The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery.

One surgical option to manage idiopathic osteoarthritis of the elbow is an ulnohumeral arthroplasty. A potential complication to avoid during this procedure is inadvertent over penetration of the anterior cortex of the humerus. If this occurs, injury to the median nerve and brachial artery is possible as these structures may lie within 7 mm of the anterior humerus.

Proximity of arteries to the anterior ulna with changing flexion.

During surgery for elbow fracture, wires and screws crossing the elbow from posterior to anterior place the brachial and ulnar arteries at risk for inadvertent penetration. The authors' goal was to define the sagittal proximity of the brachial and ulnar arteries to the proximal ulna throughout an arc of elbow motion using dynamic fluoroscopy. The brachial artery was injected with barium in 10 fresh-frozen cadaveric elbows.

Arthroscopic lysis of adhesions for the stiff total knee arthroplasty.

The management of the stiff knee after total knee arthroplasty is controversial. Manipulation under anesthesia and open lysis of adhesions are techniques that can theoretically address the fibrous scar tissue, but their efficacy has been shown to be variable. We describe the technique of arthroscopic lysis of adhesions for the stiff knee after total knee arthroplasty.

Return to full duty after anterior cruciate ligament reconstruction: is the second time more difficult?

Anterior cruciate ligament (ACL) injuries occur repeatedly in Special Operations Forces (SOF). In this study, we sought to determine whether military patients requiring a second (i.e.

Orthopedic injuries in U.S. casualties treated on a hospital ship during Operation Iraqi Freedom.

From March to May 2003, the USNS Comfort was deployed to the Persian Gulf in support of combat operations for Operation Iraqi Freedom. The onboard orthopedic service treated 58 U.S.

Measurement of thoracolumbar kyphosis after burst fracture: evaluation of intraobserver, interobserver, and variability of 4 measurement methods.

There are various methods for measuring kyphosis after thoracolumbar burst fracture. The reliability and reproducibility of these methods are not well defined. In the study reported here, we examined 4 commonly used measurement methods in order to determine intraobserver variability, interobserver variability, and variability between measurement methods.

Isolated and combined Type II SLAP repairs in a military population.

The study compares the clinical results of isolated arthroscopic repair of Type II SLAP tears with those of combined treatment for Type II SLAP and other associated shoulder conditions. The population was composed of 36 aged-matched active duty males with a mean age of 31.6 years (range 22-41 years); mean follow-up was 29.

Arthroscopic superior labrum anterior-posterior repair in military patients.

The purpose of this retrospective study was to determine the efficacy of arthroscopic superior labrum anterior-posterior (SLAP) repair in a military population. In this study, 27 patients (of 30 consecutive patients) who had suture anchor repair of a type II SLAP lesion were evaluated at a mean of 30.5 months postoperatively.

Bifurcate origin of the long head of the biceps tendon.

This report illustrates an anatomic variation of the tendon of the long head of the biceps brachii muscle. A bifurcate tendon origin attaching separately onto the supraglenoid tubercle and the posterosuperior capsulolabral tissue is described. The clinical histories and arthroscopic identification of this anatomic finding observed in 2 patients are reviewed.

Isolated electrothermal capsulorrhaphy in overhand athletes.

The purpose of this study was to determine the efficacy of arthroscopic electrothermal capsulorrhaphy for the treatment of instability in overhand athletes. Electrothermal capsulorrhaphy without labral repair was used to treat 20 symptomatic overhand athletes (15 baseball, 3 softball, and 2 volleyball). Nineteen patients were evaluated at a mean of 23 months.

Electrothermal capsulorrhaphy in glenohumeral instability without Bankart tear.

Purpose: The purpose of this study is to review the clinical results of electrothermal capsulorrhaphy (ETC) performed on 23 patients for the treatment of glenohumeral instability at an minimum follow-up of 2 years.

Type Of Study: Retrospective case series.

Methods: Twenty-six patients with symptomatic unidirectional or multidirectional glenohumeral instability without Bankart tear were treated with ETC using a radiofrequency probe.