195 results match your criteria Joint Reduction Elbow Dislocation Posterior


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

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193047
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http://dx.doi.org/10.1016/j.jse.2019.07.006DOI Listing
January 2020
2 Reads

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

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http://dx.doi.org/10.1177/0363546519862850DOI Listing
September 2019
2 Reads

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

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http://dx.doi.org/10.1186/s12891-019-2727-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661095PMC
July 2019
14 Reads

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

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http://dx.doi.org/10.1097/BOT.0000000000001525DOI Listing
August 2019
9 Reads

[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

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http://dx.doi.org/10.1007/s00113-019-0662-4DOI Listing
September 2019
15 Reads

The usefulness of ultrasound and the posterior fat pad sign in pulled elbow.

Injury 2019 Jun 29;50(6):1227-1231. Epub 2019 Apr 29.

Department of Orthopedic Surgery, College of Medicine, Korea University, Seoul, Republic of Korea. Electronic address:

Introduction: A pulled elbow is a common cause of acute elbow pain that is generally managed by a reduction maneuver without radiographic examination. However, children with atypical presentation with no history of abrupt longitudinal traction should undergo elbow imaging. This study aimed to investigate plain radiography findings and determine the usefulness of ultrasonography (US) in atypical pulled elbow. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193025
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http://dx.doi.org/10.1016/j.injury.2019.04.026DOI Listing
June 2019
1 Read

A new approach for surgical treatment of chronic Monteggia fracture in children.

Injury 2019 Jun 27;50(6):1237-1241. Epub 2019 Apr 27.

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi, China; Research Centre for Regenerative Medicine, Guangxi Key Laboratory of Regenerative Medicine, Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi, China. Electronic address:

Purpose: The aim of the study was to investigate the clinical outcomes of a combined anterior and posterior approach for the surgical treatment of chronic Monteggia fractures in children.

Materials And Methods: From November 2010 to January 2018, 33 patients (27 boys and 6 girls) with chronic Monteggia fracture who were treated surgically by one surgeon of our department were retrospectively analyzed. In the surgical procedure, open reduction and excision of fibrous scar were performed with the anterior Henry's approach, while ulnar osteotomy was carried out with a posterior approach. Read More

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http://dx.doi.org/10.1016/j.injury.2019.04.017DOI Listing
June 2019
8 Reads

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

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

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

Skeletal Radiol 2019 Oct 13;48(10):1629-1636. 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

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http://dx.doi.org/10.1007/s00256-019-03201-4DOI Listing
October 2019
15 Reads

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 03 30;47(3):682-687. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

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http://dx.doi.org/10.1177/0363546518819199DOI Listing
March 2019
38 Reads

Ulnar osteotomy and the ilizarov mini-fixator for pediatric chronic monteggia fracture-dislocations.

Medicine (Baltimore) 2019 Jan;98(1):e13978

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Treatment of chronic Monteggia fracture-dislocations remains controversial in skeletally immature patients. The present study aimed to review the clinical outcomes of surgical treatment with an Ilizarov mini-fixator for chronic Monteggia fracture-dislocations in children. From April 2003 to March 2014, 5 pediatric patients (4 males, 1 female) with chronic Monteggia fracture-dislocation were treated with an Ilizarov mini-fixator at our institution. Read More

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http://Insights.ovid.com/crossref?an=00005792-201901040-0005
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http://dx.doi.org/10.1097/MD.0000000000013978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344151PMC
January 2019
11 Reads

Pure Medial Elbow Dislocation without Concomitant Fracture in a 10-Year-Old Child.

Indian J Orthop 2018 Nov-Dec;52(6):678-681

Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Pediatric elbow dislocations are rare injuries and are often accompanied by concomitant fractures. We report a rare case of medial dislocation of the right elbow without accompanying fracture in a 10.5-year-old boy after fall from a bicycle. Read More

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http://www.ijoonline.com/text.asp?2018/52/6/678/244983
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http://dx.doi.org/10.4103/ortho.IJOrtho_534_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241057PMC
December 2018
9 Reads

The Elbow Technique: A Novel Reduction Technique for Anterior Shoulder Dislocations.

J Emerg Med 2019 Feb 6;56(2):201-204. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: Anterior dislocation of the glenohumeral joint is a common upper extremity injury in orthopedic and emergency medicine. The aim of this study was to introduce a novel reduction technique, "elbow technique," for anterior shoulder dislocations.

