We present a case of idiopathic osteonecrosis of the humeral
Introduction. A prospective study was done using Kirschner (K) wires to internally fix
The functional outcomes of twenty-eight patients with
Purpose: The identification of anatomical landmarks is an important aspect of joint surgery, to ensure proper placement and alignment for implants and other reconstructive procedures. At the elbow, the center of the
Purpose: The literature contains little information on an objective method of measuring radiocapitellar joint translations, as would be seen with joint instability. The purpose of this study was to develop and validate a measurement method that was simple and that could be easily reproducible in a clinical setting or intra-operatively to assess radiocapitellar joint translations. Method: We performed a radiological study on a synthetic elbow specimen in order to quantify radial head translations as related to the
Purpose: Osteochondritis dissecans (OCD) of the
Aims. To propose a new method for evaluating paediatric radial neck fractures and improve the accuracy of fracture angulation measurement, particularly in younger children, and thereby facilitate planning treatment in this population. Methods. Clinical data of 117 children with radial neck fractures in our hospital from August 2014 to March 2023 were collected. A total of 50 children (26 males, 24 females, mean age 7.6 years (2 to 13)) met the inclusion criteria and were analyzed. Cases were excluded for the following reasons: Judet grade I and Judet grade IVb (> 85° angulation) classification; poor radiograph image quality; incomplete clinical information; sagittal plane angulation; severe displacement of the ulna fracture; and Monteggia fractures. For each patient, standard elbow anteroposterior (AP) view radiographs and corresponding CT images were acquired. On radiographs, Angle P (complementary to the angle between the long axis of the radial head and the line perpendicular to the physis), Angle S (complementary to the angle between the long axis of the radial head and the midline through the proximal radial shaft), and Angle U (between the long axis of the radial head and the straight line from the distal tip of the
Aims: This study aimed to assess the outcome of arthroscopic debridement and removal of loose bodies from the elbows of patients with OCD of the
The purpose of this study is to describe a surgical procedure for unstable osteochondritis dissecans (OCD) of the
Displaced supracondylar fractures of the paediatric elbow are a serious, but well described injury. Although complications are common, avascular necrosis (AVN) of the
Objectives. Surgical treatment is standard for advanced osteochondritis dissecans (OCD) of the humeral
Hemiarthroplasty is a common procedure that is an attractive alternative to total arthroplasty because it conserves natural tissue, allows for quicker recovery, and has a lower cost. One significant issue with hemiarthroplasties is that they lead to accelerated wear of the opposing native cartilage, likely due to the high stiffness of the implant. The purpose of this study was to investigate the range of currently available biomaterials for hemiarthroplasty applications. We employed a finite-element (FE) model of a radial head implant against the native
Aims. The purpose of this study was to evaluate the relationships between the degree of injury to the medial and lateral collateral ligaments (MCL and LCL) and associated fractures in patients with a posterolateral dislocation of the elbow, using CT and MRI. Methods. We retrospectively reviewed 64 patients who presented between March 2009 and March 2018 with a posterolateral dislocation of the elbow and who underwent CT and MRI. CT revealed fractures of the radial head, coronoid process, and medial and lateral humeral epicondyles. MRI was used to identify contusion of the bone and collateral ligament injuries by tear, partial or complete tear. Results. A total of 54 patients had a fracture; some had more than one. Radial head fractures were found in 25 patients and coronoid fractures in 42. Lateral and medial humeral epicondylar fractures were found in eight and six patients, respectively. Contusion of the
Purpose: Coronal shear fractures of the humerus include the Kocher-Lorenz fracture, an osteochondral fracture of the capitellar articular surface, the Hahn-Steinthal fracture, a substantial shear fragment, extension into the trochlea, and complete involvement of the
Three 3mm transverse slices were sectioned from the distal cancellous region of seven fresh-frozen cadaveric humerii. Each slice was marked with a 3x3mm grid, and subjected to compressive testing using a flat cylindrical indenter (1.6mm diameter). Indentation modulus and strength were calculated for each site, and pooled into nine anatomically-defined regions. The most distal slice had higher moduli values (p<
0.05), and the posterior capitellar region had lower moduli values (p<
0.05). There were no slice or regional differences in strength. This suggests that surgical procedures requiring cancellous fixation utilize the most distal aspect of the humerus while avoiding the posterior
Purpose.
Background. Fractures of the radial head result from an axial force that causes impaction against the
Summary. The significance of matching radius of curvature of the radial head implant and the
Repeated trauma to the radial head may be one of the causative factors in the genesis of osteochondritis dissecans of the