Journal of shoulder and elbow surgery
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Unstable distal clavicle fractures often need surgical treatment. This report describes a new intramedullary extra-articular Knowles pin fixation method to treat these unstable fractures. ⋯ The Knowles pin fixation method is useful for treating unstable distal clavicle fractures. However, sufficient familiarity with the technique and careful preoperative planning to determine the appropriate length of the pin are necessary to prevent complications and to effect a high union rate.
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J Shoulder Elbow Surg · Apr 2011
Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon.
Using radiologic and clinical results, we studied the outcome of patients who underwent open reduction and plate osteosynthesis for comminuted olecranon fractures. ⋯ Locking-plate osteosynthesis is an effective and safe treatment option for comminuted olecranon fractures, allowing early joint motion and yielding satisfactory radiologic and clinical results. In cases with concomitant injuries, the risk of limited elbow motion is high.
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J Shoulder Elbow Surg · Apr 2011
Case ReportsSymptomatic medial epicondyle nonunion: treatment by open reduction and fixation with a tension band construct.
Nonunion of the medial epicondyle can cause symptoms of pain and instability in certain high-demand individuals. Problems with open reduction and internal fixation (ORIF) have led some to recommend excision of the nonunited fragment, followed by soft tissue repair. This study tests the hypothesis that patients with symptomatic nonunion of the medial epicondyle can be successfully treated with ORIF using a tension band construct. ⋯ We believe that ORIF of chronic medial epicondyle nonunions using a tension band construct is a viable option in the symptomatic, high-demand patient.
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J Shoulder Elbow Surg · Mar 2011
Medial perforation of the glenoid neck following SLAP repair places the suprascapular nerve at risk: a cadaveric study.
Although suprascapular nerve injury after SLAP (superior labrum anterior to posterior) repair has rarely been reported, the direction of anchor insertion is toward the suprascapular nerve. The purpose of this study was to evaluate the risk of suprascapular nerve injury during the drilling and anchor insertion for anterior SLAP repair. ⋯ Suprascapular nerve lies very close to drilling sites and suture anchors during arthroscopic anterior SLAP repair. The present study cautions that care should be taken when anterior anchors are being inserted.