Discussion: This study included 26 patients with anterior shoulder dislocation who were treated using the elbow technique in our hospital's emergency department between October 2014 and December 2015. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.10.018DOI Listing
February 2019
27 Reads

Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant.

J Hand Surg Am 2019 Aug 27;44(8):699.e1-699.e10. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.10.007DOI Listing
August 2019
14 Reads

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00051DOI Listing
December 2018
39 Reads

Traumatic Divergent Elbow Dislocation with Associated Forearm Amputation in an Adult: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e92-5

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00252DOI Listing
November 2019
10 Reads

The burden of chronic elbow dislocations in Cambodia and early results of a cost-effective surgical approach.

Trop Doct 2019 Jan 12;49(1):14-19. Epub 2018 Nov 12.

7 Orthopaedic surgeon and CEO of the Children's Surgical Centre, Children's Surgical Centre, Phnom Penh, Cambodia.

Chronic elbow dislocation presents a surgical challenge and there is difficulty in balancing stability with early mobilisation. We present a series of 103 patients treated with open reduction via a posterior approach and provide early results of an alternative combined medial and lateral approach (Soddo technique, Anderson et al.). Read More

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http://dx.doi.org/10.1177/0049475518808637DOI Listing
January 2019
11 Reads

[Simple elbow dislocations in children : Systematic review and meta-analysis].

Unfallchirurg 2019 May;122(5):364-368

Klinik für Orthopädie und Unfallchirurgie, Klinikum, Albert-Ludwigs-Universität, Freiburg i. Br., Deutschland.

Background: Simple elbow dislocations in childhood are rare. Nevertheless, they have a high relevance because they can result in subsequent damage and limitations in range of motion. The treatment options are controversially discussed. Read More

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http://link.springer.com/10.1007/s00113-018-0576-6
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http://dx.doi.org/10.1007/s00113-018-0576-6DOI Listing
May 2019
20 Reads

Posteromedial elbow dislocation with lateral humeral condylar fracture in children: Three case reports and a literature review.

Medicine (Baltimore) 2018 Sep;97(36):e12182

Rationale: Posteromedial dislocations of the elbow with lateral humeral condylar fractures (LCFs) are uncommon, and only isolated cases have been reported in the English-language literature. Because of the complex radiolucent cartilaginous structures and late-appearing ossification centers, radiological diagnosis of elbow dislocations with LCF in children is challenging.

Patient Concerns: We report three children with posteromedial elbow dislocation: two patients with Milch type I and one patient with Milch type II LCF. Read More

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http://dx.doi.org/10.1097/MD.0000000000012182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133417PMC
September 2018
5 Reads

Blunt trauma to the antecubital fossa causing brachial artery injury and minor fractures around the elbow joint, an easily missed diagnosis with potential devastating consequences: a case report.

J Med Case Rep 2018 Jul 18;12(1):211. Epub 2018 Jul 18.

Hospital Sultan Ismail, Jalan Persiaran Mutiara Emas, Tmn Mount Austin, 81100, Johor Bahru, Malaysia.

Background: Blunt trauma causing brachial artery injury in a young patient is very rare. Cases of brachial artery injury may be associated with closed elbow dislocation or instability. Elbow dislocation may not be evident clinically and radiologically on initial presentation. Read More

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http://dx.doi.org/10.1186/s13256-018-1751-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050690PMC
July 2018
19 Reads

Missed Pediatric Monteggia Fractures.

JBJS Rev 2018 Jun;6(6):e2

Division of Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.

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http://dx.doi.org/10.2106/JBJS.RVW.17.00116DOI Listing
June 2018
1 Read

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques.

J Emerg Med 2018 06 19;54(6):849-854. Epub 2018 Apr 19.

Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.

Background: Elbow dislocations are one of the most common large joint dislocations and they require urgent reduction in the emergency department. Posterior dislocations are the most common type, with anterior dislocations occurring in rare cases.

Discussion: Reduction techniques include traction-countertraction, patient-assisted countertraction, the leverage approach, and the modified Stimson technique. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.02.011DOI Listing
June 2018
6 Reads

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child.

Chin J Traumatol 2018 Apr 20;21(2):122-124. Epub 2018 Feb 20.

Department of Orthopaedic Surgery, University Hospital, 5000 Monastir, Tunisia.

