is not immobilised and the wrist is in a slightly extended position. Despite the fact that non-dislocated fractures, at the very least, are usually consolidated within 4 weeks, we advise an immobilisation period of 6 weeks followed by clinical or radiological evaluation. Read More

View Article

Download full-text PDF

Source
March 2019
5 Reads

Comparison of new design locked intramedullary nails and plate osteosynthesis in adult isolated diaphyseal radius fractures.

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Clinics of Orthopaedics and Traumatology, Kartal Dr.Lütfi Kırdar Training and Research Hospital, Cevizli District, Şemsi Denizer Street, Kartal, 34890, Istanbul, Turkey.

Purpose: In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results.

Methods: 49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 with IMNs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-019-01131-3DOI Listing
April 2019
1 Read

[The treatment of elbow dislocations in children and adolescents : Consensus report of the pediatric trauma section of the German Trauma Society (DGU)].

Unfallchirurg 2019 Apr 2. Epub 2019 Apr 2.

Abteilung für Kinderchirurgie und Kinderurologie, Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland.

Dislocations of the elbow during growth are rare but because of associated fractures a range of therapeutic methods are employed. The postoperative care is even more varied, so the scientific working group of the section for pediatric trauma of the DGU developed the following recommendations for the treatment of elbow dislocations in children and adolescents based on own experience and a review of the literature. Diagnosis is made from radiographs with at least one (preferably lateral) view showing the dislocation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00113-019-0632-xDOI Listing
April 2019
4 Reads

Involvement of the proximal radial ulnar joint in partial radial head fractures: a novel three-dimensional computed tomography scan evaluation method.

Shoulder Elbow 2019 Apr 18;11(2):121-128. Epub 2017 Sep 18.

Université de Montréal, Montreal, QC, Canada.

Background: Partial radial head fractures (PRHF) can involve the proximal radioulnar joint (PRUJ) or be restricted to the 'safe zone' (SZ) during forearm rotation. The objective of the present study was to develop an assessment method for PRUJ involvement in radial head fractures using axial computed tomography (CT) scans.

Methods: The area of the radial head in contact with the PRUJ zone was identified, and defined on 18 cadaveric elbows CT scans; the quantitative relationship between PRUJ zone and radial tuberosity was established. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758573217728492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434964PMC

Cortical thickness analysis of the proximal humerus.

Shoulder Elbow 2019 Apr 5;11(2):87-93. Epub 2017 Nov 5.

Division of Surgery and Cancer, Imperial College London, London, UK.

Background: Structural changes within the proximal humerus influence the mechanical properties of the entire bone and predispose to low-energy fractures with complex patterns. The aim of the present study was to measure the cortical thickness in different regions of the proximal humerus.

Methods: Thirty-seven proximal humeri were analyzed using novel engineering software to determine cortical thickness in 10 distinct anatomical zones. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758573217736744DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434956PMC
April 2019
1 Read

[Essex-Lopresti lesion is often undiagnosed].

Ugeskr Laeger 2019 Mar;181(13)

In this review, the diagnostics of the Essex-Lopresti lesion is discussed. The lesion is a combination of fracture of the head of radius, rupture of the interosseous mebrane (IOM) and dislocation of the distal radioulnar joint. The lesion is often overlooked in the primary clinical settings, and it is correlated to severe instability, osteoarthritis and pain if untreated. Read More

View Article

Download full-text PDF

Source
March 2019
10 Reads

Is shortening of displaced midshaft clavicle fractures associated with inferior clinical outcomes following nonoperative management? A systematic review.

J Shoulder Elbow Surg 2019 Mar 28. Epub 2019 Mar 28.

Medical Technologies and Advanced Materials, Clifton Campus, Nottingham Trent University, Nottingham, UK; Renacres Hospital, Halsall, UK.

Background: Management of displaced midshaft clavicle fractures is controversial. Nonoperative treatment can lead to shortening, a risk factor for nonunion and poor functional outcomes. These inferior results have resulted in authors recommending surgical fixation for fractures with significant shortening. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.12.017DOI Listing
March 2019
1 Read
2.289 Impact Factor

Elbow Arthroplasty: From Normal to Failure.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):141-150. Epub 2019 Mar 29.

