221 results match your criteria Joint Reduction Elbow Dislocation Posterior


Does an Internal Joint Stabilizer and Standardized Protocol Prevent Recurrent Instability in Complex Persistent Elbow Instability?

Clin Orthop Relat Res 2022 Jul 10;480(7):1354-1370. Epub 2022 Mar 10.

Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan.

Background: The treatment of complex persistent elbow instability after trauma is challenging. Previous studies on treatments have reported varied surgical techniques, which makes it difficult to establish a therapeutic algorithm. Furthermore, the surgical procedures may not sufficiently restore elbow stability, even with an additional device, and a noted high rate of arthritis progression. Read More

View Article and Full-Text PDF

Olecranon fractures: applied anatomy, clinical assessment and evidence-based management.

Br J Hosp Med (Lond) 2022 Feb 23;83(2):1-7. Epub 2022 Feb 23.

Department of Orthopaedics, Macclesfield District General Hospital, East Cheshire NHS Trust, Macclesfield, UK.

Olecranon fractures are common injuries, making up 10% of all fractures of the upper limb. They usually result from a fall from standing height in older people, or from a direct blow in young people. The olecranon's superficial location, with poor soft tissue and muscle protection, make it liable to fracture following direct impact. Read More

View Article and Full-Text PDF
February 2022

[Clinical treatment of dorsal avulsion fracture of the capitellum combined with medial or posterior medial dislocation of the elbow joint].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Feb;36(2):149-154

Department of Orthopedics, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P. R. China.

Objective: To analyze the possible injury mechanisms in patients with dorsal avulsion fracture of the capitellum combined with medial or posterior medial dislocation of the elbow joint, and to discuss their treatment and prognosis.

Methods: Retrospective analysis was made on the clinical data of 4 patients with dorsal avulsion fracture of the capitellum combined with medial or posterior medial dislocation of the elbow joint admitted between September 2014 and September 2020, including 3 males and 1 female with an average age of 20.7 years (range, 13-32 years). Read More

View Article and Full-Text PDF
February 2022

Divergent Dislocation of the Elbow in an Adult with Ehlers-Danlos Syndrome: A Case Report.

JBJS Case Connect 2021 08 12;11(3). Epub 2021 Aug 12.

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Case: A 32-year-old man with Ehlers-Danlos syndrome (EDS) fell while snowboarding and injured his right elbow. Radiography revealed a posterior dislocation of the elbow and a proximal radioulnar joint dislocation. A diagnosis of transverse divergent dislocation of the elbow was established. Read More

View Article and Full-Text PDF

Capsulolabral Reconstruction During the Open Latarjet Procedure.

Arthrosc Tech 2021 Nov 6;10(11):e2397-e2406. Epub 2021 Oct 6.

Research Department, La Tour Hospital, 1217 Meyrin, Switzerland.

Surgical treatment of anterior glenohumeral joint instability can be challenging and carries the inherent risk of recurrent instability, dislocation arthropathy, and postoperative loss of external rotation. In the current manuscript, a technique for combined reconstruction of anterior labrum and capsule, with concomitant reduction of the humeral head during anterior capsule reconstruction in open Latarjet procedure, is presented. Analogous to other techniques, the coracoid graft is fixed on the anteroinferior part of the glenoid between 3 and 5 o'clock. Read More

View Article and Full-Text PDF
November 2021

Hybrid coracoclavicular and acromioclavicular reconstruction in chronic acromioclavicular joint dislocations yields good functional and radiographic results.

Knee Surg Sports Traumatol Arthrosc 2022 Jun 29;30(6):2084-2091. Epub 2021 Nov 29.

Department of Bone and Joint Surgery, Spedali Civili, Brescia, Italy.

