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[Radiologic diagnosis and surgical treatment of closed injuries to the distal biceps tendon (author's transl)].

A technique for the recognition of closed injuries of the distal biceps tendon by introducing CO2 gas contrast into the soft tissues has been devised. The gas is injected into the fascial cover of biceps with a special apparatus. This produces direct and indirect signs of rupture of the tendon in radiographs. The repair of the distal biceps tendon is achieved by an original method using a homoplastic sling around the radius. Good results were obtained in 13 patients.

Adult↗

A previously unreported complication of the AO cannulated 4.0- and 4.5-mm screw systems: a review of three cases.

Cannulated screws are utilized widely in the management of periarticular fractures and osteotomies. Reports of complications related to these screws have increased as use has become more commonplace. A novel mode of mechanical failure of 4.0-mm and 4.5-mm A-O cannulated screws is described in three patients, as well as hypotheses regarding possible causes of the failure. It may be prudent to predrill and tap dense cortical bone when such devices are used in teenagers and young adults patients in an attempt to avoid similar damage to the screw during insertion.

Adolescent↗

[Distal biceps tendon rupture. Clinical aspects--therapy--results].

Between 1980 and 1986 16 male patients of between 30 and 65 years of age were treated operatively because of distal biceps tendon ruptures. The operative procedures are reported and the results of a follow-up examination two years later are communicated. The good results of the applied operative treatment allow to recommend the operative procedure. A special method of measurement of muscle power is presented.

Adult↗

Medial and lateral epicondylitis in the athlete.

An appropriate diagnosis must be made after carefully excluding all other options in treating the patient with lateral epicondylitis. The majority of these patients will do well with nonsurgical treatment; however, if unresponsive to this regimen, a carefully selected patient will have a successful result with surgical reconstruction (85%-95% of patients). Attention to detail both pre- and postoperatively will help to create a successful result in a disease entity that plagues a large proportion of our athletic population.

Athletic Injuries↗

Results of excision of heterotopic new bone around the elbow in patients with head injuries. A series of 25 cases.

Twenty patients were operated upon for heterotopic ossification around the elbow of neurogenic origin following intra-cranial trauma between 1993 and 1997. They did not receive any diphosphonates or radiotherapy. Pre-operative evaluation included a CT scan with enhancement using a dye injected intravenously and 3D reconstruction. Surgery was indicated in the presence of a clinical deficit in mobility or signs (clinical or electrical) of nerve compression. The average delay between the accident and the surgery was 34 months (5 months to 9 years). Associated procedure included lengthening of the brachialis (4 cases), lengthening of the triceps tendon (4 cases) and an anterior capsulotomy in 3 cases. 24 elbows were reviewed with an average follow-up period of 18 months (6 months to 4 years). In 58% of the cases, the result was very good (gain in mobility > 70%) while in the remaining 42% of cases, the improvement was between 40% and 70%. This study confirms the possibility of obtaining good results by excision of the masses of heterotopic ossification of neurogenic origin around the elbow before 1 year after the accident without the necessity of complementary treatment.

Adult↗