Department of Radiology, University of California, Los Angeles, Los Angeles, California.

Total elbow arthroplasty is currently an established surgical treatment for several pathologies of the elbow. Although initially used primarily in the treatment of rheumatoid arthritis, indications for total elbow arthroplasty have expanded and now include trauma, primary and secondary osteoarthritis, fracture nonunion, and following neoplasm resection. Desired outcomes of elbow arthroplasty include decreasing patient pain, restoration of function and mobility, and prevention of or treatment for instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677698DOI Listing
April 2019
2 Reads

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677699DOI Listing
April 2019
1 Read

A Retrospective Comparison of Five-Year Health Outcomes Following Upper Limb Amputation and Serious Upper Limb Injury in the Iraq and Afghanistan Conflicts.

PM R 2018 Dec 17. Epub 2018 Dec 17.

Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, CA.

Background: Limited population-based research has described long-term health outcomes following combat-related upper limb amputation.

Objective: To compare health outcomes following upper limb amputation with outcomes following serious upper limb injury during the first 5 years postinjury.

Design: Retrospective cohort. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/pmrj.12047
Publisher Site
http://dx.doi.org/10.1002/pmrj.12047DOI Listing
December 2018
6 Reads

Epoxy-Pin External Skeletal Fixation for Management of Open Bone Fractures in Calves and Foals: A Review of 32 Cases.

Vet Comp Orthop Traumatol 2019 Mar 28. Epub 2019 Mar 28.

Division of Surgery, Indian Veterinary Research Institute, Izzatnagar, Uttar Pradesh, India.

Objective:  The aim of this study was to evaluate epoxy-pin external skeletal fixation technique for the treatment of open fractures in calves and foals.

Study Design:  Twenty-eight calves and four foals (weighing 45-105 kg) with fractures distal to the stifle or elbow made the subject for the retrospective study. The pins (2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1678736DOI Listing

Devising Osteosynthesis for the Reverse Oblique Olecranon Fracture: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):82-84

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan.

Introduction: We encountered a patient with a reverse oblique olecranon fracture in whom redisplacement occurred after osteosynthesis using routine tension band wiring (TBW). In this case report, methods for stable fixation used during reoperation are reported with a review of the literature.

Case Report: A 60-year-old male got the left olecranon fracture (Colton classification, type 2A) visited our hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424316PMC

An Unreported Variant of Convergent Dislocation of Elbow.

J Orthop Case Rep 2018 Nov-Dec;8(6):79-81

Department of Paediatric Orthopaedics, OrthoKids Clinic, Ahmedabad, Gujarat, India.

Introduction: Pediatric traumatic elbow dislocation is an uncommon injury accounting for 3-% of all pediatric elbow injuries. It can present as an isolated injury or in association with fractures of radius, ulna, or humerus. Posterolateral type is the most common accounting for 70% of all pediatric elbow dislocations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424311PMC
March 2019
1 Read

Isolated Regan-Morrey Type III Fracture of the Ulnar Coronoid Process: A Report of Two Cases.

J Orthop Case Rep 2018 Nov-Dec;8(6):65-67

Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.

Introduction: Fracture of the ulnar coronoid process is uncommon. It is commonly associated with posterior dislocation of the elbow, but it may also present as an isolated fracture. In general, all ulnar coronoid process fractures with elbow joint instability and large fracture fragments are fixed surgically. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424314PMC
March 2019
1 Read

Intra-articular Monteggia Fracture: A Case Study of Using the Center of Rotational Angulation to Improve a Functional Outcome.

J Orthop Case Rep 2018 Nov-Dec;8(6):27-30

Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.

Introduction: Elbow fractures are the most common pediatric fracture to require operative fixation and can be associated with significant morbidities such as vascular injury, neurologic injury, and loss of function. Specifically, the chronic Monteggia fracture-dislocation causes devastating losses in range of motion. Presenting as a proximal to midshaft ulna fracture and radiocapitellar joint disruption, the acute injury can be successfully managed with closed reduction, serial casting, and close follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424305PMC
March 2019
1 Read

Cone-beam computed tomography compared to X-ray in diagnosis of extremities bone fractures: A study of 198 cases.

Eur J Radiol Open 2019 13;6:119-121. Epub 2019 Mar 13.

