9,063 results match your criteria Fracture Elbow

Surgical Management and Rehabilitation of an Olecranon Fracture in a Patient with Thrombocytopenia-Absent Radii: A Case Report.

JBJS Case Connect 2021 Jun 11;11(2). Epub 2021 Jun 11.

Schulich School of Medicine and Dentistry, University of Western Ontario, Department of Orthopaedics, London, ON, Canada.

Case: A 29-year-old right-hand dominant woman with thrombocytopenia-absent radii syndrome was surgically treated for a right olecranon fracture. Given her forearm deformity and short lever arm, a custom-modified corrective elbow flexion splint was used during rehabilitation. Radiographic union was achieved. Read More

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Results of the distal humeral hemiarthroplasty Latitude in distal humeral unreconstructable fractures treatment in patients older than 65 years old.

Rev Esp Cir Ortop Traumatol 2021 Jul-Aug;65(4):272-278

Servicio de Cirugía Ortopédica y Traumatología, Hospital Vega Baja de Orihuela, Alicante, Spain.

Aim: The aim of this study is evaluate clinical and radiographic outcomes of Latitude elbow hemiarthroplasty in the treatment of articular distal humerus multifragmentary fractures in patients older than 65 years.

Material And Methods: We included those patients older than 65 years who sustained an unreconstructable articular distal humeres fracture and it was replace with a Latitude hemiarthroplasty. We excluded those with a minimum follow up less than 2 years. Read More

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No benefit for elbow blocking on conservative treatment of distal radius fractures: A 6-month randomized controlled trial.

PLoS One 2021 10;16(6):e0252667. Epub 2021 Jun 10.

Department of Orthopaedics and Traumatology, Unit of Hand Surgery, Universidade Federal de São Paulo (Unifesp -EPM), São Paulo, Brazil.

Purpose: For displaced distal radius fracture, this trial aimed to compare an above-elbow (AE) and below-elbow (BE) cast at the end of a 24-week follow-up using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire as a primary outcome.

Methods: This is a clinical trial with parallel groups (1:1) and a blinded evaluator. There are two non-surgical interventions: AE and BE. Read More

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Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes.

J Bone Joint Surg Am 2021 Jun;103(12):1132-1151

Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.

: Osteochondritis dissecans occurs most frequently in the active pediatric and young adult populations, commonly affecting the knee, elbow, or ankle, and may lead to premature osteoarthritis.

: While generally considered an idiopathic phenomenon, various etiopathogenetic theories are being investigated, including local ischemia, aberrant endochondral ossification of the secondary subarticular physis, repetitive microtrauma, and genetic predisposition.

: Diagnosis is based on the history, physical examination, radiography, and advanced imaging, with elbow ultrasonography and novel magnetic resonance imaging protocols potentially enabling early detection and in-depth staging. Read More

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Treatment of Monteggia-like-lesion in a young patient: A case report.

Medicine (Baltimore) 2021 May;100(19):e24928

Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia.

Introduction: A Monteggia fracture was described initially as a fracture of the proximal third ulna and anterior dislocation of the proximal epiphysis radius.[1] In 1967, Bado discovered "true Monteggia lesions" and classified them into 4 groups.[2] He also used the term "equivalents" or "Monteggia-like-lesions" to describe specific injuries with similar radiographic patterns. Read More

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Complex Fracture-Dislocations of the Elbow in the Pediatric Population.

J Pediatr Orthop 2021 Jul;41(6):e470-e474

Children's Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA.

Background: Complex fracture-dislocations of the elbow, including terrible triad of the elbow, are serious injuries with guarded outcomes in adults. Although described extensively in adults, little is known about similar complex fracture-dislocations of the elbow in the pediatric population. The purpose of this study was to describe patterns of elbow dislocations with associated fractures in children and report the outcomes of these injuries. Read More

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Assessment of Lateral Rotation Percentage and Rotational Deformity of the Elbow in Type 3 Supracondylar Humerus Fractures: A Biomechanical Study.

J Pediatr Orthop 2021 Jun 7. Epub 2021 Jun 7.

Department of Orthopaedics, Marshall University School of Medicine Huntington, WV Shriners Hospitals for Children in Lexington, KY.

Background: Supracondylar humerus (SCH) fractures are the most common elbow fractures in children. Historically, displaced (Gartland type 3) SCH fractures have been treated with closed reduction and percutaneous pinning. Fluoroscopic imaging is used intraoperatively in order to assess adequate reduction of the fracture fragments before pinning. Read More

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Changes in Superior Displacement, Angulation, and Shortening in the Early Phase of Healing for Completely Displaced Midshaft Clavicle Fractures in Adolescents: Results from a Prospective, Multicenter Study.

