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Heterotopic ossification of brachialis muscle.

A 13-year-old girl with seizure disorder presented with 90 degrees fixed flexion deformity of right elbow.

Calcification of ulnar nerve in a patient with tuberculoid leprosy--a case report.

A case of Tuberculoid Leprosy who showed Evidence of Calcification of Right Ulnar Nerve at Elbow on Radiological Examination is reported.

Quantitative T2* With Ultrashort Time-to-Echo MRI Differentiates Tendonitis Severity in Lateral Epicondylitis.

BACKGROUND: Lateral epicondylitis (LE), or tennis elbow, severely affects elbow mobility due to degeneration of and injury to the extensor carpi radialis brevis (ECRB) tendon. Conventional magnetic resonance imaging (MRI), although relied upon to determine LE severity, is a qualitative measure of tendon degeneration. Novel quantitative T2*-mapping using ultrashort time-to-echo (UTE) assesses the collagen component of the tendon and could provide a more objective assessment of tendon pathology. HYPOTHESIS: UTE T2* values differentiate LE severity grades and correlate with conventional MRI sign…

Excitation of the bottom-up pathways has no effect on remote muscle fatigue in healthy participants.

The aim of this study is to investigate the effect of induced excitation of the bottom-up pathways at the lateral elbow muscles on local muscle fatigue in the neck region in healthy participants. Eligible participants (n:55) were randomly allocated to an intervention group (n:28) or a control group (n:27). The fatigue of bilateral neck flexor(sternocleidomastoid) and extensor (upper trapezius) muscles was evaluated using surface electromyography, at baseline and immediately post-intervention during a neck flexor and extensor endurance test respectively. Excitation of the bottom-up pathways was…

Increasing the Passive Range of Joint Motion in Stroke Patients Using Botulinum Toxin: The Role of Pain Relief.

By blocking the release of neurotransmitters, botulinum toxin A (BoNT-A) is an effective treatment for muscle over-activity and pain in stro … postures, p-ROM, and pain during p-ROM assessment (Numeric Rating Scale, NRS) were investigated in elbow flexors (48 patients) and in finger flexors (64 patients), just before and 3-6 weeks after BoNT-A treatment. Before BoNT-A treatment, pathological postures of elbow flexion were found in all patients but one. A decreased elbow p-ROM was found in 18 …

Standardizing a Postoperative Protocol for Supracondylar Humerus Fractures.

BACKGROUND: Supracondylar humerus fractures are the most commonly operated upper extremity fracture in pediatric orthopaedics, yet there doe … termediate," or "conservative," based on how quickly the surgeon allowed unrestricted motion of the elbow postoperatively. Patients were evaluated for range of motion, functional elbow motion, and elbow clinical function, as well for postoperative complications. Univariate analysis was conducted to detect the differences in outcomes between protocol gro …

Long-term Functional Consequences of Surgically Treated Pediatric and Adolescent Olecranon Fractures: Does the Presence of Associated Fractures and Surgical Procedure Affect the Results?

BACKGROUND: Olecranon fractures are rare conditions in childhood. The aim of this study was to investigate the factors affecting the results in surgically treated pediatric and adolescent olecranon fractures. METHODS: The orthopaedic trauma database of a large academic tertiary center was retrospectively searched for patients who had sustained an olecranon fracture and were treated surgically between 2005 and 2021. Data related to demographic features, additional fractures, and the presence of any disease were obtained from the patient files. Mayo elbow performance score and the Turkish-langu…

Long-Term Results of Microsurgical Brachial Plexus Reconstruction in Late-Presenting Cases of Brachial Plexus Birth Injury.

PURPOSE: The role of primary surgery in delayed presenting cases of brachial plexus birth injury is still debated. The purpose of this study … re ruptured. The follow-up was an average of 7.9 years. Generally, the best functional recovery was elbow flexion followed by shoulder external rotation. Satisfactory shoulder abduction (≥6 on the Toronto Active Movement Scale [TAMS]) was achieved in 31% of cases. The abduction range was an average of 79° ± 35°; 50° in upper palsy, 103° in upper/middle …

Upper extremity musculoskeletal disorders and work exposures among railroad maintenance-of-way workers.

