Techniques in Shoulder and Elbow Surgery最新文献_第2页

Jeffery Type II Fracture of the Radial Neck of a Child: Description of the Lesion and Novel Method of Closed Reduction 儿童桡骨颈的Jeffery II型骨折:病变描述和闭合复位的新方法

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000201

Ricardo Kaempf de Oliveira, M. Aita, J. P. Farina Brunelli, S. Ribak, Pedro José Delgado Serrano

{"title":"Jeffery Type II Fracture of the Radial Neck of a Child: Description of the Lesion and Novel Method of Closed Reduction","authors":"Ricardo Kaempf de Oliveira, M. Aita, J. P. Farina Brunelli, S. Ribak, Pedro José Delgado Serrano","doi":"10.1097/BTE.0000000000000201","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000201","url":null,"abstract":"The authors describe the treatment of a 13-year-old patient with a severe, posteriorly dislocated, epiphysiolysis fracture of the proximal radius. This is called a Jeffery type II lesion when the epiphysiolysis fracture takes place at the radial neck during the reduction of elbow posterior dislocation, thus causing radial head posterior displacement. There are <30 cases described in the literature about such kind of lesion, and only. Chotel and colleagues has carried out the percutaneous form of treatment. He advocated a varus stress onto the elbow joint so that its subluxation would open the lateral space to facilitate manipulation and head reduction toward its anatomic position. The authors also describe a closed reduction technique for such fracture by using 2 Kirschner wires, whereas the first is inserted into the fracture site, thus acting as a guide and fulcrum, so that the second wire would push the radial head toward its anatomic position. The authors regard that such modification of Chotel and colleagues’ technique is an effective and less aggressive maneuver that reduces the risk of iatrogenic ligament and chondral injuries. The purpose is to demonstrate the surgical technique of the novel, effective, and safe method of treatment to Jeffery type II radial neck pediatric fractures.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"124 - 131"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48271240","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

New Techniques of Olecranon Tension Band Fixation: Biomechanical Evaluation Using Finite Element Method 鹰嘴张力带固定新技术:有限元法生物力学评价

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-11-18 DOI: 10.1097/BTE.0000000000000208

M. R. Rastegar, H. Namazi, E. Shafiee, Mohammad T Karimi

{"title":"New Techniques of Olecranon Tension Band Fixation: Biomechanical Evaluation Using Finite Element Method","authors":"M. R. Rastegar, H. Namazi, E. Shafiee, Mohammad T Karimi","doi":"10.1097/BTE.0000000000000208","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000208","url":null,"abstract":"Various fixation methods have been used to fix olecranon fractures including the plate fixation, intramedullary screws, and tension band technique. Open reduction with tension band wire fixation (TBW) has been widely accepted for the treatment of transverse displaced olecranon fractures. The aim of this study was to determine the stress developed in different types of TBW fixations in olecranon fractures on the basis of finite element analysis. A 3-dimension model of the elbow joint was created on the basis of the computerized tomography scan images. Three different configurations of TBW fixations were evaluated in this study. The stress developed in various fragments and implant parts and relative motion of implant in various degrees of elbow flexion was assessed in this study. The stress of K-wires was higher in condition 1 (K-wire inserted from the posterior side to the posterior side) compared with other conditions. The relative displacement of the pin was the highest in condition 2 (K-wire from posterior to anterior) (higher than 2 mm), which occurred in elbow flexion angle of 40 to 50, followed by condition 3 (with K-wire, one from posterior to anterior and another one from posterior to posterior). It seems that the lowest value of displacement occurs in condition 1, compared with other conditions. The new methods suggested herein (conditions 2 and 3) provided sufficient stability for fracture fixation, similar to the conventional method (condition 1). In these 2 methods, the amount of complications seems to be lower because of the placement of K-wires, therefore, these 2 methods are recommended to reduce the complications of surgery.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"101 - 106"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43495122","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

Chronic Tear of the Distal Triceps Tendon Treated With Suture Anchors and Fascia Lata Allograft: Case Report, Surgical Technique and Literature Review 缝合锚钉和阔筋膜同种异体移植治疗三头远端肌腱慢性撕裂:病例报告、手术技术和文献回顾