J Shoulder Elbow Surg 2021 Jun 2. Epub 2021 Jun 2.

Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Background: Progressive displacement of diaphyseal clavicle fractures has been observed in adult patients, at times necessitating a change from non-operative to operative treatment. Whether this occurs in adolescent patients has not been well investigated. The purpose of this study was to assess the rate and extent of progressive clavicle fracture displacement in adolescent patients following injury and during the early stages of healing. Read More

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Operative Versus Nonoperative Management of Acute Pediatric Monteggia Injuries With Complete Ulna Fractures.

J Pediatr Orthop 2021 Jun 2. Epub 2021 Jun 2.

UCLA Orthopaedic Hospital Department of Orthopaedics, David Geffen School of Medicine, University of California, Los Angeles UCLA David Geffen School of Medicine, University of California, Los Angeles Orthopaedic Institute for Children, Los Angeles, CA The Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA.

Background: The treatment of acute pediatric Monteggia injuries involving a complete fracture of the ulna remains controversial. The purpose of this study is to compare the outcomes of immediate operative fixation to a trial of closed reduction and casting of acute pediatric Monteggia fractures involving complete ulna fractures.

Methods: We performed a retrospective analysis of 73 patients with Monteggia injuries with complete ulna fractures presenting to 2 pediatric trauma centers from 2008 to 2018. Read More

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Graphene/Silver Nanowires/Graphene Sandwich Composite for Stretchable Transparent Electrodes and Its Fracture Mechanism.

Micromachines (Basel) 2021 May 2;12(5). Epub 2021 May 2.

Material and Chemical Research Laboratories, Industrial Technology Research Institute, Hsinchu 30011, Taiwan.

Polycrystalline graphene grown by chemical vapor deposition (CVD) is characterized by line defects and disruptions at the grain boundaries and nucleation sites. This adversely affects the stretchability and conductivity of graphene, which limits its applications in the field of flexible, stretchable, and transparent electrodes. We demonstrate a composite electrode comprised of a graphene/silver nanowires (AgNWs)/graphene sandwich structure on a polydimethylsiloxane substrate to overcome this limitation. Read More

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Fracture location impacts opioid demand in upper extremity fracture surgery.

Injury 2021 May 20. Epub 2021 May 20.

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

Introduction: Opioid sparing protocols should be formulated with appropriate demand. Specific fracture location has been hypothesized as an important predictor of post-operative pain. The purpose of this study is to evaluate the impact of fracture location on perioperative opioid demand after surgery with the hypothesis that this factor would be significantly associated with perioperative opioid demand in upper extremity fracture surgery. Read More

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Fluoroscopy of the Elbow: A Cadaveric Study Defining New Standard Projections to Visualize Important Anatomical Landmarks.

JB JS Open Access 2021 Apr-Jun;6(2). Epub 2021 May 5.

Department of Orthopedic Surgery (S.A.M., C.B., A.M.M., and D.R.) and Institute of Anatomy (M.M.-G.), University of Basel, Basel, Switzerland.

Background: Despite new 3-dimensional imaging modalities, 2-dimensional fluoroscopy remains the standard intraoperative imaging modality. The elbow has complex anatomy, and defined standard fluoroscopic projections are lacking. Therefore, the aim of this study was to define standard projections of the elbow for intraoperative fluoroscopy. Read More

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Elastic Intramedullary Nailing of Pediatric Both-Bone Forearm Fractures.

JBJS Essent Surg Tech 2020 Oct-Dec;10(4). Epub 2020 Dec 24.

C.S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, Michigan.

Background: Elastic intramedullary nailing of both-bone pediatric forearm fractures is used to treat unstable fractures that fail conservative management with closed reduction and casting, open injuries, or injuries with neurovascular compromise.

Description: Small incisions are used to enter the medullary canal of the distal end of the radius and proximal part of the ulna, avoiding injury to the adjacent physis. The elastic nail is advanced to the fracture site under fluoroscopic guidance. Read More

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December 2020

Open Reduction and Pin Fixation of Pediatric Lateral Humeral Condylar Fractures.

JBJS Essent Surg Tech 2020 Oct-Dec;10(4). Epub 2020 Nov 19.

Children's Hospital Los Angeles, Los Angeles, California.

Background: Lateral condylar fractures of the humerus are the second most common elbow fracture seen in pediatrics, behind supracondylar humeral fractures. All practicing orthopaedic surgeons should be able to identify and treat these injuries appropriately, as the intra-articular and transphyseal nature of this fracture pattern contributes to the relatively high complication rate. Treatment has evolved with time as classification systems better characterize the different types of lateral condylar fractures, aiding in decision-making for management. Read More

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November 2020

Comparative evaluation of pinning and cast fixation vs. external fixation after lateral closing-wedge osteotomy for cubitus varus in children.

