Elastic intramedullary nailing of midclavicular fractures
Acta Chir Belg. 2008 Jul-Aug;108(4):428-32. Hartmann E, Hessmann MH, Gercek E, Rommens PM. The majority of midclavicular fractures are treated conservatively. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Elastic stable intramedullary nailing is an increasingly popular alternative for the internal fixation of displaced midclavicular fractures. In a three-year […]
Coronoid Process Fracture
J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Scott P. Steinmann, MD The coronoid process is one of the main constraints providing ulnohumeral joint stability. The coronoid process and the radial head provide a buttress against posterior displacement of the elbow joint. Fracture of the coronoid process can be either an isolated […]
Intraarticular lidocaine versus intravenous procedural sedation with narcotics and benzodiazepines for reduction of the dislocated shoulder: a systematic review
NULL Acad Emerg Med. 2008 Aug;15(8):703-8. Fitch RW, Kuhn JE. BACKGROUND: Anterior shoulder dislocations commonly present to the emergency department (ED). The time associated with procedural sedation for the reduction of anterior shoulder dislocations can be lengthy and may require use of additional personnel. Complications associated with intravenous (IV) medications for procedural sedation are well […]
Coracoclavicular stabilization using a suture anchor technique
NULL Am J Orthop. 2008 Jun;37(6):294-300. Friedman DJ, Barron OA, Catalano L, Donahue JP, Zambetti G. Multiple fixation options exist for coracoclavicular stabilization, but many are technically demanding and require hardware removal. In the study reported here, we reviewed a specific fixation technique that includes suture anchors moored in the base of the coracoid process. […]
Chronic Glenohumeral Dislocation
NULL Journal of the American Academy of Orthopaedic Surgeons July 2008, Volume 16, Issue 7 Deenesh T. Sahajpal, MD, FRCSC and Joseph D. Zuckerman, MD The evaluation and management of chronic glenohumeral dislocations can be challenging. By definition, chronic glenohumeral dislocations represent injuries that were not identified at the time of injury. Therefore, the primary […]
Magnetic resonance imaging appearance of the shoulder after subacromial injection with corticosteroids can mimic a rotator cuff tear
NULL Arthroscopy. 2008 Jul;24(7):846-9. Epub 2007 Apr 24 Borick JM, Kurzweil PR. Subacromial injections have been used to treat rotator cuff problems. Previous studies have noted the difficulty in performing accurate injections into this area. In addition, one must also question the effects that misplaced corticosteroids could have on the surrounding tissues. In this case, […]
Clinical Evaluation of the Shoulder Shrug Sign
NULL Clin Orthop Relat Res. 2008 Jun 10. [Epub ahead of print] Jia X, Ji JH, Petersen SA, Keefer J, McFarland EG. The ‘shrug sign’ (inability to lift the arm to 90 degrees abduction without elevating the whole scapula or shoulder girdle) has been associated with a diagnosis of rotator cuff disease. Based on our […]
The long-term effectiveness of steroid injections in primary acromioclavicular joint arthritis: A five-year prospective study
NULL J Shoulder Elbow Surg. 2008 Mar 21 (Epub ahead of print) Hossain S, Jacobs LG, Hashmi R. We evaluated the long-term benefits of steroid injection in 25 shoulders in 20 consecutive patients (average age, 55 years) with primary acromioclavicular arthritis. Minimum follow-up was 5 years. The mean preinjection Constant score (61 points) improved at […]
Outcome of total elbow replacement for distal humeral fractures in the elderly: a comparison of primary surgery and surgery after failed internal fixation or conservative treatment
NULL J Bone Joint Surg Br. 2008 Mar;90(3):343-8. Prasad N Dent C. Abstract We analysed the outcome of the Coonrad-Morrey total elbow replacement used for fracture of the distal humerus in elderly patients with no evidence of inflammatory arthritis and compared the results for early versus delayed treatment. We studied a total of 32 patients […]
Primary Osteoarthritis of the Elbow: Current Treatment Options
Journal of the American Academy of Orthopaedic Surgeons February 2008, Volume 16, Issue 2 Emilie V. Cheung, MD, Robert Adams, OPA-C and Bernard F. Morrey, MD In the elbow, as in other joints, primary osteoarthritis is characterized by pain, stiffness, mechanical symptoms, and weakness. But primary osteoarthritis of the elbow is unique in that there […]