Purpose: Optimal treatment of chronic unstable acromioclavicular (AC) joint dislocations (stage 3-5 according the Rockwood classification) is still debated. Anatomic coracoclavicular (CC) reconstruction is a reliable option in terms of two-dimensional radiographic reduction, clinical outcomes, and return to sports, but there remain concerns regarding anterior-posterior stability of the AC joint with CC ligament reconstruction alone. The aim of the present study was to describe the mid-term results of a new hybrid technique with CC and AC ligament reconstruction for chronic AC joint dislocations. Read More

View Article and Full-Text PDF

Intraosseous Type 2 Median Nerve Entrapment After Posterior Elbow Dislocation Diagnosed on Ultrasound With MRI and Surgical Correlation.

Cureus 2021 Oct 8;13(10):e18606. Epub 2021 Oct 8.

Radiology Department, Buckinghamshire Healthcare NHS Trust, Aylesbury, GBR.

Median nerve entrapment is a rare complication of posterior elbow dislocation and medial epicondyle fracture. In the event of delayed diagnosis, this injury pattern may result in significant and sometimes irreversible nerve damage. As such, a high degree of clinical suspicion and early imaging is indicated in patients with persistent nerve deficits following reduction of elbow dislocation. Read More

View Article and Full-Text PDF
October 2021

Isolated Medial Dislocation of Elbow: A Case Report.

JNMA J Nepal Med Assoc 2021 Aug 12;59(240):812-813. Epub 2021 Aug 12.

Department of Medical and Surgical Nursing, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

Even though posterior or postero-lateral dislocations of elbow are more common, both isolated medial and lateral dislocations of elbow are extremely uncommon. Since there are subtle findings and minimum pain after medial dislocation of elbow, these are sometimes missed by attending physician at first presentation and changes into chronic type with guarded prognosis. We report a case of a 15-year old boy with isolated medial dislocation of elbow which was correctly identified and treated with closed reduction and posterior slab application. Read More

View Article and Full-Text PDF

Surgical Management of Complex Adult Monteggia Fractures.

J Hand Surg Am 2021 11 7;46(11):1006-1015. Epub 2021 Sep 7.

Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Monteggia fractures classically involve a proximal ulna fracture with an associated radial head dislocation. The presence of radial head/neck fracture and comminution of the proximal ulna with coronoid involvement elevates the complexity of surgical reconstruction considerably. The Jupiter classification captures this injury pattern as a subgroup of Bado posterior Monteggia lesions. Read More

View Article and Full-Text PDF
November 2021

Open Reduction on very late-presenting unreduced posterior elbow dislocation: Still promising treatment option.

Int J Surg Case Rep 2021 Jul 2;84:106056. Epub 2021 Jun 2.

Department of Orthopaedics and Traumatology - Faculty of Medicine - University Padjadjaran - Indonesia.

Background: Neglected dislocation of the elbow is associated with instability, pain, and limitation of elbow function. In developing countries, neglected dislocations of the elbow are quite common, and most patients initially go to local bonesetters, which only aggravates the problem.

Presentation Of Case: Two patients with a history of unreduced posterior elbow dislocation for more than 1 year and were treated by a traditional bonesetter were included in this case study. Read More

View Article and Full-Text PDF

Post-traumatic entrapment of the median nerve in the ulno-humeral joint: Diagnosis, treatment and literature review.

J Orthop Sci 2022 May 15;27(3):627-634. Epub 2021 Apr 15.

Department of Hand Surgery and Microsurgery, Azienda Ospedaliero Universitaria Modena, Largo Del Pozzo, 71, 41125 Modena, Italy.

Background: The incidence of median nerve injuries in pediatric elbow dislocations is approximately 3% and avulsion of the open medial epicondylar epiphysis in the pediatric population is one predisposing factor that may explain this age predilection. These lesions can be difficult to diagnose in the acute phase because symptoms tend to be mild or delayed, consequently their management can be challenging and functional outcome poorer.

Methods: We present the case of an unrecognized median nerve entrapment in a 16-year-old boy with posterior dislocation of the elbow and a medial epicondyle fracture, treated initially with close reduction and open stabilization with a cannulated screw. Read More

View Article and Full-Text PDF

Trans-olecranon fracture-dislocation of the elbow in children.

