keyword
https://read.qxmd.com/read/32731824/reliability-and-validity-of-the-wrightington-classification-of-elbow-fracture-dislocation
#1
Zaid Hamoodi, Jagwant Singh, Michael H Elvey, Adam C Watts
AIMS: The Wrightington classification system of fracture-dislocations of the elbow divides these injuries into six subtypes depending on the involvement of the coronoid and the radial head. The aim of this study was to assess the reliability and reproducibility of this classification system. METHODS: This was a blinded study using radiographs and CT scans of 48 consecutive patients managed according to the Wrightington classification system between 2010 and 2018...
August 2020: Bone & Joint Journal
https://read.qxmd.com/read/32723183/complications-of-hemophilia-in-the-elbow-current-management
#2
E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez
INTRODUCTION: After the ankle and knee, the elbow is the most commonly impaired joint in patients with hemophilia. Musculoskeletal problems in these patients begin in childhood, when small traumas cause repetitive hemarthroses in the elbow. AREAS COVERED: A Cochrane Library and PubMed (MEDLINE) search related to elbow problems in hemophilia was conducted. The main inclusion criterion was a focus on the musculoskeletal problems of hemophilia. Articles that did not focus on this topic were excluded...
July 29, 2020: Expert Review of Hematology
https://read.qxmd.com/read/32723041/treatment-of-distal-humerus-articular-fracture-with-pin-and-plate-technique
#3
Abbas Abdoli, Amir Reza Farhoud, Reza Shahryar Kamrani
Background: Distal Humerus Articular Fracture (classified by Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association as 13-B3) is an uncommon fracture with significant complications. We report results of 14 patients treated by open reduction and pin-and-plate fixation technique. Methods: In this retrospective study, we applied pin-and-plate fixation to 14 distal humerus articular fractures, in which screw fixation alone was inefficient or inadequate to provide stable fixation. After anatomical reduction of articular fragments, multiple Kirschner wires were inserted through the fragments...
September 2020: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/32713663/the-impact-of-covid-19-on-shoulder-and-elbow-trauma-an-italian-survey
#4
Stefano Gumina, Riccardo Proietti, Giuseppe Polizzotti, Stefano Carbone, Vittorio Candela
BACKGROUND: Because of the rapid spread of COVID-19, on March 8, 2020 Italy became a "protected area": people were told not to leave their homes unless it was essential. The aim of this study was to evaluate the activity of our trauma center, relative to shoulder and elbow, in the 30 days starting from March 8, 2020, the first day of restrictions in Italy, and to compare it with the same days of 2019 to weigh the impact of COVID-19 on shoulder and elbow trauma. MATERIALS AND METHODS: Patients managed in our trauma center between March 8, 2020, and April 8, 2020 (COVID period), for shoulder and elbow trauma were retrospectively included and compared to patients admitted in the same period of 2019 (no-COVID period)...
May 20, 2020: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/32713465/clinical-outcome-of-ao-ota-type-c-fracture-of-the-distal-humerus-using-the-expanded-paratricipital-approach-and-cadaveric-comparison-of-the-exposure-of-the-paratricipital-and-expanded-paratricipital-approaches-to-the-distal-humerus
#5
Jae-Woo Cho, Beom-Soo Kim, Do-Hyun Yeo, Seong Hyun Kang, Eic Ju Lim, Seungyeob Sakong, Won-Tae Cho, Jong-Keon Oh
BACKGROUND: We investigated the overall clinical outcome of the expanded paratricipital approach in complex articular fractures of the distal humerus and the effect of lack of visualization in the surgical field. In addition, we performed a cadaveric study to investigate the expansion or limitation of articular access in the expanded paratricipital approach. METHODS: Forty-one AO/OTA type 13C fracture cases treated using the expanded paratricipital approach at a single trauma center from 2013 to 2017 were enrolled in this study...
August 2020: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/32712456/complications-and-functional-outcomes-after-transolecranon-distal-humerus-fracture
#6
Elizabeth Cho, Morgan B Weber, Dayton Opel, Adrienne Lee, Harry Hoyen, Blaine T Bafus
OBJECTIVE: Transolecranon distal humerus fractures are uncommon injuries. This is the first multi-patient case series to describe outcomes and complications following transolecranon distal humerus fractures in the adult population. DESIGN: Retrospective SETTING: Single Level 1 Trauma Center PATIENTS/PARTICIPANTS: 16 patients INTERVENTION: Surgical management of transolecranon distal humerus fracture MAIN OUTCOME MEASUREMENT: Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire after minimum of 12 months RESULTS: 16 patients with open (n=12) or closed (n=4) transolecranon distal humerus fractures were identified...
July 23, 2020: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/32709592/fifteen-minute-consultation-assessing-the-child-with-an-elbow-injury
#7
REVIEW
Sarah Edwards, Damian Roland
This article aims to provide a concise summary of the key considerations when assessing a child with an elbow injury. Elbow injuries are common with acute elbow trauma, accounting for 2%-3% of all visits to the emergency department. This article will cover history, examination and key X-ray findings, along with a brief guide to management. It is hoped this article will help healthcare professionals who assess children with elbow injuries. Our work is applicable to those both in the hospital and community setting...