In this report, we describe an extremely unusual Monteggia equivalent type 1 lesion in a 10-year-old boy following a fall from a height of 1 m. On the plain radiographs, our patient had a particular Monteggia equivalent type 1 injury associating a posterior elbow dislocation with diaphyseal radius and ulna fractures. The patient was treated by closed reduction technique. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911725PMC
April 2018
14 Reads

An unusual case of posterior elbow dislocation with proximal radioulnar translocation.

Rev Esp Cir Ortop Traumatol 2019 Jan - Feb;63(1):69-74. Epub 2018 Mar 7.

Servicio de Radiodiagnóstico, Hospital Sierrallana, Torrelavega, España.

We present a 9-year-old girl who suffered a posterior dislocation of the right elbow with a proximal translocation between the ulna and the radius. It is a type of exceptional dislocation which in our case was not accompanied by lesions of the joint surfaces of the elbow unlike most cases already published. This article stresses the importance of making an early diagnosis of this variety of dislocation; this is the best way to prevent it from going unnoticed. Read More

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http://dx.doi.org/10.1016/j.recot.2018.01.006DOI Listing
June 2019
5 Reads

A Case of 3-month-old Neglected Elbow Dislocation Managed by Open Reduction and Cruciate Ligament Reconstruction Using Tendon Graft.

J Orthop Case Rep 2017 Jul-Aug;7(4):58-60

Department of Orthopaedics, Panjabrao Deshmukh Memorial, Medical College, Amravati. Maharashtra, India.

Introduction: Old neglected posterior type of elbow dislocations is not very common and generally requires open reduction. It was usually treated with open reduction and K-wire stabilization. We did a newer method in which in addition cruciate type ligament reconstruction; we have reconstructed lateral ulnar collateral ligament (LUCL) and UCL (medial collateral ligament) using semitendinosus graft. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.852DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702707PMC
November 2017
42 Reads

An uncommon variant of the Essex-Lopresti injury.

Skeletal Radiol 2018 Mar 2;47(3):397-400. Epub 2017 Oct 2.

Trauma Center, Ben Arous, Tunisia.

The Essex-Lopresti injury is an extremely rare condition combining radial head or neck fracture, distal radio-ulnar joint dislocation and rupture of the interosseous membrane. However, there are rare or unusual varieties or associated injuries. We report a case of a 46-year-old woman with a posterior dislocation of the radio-humeral joint, a radial shaft fracture, and a distal radio-ulnar joint dislocation. Read More

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http://dx.doi.org/10.1007/s00256-017-2782-7DOI Listing
March 2018
36 Reads

Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases.

Acta Orthop Traumatol Turc 2017 Oct 26;51(5):362-366. Epub 2017 Aug 26.

Koç University, School of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey. Electronic address:

Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder.

Patients And Methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28-72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1017995X173017
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http://dx.doi.org/10.1016/j.aott.2017.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197171PMC
October 2017
32 Reads

Risk of Engagement of Bipolar Bone Defects in Posterior Shoulder Instability.

Am J Sports Med 2017 Oct 28;45(12):2835-2839. Epub 2017 Jun 28.

Center for Musculoskeletal Surgery, Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: The risk of re-engagement of bipolar bone defects in posterior shoulder instability has not yet been investigated.

Hypothesis: Posterior glenoid defects can lead to the engagement of supposedly noncritical reverse Hill-Sachs lesions (RHSLs).

Study Design: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/0363546517714456DOI Listing
October 2017
63 Reads

Case Report: Ultrasound-Guided Infraclavicular Brachial Plexus Block for a Case with Posterior Elbow Dislocation.

J Emerg Med 2017 Aug 23;53(2):232-235. Epub 2017 Jun 23.

Department of Orthopedic Surgery, Sirnak Military Hospital, Sirnak, Turkey.

Background: The interest in regional anesthesia procedures for the management of upper-extremity emergencies has increased. Toward that end, supraclavicular, interscalene, or infraclavicular approaches, with or without ultrasound guidance, are used for brachial plexus nerve blocks. Although many studies have reported on the use of ultrasound-guided supraclavicular and interscalene brachial plexus blocks for upper-extremity dislocations, very few studies have reported on the use of ultrasound-guided infraclavicular brachial plexus blocks. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.05.005DOI Listing
August 2017
11 Reads

Anterior Dislocation of Elbow with Neurovascular Injury: A Rare Case Report.

