Techniques in Shoulder and Elbow Surgery最新文献

Lateral Epicondylitis Lateral Epicondylitis

Techniques in Shoulder and Elbow Surgery Pub Date : 2021-11-17 DOI: 10.1007/978-1-4614-1596-1_32

Mark S. Cohen

引用次数: 0

Small Fragment Instrumentation for Periprosthetic Humerus Fracture Fixation Technique 肱骨假体周围骨折小碎片内固定技术

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-12-01 DOI: 10.1097/BTE.0000000000000200

Alyssa D. Althoff, Hans Prakash, R. P. Gean, S. Yarboro

引用次数: 0

Intramedullary Screw Fixation Supplemented by Scapular Spine Plating: A Surgical Technique for the Base of Acromion Fracture 肩胛骨钢板加髓内螺钉固定:一种治疗肩峰基部骨折的手术技术

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-12-01 DOI: 10.1097/BTE.0000000000000202

A. Atan, Zamri Abdul Rahman, Norhaslinda Bahaudin, K. R. Zayzan, A. Ahmad

{"title":"Intramedullary Screw Fixation Supplemented by Scapular Spine Plating: A Surgical Technique for the Base of Acromion Fracture","authors":"A. Atan, Zamri Abdul Rahman, Norhaslinda Bahaudin, K. R. Zayzan, A. Ahmad","doi":"10.1097/BTE.0000000000000202","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000202","url":null,"abstract":"Isolated acromion fractures, although unusual, are not uncommon. Traditionally treated conservatively, an improved understanding of shoulder biomechanics has extended the indications for surgical treatment. Surgical modalities described in the literature are plating, cortical lag screw, Kirschner wiring, and tension-band wiring. We describe a novel surgical technique for both fixation of an acute fracture or revision surgery of the base of acromion fracture. The technique involves the insertion of an intramedullary screw from the lateral tip of the acromion toward the tapered medial part of the scapular spine. This is supplemented by an anatomic locking reconstruction plating placed on the superior border of the acromion and scapular spine. We share an illustrated case of a 39-year-old woman, who successfully underwent a revision surgery with this technique and recovered well with excellent radiologic and functional outcomes. A long intramedullary screw provides good interfragmentary compression, 3-point fixation, and better bony purchases. A supplementary plate helps to resist rotational and muscular-pulling forces. In conclusion, intramedullary screw fixation, supplemented with plating, offers a viable surgical treatment for acromion fractures, and combined with a proper postoperative rehabilitation regime, it helps patients to achieve","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80544492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Supracondylar Fractures in the Prone Position: Case Series, Technique, and Literature Review 俯卧位髁上骨折的治疗：病例系列、技术和文献综述

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000209

Andrew L. Schaver, J. Akeson, Robert A. Kinzinger, M. Ramirez

{"title":"Management of Supracondylar Fractures in the Prone Position: Case Series, Technique, and Literature Review","authors":"Andrew L. Schaver, J. Akeson, Robert A. Kinzinger, M. Ramirez","doi":"10.1097/BTE.0000000000000209","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000209","url":null,"abstract":"In displaced supracondylar humerus fractures, closed reduction percutaneous pinning is recommended and is most commonly performed in the supine position with the arm held in hyperflexion. The risk of iatrogenic ulnar nerve injury with medial pin placement is high in this position. We performed a retrospective case series of 149 patients with displaced supracondylar humerus fractures treated in the prone position. The aim of this study was to evaluate the incidence of iatrogenic ulnar nerve injury with medial pin placement, report our technique, and conduct a literature review to serve as historical control. The rate of iatrogenic ulnar nerve injury was evaluated and compared with a historical control cohort of 1029 patients treated supine. A total of 131 patients were included: 74 (56%) patients received a medial pin, and 57 (44%) patients received lateral pins only. Postoperative complications included 2 cases of pin migration (1.5%). No patients sustained iatrogenic ulnar nerve injury, compared with a historical control rate of 4.95%. Our technique is correlated with a lower incidence of ulnar nerve injuries than historical controls performed in the supine position. We believe this technique can facilitate safer pin placement in cases that require a medial pin. Level of Evidence: Level IV.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"112 - 115"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49404739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“Triple Window” Surgical Approach to the Elbow: A Hybrid Exposure 肘关节“三窗”手术入路:混合暴露

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000207

S. Kamineni, Eric Abbenhaus, R. Snowden

引用次数: 0

A Simplified Technique for Patient Positioning During Olecranon Fracture Fixation 鹰嘴骨折固定中患者定位的简化技术

