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Trauma, elbow, shoulder, wrist

Hussain Wahab, Obada Hasan, Ahmed Habib, Naveed Baloch
Introduction: Synovial chondromatosis is a benign mono-articular arthropathy affecting synovial joints. It mostly affects knee joint, followed by hip, elbow and wrist and is rarely reported for shoulder joint. The exact pathogenesis is not known. Usual symptoms are pain, difficulty in movement due to mechanical obstruction. The classic treatment is arthrotomy, removal of chondromatoid loose bodies and synovectomy. With recent advances arthroscopic removal of the chondromatoid loose bodies is a good option with relatively better post op rehabilitation and faster recovery...
January 2019: Annals of Medicine and Surgery
Liyun Wang, Xi Xiang, Yuanjiao Tang, Yujia Yang, Li Qiu
Background: High frequency ultrasound is often used to measure the thickness of fluid in peripheral joints and bursae of healthy asymptomatic populations. Two major steps critical to this procedure are obtaining the detection rates and analyzing the relevant factors. Methods: Healthy Chinese adult volunteers with no history of arthritis, past trauma or surgery and joint pain were enrolled in this study. Ultrasonography was performed on the bilateral shoulders, elbows, wrists, metacarpophalangeal joints (MCP) 1-5, proximal interphalangeal joints (PIP) 1-5, distal interphalangeal joints (DIP) 2-5, suprapatellar knees, ankles, metatarsophalangeal joints (MTP) 1-5, subacromial and subdeltoid bursae, deep infrapatellar bursae, retrocalcaneal bursae and long biceps tendons in B mode...
September 2018: Quantitative Imaging in Medicine and Surgery
Christopher M Reid, Angel Rivera-Barrios, Marion Tapp, Aladdin H Hassanein, Fernando A Herrera
BACKGROUND: All terrain vehicle accidents are a common cause of trauma admission and often associated with extremity injuries. However specifics of injury patterns to the upper extremity has not previously been described. A multicenter, retrospective study was conducted to determine the frequency and distribution of upper extremity injuries sustained from ATV accidents. METHODS: Medical records of all patients presenting to two trauma centers with ATV related upper extremity trauma from 2001 to 2013 were reviewed...
August 22, 2018: Injury
Efstathios Karamanos, Ilya Rakitin, Sophie Dream, Aamir Siddiqui
CONTEXT: Nerve transfer surgery is an option for repair of penetrating injuries of the upper extremity. In the right setting, it has advantages over tendon transfers and nerve grafting. OBJECTIVE: To review our experience since 2006 of nerve transfer surgery in the upper extremities. DESIGN: We included cases performed to repair penetrating trauma within three months of injury with at least three years' follow-up. MAIN OUTCOME MEASURES: Preoperative and postoperative muscle strength of the affected extremity...
April 9, 2018: Permanente Journal
Altaf Hussain, Sandeep Kumar Nema, Deep Sharma, Sujiv Akkilagunta, Gopisankar Balaji
Objective: The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional outcomes and radiological union in patients treated for isolated fractures of the ulnar shaft by open reduction and internal fixation and a long arm cast. Methods: This prospective study was conducted at level I trauma center from November 2014 to March 2016. 30 patients with isolated fractures of ulnar shaft were randomized to two groups to receive treatment by open reduction and internal fixation by plates and screws and a long arm cast...
March 2018: Journal of Clinical Orthopaedics and Trauma
David Drynan, Milford McArthur, Ashray Vohora, Darren Hinton, Grant Menegon, Matthew P R Wilkinson
BACKGROUND: Surgical planning in trauma is essential for optimal patient care and best patient outcomes. Digital radiography has improved the availability, convenience and access to radiographs worldwide as used in every trauma centre in Australia. One shortcoming, however, is the variability in magnification error associated with different anatomic regions. Accurate assessment of radiographs is paramount to proper surgical planning. METHODS: A retrospective review of 513 post-operative trauma radiographs of implants at a single centre, collected from January 2015 to August 2016, was measured by the four individual investigators...
April 2018: ANZ Journal of Surgery
Y Kentar, R Zastrow, H Bradley, M Brunner, W Pepke, T Bruckner, P Raiss, A Hug, H Almansour, M Akbar
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To determine the prevalence, patterns, and predictors of musculoskeletal pain in the upper extremity joints among wheelchair-dependent individuals with post-traumatic paraplegia. Secondarily, to document most common reported causes of upper extremity pain. SETTING: Centre for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Germany. METHODS: The study was done by means of a structured questionnaire, which was mailed to the individuals who had been treated between 1990 and 2007 for newly sustained or pre-existing, accident-related paraplegia (n = 670)...
