Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Jan 2010
Arthroscopic treatment of internal rotation contracture and glenohumeral dysplasia in children with brachial plexus birth palsy.
The purpose of the study was to assess the ability of arthroscopic anterior release, +/- tendon transfers to maintain shoulder joint alignment in children with brachial plexus palsy, and to assess their outcome after arthroscopic reduction. ⋯ 4.
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Recognition of the proximal ulna dorsal angulation (PUDA) is important for anatomic reduction of proximal ulna fractures, nonunions, malunions, or osteotomies, especially when using newer straight precontoured ulnar plates. The purpose of this study was to characterize the PUDA in 50 patients with bilateral elbow radiographs. ⋯ Radiographic study.
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J Shoulder Elbow Surg · Jan 2010
Comparative StudyEarly clinical results following staged bilateral primary total shoulder arthroplasty.
The advantages of performing either a single- or 2-staged joint replacement has been reviewed extensively in the hip and knee arthroplasty literature, but far less data exist regarding total shoulder replacements. In the appropriate clinical setting, bilateral total shoulder arthroplasty yields excellent functional results with a low complication profile. ⋯ 4.
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J Shoulder Elbow Surg · Jan 2010
Comparative StudyEffectiveness of multidetector computed tomography arthrography for the diagnosis of shoulder pathology: comparison with magnetic resonance imaging with arthroscopic correlation.
This study evaluated the diagnostic efficacy of computed tomography arthrography (CTA) in the assessment of various shoulder pathologies with arthroscopic correlation. We hypothesized that CTA would be cost-effective and effectively comparable with magnetic resonance arthrography (MRA) for assessing labral detachments and full-thickness rotator cuff tears. ⋯ Level I; Diagnostic study.
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Capitellar fractures result from shearing and wedging forces transmitted to the elbow that create complex injury patterns that are difficult to stabilize. The fracture often extends into the trochlea and is associated with posterior comminution of the humerus and soft tissue injury. Diverse fixation techniques are required to restore the anatomy perfectly to ensure elbow function is regained. ⋯ Level 4; Case series, treatment study.