J Orthop Case Rep 2017 Jan-Feb;7(1):91-94

Department of Orthopaedics, AVSS Hospitals and Advanced Trauma Care Centre, Madurai, Tamil Nadu, India.

Introduction: Anterior elbow dislocation is an infrequent lesion, produced by direct trauma to the proximal ulna after a fall on the elbow in flexion and injury to the neurovascular bundle is not infrequent. Authors report a case of acute anterior dislocation of the elbow joint with neurovascular injury.

Case Report: A 30-year-old male admitted with a history of accidental fall followed by pain, swelling over his left elbow. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5458709PMC
June 2017
7 Reads

Type III Monteggia fracture with posterior interosseous nerve injury in a child: A case report.

Medicine (Baltimore) 2017 Mar;96(11):e6377

Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China.

Rationale: Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail.

Patient Concerns: Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Read More

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http://dx.doi.org/10.1097/MD.0000000000006377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369935PMC
March 2017
73 Reads

Arthroscopic Reconstruction After Acute Acromioclavicular Separation Injuries.

JBJS Essent Surg Tech 2017 Mar 8;7(1):e7. Epub 2017 Mar 8.

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

Acute acromioclavicular (AC)-joint dislocations are common injuries of the shoulder girdle. Surgical repair is indicated for acute high-grade (Rockwood types IV, V, and VI) AC-joint injuries. The best treatment for type III is still controversial, but young and active patients with this type of injury might benefit from a surgical AC-joint stabilization. Read More

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http://dx.doi.org/10.2106/JBJS.ST.16.00063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132590PMC
March 2017
4 Reads

A systematic and technical guide on how to reduce a shoulder dislocation.

Turk J Emerg Med 2016 Dec 18;16(4):155-168. Epub 2016 Nov 18.

Shoulder and Elbow Unit, Joint Research, Department of Orthopaedic Surgery OLVG, Amsterdam, The Netherlands.

Objectives: Our objective is to provide a systematic and technical guide on how to reduce a shoulder dislocation, based on techniques that have been described in literature for patients with anterior and posterior shoulder instability.

Materials And Methods: A PubMed and EMBASE query was performed, screening all relevant literature on the closed reduction techniques. Studies regarding open reduction techniques and studies with fracture dislocations were excluded. Read More

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http://dx.doi.org/10.1016/j.tjem.2016.09.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154590PMC
December 2016
12 Reads

Pediatric Olecranon Fractures Associated With Radial Neck Fractures: Review and Report of Two Cases.

Trauma Mon 2016 Jul 15;21(3):e20686. Epub 2016 May 15.

Orthopaedics and Trauma Department, Ozel Antalya Memorial Hospital, Antalya, Turkey.

Introduction: The debate regarding the description on classification and nomenclature of the injury which includes olecranon fracture associated with radial neck fractures in children is ongoing. We report two pediatric cases that could not be classified in a Monteggia-equivalents system and were treated with open reduction and k-wire fixation. The aim of this study was to perform a systematic review regarding pediatric radial neck fractures associated with olecranon fractures and presentation of two pediatric cases of olecranon fractures associated with radial neck fractures with radiocapitellar dislocation. Read More

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http://dx.doi.org/10.5812/traumamon.20686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124109PMC
July 2016
34 Reads

Complex Monteggia fracture in a 5 year old.

J Pediatr Orthop B 2017 Jan;26(1):36-40

aDepartment of Orthopaedics, Tulane School of MedicinebDepartment of Orthopaedics, Children's Hospital, New Orleans, Louisiana, USA.

Monteggia fractures comprise a small subset of fractures in the pediatric population that are normally reduced nonoperatively. Complex Monteggia fractures can be more difficult to identify and require operative intervention. We describe a case of a Bado type I Monteggia fracture with a posteriorly dislocated radial head and neck fracture that has not been described before in the literature. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000362DOI Listing
January 2017
31 Reads

A case report of children's divergent dislocation of the elbow and review of literature.

Medicine (Baltimore) 2016 Nov;95(44):e4772

Department of Pediatric Orthopedics, Hong Hui Hospital, Xi'an Jiao Tong University College of Medicine, Shaanxi, China..

Background: The divergent dislocation of the elbow is not common in children, and the imaging is difficult and challenging. This often leads to misdiagnosis or inappropriate treatment. The literature has reported a total of 19 cases currently. Read More

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http://dx.doi.org/10.1097/MD.0000000000004772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591086PMC
November 2016
30 Reads

Posterior interosseous nerve palsy associated with neglected pediatric Monteggia fracture-dislocation: A case report.

