• 제목/요약/키워드: Elbow surgery

검색결과 1,245건 처리시간 0.049초

Arthroscopic Excision of Delayed Diagnosed Intra-articular Osteoid Osteoma of the Elbow: A Case Report

  • Park, Sam Guk;Shin, Duk Seop;Choi, Joon Hyuk;Na, Ho Dong;Park, Jae Woo
    • Clinics in Shoulder and Elbow
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    • 제21권3호
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    • pp.162-168
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    • 2018
  • An intra-articular osteoid osteoma is a very rare cause of elbow pain, and its diagnosis and treatment remain challenging. Delayed diagnosis may lead to arthritic change of the joint. In this study, the authors present the occurrence of intra-articular osteoid osteoma in the right elbow of a 15-year-old male patient who presented with prolonged pain and limited motion owing to delayed diagnosis. After confirming the nidus of osteoid osteoma from radiographic evaluation, the lesion was completely removed arthroscopically. The patient presented a complete relief of symptoms and full range of motion. This is the first domestic report of successful arthroscopic treatment of an intra-articular osteoid osteoma of the elbow.

Anterior interosseous nerve palsy in the early postoperative period after open capsular release for elbow stiffness: a case report

  • Christopher A. Colasanti;Michael Boin;Jacques Hacquebord;Mandeep S. Virk
    • Clinics in Shoulder and Elbow
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    • 제26권4호
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    • pp.462-466
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    • 2023
  • Surgical release of elbow contracture is associated with injury to structures traversing the elbow. To date, only one other case report has been published describing anterior interosseous nerve (AIN) palsy that developed immediately after open elbow contracture release and debridement. Here we describe the unique case of a patient that developed AIN palsy 1 week after operation, including magnetic resonance imaging and electrodiagnostic studies, to shed some light on the etiology of this rare complication.

성인형 주관절 박리성 골연골염 - 1례 보고 - (The Osteochondritis Dissecans of The Adult Elbow - A Case Report -)

  • 문영래;유재원;조삼호
    • Clinics in Shoulder and Elbow
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    • 제3권2호
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    • pp.115-117
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    • 2000
  • Adult type of osteochondritis dissecans of elbow is very rare condition. We describe a case of a osteochondritis dissecans of capitellum in 51-year-old male patient. We performed arthroscopy procedure for removal of loose osteochondral fragments. After I year follow-up, the patient gained good result.

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체외충격파를 이용한 테니스 엘보우의 치료에서 석회화 병변의 영향 (Effects of Calcific lesion on Shockwave Therapy of the Tennis Elbow)

  • 이석범;;송영준;이기병
    • Clinics in Shoulder and Elbow
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    • 제7권1호
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    • pp.35-40
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    • 2004
  • Purpose: The aim of this study was to investigate effects of calcific lesion on shockwave therapy of the tennis elbow. Materials and Methods: twenty-four patients with refractory tennis elbow were treated with shock waves. The patients were evaluated by assessment of pain using visual analog scale (VAS) and simple elbow test (SET). Comparision of clinical outcomes for the patients with and without calcification in the extensor tendon and/or cortical irregularity of lateral condyle was tried to determine if this could be a possible prognostic factor in clinical settings. Overall clinical outcomes were evaluated by Roles and Maudsley score at 12 months after ESWT. Results: Significant improvement of symptoms were observed in 20 (83 %) patients at 12 months follow up according to Roles and Maudesley scores. The patients with calcification and/or cortical irregularity improved significantly better, when compared to the patients without calcification and/or cortical irregularity at follow up. Conclusion: This study suggests that shock waves therapy could be considered as effective and noninvasive treatment modality for refractory tennis elbow. Also calcific deposit in extensor tendon and/or cortical irregularity of the lateral epicondyle was seem to be good prognostic factor for shock wave therapy for tennis elbow

Results of radial head resection after Mason type 3 or 4 fracture of the elbow

  • Mebouinz, Ferdinand Nyankoue;Kasse, Amadou;Sy, Mouhamadou Habib
    • Clinics in Shoulder and Elbow
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    • 제23권3호
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    • pp.131-135
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    • 2020
  • Background: Resection of the radial head is a surgical indication for comminuted radial head fracture in which internal fixation is inaccessible. Some complications from the surgery can alter the function of the patient's elbow. The objective of this study was to assess functional outcome of the elbow after resection of the radial head. Methods: A retrospective longitudinal study was performed with patients who underwent radial head resection between 2008 and 2018. Elbow function was assessed by the Mayo Elbow Performance Index (MEPI) for 11 patients comprising three women and eight men. The mean follow-up was 47.6 months. The mean age was 41±10.3 years. Results: Nine patients had a stable and painless elbow. The mean extension-flexion arc was 97.73°±16.03°. The mean values of pronation and supination were 76.8° and 74.5°, respectively. The mean MEPI score was 83.2 points, and restoration of overall function was achieved in 81% of the cases. Poor function was noted in one in 10 that presented with a terrible triad. Conclusions: Resection of the radial head restored elbow functionality at a rate of 81%, which was a good outcome for patients.

Technical Note Transarticular Approach for Elbow Arthroscopy

  • Kim Sung-Jae;Jeong Jae-Hoon
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2004년도 연수강좌
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    • pp.176-179
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    • 2004
  • Arthroscopy of the stiff elbow joint is a technically difficult procedure because of the decreased joint space of the elbow joint. even to experienced surgeons. Problems encountered include limited access of instrument to the intra-articular ,pace and an increased risk of cartilage injury in the contracted elbow joint. This study describes a novel transarticular approach for elbow arthroscopy that allow, the safe and effective creation of the proximal medial and lateral portals.

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Treatment of Proximal Humeral Fracture Using Polarus Nail and Philos Plate

  • Choi, Chang Hyuk;Sim, Jung Hyun;Lee, Sang Hwa;Lee, Joo Hwan;Nam, Jun Ho
    • Clinics in Shoulder and Elbow
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    • 제17권3호
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    • pp.120-126
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    • 2014
  • Background: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery. Methods: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively. Results: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05). Conclusions: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.