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At least 487 records · Page 27Linked to original sources
PubMed1988

[Conservative treatment of elbow dislocations].

Ligamentous injuries following dislocations of the elbow joint are a primary indication for nonsurgical treatment. The principles of closed reduction are longitudinal traction of the forearm, followed by flexion. The period of immobilization in a plaster cast should be decided on an individual basis. For elbows that show no tendency to redislocate, immobilization for no more than 1 week should suffice. For elbows with a tendency to redislocate 2-3 weeks' immobilization is recommended. Radiological follow-up shows a high percentage of degenerative changes, i.e. subchondral sclerosis, osteophytosis, periarticular calcification, irregularities in the epicondyles. In addition to slight degenerative changes, there are few subjective complaints and functional impairments. Now evidence has been found to recommend primary surgical treatment of ligamentous injuries associated with dislocation of the elbow.

Casts, Surgical↗
PubMedDate not supplied

Steindler flexorplasty of the elbow in obstetric brachial plexus injuries.

A Steindler flexorplasty at the elbow was performed in 26 patients with an obstetric brachial plexus lesion because of deficient elbow flexion. Follow-up after a mean of 2.9 years (range, 1-7 years) showed a good functional result in 23 cases, whereas 3 primary failures were noted. In one case, a recurrent dislocation of the elbow was seen 3 years after the initial flexorplasty. Steindler flexorplasty is a comparatively simple operation and gives very reliable results. It should be preferred above other, more elaborate muscle transfers for loss of elbow flexion.

Adolescent↗
PubMed2006

Paediatric transverse divergent dislocation of the elbow.

Paediatric elbow dislocations are uncommon injuries, accounting for 3-6% of all elbow injuries in childhood. A divergent elbow dislocation is an even more infrequent injury, where in addition to the elbow dislocation there is divergence of the proximal radius and ulna, either in a transverse (extremely rare) or in an anteroposterior plane, as a result of the distal humerus being forced between the proximal ends of the forearm bones. The lesion results from indirect forces transmitted to the elbow from a fall on the outstretched hand. The authors report a case of transverse divergent elbow dislocation in an 8-year-old boy, treated by closed reduction and immobilisation in a cast. At 6 months follow-up the patient had regained a full range of motion, without instability or pain.

Child↗
PubMedDate not supplied

Complete avulsion of the triceps tendon: MRI diagnosis.

Avulsion of the triceps tendon is a rare injury. We report a case of complete avulsion of the triceps tendon diagnosed by magnetic resonance imaging (MRI) and confirmed surgically. The excellent soft tissue contrast and multiplanar imaging capability of MRI makes it an ideal tool to diagnose this disorder. To our knowledge, this is the first reported case of MRI diagnosis of complete avulsion of the triceps tendon.

Arm Injuries↗
PubMed1999

Emergency department evaluation and treatment of pediatric orthopedic injuries.

Orthopedic injuries in children are unique in terms of the mechanisms of injury, pathophysiology, and healing. This article reviews the pediatric fracture patterns and common pediatric injuries or complaints seen in the emergency department, with an emphasis on management in the emergency department. Additionally, the approach to pediatric cervical spine injuries and child abuse will be described as it pertains to the emergency physician.

Arm Injuries↗
PubMed2003

Osteochondritis dissecans of the capitellum: Arthroscopic-assisted treatment of large, full-thickness defects in young patients.

Methods of treatment for mild juvenile osteochondritis dissecans (OCD) of the capitellum include activity modification and periods of immobilization, followed by therapy and range of motion exercises. Surgical treatment may be indicated if there are persistent symptoms, a loose body, the child is approaching skeletal maturity, or if magnetic resonance imaging reveals a fracture through the articular cartilage. We describe a technique of arthrotomy, using an arthroscope as a visual aid, for the treatment of large, full-thickness OCD lesions of the capitellum in young patients. The arthroscopic camera allows the surgeon to view difficult-to-see areas, and photographs can be taken throughout the procedure for documentation.

Adolescent↗
PubMed1981

The treatment of sports injuries by local injection.

Local injections of corticosteroids are frequently employed in the management of soft-tissue injuries. Side effects and contraindications of this treatment are discussed with reference to relevant literature. Indications for steroid therapy are described.

Adrenal Cortex Hormones↗