Subchondral bone surface geometry of the medial coronoid process was examined in 20 grossly normal elbow joints of adult German Shepherd dogs (GSDs) and compared with results obtained from 10 joints of adult GSDs and 12 joints of adult Rottweilers affected with bilateral fragmentation of the medial coronoid process (FMCP). Additionally, seven dogs (4 GSDs and 3 Rottweilers) with unilateral FMCP were investigated. The subchondral contour of the ulnar trochlear notch was digitised to obtain the 3D coordinates of its surface points. Geometry was investigated in two defined section planes along the longitudinal and transverse axes of the medial coronoid process. The coordinates of the surface points in the section planes were normalised along one axis and geometry was estimated by the position of the surface points along its third coordinate and by calculation of the angle of inclination of the medial coronoid process. Subchondral bone surface geometry was not related to the type of fragmentation (i.e. single sagittal versus multiple sagittal or transverse fragmentation). No differences were noted when comparing joints of dogs affected unilaterally with FMCP and their contralateral normal joints. In addition, no differences in geometry were seen between GSDs affected with fragmentation and normal GSDs. The most evident differences were found between Rottweilers affected with FMCP and normal GSDs as well as FMCP affected GSDs. The results suggest that subchondral bone geometry (geometric incongruity) plays no role in the development of FMCP. Geometric differences between breeds were more prevalent than differences between normal joints and those affected with FMCP within one breed.
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http://dx.doi.org/10.1016/j.tvjl.2009.06.028 | DOI Listing |
Orthop Traumatol Surg Res
January 2025
Department of Orthopaedic Surgery and Traumatology, Saint-Antoine Hospital, Sorbonne Université, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
Introduction: The aim of our study was to describe a new anteromedial approach that allows exposure of the anteromedial facet of the coronoid process and to characterize the position of the median nerve's motor branches relative to this approach in relation to elbow positioning.
Material And Methods: We performed 16 anteromedial approaches on fresh anatomical specimens. The minimum distance between the medial edge of the trochlea and the second branch of the median nerve was measured in three elbow positions: forearm in supination with the elbow extended, forearm in pronation with the elbow extended, and forearm in supination with the elbow flexed at 90 °.
J Craniofac Surg
January 2025
Lecturer of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University.
Osteoma is a rare, asymptomatic, and slowly growing benign tumor of bone. Upon reviewing the literature, only 21 cases were previously reported in the mandibular condyle. A 19-year-old male patient presented to the Department of Oral and Maxillofacial Surgery of Ain Shams University complaining of hypomobility and facial asymmetry involving the lower jaw.
View Article and Find Full Text PDFOrthop Surg
January 2025
Tianjin Hospital, Tianjin, China.
Varus posteromedial rotatory instability (VPMRI) of the elbow is one of the complex elbow instability. The primary sites of injury encompass fractures of the anteromedial coronoid process and injuries to the lateral collateral ligament of the elbow. Some patients may present with involvement of the medial collateral ligament of the elbow.
View Article and Find Full Text PDFArch Orthop Trauma Surg
December 2024
Sporthopaedicum Regensburg, Regensburg, Germany.
Purpose: Varus posteromedial rotatory instability (VPMRI) involves anteromedial coronoid fracture (AMCF), lateral ulnar collateral ligament (LUCL), and medial collateral ligament (MCL) injury. There is no general consensus regarding the surgical treatment, but most surgeons recommend internal fixation of the coronoid along with primary ligament repair. This methodology involves postoperative immobilization to allow ligament healing, occasionally associated with stiffness.
View Article and Find Full Text PDFClin Orthop Relat Res
December 2024
Department of Orthopaedic Surgery, University Medical Centre Groningen and Groningen University, Groningen, the Netherlands.
Background: The terrible triad injury involves an ulnohumeral dislocation, radial head fracture, and coronoid process fracture. According to traditional teaching, these injuries are strongly associated with anterolateral coronoid tip fractures and can be addressed via a lateral approach to the elbow. However, recent small clinical series suggest that some terrible triad injuries have larger coronoid fractures involving the anteromedial facet.
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