Cubitus varus deformity after a supracondylar fracture classically includes varus, extension, and internal rotation components. However, to our... [more]
The deformity of the distal part of the humerus was evaluated with three-dimensional computer bone models. The proximal site of the affected humerus was superimposed onto the mirror image of the corresponding part on the contralateral, normal side. The deformity of the distal part of the humerus was quantified three-dimensionally.
Comparison of the mean of actual baseline QuickDASH scores and recalled baseline QuickDASH scores for each time point. The three-month time point was the only time point to show a significant difference between actual baseline and recalled baseline QuickDASH scores (p= 0.001).
Figs. 1-A through 1-F The safe sequence of arthroscopic elbow capsulectomy. Olec = olecranon, Fossa = olecranon fossa, and Troch = trochlea. Fig. 1-A Three-dimensional surface rendering computed tomography (CT) scan showing the arthroscopic field of view (circle). Fig. 1-B Step 1: Get In and Establish a View. This arthroscopic view of the area indicated by the circle in Figure 1-A reveals the tip of the olecranon just barely detectable within the surrounding scar tissue. Anatomic landmarks and their spatial orientation are confirmed. Fig. 1-C Step 2: Create a Space in Which to Work. After removing scar tissue, stripping the scar tissue and capsule off the bone, and inserting a retractor to elevate the soft tissues, a much larger view is now possible in which the olecranon can be seen impinging against the marginal osteophyte on the trochlea. Above this is scar tissue covering the floor of the olecranon fossa. Fig. 1-D Sagittal reconstruction of a CT scan showing posterior osteophytes. Figs. 1-E and 1-F Step 3: Bone Removal. Osteophytes are removed from the margin of the trochlea, the rim and floor of the olecranon fossa, and the olecranon. (By permission of the Mayo Foundation for Medical Education and Research. All rights reserved.)
Diagram of the literature search results. Four hundred and sixty unique articles were identified through MEDLINE (n = 338) and Embase (n = 363). We excluded case studies with five patients or fewer, review articles, articles addressing radial head arthroplasty rather than ulnar humeral arthroplasty, those focused on resection arthroplasty or tumor cases, and articles that were biomechanical in nature. Screening of title, abstract, and publication type resulted in ninety-four articles, with seventy-two articles remaining after review of the full article.
Epiphysiolysis (Little Leaguer’s elbow). A coronal STIR image of the right elbow shows diffuse high signal intensity within the medial epicondyle, consistent with epiphysiolysis from repetitive valgus stress to the elbow (arrow). Note the normal UCL (arrowhead).
Type-I allograft-prosthetic composite. (Reproduced with permission of Matt Morrey, MD.)
Figs. 1-A and 1-B An eighteen-year-old woman with a partial articular fracture without a block to motion. Fig. 1-A Anteroposterior radiograph made at the time of presentation. Fig. 1-B Anteroposterior radiograph made one year after nonoperative treatment. The patient had full range of motion and excellent function.
A seventeen-year-old boy, who had sustained a type-II supracondylar fracture of the right humerus when he was seven years old and had been treated with a splint without reduction, showed a mild lack of flexion and a mild cubitus varus deformity with a clinical carrying angle 12° lower than the contralateral side on clinical examination. The patient complained of mild discomfort when lifting weights at the gym. Instability maneuvers were negative. The MEPS was 85 points, and the QuickDASH score was 34.1 points. The result was classified as unsatisfactory.
Percentage of rejected studies published over time.
The evaluation and treatment algorithm following nerve injury has three critical time points: two weeks, three months, and nine months. These time points correspond with periods of specific evaluation, intervention, and management. OT = occupational therapy, EMG = electromyography, and NCS = nerve conduction velocity studies.
Tables showing the prevalence of bacteria in positive cultures and the number of specimens from each surgery sent for examination
Intraoperative photographs and fluoroscopic images of the pivot-shift test in two patients
Tables showing the elbow-specific aggregate outcome measures used in the total elbow arthroplasty literature, a review of the characteristics of elbow-specific aggregate outcome measures, the MEDLINE and Embase search methods, and the outcome measures in total elbow arthroplasty according to the Wilson and Cleary conceptual model
Tables showing the indications for the total elbow arthroplasties and the revisions with the allograft-prosthetic composite as well as the types of allograft-prosthetic composites and grafts, and types and amounts of bone loss