Int J Surg Case Rep 2016 26;27:102-106. Epub 2016 Aug 26.

Department of Orthopaedics and Traumatology, Acıbadem Maslak Hospital, İstanbul, Turkey.

Introduction: The main goal of the treatment is the anatomical reduction of the ulna fracture and the radial head dislocation in acute and chronic Monteggia cases. Acute pediatric Monteggia lesions are generally treated non-surgically; however, the treatment of chronic Monteggia is challenging. The aim of this article is to share our experiences about treatment of neglected Monteggia lesion. Read More

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http://dx.doi.org/10.1016/j.ijscr.2016.08.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011183PMC
August 2016
39 Reads

Radial head button holing: a cause of irreducible anterior radial head dislocation.

Skeletal Radiol 2016 Oct 8;45(10):1449-52. Epub 2016 Aug 8.

Department of Orthopedic Surgery, Seoul National University Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea.

"Buttonholing" of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign. Read More

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http://dx.doi.org/10.1007/s00256-016-2451-2DOI Listing
October 2016
16 Reads

Posterior Distal Clavicle Beveling for Chronic Nonincarcerated Type IV Acromioclavicular Separations: Surgical Technique and Early Clinical Outcomes.

Arthroscopy 2017 Jan 1;33(1):84-89. Epub 2016 Aug 1.

Sports and Orthopaedic Specialists, Allina Health Orthopedic Institute, Edina, Minnesota, U.S.A.

Purpose: To describe the arthroscopic partial posterior distal clavicle beveling technique for treatment of chronic nonincarcerated type IV acromioclavicular (AC) separations and report clinical outcomes and return to sport.

Methods: All patients who underwent the arthroscopic partial distal clavicle beveling technique and met eligibility criteria were identified and retrospectively reviewed. Inclusion criteria included the clinical diagnosis of a chronic nonincarcerated type IV AC separation and a minimum follow-up period of 24 months. Read More

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http://dx.doi.org/10.1016/j.arthro.2016.06.013DOI Listing
January 2017
17 Reads

[Progress on diagnosis and treatment of the terrible triad of elbow joint].

Zhongguo Gu Shang 2016 Jul;29(7):677-680

Department of Orthopaedics, the Second People's Hospital of Pingliang City, Pingliang 744000, Gansu, China.

The terrible triad of elbow is a kind of complex elbow fracture dislocation, after reduction, it should get a concentric circles joint reduction and elbow stability, if radial and coronoid process fractures is less piece, the conservative treatment can be performed, but regularly follow up is mandatory. If surgical treatment was chosen, radial head fractures and the lateral collateral ligament complex must be repaired. Single lateral approach can be used and also can be combined with anteromedial approach in surgery. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2016.07.021DOI Listing
July 2016
28 Reads

Elbow Pain After a Fall: Nursemaid's Elbow or Fracture?

Pediatr Ann 2016 Jun;45(6):e214-7

Nursemaid's elbow and elbow fractures are both common causes of acute elbow pain, but the mechanism of injury is quite different. In children, falls frequently go unwitnessed and children are often inaccurate when recounting the sequences of a fall, making the mechanism difficult to ascertain. A common clinical mistake is to treat all elbow injuries as a nursemaid's elbow. Read More

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http://dx.doi.org/10.3928/00904481-20160506-01DOI Listing
June 2016
6 Reads

Brachial artery injury due to closed posterior elbow dislocation: case report.

Rev Bras Ortop 2016 Mar-Apr;51(2):239-43. Epub 2016 Feb 24.

Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.

An association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. Read More

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http://dx.doi.org/10.1016/j.rboe.2016.02.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812001PMC
April 2016
10 Reads

A rare combination of fractures around the elbow: Bony variant of terrible triad.

Chin J Traumatol 2015 ;18(6):363-6

Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

Radial head and coronoid fractures without posterior dislocation of the elbow have not been recorded in the literature. There is no literature documenting the combined fractures of the radial head, capitellum and coronoid process together in the same elbow. This is a case report highlighting this combination of fractures in a 30 year old patient treated with open reduction and internal fixation of all three fractures. Read More

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http://dx.doi.org/10.1016/j.cjtee.2015.06.003DOI Listing
December 2016
7 Reads

Outcome of open reduction for the neglected posterior dislocation of the elbow in a low-to-middle income country.