BACKGROUND: Our objective was to examine occupational risk factors for musculoskeletal disorders of the shoulders, elbows, wrists, and hands among railroad maintenance-of-way (MOW) workers. Little systematic research on musculoskeletal disorders has been conducted in this occupational group. METHODS: In total, 3995 active members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a standardized survey focusing on disorders caused by hand-transmitted vibration. We computed adjusted prevalence ratios (aPRs) using Poisson regression for shoulder, elbow, carpal tunnel sy…

In intra-articular distal humeral fractures: Can combined medial-lateral approach gain better outcomes than olecranon osteotomy?

BACKGROUND: This research aimed to evaluate the functional outcomes of intra-articular distal humeral fractures treated through a combined medial-lateral approach and comparing with olecranon osteotomy simultaneously. METHODS: In this study, 62 distal humeral fractures patients were assessed retrospectively. The olecranon osteotomy was used in 30 cases (14 males, 16 females) and combined medial-lateral in 32 cases (15 males, 17 females). The outcomes of function were assessed by the Mayo Elbow Performance Score (MEPS) and the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire score. …

Surgical treatment of intra-articular fractures of the distal part of the humerus. Functional outcome after twelve to thirty years.

BACKGROUND: The short-term results of open reduction and internal fixation of intra-articular distal humeral fractures are good to excellent … uction and internal fixation of a fracture of the distal part of the humerus to assess the range of elbow motion and the functional outcome. Twenty patients had an olecranon osteotomy, and all had fixation with plates and/or screws and/or Kirschner wires. No ulnar nerve was transposed. RESULTS: Excluding one elbow salvaged with an arthrodesis and count …

Inter- and intraobserver reliability of the Mayo coronoid-centric classification for proximal ulna fracture-dislocations.

HYPOTHESIS/BACKGROUND: Proximal ulna fracture-dislocations are challenging injuries with variable patterns of elbow instability. Accurate identification of the affected structures and classification of the injury are essential for guiding treatment. The Mayo Clinic coronoid-centric classification organizes these injuries based on the continuity of the coronoid process with major ulnar fragments, placing the coronoid process at the center of the classification criteria. This study assessed the external validity of this classification using an independent cohort of patients with proximal ulna fr…

Identification of overlengthening after replacement of the radial head with a bipolar prosthesis.

INTRODUCTION: Overlengthening of the radial column leads to insufficient functionality and increased capitellar wear. Methods to detect or prevent overlengthening have been described for monopolar prostheses. The aim of this study was to evaluate whether one such method described by Athwal et al. is also applicable for a bipolar prosthesis. MATERIALS AND METHODS: The radial heads of six fresh frozen upper extremities were resected. A bipolar radial head prosthesis was implanted in each, and the effects of sequential overlengthening on the alignment of the radiocapitellar and ulnohumeral joint

Hawkins Award 2025: clinical implications of radiological findings associated with radial head replacement. A long-term follow-up study.

BACKGROUND: Radial head replacement (RHR) is indicated in comminuted fractures and those associated with elbow instability. Despite satisfactory clinical outcomes, some patients present with concerning radiographic findings. Our aim was to compare the long-term radiological results of 2 RHR designs and to correlate them with clinical findings. METHODS: A prospective observational cohort study including 134 patients who received an RHR (84 spacer designs and 50 anatomic models) for acute elbow instability was conducted. Patients were prospectively followed for a mean of 88 months (range, 24-20…

Ishiguro technique percutaneous metallic bone needle closed reduction for Judet IV radial head fractures in children: A case report (CARE-compliant).