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000199

Dennis A. DeBernardis, Kristin Sandrowski, E. Padegimas, Michael Rivlin

{"title":"A Simplified Technique for Patient Positioning During Olecranon Fracture Fixation","authors":"Dennis A. DeBernardis, Kristin Sandrowski, E. Padegimas, Michael Rivlin","doi":"10.1097/BTE.0000000000000199","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000199","url":null,"abstract":"Olecranon fractures are common injuries of the upper extremity that frequently require operative fixation to restore elbow congruity and function. Surgery is often performed in the lateral or prone position, presenting challenges for anesthesia, nursing, and the surgical team to safely and appropriately position the patient. Supine positioning with the use of a hand table provides limited visualization of the olecranon and often requires an assistant for maintenance of limb position. We describe an easy and quick surgical setup requiring only 2 total knee arthroplasty foot positioners (commonly known as “paint rollers”) attached to a surgical table with the patient in a supine position. A retrospective review of 28 patients undergoing operative fixation of olecranon fractures utilizing this positioning method was performed. No patients were found to require repositioning (ie, supine to lateral) for any reason and no airway-related or positioning-related complications were noted. This setup provides excellent exposure to the operative site and stable positioning of the arm with minimal risk to the patient. In keeping the patient supine, monitored anesthesia care (intravenous general anesthesia) with regional blockade may be performed without the need for endotracheal or laryngeal mask anesthesia, thereby lowering anesthesia-related risks.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"107 - 111"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41638542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Trapezius Rotation-plasty for Complicated Acromioclavicular Joint Ganglion Cysts 斜方肌旋转成形术治疗复杂肩锁关节神经节囊肿

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000205

G. Hoy, M. Choudhry, Simon Hoy, S. Warby

引用次数: 0

The Split Capsule Technique for Chronic Anterior Shoulder Dislocation: A Novel Surgical Technique and Case Series 裂囊技术治疗慢性肩前脱位:一种新的手术技术和病例系列

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000206

Khang H. Dang, A. Lee, G. Prabhakar, Bao-Quynh Julian, Christina I. Brady, Anil K Dutta

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Lateralized Versus Nonlateralized Reverse Shoulder Arthroplasty: Impact on Clinical and Functional Outcomes 侧位与非侧位肩关节置换术:对临床和功能结果的影响

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000204

Y. Chua, P. Lam, G. Murrell

{"title":"Lateralized Versus Nonlateralized Reverse Shoulder Arthroplasty: Impact on Clinical and Functional Outcomes","authors":"Y. Chua, P. Lam, G. Murrell","doi":"10.1097/BTE.0000000000000204","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000204","url":null,"abstract":"The aim of this study was to compare the early clinical and functional outcomes of patients who received the 2 major variations of reverse shoulder arthroplasty (RSA). The nonlateralized Aequalis Reversed Shoulder System (Tornier, Nice, France) was followed by the lateralized Encore Reverse Shoulder Prosthesis (DJO Surgical, Austin, Texas). Patient-determined pain and functional scores and examiner-determined range of motion and strength were assessed preoperatively and postoperatively at 1, 6, 12 weeks, and 6 months. Seventy RSAs performed in 66 consecutive patients: 35 shoulders in the lateralized group and 35 shoulders in the nonlateralized group met the inclusion criteria and formed the cohorts. Both groups experienced similar excellent clinical outcomes, with the exception that the lateralized group had better internal rotation range of motion (L3-4 vs. S1, P=0.03), lower frequency of pain during sleep (P=0.04), less severe pain at rest (P=0.03) and higher involvement in sporting activities (P=0.04) at 24 weeks. In conclusion, patients who underwent RSA with a lateralized glenosphere had better internal rotation range of motion, less pain, and better function than those who received a nonlateralized prosthesis. These differences were apparent within 6 months postsurgery. Level of Evidence: Level III.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"89 - 96"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BTE.0000000000000204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42147038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Distal Biceps Tendon Ruptures: Acute Repair Versus Chronic Reconstruction Using the “Anatomic Length Method” and Concomitant Bicipital Aponeurosis Repair: A Group-matched Comparative Retrospective Study 二头肌远端肌腱断裂：应用“解剖长度法”进行急性修复与慢性重建以及同时进行的二头神经鞘膜修复：一项分组匹配的比较回顾性研究

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000203

W. Albishi, J. Lam, Aouod Agenor, A. Elmaraghy

{"title":"Distal Biceps Tendon Ruptures: Acute Repair Versus Chronic Reconstruction Using the “Anatomic Length Method” and Concomitant Bicipital Aponeurosis Repair: A Group-matched Comparative Retrospective Study","authors":"W. Albishi, J. Lam, Aouod Agenor, A. Elmaraghy","doi":"10.1097/BTE.0000000000000203","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000203","url":null,"abstract":"Chronic disruption of the distal biceps tendon is a challenging problem and can lead to considerable disability. We conducted a group-matched retrospective study comparing clinical outcomes of chronic distal biceps reconstruction using our previously described “Anatomic Length Method” and those with an acute distal rupture and primary repair. Forty-six patients were included into the analysis; 23 underwent acute distal biceps repair, and 23 underwent chronic distal biceps reconstruction. Demographic and surgical data were reviewed retrospectively. Patients were evaluated and clinical outcome measures were obtained at least 1 year after surgical treatment. There were no significant differences in Patient-Rated Elbow Evaluation scores (6.0 vs. 4.4, respectively; P=0.53) and biceps shape contour satisfaction (19/19 vs. 6/7, respectively; P=0.093). No significant difference emerged in complication rates. This study suggests that chronic reconstruction of the distal biceps tendon using the “Anatomic Length Method” is a safe technique that produces similar clinical results to acute distal biceps primary repair.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"97 - 100"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44522238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0