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Postoperative dorsal step-off predicts olecranon osteotomy union: a retrospective cohort study.
Eur J Orthop Surg Traumatol
December 2024
University Hospitals Cleveland Medical Center, Cleveland, USA.
Purpose: Olecranon osteotomy has been associated with loss of reduction, nonunion, implant failure, and migration of wires. We aim to evaluate quality of reduction of the osteotomy site as a predictor of olecranon osteotomy nonunion.
Methods: One hundred and twenty-five distal humerus fractures that underwent open reduction internal fixation (ORIF) were reviewed.
Mini-fragment plate fixation after olecranon osteotomy for distal humerus fractures.
J Shoulder Elbow Surg
October 2024
Department of Orthopaedics, UT Health Houston, Houston, TX, USA.
Purpose: Although olecranon osteotomies are helpful for distal humerus visualization, traditional methods of fixation are commonly irritating for patients and require hardware removal. Recent studies have shown lower hardware removal rates for medullary screw constructs and 3.5-mm plates, but no studies have investigated the use of 2.
View Article and Find Full Text PDFMajor trauma affecting the spine, chest wall and arm survived by a 9th/10th century CE individual from Rižinice Croatia.
Heliyon
September 2024
University Department of Forensic Sciences, University of Split, Ruđera Boškovića 33, 21000, Split, Croatia.
Article Synopsis
- This study focuses on the antemortem injuries found in the skeletal remains of a medieval male aged 36-45 from the Rižinice site.
- The injuries examined include a fractured sternum, multiple rib fractures, spinal hyperflexion, and a unique non-union fracture of the left ulna, which is rare in paleopathological findings.
- The research aims to determine the causes, timing, and impact of these injuries, shedding light on the hardships faced during the mid-9th to mid-10th century.
Pediatric Monteggia Fracture-dislocations and Their Variants: An Analysis of Outcomes and Complications Over a 10-year Period.
J Pediatr Orthop
January 2025
Department of Pediatric Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.
Objective: Monteggia fracture-dislocation variants have been well documented in adults, but most of the literature in the pediatric population is in the form of case reports. These injuries present differently in children due to the presence of immature radiocapitellar epiphyses and the flexibility of the joint that is more prone to subluxation, contributing to occult presentations and/or misdiagnoses. The purpose of this study is to investigate the outcomes and complications of true Monteggia fracture-dislocations compared with their variants in the pediatric population.
View Article and Find Full Text PDFEffective treatment of scaphoid pseudoarthrosis is critical to reduce the risk of progression to the potentially debilitating scaphoid nonunion advanced collapse, including complications of persistent wrist joint instability, degenerative arthritis, decreased range of motion, chronic pain, and functional impairment. Both anatomic and fracture-related pathophysiology predispose patients to scaphoid nonunion, including limited retrograde blood flow, fracture location, and delay of appropriate treatment. Recent studies have demonstrated successful outcomes in treatment of scaphoid nonunions, with nonvascularized bone autograft, commonly from distal radius or iliac crest, as well as pedicled vascularized or free vascularized autograft with rates of union varying from 84% to 100%.
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