RATIONALE: Fractures of the radial head in children constitute 5% to 17% of all elbow fractures and 1% of all pediatric fractures. As intra-articular injuries they pose significant challenges due to the high risk of loose body formation and ischemic necrosis, which can lead to long-term joint dysfunction and reduced quality of life. Although advances have been made in pediatric orthopedic surgery, developing minimally invasive and effective treatment strategies remains a crucial research focus for optimizing functional recovery and reducing complications. PATIENT CONCERNS: An 8-year-old femal…

Surface electromyography character of upper limb muscle after open reduction combine with ulnar osteotomy in children with neglected Monteggia fracture.

OBJECTIVE: This study aims to investigate the surface electromyography (sEMG) characteristics of upper limb muscles in children with neglect … carpi ulnaris muscle activities were recorded during grip strength tests, flexion and extension of elbow joint while holding a 1 kg dumbbell, as well as gripping tasks. The root mean square (RMS) values of sEMG signals, co-contraction ratio, and elbow joint function scores were compared between pre- and post-operation periods as well as between the aff …

Clinical and radiographic outcome of tension band suture fixation for displaced olecranon fractures.

BACKGROUND: Tension band wire fixation (TBW) is a well-described method for treating displaced olecranon fractures. Further surgery is often … ix months to assess union rate, fracture displacement, range of motion (ROM), Quick-DASH and Oxford Elbow Score. RESULTS: A total of 24 patients were included. Median age was 64 years [IQR:39-73], 9 patients were male and median ASA score was 2 [IQR:1-2]. 15 fractures were Mayo type 2 A and 9 type 2B with minor comminution. At four-year follow-up, thre …

Acceptability, validity and responsiveness of inertial measurement units for assessing motor recovery after gene therapy in infants with early onset spinal muscular atrophy: a prospective cohort study.

BACKGROUND: Onasemnogene abeparvovec gene replacement therapy (GT) has changed the prognosis of patients with spinal muscular atrophy (SMA) … cceleration 95th centile (||A||_95) and counts per minute (||A||_CPM) were computed for each wrist, elbow and foot sensors. RESULTS: 23 SMA-patients were included (mean age at diagnosis 8 months [min 2, max 20], 19 SMA type 1, three type 2 and one presymptomatic) and 104 IMU-measurements were performed, all well accepted by families and 84/104 with a g …

Воздействие неевродинамической мобилизации на боль в верхней конечности, мышечную силу и функции у пациентов с множественным склерозом: случайное контролируемое, одно ослепленное исследование.

КОЛИЧЕСТВО: Для борьбы с обезболиванием в случае множественного склероза (MS) имеются методы ручной терапии; однако результаты нейродинамической мобилизации (NM) не известны. Цель этого исследования заключалась в изучении воздействия упражнений NM на боль, мышечную прочность и функции верхней конечности у пациентов. МЕТОДЫ: В исследование были включены пациенты в возрасте от 18 до 65 лет, которым был поставлен диагноз " повторное излучение " (RR) MS (n = 31) в соответствии с диагностическими критериями, установленными в McDonald 2010. Пациенты были разделены на группу NM (двустороння

Совпадение в аннотации оригинала
BACKROUND: Manual therapy techniques are available for pain management in Multiple Sclerosis (MS); however, the results of neurodynamic mobi … r flexor muscle strength was increased significantly in both groups (p < 0.05). Shoulder extensors, elbow flexors, and elbow extensors was increased significantly in NM group (p < 0.05). MAM-36 scores was increased significanty in both groups (p < 0.05). NHPT scores showed significant decrease in the NM group (p < 0.05). There was no significant differe …

Volar versus dorsal approach for supinator to posterior interosseous nerve transfer: An anatomical study in cadavers.

INTRODUCTION: Supinator to posterior interosseous nerve (SPIN) transfer allows reconstruction of finger/thumb extension and thumb abduction … r but only one dorsal approach. No significant differences in forearm length were found. Volar with elbow extended: mean RB length was 35 ± 7.8 mm and UB was 37.8 ± 9.3 mm. Dorsal with elbow extended: mean RB length was 30 ± 4.1 mm and UB was 38.8 ± 7.3 mm. Dorsal with elbow flexed 90°: RB was 25.6 ± 3.8 mm and UB was 34.8 ± 4.8 mm. No significant diffe …