July 24, 2020: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/32703642/seasonal-variation-in-trauma-admissions-to-a-level-iii-trauma-unit-over-10-years
#8
Jamie Hind, Ian M Lahart, Nithish Jayakumar, Sajjad Athar, Muhammad Ali Fazal, Neil Ashwood
INTRODUCTION: Major trauma centres have improved morbidity and mortality for moderate and severely injured patients. Less injured patients may be treated in facilities less resourced for trauma care. In these units, understanding the variations in injury presentation and treatment over time allows service delivery to be tailored to demand. This study set out to describe seasonal variations in trauma over a 10-year period at a level III trauma unit. MATERIALS AND METHODS: Patient demographics, admission frequency, site of injury, season of admission, management, complications, onward transfers, and length of stay were extracted on consecutive patients admitted with traumatic injuries between January 2009 and December 2018 and recorded on a prospectively maintained database...
July 9, 2020: Injury
https://read.qxmd.com/read/32700481/-choice-of-internal-fixation-selection-and-clinical-effect-of-olecranon-fracture
#9
Jun Zhang, Ding-Shuang Chen, Dong-Xu Liu, Feng Li
OBJECTIVE: To compare clinical effects of common Kirschner wire, anatomical plate and perforated Kirschner wire in treating olecranon fracture. METHODS: From March 2014 to May 2017, clinical data of 79 patients with olecranon fracture treated with different internal fixation was retrospectively analyzed. Among them, 26 patients treated with common Kirschner wire (group A), including 19 males and 7 females aged from 23 to 51 years old with an average of (37.2±9...
July 25, 2020: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/32694430/-does-compliance-with-boast-guidelines-matter-for-displaced-supracondylar-fractures-in-children-the-experience-of-a-tertiary-referral-major-trauma-centre-over-a-3-5-year-period
#10
Themistoklis Tzatzairis, Gregory Firth, Wei Jie Loke, Athanasios Serlis, Manoj Ramachandran
Supracondylar fractures are the most frequently occurring paediatric fractures about the elbow and can be associated with neurovascular injury. For that reason, the British Orthopaedic Association has published the British Orthopaedic Association Standards for Trauma (BOAST) 11 guidelines, aiming to the best management of supracondylar fractures. The aim of this study was to assess adherence to the BOAST 11 guidelines for displaced supracondylar fractures at a Major Trauma Centre in London, UK between 2015 and 2018 and to see whether adherence to guidelines affected the outcomes...
July 17, 2020: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/32663565/30-day-readmissions-and-reoperations-after-total-elbow-arthroplasty-a-national-database-study
#11
Holt S Cutler, Garen Collett, Farzam Farahani, Juhno Ahn, Paul Nakonezny, Daniel Koehler, Michael Khazzam
PURPOSE: The purpose of this study was to determine the rate of short-term complications after TEA and identify predictors of readmission and reoperation. We hypothesized that TEA performed for acute elbow trauma would have higher rates of 30-day readmission and reoperation than TEA for osteoarthritis. METHODS: Using the National Surgical Quality Improvement (NSQIP) database years 2011-2017, we identified patients undergoing TEA for fracture, osteoarthritis, or inflammatory arthritis...
July 11, 2020: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/32649109/reconstructing-the-epicondyle-and-collateral-ligament-in-missing-condylar-region-associated-with-severe-elbow-trauma-a-report-of-2-cases
#12
Taiichi Matsumoto, Takuya Tsumura, Katsuma Kishimoto, Shunsuke Kawai, Mutsumi Matsushita, Hayao Shiode
CASES: We report 2 cases of missing condylar region associated with severe elbow trauma treated with our new surgical technique and present the outcomes at the 9- and 10-year follow-ups. Our method focused on anatomical isometric point reconstruction, which consisted of the reconstruction of the missing condylar region with the iliac bone and the collateral ligament with the palmaris longus tendon. CONCLUSIONS: This injury is rare, and treatment is challenging because of the difficulty in identifying the isometric point...
April 2020: JBJS Case Connector
https://read.qxmd.com/read/32639394/prevention-of-post-traumatic-contractures-with-ketotifen-1-perk-1-a-randomized-clinical-trial
#13
Kevin A Hildebrand, Prism S Schneider, Nicholas G H Mohtadi, Ayoola Ademola, Neil J White, Alexandra Garven, Richard E A Walker, Tolulope T Sajobi
OBJECTIVE: To assess the use of Ketotifen Fumarate (KF) to reduce post-traumatic contractures following elbow fractures and/or dislocations. DESIGN: Randomized clinical trial. SETTING: Three hospitals in Calgary, Canada including one Level 1 trauma center. PARTICIPANTS: Adults (n=151) sustaining operative or non-operatively managed isolated distal humerus or proximal radius +/- ulna fractures or elbow dislocations within seven days of injury...
