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At least 955 records · Page 53Linked to original sources
PubMed2005

Bilateral painful snapping elbows triggered by daily dumbbell exercises: a case report.

We treated a 64-year-old female with bilateral painful snapping elbows due to synovial folds. Resection of the bilateral synovial folds resulted in relief from pain and snapping, and resulted in patient satisfaction. Daily dumbbell exercises of the bilateral elbows starting at an elderly age may have led to the bilateral snapping. Painful snapping elbow is a relatively rare condition, which usually occurs in a unilateral elbow of a younger patient. To our knowledge, bilateral painful snapping elbows triggered by daily dumbbell exercises in older patients have not been previously reported.

Arthralgia↗
PubMed1989

Concomitant medial condyle fracture of the humerus in a childhood posterolateral dislocation of the elbow.

Fracture of the medial condyle of the humerus concomitant with a dislocation of the elbow is an extremely rare event in children. In this case of a 10-year-old boy, the fracture of the medial condyle was not diagnosed initially, which resulted in subsequent restriction of elbow range of motion. In such a case, it is suggested that one look for other injuries associated with elbow dislocations in children and undertake appropriate radiographic studies.

Casts, Surgical↗
PubMed1993

Paramilitary punishment in Northern Ireland: a macabre irony.

The various types of paramilitary "punishments" occurring during civil disturbances in Northern Ireland are described along with a retrospective analysis of 100 victims of low-velocity punishment gunshot wounds admitted to the Royal Victoria Hospital, Belfast, between July 1, 1986, and December 31, 1989. While "kneecapping" remains the most common form of punishment, an alteration in the character and pattern of injury has resulted in an increase in the incidence of ankle and elbow gunshot wounds. The possibility of a complicated injury involving bone, blood vessel, or nerve (either alone or in combination) occurred in approximately 40% of knee injuries, 70% of ankle injuries, and 30% of elbow injuries. The implications of these alterations in character with respect to provision of hospital care and social morbidity are described. A macabre irony exists in that the punishment policy is dictated by the paramilitary organizations who themselves are the perpetrators of major terrorist crimes.

Female↗
PubMedDate not supplied

Traumatic and iatrogenic neurological complications after supracondylar humerus fractures in children.

A retrospective review of 162 displaced supracondylar fractures in children at Los Angeles County Harbor-UCLA Medical Center from 1975-1981 revealed 23 neural injuries. These injuries occurred in 19 patients whose ages ranged from 5-11 years of age. There were 12 radial, six ulnar, and five median neuropathies detected. Four of the ulnar nerve injuries and one radial nerve injury were iatrogenic, resulting from both percutaneous pinning and open reduction and internal fixation. All of the deficits resolved spontaneously within a range of 2-6 months. The average time to resolution for traumatic injuries was 2.3 months. Fifty-eight percent of these injuries were found to be associated with a Holmberg type III fracture pattern and 42% with a type IV supracondylar fracture.

Bone Nails↗
PubMed2001

Allogeneic bone nail for articular fractures.

OBJECTIVE: To investigate the effect of allogeneic bone nail on articular fractures. METHODS: Ninety-one patients with cancellous bone fracture involved in various joints were fixed with the bone nail or the bone screw. No immunosuppressive agent was used in this series. The average period of follow-up wa s 18 months. RESULTS: All patients except one healed without displacement an d the healing time was within 1-3 months. Joint function was partially limited in 6 patients and others were functioning well. CONCLUSIONS: Allogeneic bone nail possesses a good biological compatibility and intensity, thus provides a rigid fixation. Being completely absorbed and ossificated, thus obviating the need for secondary operation, is a suitable internal fixation material for the treatment of articular fractures.

Acetabulum↗
PubMedDate not supplied

Coronoid fracture height in terrible-triad injuries.

PURPOSE: The coronoid fractures that occur in the terrible-triad pattern of traumatic elbow instability (posterior dislocation with fractures of the radial head and coronoid) usually are small transverse fragments. Attempts to classify these fragments according to height as suggested by Regan and Morrey have been inconsistent and contentious. The purpose of this study was to quantify coronoid fracture height in terrible-triad injuries. METHODS: The height of the coronoid process of the ulna and the coronoid fracture fragment were measured on computed tomography scans of 13 patients with terrible-triad-pattern elbow injuries. Two observers performed the measurements with excellent intraobserver and interobserver reliability. RESULTS: The total height of the coronoid process of the ulna averaged 19 mm. The average height of the coronoid fracture fragment was 7 mm. This corresponds to an average of 35% of the total height of the coronoid process. CONCLUSIONS: The transverse coronoid fractures associated with terrible-triad elbow injuries have a variable height that may not be easy to classify according to the system of Regan and Morrey. Classification of coronoid fractures according to fracture morphology and injury pattern may be preferable.

Adult↗
PubMed1987

Radial head subluxation.

Radial head subluxation occurs when the thin, weakly attached annular ligament of the forearm becomes entrapped in the radiocapitellar space after marked traction on the extended, pronated arm. It is the most common musculoskeletal injury in children between two and five years of age. Awareness of this condition permits easy diagnosis and rapid treatment by simple manipulation.

Child, Preschool↗
PubMed1985

Rupture of the distal tendon of the biceps brachii. A biomechanical study.

