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[Radial neck fracture in children-"A benign fracture?"].
Unfallchirurgie (Heidelb)
October 2024
Orthopädische Klinik, Klinikum Stuttgart, Olgahospital, Stuttgart, Deutschland.
Article Synopsis
- * Diagnosis usually involves standard X-rays, but younger kids might benefit from ultrasounds; treatment varies based on fracture severity, with less than 20° angulation potentially allowing for conservative management, while surgery may be required for larger dislocations.
- * Complications can arise, including joint issues and deformation, necessitating a multidisciplinary treatment approach, but long-term outcomes are generally favorable, emphasizing the importance of understanding potential complications for effective management.
A novel fragment specific classification of complex olecranon fractures: 3-dimensional model design, radiological validation, and proposed surgical algorithm.
J Shoulder Elbow Surg
May 2024
Department of Orthopedic Surgery, CIUSSS du Nord-de-l'île-de-Montréal, Hôpital du Sacré-Cœur de Montréal, Montreal, QC, Canada; Faculty of Medicine, Université de Montréal, Montreal, QC, Canada. Electronic address:
Article Synopsis
- A new classification system for proximal ulna fractures is introduced, based on biological and anatomical stress analysis, to enhance surgical planning.
- Researchers employed literature reviews and created 3D anatomical models to identify potential fracture fragments and assess past cases of olecranon fractures using advanced imaging.
- The study identified seven fracture fragments from a sample of 67 CT scans, and found that the proposed classification aligns better with anatomical factors than existing systems, thereby improving the understanding and treatment of complex fractures.
Article Synopsis
- Olecranon stress fractures (OSFs) are uncommon injuries mainly seen in elite throwing athletes, with a common treatment being cannulated screw fixation, though this often leads to hardware irritation and removal.
- This study introduces a new surgical method using retrograde headless compression screws for repairing OSFs while avoiding triceps tendon disruption.
- The results showed that all 5 athletes treated were able to return to their sport at the same or higher level within an average of 5.8 months, with favorable postoperative scores indicating minimal pain and excellent functional outcomes.
Differences in Anatomic Adaptation and Injury Patterns Related to Valgus Extension Overload in Overhead Throwing Athletes.
Diagnostics (Basel)
January 2024
MAPMG: Mid-Atlantic Permanente Medical Group, Rockville, MD 20852, USA.
Article Synopsis
- The study aimed to analyze how age affects injury and adaptation patterns in the elbows of overhead throwing athletes specifically related to valgus extension overload (VEO).
- A total of 86 throwing athletes were categorized into three age groups (≤16, 17-19, and ≥20 years) and compared to 23 non-athlete controls using MR imaging to assess ulnar collateral ligament (UCL) thickness and subchondral sclerosis.
- Findings revealed that younger athletes had more apophyseal and stress injuries, while older athletes experienced more soft tissue injuries, with significant anatomical differences observed in UCL thickness and sclerosis between athletes and controls, as well as among different age groups of athletes.
Olecranon stress fracture in a gymnastics player: Insight into an early detection and integrated care approach: Case report.
Radiol Case Rep
March 2024
Almaarfa University, Riyadh, Saudi Arabia.
Article Synopsis
- A case report details a 13-year-old gymnast diagnosed with an olecranon stress fracture and mild medial epicondyle apophysitis.
- The researchers highlight the importance of imaging assessments, especially MRI, for accurate diagnosis and identification of additional injuries.
- MRI results showed significant bone marrow edema in the olecranon, a stress fracture in the radial head, and bone marrow changes at the medial apophysis indicating possible medial epicondylitis.
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