June 29, 2020: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/32618682/risk-factors-for-elbow-joint-contracture-after-surgical-repair-of-traumatic-elbow-fracture
#14
Kurtis D Carlock, Isabella R Bianco, David N Kugelman, Sanjit R Konda, Kenneth A Egol
PURPOSE: The ability to predict contracture development after elbow fracture would benefit patients and physicians. This study aimed to identify factors associated with the development of posttraumatic elbow joint contracture. METHODS: A retrospective review of elbow fractures (AO/Orthopaedic Trauma Association [OTA] type 13 and 21) treated at one institution between 2011 and 2015 was performed. Data collected included demographics, injury information, treatment, and postoperative elbow range of motion (ROM)...
July 1, 2020: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/32606278/efficacy-of-arthrocentesis-and-lavage-for-treatment-of-post-traumatic-arthritis-in-temporomandibular-joints
#15
Joo-Young Park, Jong-Ho Lee
Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Interestingly, patients experiencing head and neck trauma without direct jaw fracture have displayed TMJ disease symptoms; however, definitive diagnosis and treatment options are not available...
June 30, 2020: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://read.qxmd.com/read/32598120/function-sparing-free-split-latissimus-dorsi-flap-for-lower-extremity-reconstruction-five-year-consecutive-single-surgeon-series
#16
Harvey Chim, Rachel Cohen-Shohet, Mariel M McLaughlin, Tosan Ehanire
BACKGROUND: The free split latissimus dorsi flap for lower-extremity reconstruction has some advantages over the traditional latissimus dorsi flap. The flap is harvested with the patient in the supine position and is associated with minimal morbidity as the function of the remaining latissimus dorsi muscle is preserved through the posterior division of the thoracodorsal nerve. METHODS: A consecutive single-surgeon 5-year series of free split latissimus dorsi muscle flaps for lower-extremity reconstruction (n = 42) was evaluated...
June 23, 2020: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/32588694/use-of-a-locking-intramedullary-nail-for-the-treatment-of-initial-varus-proximal-humeral-fracture-a-prospective-pilot-study
#17
Xiang-Yi Deng, Zhi-Yuan Fan, Bao-Fu Yu, Bin-Bin Ni, Wei Wang, Hua Lu, Hao Shen
OBJECTIVE: To evaluate the feasibility of locked intramedullary nailing, rather than locking plate fixation combined with fibular allograft augmentation, for initial varus proximal humeral fractures. METHODS: This prospective pilot study enrolled patients with initial varus proximal humeral fractures that were treated with a locking intramedullary nail. Radiography was performed to evaluate fracture healing. Data about the visual analogue scale (VAS) pain score, Constant Shoulder Score (CSS), Disabilities of the Arm, Shoulder and Hand (DASH) score, American Shoulder and Elbow Surgeons (ASES) score and shoulder range of motion (ROM) were recorded...
June 2020: Journal of International Medical Research
https://read.qxmd.com/read/32556814/differences-in-strength-fatigue-when-using-different-donors-in-traumatic-brachial-plexus-injuries
#18
Mariano Socolovsky, Gonzalo Bonilla, Ana Carolina Lovaglio, Gilda di Masi
BACKGROUND: The purpose of this study was to assess the results of elbow flexion strength fatigue, rather than the maximal power of strength, after brachial plexus re-innervation with phrenic and spinal accessory nerves. We designed a simple but specific test to study whether statistical differences were observed among those two donor nerves. METHOD: We retrospectively reviewed patients with severe brachial plexus palsy for which either phrenic nerve (PN) or spinal accessory nerve (SAN) to musculocutaneous nerve (MCN) transfer was performed...
June 18, 2020: Acta Neurochirurgica
https://read.qxmd.com/read/32555101/simple-and-stable-elbow-dislocations-results-after-conservative-treatment
#19
Filippo Calderazzi, Alice Garzia, Massimiliano Leigheb, Margherita Menozzi, Alessandro Nosenzo, Francesco Ceccarelli, Enrico Vaienti, Francesco Pogliacomi
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. The therapeutic approach was usually conservative in the past and it was characterized by manual reduction and plaster immobilization. More recently, as consequence of biomechanic and pathophysiology studies, the management of these injuries has gradually changed...
May 30, 2020: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/32555039/tension-band-wiring-provides-excellent-patient-reported-long-term-results-for-both-comminuted-and-simple-displaced-olecranon-fractures
#20
Afra L E Terstappen, Pieter Joosse, Cornelis F van Dijke, Boj Mirck, Johan G H van den Brand
OBJECTIVES: To assess the long-term functional results of both simple and comminuted olecranon fractures treated with tension band wiring (TBW). DESIGN: Retrospective. SETTING: Level 1 trauma center. PATIENTS & INTERVENTION: Between 2004 and 2014, 178 fractures in 178 patients >16 years of age were treated with TBW for a unilateral olecranon fracture. MAIN OUTCOME MEASUREMENTS: Subjective functionality was tested with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Mayo Elbow Performance Index (MEPI)...
July 2020: Journal of Orthopaedic Trauma
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