July 2018: Spinal Cord
Michael P Gaspar, Patrick M Kane, Emily M Pflug, Sidney M Jacoby, A Lee Osterman, Randall W Culp
BACKGROUND: The purpose of this study was to report outcomes of interosseous membrane (IOM) reconstruction with a suture-button construct for treatment of chronic longitudinal forearm instability. METHODS: We performed a retrospective review with prospective follow-up of patients who underwent ulnar shortening osteotomy and IOM reconstruction with the Mini TightRope device from 2011 through 2014. Bivariate statistical analysis was used for comparison of preoperative and postoperative Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, range of motion, grip strength, and ulnar variance...
September 2016: Journal of Shoulder and Elbow Surgery
Hind Mahmood, Abdulzahra Hussain
An 11-year-old boy presented with three days' history of blunt trauma to the left shoulder due to a fall to the ground. The boy was taken to the traditional practitioner, who applied a very tight bandage over a piece of cartoon on the upper left humerus, which resulted in progressive pain and swelling of the whole left upper limb and impairment of movement and sensation. The tight bandage was removed after 48 h and fasciotomy was performed at Aljamhuri Hospital in Taiz, Yemen. The child was brought to our hospital after the family was informed about the need for left forearm amputation...
June 2009: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Moon-Hee Park, Ham-Gyum Kim, Jae-Hwan Cho
BACKGROUND: Musculoskeletal diseases (MSDs) are functional disabilities in the musculoskeletal area that occur when continuous damage to the muscles or tissues is caused by performing a repetitive task. These diseases are usually found in the waist, shoulder, neck, arm, and wrist. MSD is also referred to as cumulative trauma disorder, repetitive strain injury, occupational overuse syndrome, and visual display terminal, depending on the country. The condition is now commonly referred to as work-related musculoskeletal disorder...
July 2015: Annals of Global Health
Frederico Barra de Moraes, Mário Yoshihide Kwae, Ricardo Pereira da Silva, Celmo Celeno Porto, Daniel de Paiva Magalhães, Matheus Veloso Paulino
OBJECTIVE: To evaluate sociodemographic and clinical aspects of patients undergoing operations due to traumatic lesions of the brachial plexus. METHOD: This was a retrospective study in which the medical files of a convenience sample of 48 patients operated between 2000 and 2010 were reviewed. The following were evaluated: (1) range of motion (ROM) of the shoulder, elbow and wrist/hand, in degrees; (2) grade of strength of the shoulder, elbow and wrist/hand; (3) sensitivity; and (4) visual analogue scale (VAS) (from 0 to 10)...
September 2015: Revista Brasileira de Ortopedia
Ahmet Issin, Nizamettin Kockara, Ali Oner, Vedat Sahin
Occurrence of fractures is highly dependent on lifestyle. Domestic data should be used when needed. In this cross-sectional study, the authors aim to find the most recent distribution of pediatric fracture types and the attributes of fracture occurrence within a large sample size in a metropolitan area of Turkey.This study consists of 4879 pediatric age patients with a fracture who took advantage of the emergency service of a trauma center in a metropolitan area between March 2010 and December 2013 (1397 days)...
October 2015: Medicine (Baltimore)
David A Paz, Geraldine H Chang, Joseph M Yetto, Jerry R Dwek, Christine B Chung
UNLABELLED: Given the frequency and severity of overuse injuries in pediatric athletes and the potential for long-term deleterious effects, it is important for radiologists to have a comprehensive understanding of these injuries and their imaging spectrum. This article addresses chronic overuse injuries involving the upper extremity in the pediatric athlete. Chronic upper extremity overuse injuries in competitive pediatric athletes yield imaging findings that can be subtle, obvious and characteristic, or atypical...
November 2015: Clinical Imaging
Charles Peterson, Anthony Ceraulo
Caring for climbers can be a challenge and requires familiarity with the distinctive mechanisms of common climbing injuries. Injuries such as climber's finger, climber's elbow, extensor hood syndrome, lateral collateral ligamentous injuries from climbing overload, and posttraumatic osteochondritis dissecans, among others, cannot be diagnosed if the practitioner does not have a specialized knowledge of the sport and the mechanisms of trauma and overuse that can occur. Understanding these injuries will increase the provider's breadth of knowledge and will bridge trust with patients who climb...