Università degli Studi di Verona, Verona 37100, Italy.

CBCT is an imaging technique consisting of X-ray computed tomography, in which the x-rays are divergent, forming a cone. During 2015, a new model of CBCT, New Tom 5G XL (Verona), was used in the Radiology Department of The University of Verona, in collaboration with the Orthopaedics Department. Our study was carried out from October 2015 to October 2016 (198 patients). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejro.2019.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416521PMC

Comparative Study for Assessment of Functional Outcome of Intraarticular AO Type C Distal Humerus Fractures Treated by Parallel Plating.

Indian J Orthop 2019 Jan-Feb;53(1):190-195

Department of Community Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.

Background: Complex distal end of humerus fractures are one of the most challenging cases in orthopedics. There is a paucity of literature on outcomes of parallel reconstruction plates using olecranon osteotomy technique along with large sample size. This study focuses primarily on rate of various complications encountered in intraarticular AO Type C distal humerus fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ortho.IJOrtho_298_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394173PMC
March 2019
1 Read

Maximizing outcomes in the treatment of radial head fractures.

J Orthop Traumatol 2019 Mar 23;20(1):15. Epub 2019 Mar 23.

Division of Orthopaedic Trauma and Complex Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center at RWJ Barnabas Health, 355 Grand Street, Jersey City, NJ, 07302, USA.

The radial head plays a critical role in the stability of the elbow joint and its range of motion. Injuries may occur across a spectrum of severity, ranging from low energy non-displaced fractures to high energy comminuted fractures. Multiple classification systems exist to help characterize radial head fractures and their associated injuries, as well as to guide treatment strategies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s10195-019-0523-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431334PMC
March 2019
1 Read

Clavicle and coracoid process periprosthetic fractures as late post-operative complications in arthroscopically assisted acromioclavicular joint stabilization.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 21. Epub 2019 Mar 21.

Centre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Munich, Germany.

Purpose: Arthroscopic-assisted stabilization surgery for acute acromioclavicular joint (ACJ) disruption shows excellent and reliable clinical outcomes. However, characteristic complications such as fracture of the clavicle and coracoid have been reported to occur during the early post-operative period. The main goal of this study was to highlight the occurrence of fractures as a late post-operative complication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-019-05482-7DOI Listing
March 2019
4 Reads

Imaging in the diagnosis of ulnar nerve pathologies-a neoteric approach.

Insights Imaging 2019 Mar 20;10(1):37. Epub 2019 Mar 20.

Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India.

The ulnar nerve is a branch of the C8 and T1 nerve roots and arises from the medial cord of the brachial plexus. It supplies the intrinsic muscles of the hand and assists the median nerve in functioning of the flexors. Also known as the musician's nerve, it is the second most common nerve involved in compressive neuropathy following the median nerve. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13244-019-0714-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426899PMC

Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials.

J Orthop Trauma 2019 Apr;33(4):e124-e130

Departments of Orthopedic Surgery.

Objectives: To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the level of the elbow, or cubital nerve block (CNB), and another an axillary nerve block (ANB).

Design: Two prospective randomized controlled studies were performed to compare the difference in pain intensity during closed reduction of a distal radius fracture between FHB-, CNB-, and, ANB-treated patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001388DOI Listing

Return to work after shoulder arthroplasty: a systematic review and meta-analysis.

J Shoulder Elbow Surg 2019 May 15;28(5):998-1008. Epub 2019 Mar 15.

Department of Orthopedic Surgery, Loma Linda University Health Center, Loma Linda, CA, USA.

Background: With the rising incidence of shoulder arthroplasty, there is increasing emphasis on improving functional outcomes and ability to return to work (RTW). The purpose of this study was to determine the rate of RTW after shoulder arthroplasty.

Methods: This systematic review and meta-analysis were performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.12.011DOI Listing
May 2019
2 Reads

Retrospective, nonrandomized analysis of subcutaneous anterior transposition versus in situ decompression of the ulnar nerve of military service members.

J Shoulder Elbow Surg 2019 Apr;28(4):751-756

Walter Reed National Military Medical Center, Bethesda, MD, USA.

Hypothesis: The objective of this study was to compare the subjective and objective midterm functional clinical outcomes of subcutaneous anterior transposition (SAT) vs. in situ decompression (SD) of the ulnar nerve for the treatment of cubital tunnel syndrome.