In biomechanical studies on ten patients who had had a rupture of the distal tendon of the biceps brachii, we compared the results of immediate anatomical reattachment, delayed reattachment, and conservative treatment. When the tendon was simply attached to the brachialis muscle (one patient), there was nearly normal strength in elbow flexion but about 50 per cent loss of forearm supination. Late reinsertion (one patient) improved strength of both flexion and supination, but not to normal. Immediate reattachment (four patients) restored normal strength in flexion and supination at one year but not at four months (one patient). With conservative treatment (three patients) there was a mean loss of 40 per cent of supination strength and variable loss of flexion strength, averaging 30 per cent. These data suggest that immediate surgical reinsertion of the biceps tendon into the radial tuberosity, compared with other modes of treatment, restores more strength of flexion and supination.

Adult↗
PubMed2004

Fractures of the coronoid process.

Proper treatment of coronoid fractures requires an understanding of the bony and soft tissue anatomy of the elbow and the various injury mechanisms that occur. Newer fracture classifications help direct treatment based on the size and location of the fracture, injury mechanism, and associated stability of the elbow.

Elbow Joint↗
PubMed1991

[A complex forearm injury caused by skateboarding].

Conservative treatment of forearm fractures in children is preferred. However, in a few cases an open reduction and internal fixation are required. The case of a 15-year-old boy with a complex forearm injury following a skateboard accident is reported. The surgical treatment of these injuries is presented and the indications for open reduction and internal fixation of forearm fractures in children are discussed.

Adolescent↗
PubMedDate not supplied

Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes.

Ulnar collateral ligament injury of the elbow in throwing athletes is a common occurrence, and either operative or nonoperative treatment is an option. The results of operative repairs and reconstructions have been well documented in the literature; however, little information has been reported on the outcome of nonoperative treatment. From 1994 to 1997, we evaluated 31 throwing athletes with ulnar collateral ligament injuries. The purpose of this study was to determine what percentage of athletes could return to their sport without surgical intervention and to identify factors that would predict return to full competition by an athlete treated nonoperatively. The factors studied included acute versus insidious onset of symptoms, the duration of symptoms before treatment, and age. Nonoperative treatment, which included a minimum of 3 months' rest with rehabilitation exercises, allowed 42% of the athletes in our study (N = 13) to return to their previous level of competition. Those who did return did so at an average of 24.5 weeks after diagnosis. No predictive findings obtained either through the patient's history or physical examination were found that would assist the clinician or athlete in predicting the success of nonoperative treatment.

Adolescent↗
PubMed2006

Upper extremity stress fractures.

Although less common than lower-extremity stress fractures, upper-extremity stress fractures are becoming recognized much more frequently. A majority of these fractures are caused by overuse and fatigue of the surrounding musculature and, as a result, may be prevented by appropriate training and conditioning. Diagnosis is made by history and physical examination with the aid of plain radiographs, bone scans, and MRI. Most of these fractures heal with a period of relative rest followed by a structured rehabilitation program. A small percentage of these fractures, however, may require surgical fixation. The present article reviews the different types of upper extremity and torso stress fractures seen in athletes, starting with the sternum and extending outward to the fingers. The presentation, diagnosis, mechanism of injury, treatment, prevention, and prognosis for each of these injuries will be discussed.

Adolescent↗
PubMed1997

[Post-traumatic anterior interosseous nerve syndrome after supracondylar humerus fracture in a child].

The interosseus anterior syndrome is a rare nerve compression syndrome that concerns only the motor branch of the median nerve. It is evidenced by paralysis of the M. flexor pollicis longus and M. flexor digitorum profundus II with weakness of flexion of the terminal joint of the thumb and index finger but without sensory loss. From the surgical point of view this complication has special importance because of pediatric fractures of the distal humerus. In this paper we discuss the differential diagnosis, therapy and prognosis of this nerve injury by presenting an illustrative case of a 7-year-old boy suffering a supracondylar fracture of the humerus with a post-traumatic anterior interosseus nerve syndrome.

Child↗
PubMed2005

The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury.

The Essex-Lopresti lesion is an unusual injury, consisting of a radial head or neck fracture, distal radioulnar joint (DRUJ) injury and interosseous membrane rupture. To date, all reported Essex-Lopresti lesions have consisted of soft tissue injuries at the DRUJ. We present a case of an Essex-Lopresti lesion with a bony variant, in which the DRUJ injury consisted of an ulnar head fracture associated with radial head fracture and acute proximal migration of the radius. The management involved plating of the ulnar head fracture and titanium replacement of the radial head.

Aged↗
PubMed2004

Overuse injuries in pediatric athletes.

PURPOSE OF REVIEW: The number of children participating in sports has risen steadily over the past few decades. As a result, the incidence of pediatric overuse injuries is rapidly increasing. Currently, primary care physicians are at the frontline in treating these injuries. It is important for these clinicians to be familiar with these types of injuries and their treatment options. RECENT FINDINGS: This article reviews overuse injuries on the basis of location. It discusses the most recent literature describing their presentations, their treatment options, and suggested criteria for return to play. SUMMARY: In summary, because the number of these injuries is on the rise, it is important for the physician to be aware of the clinical manifestations of overuse injuries, to prescribe current recommended treatments, and to educate patients in proper athletic conditioning.

Ankle Injuries↗