Int Orthop 2021 08 12;45(8):2025-2031. Epub 2021 Apr 12.

Department of Pediatric Orthopedics, Beijing Jishuitan Hospital, Beijing, 100035, China.

Objectives: Trans-olecranon fracture-dislocations are rare in children. To our knowledge, only 12 cases have been described in children till now and the treatment strategy for this injury in children remains unclear. To provide a clear clinical description and more accurate treatment options, we retrospectively reviewed cases with this kind of injury in our institution. Read More

View Article and Full-Text PDF

The adjunct use of lateral hinged external fixator in the treatment of traumatic destabilizing elbow injuries.

Int Orthop 2021 05 23;45(5):1299-1308. Epub 2021 Feb 23.

Division of Orthopaedic and Trauma Surgery, Sahel General Hospital, University Medical Centre, PO Box 99/25, Ghoubeiry, Beirut, Lebanon.

Purpose: The purpose of this study is to evaluate the results of using a lateral hinged external fixator as an adjunct stabilizer in the treatment of a variety of acute destabilizing elbow injuries.

Methods: A retrospective review was performed on the medical records of patients in whom a lateral monolateral elbow hinged external fixator was applied by the senior author. The indication to apply the fixator corresponded to a variety of acute injury patterns ranging from simple elbow trauma or dislocation to complex fracture-dislocation, and the decision was based on either the presence of recurrent or persistent instability in any direction and/or to secure a vulnerable or weak bony fixation or soft tissue repair as intra-operatively judged by the surgeon. Read More

View Article and Full-Text PDF

Injury of the brachial artery accompanying simple closed elbow dislocation: a case report.

Acta Biomed 2020 12 30;91(14-S):e2020030. Epub 2020 Dec 30.

.

Background: Elbow dislocation is the second common dislocation in adults, after the shoulder. The anatomical proximity to the joint of the brachial artery could lead to concomitant vascular injuries, even if their occurrence remains very rare.

Method: It is reported the case of a right-hand-dominant  42-year-old man who sustained a simple closed  posterior elbow dislocation of  his left elbow, associated to a complete brachial artery rupture. Read More

View Article and Full-Text PDF
December 2020

Nerve Grafting for Chronic PIN Palsy Due to Radiocapitellar Joint Entrapment 2 Years Following Closed Reduction of a Pediatric Monteggia Fracture-Dislocation: A Case Report With 1-Year Follow-up.

Hand (N Y) 2021 11 24;16(6):NP10-NP14. Epub 2021 Jan 24.

McMaster University, Hamilton, ON, Canada.

This article describes the first case of successful nerve grafting for posterior interosseous nerve (PIN) palsy secondary to radiocapitellar joint entrapment 2 years following closed reduction (CR) of a pediatric Monteggia fracture-dislocation (MFD). Patient notes were examined. The literature was reviewed to determine whether similar cases or techniques had been reported. Read More

View Article and Full-Text PDF
November 2021

Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report.

Clin Shoulder Elb 2020 Mar 21;23(1):27-30. Epub 2020 Feb 21.

Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, Colombia.

Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. Read More

View Article and Full-Text PDF

Results and complications of head-preserving techniques in chronic neglected shoulder dislocation: a systematic review.

J Shoulder Elbow Surg 2021 Mar 14;30(3):685-694. Epub 2020 Nov 14.

Indian Orthopaedics Research Group, Mumbai, Maharashtra, India.

Background: Humeral head-preserving procedures may be needed for chronic neglected shoulder dislocation because the presenting age of the patient is often reported to be less than 45 years. The aim of this systematic review was to evaluate the results of the various head-preserving procedures for chronic anterior dislocation (CAD) and chronic posterior dislocation (CPD). This review also aimed to evaluate the results of conservative neglect for CAD. Read More

View Article and Full-Text PDF

Surgical Elbow Dislocation Approach to the Distal Humerus for Apparent Capitellar and Lateral Condyle Fractures in Adults.