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000197

E. Bonicoli, M. Giuntoli, E. Ipponi, P. Battaglia, I. Angelini, M. Scaglione

{"title":"Chronic Tear of the Distal Triceps Tendon Treated With Suture Anchors and Fascia Lata Allograft: Case Report, Surgical Technique and Literature Review","authors":"E. Bonicoli, M. Giuntoli, E. Ipponi, P. Battaglia, I. Angelini, M. Scaglione","doi":"10.1097/BTE.0000000000000197","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000197","url":null,"abstract":"Chronic tears of the distal triceps tendon are extremely uncommon lesions. Surgical therapy can be performed with a direct reattachment of the 2 sides of the lesion or—in case of significant tendon retraction—using grafts to fill the resulting gap. Herein, we report a case of a torn distal triceps tendon that occurred in a 33-year-old patient suffering from paraplegia. The resulting functional impairment of the elbow impeded her to use a wheelchair, causing a substantial limitation to her mobility and autonomy. Preoperative clinical evaluation, x-rays, muscle-tendon ultrasound, and magnetic resonance imagingwas been performed. In consideration of a 6 cm retraction at the surgery, we reconstructed the tendon using a combination of suture anchors (5 mm Super Reevo ConMed) and a cadaver fascia lata allograft. After surgery, the elbow was immobilized in extension inside a brachio-metacarpal cast for 30 days. In the following month, the cast was replaced with a hinged elbow brace and progressive mobilization was permitted. Five months postoperatively, the patient regained her previous active flexion-extension articular ROM and was able to use her wheelchair again. No complication occurred.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"79 - 83"},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BTE.0000000000000197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41416246","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

Repair of an Acute Latissimus Dorsi Tendon Rupture Using Bicortical Button Fixation 双皮质钮扣固定修复急性背阔肌肌腱断裂

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000195

Teresa Doerre, A. Hallwachs, R. Fullick, W. Lowe

引用次数: 1

Arthroscopic Repair of Type-V SLAP Lesion: A Prospective Cohort Study of an Anchor Above the Anterior Glenoid Mid-equator Based on a New Classification System 关节镜下修复V型SLAP病变：基于新分类系统的前Glenoid中赤道上方锚固件前瞻性队列研究

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000193

A. Kandeel

{"title":"Arthroscopic Repair of Type-V SLAP Lesion: A Prospective Cohort Study of an Anchor Above the Anterior Glenoid Mid-equator Based on a New Classification System","authors":"A. Kandeel","doi":"10.1097/BTE.0000000000000193","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000193","url":null,"abstract":"Supplemental Digital Content is available in the text. On basis of a newly proposed classification of type-V superior labrum anterior to posterior (SLAP) lesion, this study was conducted to investigate this question: “Does concurrent anterosuperior labral anchor repair limit postoperative range of external rotation and increase postoperative pain compared with isolated Bankart repair?.” This prospective cohort study, conducted between September 2014 and December 2017, included 20 patients who were divided into the following groups: group-S (12 patients) of concurrent Bankart and type-IIA SLAP repair by 3 anchors, with one of them above the glenoid mid-equator, and group-B (8 patients) of isolated Bankart repair by 2 anchors. Patients were evaluated for demographics and preoperative and 2-year postoperative shoulder range of motion, Rowe Instability Score, University of California Los Angeles score, and instability recurrence. Statistically, group-S patients had significantly older mean age at first time of dislocation (24.7 vs. 18.2 y, respectively; P=0.034). Postoperatively, there was an insignificant difference between groups with regard to external rotation deficits at 0 and 90 degrees abduction compared with sound contralateral shoulder (10.0 vs. 5.00 degrees; P=0.080) and (17.1 vs. 12.5 degrees; P=0.087), respectively. The current study demonstrated that concurrent Bankart and anterosuperior labral anchor repair can offer outcomes comparable to isolated Bankart repair as regards postoperative pain, range of external rotation, function, return to work, and instability recurrence. Age at first time of glenohumeral dislocation can be a predictor for severity of labral detachment. The currently reported classification system can assist in more precise decision making and outcome assessment of type-V SLAP repair. Level of Evidence: Level III.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"57 - 65"},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BTE.0000000000000193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46610062","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

Feasibility of Biceps Tenotomy Using Small Needle Arthroscopy: A Cadaver Analysis 小针关节镜下二头肌肌腱切开术的可行性:尸体分析