J Shoulder Elbow Surg 2021 May 27. Epub 2021 May 27.

Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, China. Electronic address:

Background: Cubitus varus has been regarded as poor functional and cosmetic consequences of supracondylar humerus fracture in children. The aim of this study was to assess the clinical and radiologic outcomes of cubitus varus based on fixation methods: K-wire and cast fixation or external fixation.

Methods: 40 consecutive patients with cubitus varus secondary to supracondylar fractures were enrolled between October 2015 and December 2018. Read More

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Radial Nerve Palsy After Intercondylar Distal Humerus Fracture: A Case Report.

JBJS Case Connect 2020 Oct-Dec;10(4):e2000429

1Department of Orthopedics, JPNATC, AIIMS, New Delhi, India.

Case: A 30-year-old man sustained an injury to the right elbow after a fall from a bike. On clinical examination, he had preoperative radial nerve palsy with radiological diagnosis of the intercondylar distal humerus fracture. Intraoperatively, the patient had the radial nerve entrapped between the proximal metaphyseal fragment and distal lateral condyle of the humerus. Read More

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Paediatric lateral condyle fracture with a posterolateral elbow dislocation: an atypical injury in a preadolescent.

BMJ Case Rep 2021 May 27;14(5). Epub 2021 May 27.

Department of Orthopaedic Surgery, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA

Paediatric lateral condyle fractures of the distal humerus are common but a concomitant elbow dislocation is rare. Typically, paediatric orthopaedic surgeons will treat lateral condyle fractures with pin or metaphyseal single-screw fixation and supplementary immobilisation for several weeks. These techniques sacrifice the early stability and mobilisation necessary to avoid stiffness after a complex elbow fracture-dislocation. Read More

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[Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of KilfoyleⅡand Ⅲ medial condylar fracture of humerus in children].

Zhongguo Gu Shang 2021 May;34(5):437-41

The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China.

Objective: To explore clinical effectiveness and safety of ultrasound-guided closed reduction and K-wires internal fixation in treating of Kilfoyle Ⅱand Ⅲ medial condylar fracture of humerus in children.

Methods: Clinical data of 32 children with medial condylar fracture of humerus treated with closed reduction and internal fixation with K-wires under the guidance of ultrasound were retrospectively analyzed from January 2014 to August 2019, including 23 males and 9 females, age ranged from 3.2 to 12. Read More

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Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation-A Randomised Controlled Study.

Strategies Trauma Limb Reconstr 2020 Sep-Dec;15(3):131-137

Department of Orthopaedics, B P Koirala Institute of Health Sciences, Dharan, Nepal.

Aim: To compare the clinical and radiological outcomes of fixation of olecranon fractures by a transcortical screw with conventional tension band wiring (TBW) using a Kirschner wire (K-wire).

Materials And Methods: This is a non-blinded randomised controlled trial comprising two groups ( = 30 each) with Mayo type A olecranon fractures fixed with either TBW or transcortical cancellous screws (CCS). Outcomes included the Mayo elbow performance index (MEPI), time to union, range of motion (ROM), and rates of complication among these two groups. Read More

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Intraoperative Nice knots assistance for reduction in displaced comminuted clavicle fractures.

BMC Musculoskelet Disord 2021 May 22;22(1):467. Epub 2021 May 22.

Department of Orthopaedics, Shandong Provincial Hospital affiliated to Shandong First Medical University, No. 324, Road Jing Wu Wei Qi, Jinan, 250021, Shandong, China.

Purpose: The Nice knots have been widely used in orthopedic surgeries to fix torn soft tissue and fracture in recent years. The study aims to investigate the clinical efficacy and prognosis of intraoperative and postoperative Nice Knots-assisted reduction in the treatment of displaced comminuted clavicle fracture.

Methods: From Jan 2014 to Dec 2019, 75 patients diagnosed with unilateral closed displaced comminuted clavicle fracture were treated with open reduction and internal fixation (ORIF) in this study. Read More

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Use of an external fixator during one-step surgical management of missed chronic Monteggia injuries.

Orthop Traumatol Surg Res 2021 May 19:102963. Epub 2021 May 19.

Service de Chirurgie Orthopédique et Réparatrice de l'Enfant, hôpital Trousseau, Université Sorbonne, Paris, France.

The incidence of untreated Monteggia fracture-dislocations is not insignificant. But there is no consensus as to the surgical indication and best surgical technique to use. Single-stage reduction of the radial head through an elbow arthrotomy and ulnar osteotomy is a complex surgical procedure that requires stabilization of the ulnar segments during every step of the intervention. Read More

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Proximal Humerus Fractures Treated with an Intramedullary Cage and Plate: Clinical and Radiographic Outcomes at a Minimum of 1 Year Post Operatively.