J Orthop Trauma 2021 03;35(3):e77-e81

Department of Orthopaedic Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD.

Objectives: Access to fractures of the distal humeral capitellum, trochlea, and lateral condyle is difficult through traditional approaches due to limited anterior articular exposure for direct reduction and fixation. The purpose of this study is to evaluate the relative articular exposure of a surgical dislocation (SD) approach to the distal humerus compared with olecranon osteotomy (OO).

Methods: Eight paired elbows from 4 cadavers underwent either SD or OO approach. Read More

View Article and Full-Text PDF

Bilateral Collateral Ligament Reconstruction for Chronic Elbow Dislocation.

Kobe J Med Sci 2020 Sep 10;66(2):E71-E74. Epub 2020 Sep 10.

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

We report the case of a 37-year-old male with autism spectrum disorder who was hospitalized for chronic elbow dislocation. He had suffered a posterior elbow dislocation 5 months ago. His elbow dislocation was easily reduced, but the reduction position could not be maintained. Read More

View Article and Full-Text PDF
September 2020

What Factors Are Associated with Reoperation After Operative Treatment of Terrible Triad Injuries?

Clin Orthop Relat Res 2021 01;479(1):119-125

P. J. Ostergaard, M. A. Tarabochia, M. J. Hall, G. Dyer, B. E. Earp, P. Blazar, D. Zhang, Division of Hand and Upper Extremity Surgery, Department of Orthopedics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Background: Terrible triad injuries of the elbow, consisting of posterior ulnohumeral joint dislocation with associated fractures of the radial head and coronoid process, are challenging injuries due to the difficulty in restoring stability to the joint surgically while also attempting to allow early ROM to prevent stiffness. Furthermore, complications are both debilitating and relatively common, frequently requiring reoperation.

Questions/purposes: (1) What patient-, injury-, or surgery-related factors are associated with reoperation after surgical treatment of terrible triad injuries of the elbow? (2) What are the most common causes of reoperation after these injuries?

Methods: Between January 2000 and June 2017, we identified 114 patients who had surgery for terrible triad injuries at two tertiary-care referral centers. Read More

View Article and Full-Text PDF
January 2021

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.

J Am Acad Orthop Surg 2020 Oct;28(19):e839-e848

Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY.

Monteggia fractures involve proximal ulna fracture associated with a radiocapitellar joint dislocation. The Bado classification is primarily based on the direction of the radial head dislocation. The Jupiter subtype classification of Bado II fractures further characterizes the severity of proximal ulna comminution and the involvement of the coronoid fragment. Read More

View Article and Full-Text PDF
October 2020

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 and Full-Text PDF

Simple and stable elbow dislocations: results after conservative treatment.

Acta Biomed 2020 05 30;91(4-S):224-231. Epub 2020 May 30.

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

Background And Aim Of The Work: In adults, elbow dislocations are second in frequency after shoulder dislocations. They are often the result of a trauma due to accidental falls on the palm of the hand with the elbow flexed. In most cases this mechanism produces a posterior dislocation of the radius and ulna with respect to the humerus. Read More

View Article and Full-Text PDF

Does overcorrection cause any negative effect on pediatric missed Monteggia lesion?

Eur J Orthop Surg Traumatol 2020 Aug 26;30(6):1017-1024. Epub 2020 Mar 26.

Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand.

Purposes: To evaluate the outcome of different types of ulna osteotomy in missed Monteggia fracture with a particular interest in anatomical correction and overcorrection techniques. The outcome between the two groups were compared on aspects of (1) clinical outcome (2) radiologic outcome.

Methods: Twenty-one patients with type 1 missed Monteggia fracture who underwent surgery between January 2005-2018 were retrospectively reviewed. Read More

View Article and Full-Text PDF

Proximal Radioulnar Translocation Associated with Posterior Fracture-Dislocation of Elbow in an Adolescent Girl: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0445

Pediatric Orthopaedic Department, Geneva University Hospitals, Geneva, Switzerland.