Methods: The US Military Health System was queried to identify all cases of ulnar neuroplasty (Current Procedural Terminology code 64718) between 2006 and 2010. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.12.005DOI Listing
April 2019
2 Reads

Outcome following olecranon osteotomy versus paratricipital approach for complex intra-articular (AO 13-C) fracture of distal humerus: a prospective comparative study.

J Shoulder Elbow Surg 2019 Apr;28(4):742-750

Department of Orthopaedics, GSVM Medical College, Kanpur, Uttar Pradesh, India.

Background: The paratricipital approach is a relatively new approach in a complex intra-articular fracture of distal humerus (AO13-C). The aim of this study was to ascertain this approach compared with the olecranon osteotomy approach. Also, we aimed to investigate whether advancing age and surgical delay yield a poor outcome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.01.002DOI Listing
April 2019
2.289 Impact Factor

The use of video games combined with conventional physical therapy in children with upper limb fractures: An exploratory study.

J Pediatr Rehabil Med 2019 Mar 6. Epub 2019 Mar 6.

Human Movement Sciences Department, Universidade Federal de São Paulo, Baixada Santista Campus, Santos, São Paulo, Brazil.

Purpose: To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures.

Methods: This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3233/PRM-170529DOI Listing

A rare case of type 2 entrapment of the median nerve after posterior elbow dislocation with MRI and ultrasound correlation.

Skeletal Radiol 2019 Mar 13. Epub 2019 Mar 13.

Department of Orthopedics, Medical University of South Carolina, Charleston, SC, USA.

A 9-year-old boy sustained an ulnohumeral dislocation with a medial epicondyle fracture and experienced incomplete post-traumatic median nerve palsy in addition to post-traumatic stiffness following closed reduction and cast immobilization. When his motor palsy and stiffness did not improve, MRI and ultrasound were obtained, which demonstrated entrapment of the median nerve in an osseous tunnel at the fracture site, compatible with type 2 median nerve entrapment. Subsequently, the patient underwent surgery to mobilize the medial epicondyle and free the median nerve, resulting in improved range of motion, near complete restoration of motor function, and complete restoration of sensory function in the median nerve distribution within 6 months of surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00256-019-03201-4DOI Listing
March 2019
1 Read

Pediatric Medial Epicondyle Fractures Are We There Yet?

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):70-74

Several controversies surround the evaluation and treatment of medial epicondyle fractures of the humerus in children. As is well established, the medial epicondyle is the point of attachment for the medial collateral ligament and flexor and pronator musculature, thereby conferring a potentially important role in elbow stability and wrist strength. Traditional x-ray evaluation has been shown to be inaccurate in measuring fracture displacement. Read More

View Article

Download full-text PDF

Source
March 2019
2 Reads

The Essex-Lopresti Injury.

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):33-38

The Essex-Lopresti injury is caused by a high energy mechanism and consists of a characteristic triad: a comminuted radial head fracture, disruption of the distal radioulnar joint, and tearing of the interosseous membrane. These injuries are often difficult to diagnosis on initial evaluation, and the majority are missed acutely. Chronic Essex-Lopresti injuries lead to radioulnar longitudinal instability, proximal radius migration, ulnocarpal impaction, and chronic elbow pain. Read More

View Article

Download full-text PDF

Source
March 2019
1 Read

Proximal Radius Fractures in Children.

J Am Acad Orthop Surg 2019 Mar 8. Epub 2019 Mar 8.

From the Department of Orthopaedic Surgery (Dr. Nicholson), Keck School of Medicine, University of Southern California, and the Children's Orthopaedic Center (Dr. Skaggs), Children's Hospital Los Angeles, Los Angeles, CA.

Fractures of the proximal radius represent 5% to 10% of all elbow fractures in children. These fractures have many treatment options and have a high risk of complication, particularly loss of forearm rotation. Nonsurgical management of minimally displaced radial neck fractures produces excellent results in most patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOS-D-18-00204DOI Listing
March 2019
4 Reads
2.527 Impact Factor

Modified anteromedial and anterolateral elbow arthroscopy portals show superiority to standard portals in guiding arthroscopic radial head screw fixation.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 12. Epub 2019 Mar 12.