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000194

K. Plancher, Joseph M. Ajdinovich, S. Petterson

{"title":"Feasibility of Biceps Tenotomy Using Small Needle Arthroscopy: A Cadaver Analysis","authors":"K. Plancher, Joseph M. Ajdinovich, S. Petterson","doi":"10.1097/BTE.0000000000000194","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000194","url":null,"abstract":"Untreated lesions of the long head of the biceps tendon are a common cause of shoulder pain and dysfunction. Although the use of in-office arthroscopy has been described for biceps tenotomy, advances have led to portable arthroscopy devices. Tenotomy was performed in 10 cadaveric shoulders (average age 62.8) with an intact elbow and distal insertion point of the biceps tendon. A biceps tendon in the bicipital groove was confirmed using ultrasound. The portable arthroscopy device was introduced through an anterior-superior portal. Tenotomies were carried out under direct visualization with a standard straight arthroscopic punch through a separate adjacent portal. Following tenotomy, a second-look was performed to identify injuries caused by the procedure. Specimens were disarticulated and examined for iatrogenic injury to cartilage and completion of tenotomy. Biceps stump lengths were measured. Tenotomies were confirmed in 9 of 10 specimens with an average residual stump of 4.23±2.08 mm (range: 0 to 6.94 mm). Stability of the labrum was confirmed post-tenotomy. No iatrogenic injuries were observed on arthroscopy. This study demonstrates the safety and efficacy of an intra-articular, minimally invasive tenotomy of the long head of the biceps in a cadaveric model using a portable arthroscopy device as a possible alternative to operating room arthroscopic tenotomy.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BTE.0000000000000194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48479795","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

Snapping Scapula Syndrome Caused by an Osteochondroma of the Second Rib: A Novel Surgical Technique and Case Report 第二肋骨骨软骨瘤引起的肩胛骨断裂综合征:一种新的手术技术和病例报告

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000196

J. Barrett-Lee, G. Harper

引用次数: 0

Symptomatic Nonunion of the Medial Humeral Epicondyle Fracture: A Case Report and Review of the Literature 肱骨内侧上髁骨折症状性不愈合1例报告及文献复习

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-08-14 DOI: 10.1097/BTE.0000000000000198

R. Maanouk, M. Bensaka, A. Baroudi, S. Senhaji, H. Abid, M. Elidrissi, A. El Ibrahimi, A. Elmrini

引用次数: 0

Arthroscopic Internal Fixation of Symptomatic Os Acromiale 关节镜内固定治疗症状性肩峰肌

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-06-01 DOI: 10.1097/BTE.0000000000000191

Marcio Cohen, M. Monteiro, Raphael Fonseca, Marcelo Reis Pereira, A. Zaluski

引用次数: 0

Anteromedial Surgical Approach for Minimally Invasive Fixation of Humerus Shaft Fractures: A Cadaveric and Clinical Study 前内侧入路微创固定肱骨骨干骨折:尸体与临床研究

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-05-08 DOI: 10.1097/BTE.0000000000000188

V. Varghese, K. Bhowmick, I. Prithishkumar, M. Nithyananth

{"title":"Anteromedial Surgical Approach for Minimally Invasive Fixation of Humerus Shaft Fractures: A Cadaveric and Clinical Study","authors":"V. Varghese, K. Bhowmick, I. Prithishkumar, M. Nithyananth","doi":"10.1097/BTE.0000000000000188","DOIUrl":"https://doi.org/10.1097/BTE.0000000000000188","url":null,"abstract":"The authors describe a new anteromedial (AM) approach for minimally invasive fixation of humerus fractures. A cadaveric study was done initially, followed by the clinical study in a single level 1 trauma center. The AM approach was initially described by cadaveric dissection where the proximal and distal intervals were delineated. The interval for the proximal incision was between the biceps and pectoralis major muscle and the distal interval was made by splitting the brachialis muscle above the medial epicondyle. Six cadavers (12 limbs) were dissected to describe this approach. The same approach was then used on a series of 5 patients with acute humerus fracture. The outcomes which were measured were intraoperative complications, radiologic evidence of union, and functional scores. The cadaveric dissection indicated that the median nerve, brachial artery, musculocutaneous nerve, and the ulnar nerve were safe during plate application. The radial nerve was not encountered during this approach. In the clinical series, all the patients had united with good functional scores and no infection. There were no intraoperative complications or nerve palsies. The AM minimally invasive approach for the humerus fracture fixation is a safe procedure in patients as demonstrated by our cadaveric study and verified by our clinical results.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"21 1","pages":"42 - 49"},"PeriodicalIF":0.0,"publicationDate":"2020-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BTE.0000000000000188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44660848","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