Case: A 14-year-old girl sustained a posterior elbow dislocation and presented with a proximal radioulnar translocation (PRUT) and a displaced fracture of the radial head. Reduction of the elbow dislocation and the proximal radioulnar translocation were achieved by external manipulation in the operating room. The radial head was not amenable to closed reduction and remained entrapped in the anteromedial compartment of the elbow. Read More

View Article and Full-Text PDF
January 2021

Isolated displaced type II partial articular radial head fracture: correlation of preoperative imaging with intraoperative findings of lateral ulnar collateral ligament tear.

J Shoulder Elbow Surg 2020 Jan 11;29(1):132-138. Epub 2019 Sep 11.

Orthopaedic and Trauma Unit, University of Modena and Reggio Emilia, Modena, Italy.

Background: The aim of this study was to determine the lateral ulnar collateral ligament (LUCL) injury associated with isolated radial head fracture (RHF) and the relationship of the ligament injury with the displacement of the fragment-loss of contact-in unstable displaced partial articular RHF in individuals without any history of ulnohumeral dislocation.

Methods: We retrospectively identified 131 consecutive patients who underwent open reduction and internal fixation of isolated closed Mason type II RHF performed at our institution. We identified 3 subsets by the pattern of RHF and the position of the unstable fragment (anterior or posterior) relative to the capitulum humeri: displaced stable (group I), displaced anterior unstable (group II), and displaced posterior unstable (group III). Read More

View Article and Full-Text PDF
January 2020

Factors Predicting the Outcome After Arthroscopically Assisted Stabilization of Acute High-Grade Acromioclavicular Joint Dislocations.

Am J Sports Med 2019 09 2;47(11):2670-2677. Epub 2019 Aug 2.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: Factors influencing the outcome after arthroscopically assisted stabilization of acute high-grade acromioclavicular (AC) joint dislocations remain poorly investigated.

Purpose: To identify determinants of the radiological outcome and investigate associations between radiological and clinical outcome parameters.

Study Design: Cohort study; Level of evidence, 3. Read More

View Article and Full-Text PDF
September 2019

Posterosuperior shoulder dislocation due to the rupture of deltoid posterior fibers: a case report.

BMC Musculoskelet Disord 2019 Jul 27;20(1):345. Epub 2019 Jul 27.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.

Background: Superior shoulder dislocation is a rare type of shoulder dislocation. Its occurrence is thought to be associated with rupture of the deltoid; however, few reports are available on the mechanism of onset and the treatment of a superior shoulder dislocation. Here we describe a case of dislocation in the direction of the posterior acromion, referred to as posterosuperior shoulder dislocation, caused by the traumatic rupture of deltoid posterior fibers. Read More

View Article and Full-Text PDF

Repair of Bado II Monteggia Fracture: Case Presentation and Surgical Technique.

J Orthop Trauma 2019 Aug;33 Suppl 1:S13-S14

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

Introduction: Monteggia fractures are rare, although complex elbow injuries. Bado II Monteggia fractures are characterized by posterior dislocation of the radial head and concurrent fracture of the proximal or middle third of the ulna. This video demonstrates the open reduction and internal fixation of a complex Bado II Monteggia fracture dislocation. Read More

View Article and Full-Text PDF

[Combined convergent elbow dislocation with posterior luxation of the humeroulnar joint and radial head comminuted fracture in adults].

Unfallchirurg 2019 Sep;122(9):736-743

Klinik für Unfall‑, Hand- und orthopädische Chirurgie, Städtisches Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Deutschland.

Transposition of the proximal radioulnar joint, so-called convergent elbow dislocation, is an extremely rare injury whereby the proximal radius crosses over the proximal ulnar and converges medially. This injury can occur in isolation or even less frequently in association with a posterior humeroulnar dislocation. Open reduction is almost always necessary. Read More

View Article and Full-Text PDF
September 2019