Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Elbow Injuries”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 613 records · Page 34Linked to original sources

[Use of radiological diagnosis in sport injuries and lesions].

The diagnosis of a sport injury or a sport damage is usually made by the clinical investigation. However, the X-ray examination is indispensable. In addition to standard projections further radiologic techniques such as passive motion, tomography, computed tomography, arthrography or angiography are necessary. The relevant use of these X-ray methods with regard to sport injuries or damages of the particular regions of the locomotor system are described.

Adolescent↗

Bilateral distal biceps tendon avulsions with use of anabolic steroids.

A case of a young body-builder who had ingested megadoses of anabolic-androgenic steroids (AAS) for 6 yr and who sustained bilateral avulsions of the distal biceps tendon is presented. Explosive behavior, painful gynecomastia, and a slight hypertrophy of both the left and right ventricular walls of the heart were other possible adverse effects of AAS in this patient. Reinsertion of both distal biceps tendons to the radial tuberosity was performed according to the Boyd-Anderson technique and a good result was achieved.

Adult↗

[Supracondylar fracture of the humerus in childhood. Complications, possibilities of treatment and late results (author's transl)].

At the Chirurgische Universitätsklinik Köln-Lindenthal, 103 children were treated for supracondylar fracture of the humerus from 1955 to 1975. The method of choice for treatment was Baumann's vertical suspension. Lesions of the brachial nerve were found to be the primary complication in 7% of the children and circulatory disorders in 10%. While the nerve injuries were treated conservatively, except for one case, 9 children had to be operated on because of ischemia of the forearm. The circulatory disorders could be rectified by thrombectomy and reconstruction of the brachial artery. In one child in whom the indication for operative revision in good time was missed, an ischemic muscle contracture developed.

Adolescent↗

Ulnar neuropathy with and without elbow instability.

Increased valgus stresses on the medial aspect of the elbow can result in a number of bony and soft-tissue abnormalities. The most common abnormalities are ulnar neuropathy and valgus instability secondary to injury of the medial collateral ligament. Diagnosis and treatment of these disorders are discussed in this article.

Athletic Injuries↗

Post-traumatic contracture of the elbow. Operative release using a lateral collateral ligament sparing approach.

We performed a lateral approach for the release of post-traumatic stiffness of the elbow in 22 patients using a modified technique designed to spare the lateral ligaments. They were reviewed after a mean interval of 26 months. The total humeroulnar joint movement had increased from a mean of 74 degrees to 129 degrees and forearm rotation from a mean of 135 degrees to 159 degrees. Both pain and function in the elbow had improved significantly. This modified lateral approach allows release of post-traumatic contracture without disruption of the lateral collateral ligament or the origins of the extensor tendon at the lateral epicondyle of the humerus. The advantages include a simplified surgical procedure, less operative morbidity, and unrestricted rehabilitation.

Adolescent↗

[Late sequelae and treatment strategies of distal radio-ulnar dissociation after undetected Essex-Lopresti lesion].

The Essex-Lopresti lesion, a combination of radial head fracture and distal radioulnar dislocation, rarely occurs but nevertheless represents a frequently unknown result after forearm fracture. The responsible physician soon has to initiate surgical treatment to prevent his patient from permanent pain of the wrist. Previously unrecognised distal radioulnar dislocation remains to be an unsolved problem. A generally accepted management concept does not exist. Since rupture of the membrana interossea nearly ever occurs, resection of the radial head is followed by radial shifting and seems to be obsolete under these circumstances. An exemplary case is presented and surgical management in this situation is discussed.

Adult↗

[Complex trauma of the elbow].