September 2015: Current Sports Medicine Reports
Jean-Michel Gracies, Allison Brashear, Robert Jech, Peter McAllister, Marta Banach, Peter Valkovic, Heather Walker, Christina Marciniak, Thierry Deltombe, Alexander Skoromets, Svetlana Khatkova, Steven Edgley, Fatma Gul, France Catus, Beatrice Bois De Fer, Claire Vilain, Philippe Picaut
BACKGROUND: Resistance from antagonistic muscle groups might be a crucial factor reducing function in chronic hemiparesis. The resistance due to spastic co-contraction might be reduced by botulinum toxin injections. We assessed the effects of abobotulinumtoxinA injection in the upper limb muscles on muscle tone, spasticity, active movement, and function. METHODS: In this randomised, placebo-controlled, double-blind study, we enrolled adults (aged 18-80 years) at least 6 months after stroke or brain trauma from 34 neurology or rehabilitation clinics in Europe and the USA...
October 2015: Lancet Neurology
Martin Iglesias, Patricia Butron, Mario Moran-Romero, Angel Cruz-Reyes, Josefina Alberu-Gomez, Paulino Leal-Villalpando, Jorge Bautista-Zamudio, Maria Ramirez-Berumen, Euridice Lara-Hinojosa, Veronica Espinosa-Cruz, Rocio Gaytan-Cervantes, Leonardo Bravo-Ruiz, Elizabeth Rodriguez-Rojas, Jaime Ramos-Peek, Miriam Garcia-Alvarez, Felipe Vega-Boada, Juan Sierra-Madero, Armando Gamboa-Dominguez, Judith Gonzalez-Sanchez, Sarai Contreras-Barbosa, Africa Navarro-Lara, Jorge Vazquez-Lamadrid, Juan Guzman-Gonzalez
BACKGROUND: Patients with proximal forearm and arm transplantation have obtained and/or maintained function of the elbow joint and full active range of motion of the extrinsic muscles of the hand, but with diminished protective sensibility and a lack of good function of the intrinsic muscles. These patients have improved function, as measured by the Disabilities of the Arm, Shoulder and Hand questionnaire. METHODS: We report the case of a 52-year-old man who suffered a high-voltage electrical burn requiring amputation of his upper limbs...
January 2016: Transplantation
Dominik Rog, Lee M Zuckerman, Barth Riedel
Arthrodesis of the elbow joint addresses pain due to intra-articular pathology, but with significant functional limitations. Loss of motion at the elbow is not completely compensated by the wrist and shoulder joints and elbow fusion is thus purely a salvage procedure. Advances in joint arthroplasty have allowed surgeons to address the functional limitations of arthrodesis, but despite these advances the elbow is still one of the joint replacements with higher complication rate. Conversion of a joint fusion to arthroplasty has been reported for the hip, knee, shoulder, and ankle...
2015: Case Reports in Orthopedics
Luca Dei Giudici, Francesca Di Muzio, Carlo Bottegoni, Claudio Chillemi, Antonio Gigante
The management of articular fracture is always a matter of concern. While each articular fracture is different from one another, besides the classification system used and the surgical or non-surgical indication given by the specialist, main goals remain the same: anatomical reduction, stable fixation, loose body removal, and minimal invasiveness. Open procedures are the actual compromise, but unfortunately, it is not always possible to perfectly meet every treatment goal, associated lesions could pass unnoticed or delayed in treatment, and even in a best-case scenario, there could be several complications developing in the long term...
July 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
J P Grassmann, M Hakimi, S V Gehrmann, M Betsch, P Kröpil, M Wild, J Windolf, P Jungbluth
The Essex-Lopresti injury (ELI) of the forearm is a rare and serious condition which is often overlooked, leading to a poor outcome. The purpose of this retrospective case study was to establish whether early surgery can give good medium-term results. From a group of 295 patients with a fracture of the radial head, 12 patients were diagnosed with ELI on MRI which confirmed injury to the interosseous membrane (IOM) and ligament (IOL). They were treated by reduction and temporary Kirschner (K)-wire stabilisation of the distal radioulnar joint (DRUJ)...
October 2014: Bone & Joint Journal
Timothy Woodacre, Shree Eesh Waydia, Sophie Wienand-Barnett
BACKGROUND: Surfing is a popular UK water-sport. Previous studies investigating surfing injuries have been principally based on trauma from large waves and reef breaks in the US and Australia. Subsequent conclusions and recommendations for the use of protective equipment in surfing may therefore not be relevant in the UK. AIMS: This study examines the aetiology of surfing injuries in the UK. METHODS: Data was collected in 2012 using a web-based survey distributed to UK surfing clubs...
January 2015: Injury
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