Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2010
Rotator cuff tears in proximal humeral fractures: an MRI cohort study in 76 patients.
The aim was to evaluate if concomitant injury to the rotator cuff is important for functional outcome in proximal humerus fractures, and to relate loss of function to malunion of the fractures. ⋯ Partial- as well as full thickness tears of the rotator cuff are important for functional outcome. Skeletal deterioration seems even more important.
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Arch Orthop Trauma Surg · May 2010
Displaced medial epicondyle fractures of the humerus: surgical treatment and results. A report of 139 cases.
Elbow instability is a common feature after medial epicondyle fractures, displaced or not, even in the absence of dislocation. Undisplaced or minimally displaced fractures often have an underestimated degree of instability secondary to unrecognised capsuloligamentous and muscular injuries. The purpose of this retrospective study was to analyze and to assess objectively the results of the surgical treatment of these acute injuries. ⋯ Operative intervention is a good management of these fractures and results in an anatomic reduction, a solid bone union and prevents valgus instability. Even with postoperative immobilization of the elbow (mean of 4 weeks), stiffness is rare. Damage to the medial stabilizing structure of the elbow rather than the extent of medial epicondyle displacement has a far greater influence on joint stability and outcome.
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Arch Orthop Trauma Surg · May 2010
Corrective osteotomy in symptomatic midshaft clavicular malunion using elastic stable intramedullary nails.
It is our goal to present an alternative, less invasive surgical technique for corrective osteotomy in symptomatic midshaft clavicular malunion using elastic stable intramedullary nails (ESIN) and to present our results in a consecutive patients series. ⋯ We therefore recommend this technique for corrective osteotomy of symptomatic midshaft clavicular malunions.