Center for Orthopedic and Trauma Surgery, University Medical Center, Kerpenerstrasse 62, 50937, Cologne, Germany.

Purpose: Arthroscopic fixation of radial head radial head fractures is an appealing alternative to open reduction and internal fixation, which presents the advantage of minimal surgical trauma. The aim of this study was to evaluate if modifications to the standard anteromedial (AM) and anterolateral (AL) portals could allow screw placement for radial head fracture osteosynthesis closer to the plane of the radial head articular surface.

Methods: Eight fresh-frozen specimens were prepared to mimic arthroscopic setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-019-05411-8DOI Listing

Is There Value in Radiology Reads for Pediatric Supracondylar Fractures in the Outpatient Clinic?

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

Division of Pediatric Orthopaedic Surgery, Rainbow Babies & Children's Hospital.

Background: Increased health care costs have driven assessment of value of common practices. The Joint Commission mandates the dual interpretation of musculoskeletal radiographs by radiologists and orthopedic surgeons in hospital-based clinic settings. However, the value of this practice has come under question. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BPO.0000000000001356DOI Listing

Humeral shaft non-union in the elderly: Results with cortical graft plus stem cells.

Injury 2019 Feb 27. Epub 2019 Feb 27.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Introduction: Humeral shaft is a common site of fracture non-union. Biology and bone quality represent some of the problems that the orthopaedic surgeon has to face up in the elderly. The goals of treatment of humeral shaft non-union are the achievement of mechanical stability and creation of a favourable biologic environment. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00201383193005
Publisher Site
http://dx.doi.org/10.1016/j.injury.2019.01.050DOI Listing
February 2019
9 Reads

Facial Injuries in Handball: A Survey of Handball Coaches.

Authors:
Kun Hwang Hun Kim

J Craniofac Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to investigate the occurrence of facial trauma in handball players in South Korea.Forty-one handball coaches responded to an 11-item standardized questionnaire. Twenty-three coaches (56. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000005198DOI Listing
February 2019

External fixation as a definitive treatment for humeral shaft fractures. Radiographic and functional results with analysis of outcome predictors.

J Orthop Trauma 2019 Feb 26. Epub 2019 Feb 26.

Section of Orthopaedics and Trauma, Department of Public Health, "Federico II" University, Naples, Italy.

Objectives: to evaluate the results obtained using unilateral external fixation as a definitive treatment for humeral shaft fractures and to identify possible predictors of radiographic and functional outcomes.

Design: Retrospective study.

Setting: Study involving one large metropolitan hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001457DOI Listing
February 2019

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.

Clin Orthop Surg 2019 Mar 18;11(1):103-111. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios.2019.11.1.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532PMC
March 2019
10 Reads

Functional outcome of the elbow in toddlers with transphyseal fracture of the distal humerus treated surgically.

J Child Orthop 2019 Feb;13(1):47-56

Department of Pediatric Orthopaedics, Shengjing Hospital of China Medical University, Shenyang City, Liaoning Province, China.

Purpose: To quantitatively evaluate the upper extremity and elbow function with the Mayo Elbow Performance Score (MEPS) in children with transphyseal fracture of the distal humerus (TFDH) treated surgically.

Methods: During the period between 2005 and 2015, a total of 16 patients (ten male, six female) met the inclusion criteria. Mean age at the time of injury was 18 months (11 to 37) and mean follow-up was 42. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/1863-2548.13.180156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376439PMC
February 2019

Bone healing potential of fascia lata autografts to the humeral head footprint in rotator cuff reconstruction based on magnetic resonance imaging and histologic evaluations.

J Shoulder Elbow Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Orthopaedic Surgery, Kyoto Shimogamo Hospital, Kyoto, Japan.

Background: The purpose of the study was to evaluate the bone healing potential of fascia lata autograft (FLA) by magnetic resonance imaging (MRI) and histologic analysis.

Methods: The study included 69 patients assessed by MRI after an FLA patch procedure. Three of the 69 patients underwent a revision procedure after the primary FLA procedure; 1 underwent a second-look arthroscopy and 2 underwent reverse shoulder arthroplasties (RSAs). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.11.067DOI Listing
February 2019
1 Read
2.289 Impact Factor