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elbow surgery

M Ershad, R Rege, Ann Majewicz Fey
PURPOSE: Automatic skill evaluation is of great importance in surgical robotic training. Extensive research has been done to evaluate surgical skill, and a variety of quantitative metrics have been proposed. However, these methods primarily use expert selected features which may not capture latent information in movement data. In addition, these features are calculated over the entire task time and are provided to the user after the completion of the task. Thus, these quantitative metrics do not provide users with information on how to modify their movements to improve performance in real time...
February 18, 2019: International Journal of Computer Assisted Radiology and Surgery
Meric Unal, Aydin Budeyri, Sabriye Ercan, Onur Serbest, Onur Dogan, Hilmi Mustafa Demir, Cem Cetin
STUDY DESIGN: Retrospective cohort study. INTRODUCTION: A new method of accurately assessing the compromised elbow's proprioception was developed for this postsurgical population using information from previous neurophysiologic proprioception studies of healthy elbows. HYPOTHESIS: This retrospective cohort study investigated the patterns and the degree of proprioceptive impairment and recovery following arthroscopic surgery for chronic lateral epicondylitis...
February 14, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
Peter Kaiser, David Sailer, Anna Spicher, Rohit Arora, Michael Zegg
INTRODUCTION: "Blobbing" is a modern outdoor activity where a participant sits on the end of a partially inflated air bag ("blobber") and is launched into the water when another participant jumps onto the air bag from a platform on the opposite side ("jumper"). This is the first study to evaluate the injury patterns associated with blobbing. PATIENTS AND METHODS: A retrospective data analysis was conducted based on 86 patients who sustained blobbing injuries between January 2011 and December 2016...
February 8, 2019: Injury
Tae-Hwan Yoon, Sung-Jae Kim, Chong-Hyuk Choi, Soon-Phil Yoon, Yong-Min Chun
PURPOSE: To investigate whether subscapularis integrity and compensatory teres, minor hypertrophy is associated with maintaining relatively good function and tolerable pain levels during non-operative treatment. METHODS: This study included 108 patients with irreparable, massive rotator cuff tears involving at least two tendons and stage III or IV muscle hypotrophy and fatty infiltration on oblique sagittal magnetic resonance imaging, in which even a partial repair does not seem feasible...
February 15, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Dominik Gruszka, Tobias E Nowak, Tomasz Tkacz, Daniel Wagner, Pol M Rommens
BACKGROUND: Internal fixation of complex radial head and neck (CRHN) fractures is difficult, and postoperative complications are common. This study evaluated elbow function and patient clinical status after internal fixation of CRHN fractures with modern locking plates. METHODS: We included 40 patients with 41 fractures (1 bilateral lesion). In 25 patients (61%), a concomitant injury was found. Patients were an average age of 46 years (range, 22-70 years). The mean follow-up time was 36 months (range, 2-70 months)...
February 13, 2019: Journal of Shoulder and Elbow Surgery
Dong Kyu Moon, Sun Chul Hwang, Jun Il Yoo, Jin Sung Park
INTRODUCTION: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. PRESENTATION OF CASE: We present an 18-year-old right hand dominant male with distal radius extra-articular fracture and elbow fracture dislocation. Computed tomographic scan and Magnetic resonance image of elbow joint showed retained intra-articular fragment, trochlear fracture, and the humeral attachment site of lateral collateral ligament (LCL) with rupture...
February 1, 2019: International Journal of Surgery Case Reports
Eva Pontén, Ferdinand von Walden, Catarina Lenke-Ekholm, Britt-Marie Zethraeus, Ann-Christin Eliasson
To evaluate whether short-term positive effects on bimanual function after surgery of the paretic arm in cerebral palsy are maintained long term. Assisting Hand Assessment (AHA) and active range of motion was tested before surgery and at 7 month and 9-year follow-up (n=18). AHA improved significantly from 50 to 52 U at 7 months, but was not different from before surgery at the 9-year follow-up, 49 U. Surgery of wrist and elbow flexors significantly improved active extension. Improvement in wrist and elbow extension was maintained at the 9-year follow-up, but usefulness of the hand measured with AHA had returned to the same level as before surgery...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
Stefan Greiner, Matthias Koch, Maximilian Kerschbaum, Pushkar P Bhide
PURPOSE: Most elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. A new method of open ligament repair and augmentation of the lateral ulnar collateral ligament using a non-absorbable suture tape in cases of acute and subacute elbow instability following dislocations has been described here, which allows an early, brace-free initiation of the full range of motion...
February 14, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Egemen Ayhan, Francisco Soldado, César G Fontecha, Jayme A Bertelli, Gursel Leblebicioglu
INTRODUCTION: Posttraumatic brachial plexus (BP) palsy was used to be treated by reconstruction with nerve grafts. For the last two decades, nerve transfers have gained popularity and believed to be more effective than nerve grafting. The aim of this systematic review was to compare elbow flexion restoration with nerve transfers or nerve grafting after traumatic BP injury. METHODS: PRISMA-IPD structure was used for 52 studies included. Patients were allocated as C5-C6 (n = 285), C5-C6-C7 (n = 150), and total BP injury (n = 245) groups...
