For acute distal humeral fractures, not amenable to open reduction and internal fixation, total elbow arthroplasty has become an established alternative. However, lifelong activity restrictions designed to prevent early mechanical failure make this a poor option for some patients. This has led to a renewed interest in distal humeral hemiarthroplasty. Using modern implants and techniques, distal humeral hemiarthroplasty has shown outcomes comparable to those of total elbow arthroplasty at short- to mid-term follow-up, with an overall higher but different complication rate.
Source: Science Daily
A new study found that 96.4 percent of recreational athletes, age 55 and younger, who underwent total shoulder replacement surgery returned to at least one sport, on average, within seven months of surgery.
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may lead to chronic instability, osteonecrosis, and osteoarthritis.
Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.
Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.
Source: RSNA News
Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).
Researchers studied 32 patients who had reverse shoulder arthroplasty (RSA) and underwent reoperation for infection
This article reports the revision rate and possible risk factors for lower ex-tremity amputations in patients with diabetes mellitus or peripheral arterial disease (PAD). Data were collected from 421 patients with diabetes mellitus or PAD who underwent amputations of the lower extremity at the authors’ institution from 2002 to 2012.
The aim of distal radial fracture treatment is to achieve optimal function through the restoration of normal anatomy, including volar tilt. The accuracy of assessing volar tilt on standard lateral radiographs compared with anatomic tilt lateral (ATL) radiographs is uncertain. This study aimed to investigate the anatomy of the articular surface of the distal radius, in particular measuring the angle between the dorsal and volar rims at several points from radial to ulnar, to ascertain whether volar tilt is uniform between the scaphoid and lunate facet and to explore consistency between standard lateral and ATL views.
Source: Medical xpress
Perhaps there’s a black belt in your child’s future. But for safety’s sake, kids should only engage in noncontact forms of martial arts, a new American Academy of Pediatrics report says.