J Shoulder Elbow Surg 2021 May 19. Epub 2021 May 19.

Department of Orthopedic Surgery, The Christ Hospital, Cincinnati, OH, USA.

Background: Proximal humerus fractures are common injuries. Although certain fracture types may benefit from surgery including open reduction internal fixation (ORIF), the optimal method for fixation is unclear. Newer implant designs that improve healing by minimizing hardware failure and recurrent fracture displacement may optimize clinical outcomes. Read More

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The forgotten fragment - additional lesser tuberosity fixation of 4-part proximal humeral fractures: A biomechanical investigation.

J Shoulder Elbow Surg 2021 May 19. Epub 2021 May 19.

Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.

Background: Fractures of the proximal humerus are a common fracture entity. The most frequent treatment option is open reduction and locking plate fixation. Especially multifragmentary fractures, including 3- and 4-part fractures are challenging to treat, as they correlate with an increased risk for fixation failure. Read More

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Open Reduction of Radial Neck Fractures in Children: Injury Severity Predicts the Radiographic and Clinical Outcomes.

J Shoulder Elbow Surg 2021 May 18. Epub 2021 May 18.

The Children's Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA, USA. Electronic address:

Background: Radial neck fractures are the third most common elbow fracture in children. Open reduction may be required if closed or mini-open techniques are not successful in reducing the fracture. Previous reports on open reduction have noted poor outcomes and complications with this treatment approach. Read More

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Combined simple elbow dislocation and forearm joint injuries. A systematic review of the literature with injury patterns and current treatment rationale.

Eur J Orthop Surg Traumatol 2021 May 21. Epub 2021 May 21.

Hand Upper Limb Surgery Unit, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, via Zuretti 29, 10126, Turin, Italy.

Introduction: Recent studies have allowed a great improvement in understanding elbow and forearm traumatic injuries. Simple elbow dislocations combined with forearm injuries have been occasionally reported in the literature. The aim of this study was to detect the possible patterns of simple elbow dislocations and forearm fracture-dislocations, providing a classification scheme to guide surgical treatment. Read More

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Reduction of olecranon fractures with no or minimal dorsal cortex comminution based on the contour of the posterior ulnar cortex: does it restore the greater sigmoid notch?

Arch Orthop Trauma Surg 2021 May 20. Epub 2021 May 20.

Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.

Introduction: When treating olecranon fractures surgically, surgeons rely on the contour of the posterior cortex of the proximal ulna. However, it is unclear whether the greater sigmoid notch (GSN) is restored anatomically by this method. We analyzed whether reduction of fractures based on the posterior ulnar cortex contour is reliable for restoration of the GSN contour in displaced olecranon fractures with no or minimal dorsal cortex comminution. Read More

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Radial Head Replacement for Acute Radial Head Fractures: Outcome and Survival of Three Implant Designs With and Without Cement Fixation.

J Orthop Trauma 2021 06;35(6):e202-e208

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Objectives: To determine outcomes of radial head replacement (RHR) for acute fractures using 3 different implant designs with or without cement fixation.

Design: Retrospective.

Setting: Tertiary referral hospital. Read More

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Floating elbow combining ipsilateral distal multiple segmental forearm fractures: A case report.

World J Clin Cases 2021 May;9(14):3372-3378

Department of Orthopedics, Shanghai Pudong New Area Gongli Hospital, Affiliated to the Second Military Medical University, Shanghai 200135, China.

Background: Floating elbow along with ipsilateral multiple segmental forearm fracture is a rare and high-energy injury, although elbow dislocation or fracture of the ulna and radius may occur separately.

Case Summary: We report the case of a 37-year-old woman with open (IIIA) fracture of the right distal humerus with multiple shaft fractures of the ipsilateral radius and ulna with a history of falling from a height of almost 20 m from a balcony. After providing advanced trauma life support, damage control surgery was performed to debride the arm wound and temporarily stabilize the right upper limb with external fixators in the emergency operating room. Read More

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[Application of annular ligament reposition and repair via Henry's approach for Monteggia fracture in children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 May;35(5):562-566

Department of Orthopedics, Yantaishan Hospital, Yantai Shandong, 264000, P.R.China.

Objective: To explore the effectiveness of annular ligament reposition and repair via Henry's approach for Monteggia fracture in children.

Methods: A clinical data of 21 children with Monteggia fractures was retrospectively analysed, who underwent open reduction of the radial head and annular ligament reposition and repair via Henry's approach between May 2015 and July 2019. There were 11 boys and 10 girls with an average age of 8 years and 1 month (range, 4 years and 5 months to 14 years and 4 months). Read More

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