February 13, 2019: Microsurgery
M K Roy, M T Alam, M W Rahman, M S Islam, K A Sayeed, M Z Kamal, M K Alamgir, B Nandi, A M Mohiuddin
The aim of this prospective experimental study was to analyze the radiological and clinical results of the supra condylar fracture of Humerus in children and conducted the functional outcome of closed reduction and internal fixation by percutaneous Kirschner-wire from lateral side and crossed technique in the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-E-Bangla Nagor, Dhaka, Bangladesh from July 2011 to June 2013. Patients diagnosed as closed Supracondylar fracture of Humerus in children due to trauma were the study population...
January 2019: Mymensingh Medical Journal: MMJ
Ashok Jadon, Swapnil Nage, Chintala Pavana Swarupa, Mayur Motaka
We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed...
January 2019: Indian Journal of Anaesthesia
Florin Allemann, Sandro Heining, Boris Zelle, Christian Probst, Hans-Christoph Pape
Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. brachial plexus lesions) are excluded. Methods: We involved Patients with isolated or combined upper extremity fracture, ISS > 16 in a level one trauma center...
2019: Patient Safety in Surgery
Hongwu Zhuo, Jian Li
BACKGROUND: To compare the clinical outcomes of one-stage and two-stage procedures for the management of patients with rotator cuff tear and concomitant shoulder stiffness. METHODS: From December 2013 to June 2016, we recruited 42 consecutive patients with rotator cuff tear and concomitant shoulder stiffness. Twenty-two patients underwent a one-stage procedure, including arthroscopic capsule release and concomitant rotator cuff repair, within 2 weeks of the diagnosis...
February 7, 2019: Journal of Orthopaedic Surgery and Research
Ji-Ying Chen, Chun-Wei Fu, Hsu-Yu Ho, Yung-Chang Lu
RATIONALE: Heterotopic ossification (HO), which is defined as the formation of new bone in tissues that do not normally ossify, is an infrequent yet debilitating complication of burns. Herein, we report three patients who suffered from elbow HO after burn injury due to a dust explosion event. This is a case report that includes the most cases involved in a single mass casualty incident in the presented literature. PATIENT CONCERNS: Case 1: A 28-year-old man presented with second-to-third degree 88% total body surface area (TBSA) burns after the explosion event...
February 2019: Medicine (Baltimore)
Hongwei Chen, Yinchu Shao, Shaobo Li
BACKGROUND: Surgical treatment for terrible triad injuries remains a challenging clinical problem, and controversy exists of whether it is better to repair or replace the radial head. The objective of this systematic review was to evaluate the clinical outcomes of repair and arthroplasty replacement of the radial head in patients with terrible triad injury. METHODS: Medline, Cochrane Library, EMBASE, and Google Scholar were searched up to July 30, 2018 to identify the relevant studies, which included patients who had received treatments of the terrible triad of the elbow and also had reported with the quantitative outcomes...
February 2019: Medicine (Baltimore)
D W Sommerfeldt
Evidence-based literature on counseling and treatment of pediatric and adolescent patients with posttraumatic deformities is scarce; however, especially around the elbow with its low remodeling potential, the number of patients with malunions presenting in outpatient clinics is not rare at all. In this review the more frequent indications for corrective surgery around the pediatric elbow are described and treatment proposals are made from the perspective of an interregional reference center for pediatric and adolescent trauma...
February 6, 2019: Der Unfallchirurg
Tonya An, John Garlich, David Kulber
Background  Myositis ossificans traumatica (MOT) involves the heterotopic development of lamellar bone after a traumatic injury. Despite being termed "myositis," MOT is not limited to muscle but rather can involve tendons, fat, and fascia. "Traumatica" reflects that lesions are usually associated with a history of significant trauma, that is, fractures or surgery; however, many reports suggest they can also be linked to repetitive low-energy insults. In both cases, the inflammatory response secondary to tissue injury generates a proliferative osteoblastic cascade...
February 2019: Journal of Wrist Surgery
Tina Munn Yi Lee, Sreedharan Sechachalam, Mala Satkunanantham
Elbow flexion is widely regarded as the most important function to restore in brachial plexus injuries. Free functioning muscle transfer surgery is indicated in patients with delayed presentation or failure of other primary procedures. Results of the transfer surgeries have been reported in the form of case series, but no further studies are available. This systematic review aims to provide a deeper understanding of this complex surgery and consists of 19 articles that include 364 patients. Data on injury characteristics, surgical techniques, complications as well as outcome measures were analysed...
February 5, 2019: Journal of Hand Surgery, European Volume
Marcus Bateman, Chris Littlewood, Beth Rawson, Amol A Tambe
Background: There is no consensus on the most suitable treatment for tennis elbow but, in the USA, surgical intervention is increasing despite a lack of supportive research evidence. The aim of this systematic review was to provide a balanced update based on all relevant published randomized controlled trials conducted to date. Methods: An electronic search of MEDLINE, EMBASE, CINAHL, BNI, AMED, PsycINFO, HBE, HMIC, PubMed, TRIP, Dynamed Plus and The Cochrane Library was complemented by hand searching...
February 2019: Shoulder & Elbow
Robert S J Elliott, Yi-Jia Lim, Jennifer Coghlan, John Troupis, Simon Bell
Background: There are few studies reporting long-term rotator cuff integrity following repair. The present study reports a case series of surgically repaired supraspinatus tendons followed up with clinical outcomes and ultrasound imaging after an average of 16 years. Methods: The prospectively studied clinical outcomes at short-, medium- and long-term follow-up in 27 shoulders in 25 patients treated with arthroscopic subacromial decompression and mini-open rotator cuff repair have been reported previously...
February 2019: Shoulder & Elbow
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