The complex injury is characterized by a fracture and/or dislocation of the elbow in association with a serial injury of the upper extremity, or a severe soft tissue trauma, or a prolonged ischemia caused by vascular injury or compartment syndrome. They are defined as complex injuries because their treatment differs from that of a simple fracture implying that standardized concepts usually cannot be employed. The results of primary treatment show a high rate of complications. They are accompanied by functional deficits including pseudarthrosis and ankylosis. As a consequence, ulnar neuropathy may occur. Inadequate treatment leads to delayed rehabilitation and several secondary operations. The main goal points at the reconstruction of the elbow joint to restore function. Therefore, the logistical pathway of individual therapy is the key for success. The operation has to include fracture stabilisation of all injuries of the upper extremity. Only stable osteosynthesis makes early mobilisation possible. Transfixation of the elbow joint should be reserved for exceptional cases. The principals of AO have proven to be practical both for the distal humerus and the proximal forearm. Successful reconstruction of the elbow joint often demands extended approaches. ORIF of the proximal ulna can be achieved by indirect reposition techniques. Dynamic stabilisation should be established by conservation of the radial head and coronoid process. For treatment of soft tissue injury it is necessary to undertake local reconstructive measures. Operative treatment is widely indicated for forearm compartment syndrome. Diagnosis and therapy of possible accompanying vascular injury should be made early to avoid prolonged ischemia. Operative treatment of nerve injury is only indicated in case of sharp dissection of the nerve. Otherwise the reconstruction should be performed, but not earlier than three months. Rehabilitation outcome depends on primary therapy. Sufficient functional results are only achieved after early mobilisation and intensive physiotherapy. If necessary, arthrolysis is planned early and combined with removal of implants at 6 months post injury.

Compartment Syndromes↗

Surgical versus nonsurgical treatment of ligamentous injuries following dislocations of the elbow joint.

Sixty-two patients older than 16 years of age at the time of injury were reexamined an average of five years (range, 1 to 12 years) after a dislocation of the elbow without concomitant fracture. Thirty-four were treated nonsurgically with closed reduction and immobilization in a plaster cast. Twenty-eight were treated surgically with primary ligament repair followed by immobilization in plaster. Ligament repair was performed medially in all cases and laterally in 17, on the average two days after injury. At follow-up examination, the most common complaint in both groups was limited range of motion, decreased extension being the most common. In no respect were the surgically treated elbows better than those treated nonsurgically. No evidence was found to recommend primary surgical treatment of ligament injuries associated with dislocation of the elbow.

Casts, Surgical↗

The adipofascial turnover flap for elbow coverage.

Closure of soft tissue defects in the vicinity of the elbow with exposed bone or joint remains a difficult problem. Local adipofascial turnover flaps covered by a skin graft were successfully used to reconstruct two elbow defects. The flap's base was placed 1.5 to 2.0 cm from the wound edge. The flap-to-base area ratio, which is an important index of flap survival, in addition to the traditional length-to-width ratio were 3.25 and 3.3, respectively. The undermined skin of the flap donor site was preserved rather than discarded as in the conventional deepithelialized turnover flap. The primary benefits of this flap are that it is an easy and rapid one-stage procedure, it requires limited immobilization of the involved joint, and it leaves an inconspicuous donor site scar. The motion of the elbow joint was not impeded because the adiposal component of the flap faced the exposed vital structures. The padding is not thick, but is sufficient to cover and protect the elbow. The flap is especially indicated for small- to medium-sized, complicated elbow wounds.

Accidents, Traffic↗

[Simple elbow dislocation. Comparison of long-term results after immobilization and functional treatment].

From 1976 to 1985 the treatment used for simple dislocation of the elbow consisted in closed reduction and immobilization for about 3-4 weeks. Since 1985, simple dislocation of the elbow has been treated with closed reduction and immobilization for fewer than 3 days. A group treated by immobilization (20 patients) and a group that underwent functional treatment (24 patients) were both evaluated with regard to elbow motion, instability, isometric flexor and extensor strength of the forearm, and subjective (patient) judgement of the elbow function. An average of 8 +/- 5 years after the treatment 39 elbows were re-examined. In both groups, results were generally good, 22 patients having no residual symptoms or signs. However, 17 did have symptoms: 6 patients had a slight (loss of extension < 10 degrees, loss of flexion < 10 degrees) and 1 patient a moderate decrease in the range of motion (loss of extension > 10 degrees). Some instability was found in 5 patients and strength was slightly decreased in 9. The subjective judgement on their elbow function was very good in 22 patients. At follow-up, no statistically significant differences were found between the two groups. The retrospective study, however, revealed that immobilization for 3-4 weeks more than doubled the time of after-treatment, the period of disability of the elbow, and the period of physical rehabilitation. Therefore, an accelerated functional treatment is recommended for the treatment of simple elbow dislocation: this is more effective, takes less time and is more economical.

Adult↗

Triple dislocation in the upper limb.

A case of dislocation of the elbow and index finger PIP joints, in association with a fracture dislocation of the radiocarpal joint in the same limb, is presented. We found no previous reports of this combination of injuries. There were no neurovascular complications.

Adult↗