Trop Doct 2016 Apr 6;46(2):96-100. Epub 2015 Aug 6.

MD, "Cervesi" Hospital, Cattolica (RN), Italy.

Background: Neglected posterior dislocation of the elbow is common in developing countries. We evaluated the clinical results of open reduction focusing on range of motion (ROM), stability and pain.

Materials And Methods: Sixteen patients were treated for neglected dislocation of the elbow between January 2008 and December 2012 at St. Read More

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http://journals.sagepub.com/doi/10.1177/0049475515598465
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http://dx.doi.org/10.1177/0049475515598465DOI Listing
April 2016
13 Reads

Management and functional outcomes following sternoclavicular joint dislocation.

Injury 2015 Oct 20;46(10):1906-13. Epub 2015 Jun 20.

Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, VIC, Australia.

Introduction: The aim of this study is to describe the demographics, management and functional outcomes of patients presenting with a sternoclavicular joint (SCJ) dislocation.

Methods: A retrospective medical record review was conducted examining patients with SCJ dislocation admitted to an adult level 1 trauma centre between 2004 and 2012. Patient demographics, symptoms, associated injuries, imaging technique used in diagnosis, surgical data and neurovascular complications were recorded. Read More

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http://dx.doi.org/10.1016/j.injury.2015.05.050DOI Listing
October 2015
10 Reads

Outcomes after surgical treatment of missed Monteggia fractures in children.

Musculoskelet Surg 2015 Sep 10;99 Suppl 1:S75-82. Epub 2015 May 10.

Shoulder and Elbow Surgery Unit, Istituto Ortopedico Rizzoli, Bologna, Italy.

Background: Chronic dislocation of the radial head treatment in Monteggia fracture dislocation is still controversial. We present a large series of patients treated in our Institution.

Materials And Methods: The outcome of 22 children treated surgically between 1988 and 2011 for post-traumatic chronic radial head dislocation is reported. Read More

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http://dx.doi.org/10.1007/s12306-015-0362-3DOI Listing
September 2015
36 Reads

Neglected Monteggia fracture dislocations in children: a systematic review.

J Pediatr Orthop B 2015 May;24(3):191-9

Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Monteggia fractures are uncommon and frequently missed injuries in children. This article aims to study, in a systematic manner, the surgical management and complications of treatment of chronic radial head dislocations. After screening of relevant abstracts, a total of 28 studies were included in the systematic review. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000147DOI Listing
May 2015
11 Reads
0.656 Impact Factor

Crista Supinatoris Fractures of the Proximal Part of the Ulna: Surgical Technique.

JBJS Essent Surg Tech 2015 Feb 25;5(1):e4. Epub 2015 Feb 25.

Division of Orthopedic Surgery, Hand and Upper Limb Center, St. Joseph's Health Care, University of Western Ontario, 268 Grosvenor Street, London, ON N6A 4L6, Canada.

Introduction: Open reduction and internal fixation of crista supinatoris fractures is required when the elbow is unstable despite appropriate nonoperative management and when a patient is undergoing surgical treatment of a periarticular elbow fracture-dislocation.

Step 1 Skin Incision And Surgical Approach: Use a posterior or lateral skin incision according to your preference and then utilize the Kocher interval to access the joint, lateral collateral ligament, and crista supinatoris or, in the setting of a proximal ulnar fracture, use the Boyd interval.

Step 2 Management Of Associated Injuries: Crista supinatoris fractures have not been identified in isolation; address associated injuries such as radial head/neck fractures, capitellar fractures, and coronoid fractures first. Read More

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http://Insights.ovid.com/crossref?an=01709766-201505010-0000
Publisher Site
http://dx.doi.org/10.2106/JBJS.ST.M.00076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221422PMC
February 2015
56 Reads

[Treatment of terrible triad of elbow with open reduction and internal fixation through anteromedial approach combined with lateral approach].

Zhongguo Gu Shang 2014 Nov;27(11):896-9

Department of Orthopaedics, Shangyu People's Hospital, Shaoxing, Zhejiang, China.

Objective: To study therapeutic effects of anteromedial approach combined with lateral approach for the treatment of terrible triad of elbow.

Methods: From November 2009 to March 2013,17 patients with terrible triad of elbow were treated through anteromedial approach combined with lateral approach. There were 11 males and 6 females, with an average age of 36. Read More

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November 2014
11 Reads