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Muscle-Guided Mapping of the Post-Traumatic Heterotopic Ossification of the Elbow: A Novel CT-Based Study.
J Shoulder Elbow Surg
January 2025
Department of Orthopedic surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address:
Background: Heterotopic ossification (HO) involves abnormal bone formation in soft tissues near joints, commonly occurring after elbow trauma or surgery, leading to pain and functional limitations. Previous studies have primarily characterized HO distribution based on bony landmarks, lacking a detailed investigation into the characteristics of its distribution in periarticular soft tissue in post-traumatic elbows. This study aimed to (1) develop a muscle-guided classification system using computed tomography (CT) to map HO relative to elbow muscle-tendon units and (2) investigate correlations between HO location and severity.
View Article and Find Full Text PDFOlecranon Fractures Managed Using FiberWire Sutures Without Metallic Implants: A Case Study and a Review of the Literature.
Cureus
January 2025
Orthopaedic Surgery, College of Medicine, King Saud University, Riyadh, SAU.
The traditional standard of care, tension band wire fixation modalities commonly used to treat non-comminuted olecranon fractures, are frequently associated with complications, with symptomatic hardware being the most common issue, often necessitating subsequent surgical procedures for hardware removal. We present a case of a young, active gentleman who sustained a simple olecranon fracture (Mayo type IIA) and underwent open reduction with the innovative all-suture non-metallic internal fixation procedure. We used a low-profile, cost-effective alternative fracture fixation technique, following the principles of pre-existing surgical techniques, while utilizing FiberWire sutures with biomechanical properties equivalent to, or possibly superior to, conventionally used metallic wires, thereby eliminating the need for additional surgical intervention.
View Article and Find Full Text PDFSurgery for Olecranon Fractures in the Elderly (SOFIE): Results of the SOFIE Randomized Controlled Trial.
J Bone Joint Surg Am
January 2025
Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Background: The financial and resource burden of management of olecranon fractures in the elderly is likely to increase with an aging population. There is limited evidence guiding treatment choice in this cohort. This study aimed to determine whether operative treatment of displaced olecranon fractures in elderly patients provides superior 12-month functional outcomes compared to nonoperative treatment.
View Article and Find Full Text PDFValue driven outcome (VDO) assessment for the treatment of olecranon fractures.
Eur J Orthop Surg Traumatol
January 2025
Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA.
Purpose: Controversy remains about the ideal construct for certain olecranon fractures. The purpose of this study was to compare cost-effectiveness with the value driven outcomes tool between fixation strategies of olecranon fractures.
Methods: All surgically treated isolated proximal ulna fractures (CPT code 24,685) at a level 1 trauma center from 2013 to 2023 were retrospectively reviewed.
Risk Factors for the Development of Olecranon Bursitis-A Large-Scale Population-Based Study.
J Clin Med
December 2024
Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Hospital and Western University, London, ON N6A 4V2, Canada.
Olecranon bursitis (OB) involves fluid accumulation in the bursa, with common causes being trauma and preexisting conditions. Its incidence is difficult to quantify, and risk factors such as diabetes, obesity, and male gender are frequently noted. Hyperlipidemia has been linked to musculoskeletal disorders, but its role as a risk factor for OB remains unexplored.
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