Classification of the transverse pattern of Mason II radial head fractures and its usefulness in arthroscopic osteosynthesis. Anatomo-surgical study

ConclusionsDepending on the location of the fracture in the head of the radius with respect to the bicipital tuberosity, we will need access through a specific arthroscopic portal, with the medial quadrants (anteromedial and posteromedial) being the most technically demanding.ResumenObjetivoLa reducción y fijación de la fractura de la cabeza del radio tipo Mason II asistida por artroscopia es una técnica válida que proporciona buenos resultados. El objetivo de este estudio es llamar la atención sobre la utilidad de la localización de la fractura en la cabeza del radio en cuadrantes definidos con respecto a la tuberosidad bicipital mediante la TC. Ello ayudaría a planificar la posición del antebrazo óptima para acceder a cada cuadrante y prever las dificultades específicas de cada uno.Material y métodoSe ha procedido a la disección de 4 especímenes de cadáver criopreservado. Hemos dividido la cabeza del radio en 4 cuadrantes con respecto a la tuberosidad bicipital objetivando el cambio de posición en pronación y en supinación máxima con respecto a la cavidad sigmoidea menor y a las estructuras neurovasculares.ResultadosLa cabeza del radio se desplaza con la pronosupinación, por lo que existen áreas de convergencia entre los distintos cuadrantes. El cuadrante 1 se aborda en supinación por un portal anteromedial. El cuadrante 2 se abo...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research

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Publication date: Available online 22 May 2019Source: Arthroscopy TechniquesAuthor(s): Jovan Laskovski, Jeffrey Abrams, Anastasia Bogdanovska, Neal Taliwal, Mathew Taylor, Michael FisherAbstractRotator cuff tears are increasing in frequency in the aging population and are a common issue seen by orthopaedic surgeons. In patients with large, multi-tendon rotator cuff tears or retears, treatment can be challenging. Failure rates of up to 90% have been reported for rotator cuff repair (RCR) of large, multi-tendon tears. Biological augmentation has been an area of interest because of the distinctly different biology of the repa...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 22 May 2019Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): Srinivas BS. KambhampatiAbstractBucket Handle tears occur most commonly in the medial meniscus. A typical Bucket Handle tear is a vertical tear from femoral surface of meniscus to tibial surface and extending longitudinally along the length of the meniscus from the anterior horn or body to the posterior part of the meniscus. The reported case is a rare one of horizontal cleavage tear of meniscus which developed bucket handle tear extending from anterior third of body to the posterior body in an ACL deficient knee and va...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
We examined the influence of aRCR on the quality of life, direct medical costs and indirect costs (productivity losses) from the societal perspective.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Source Type: research
The anterior inferior iliac spine (AIIS) is a newly recognized etiology of extra-articular hip impingement. The purpose of this article is to describe an arthroscopic technique for AIIS decompression causing extra-articular hip impingement. Arthroscopic decompression of subspine impingement is a novel procedure that can be used to successfully relieve hip pain and improve hip function and range of motion cause by AIIS impingement.
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Special Technical Articles Source Type: research
AbstractPurposeAlthough reference values in healthy subjects have been published for both the International Knee Documentation Committee 2000 subjective knee form (IKDC 2000) and the Knee injury and Osteoarthritis Outcome Score (KOOS), data obtained during the first year after anterior cruciate ligament reconstruction (ACL-R) are sparse. The aim was to establish patient reference values for both questionnaires at different time points and depending on nine individual patient characteristics during the first year after ACL-R.MethodsProspectively recorded data from a hospital-based registry were retrospectively extracted fro...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
AbstractPurpose(1) To analyse popliteal artery (PA) movement in a three-dimensional (3D) coordinate system in relation to knee flexion and high tibial osteotomy (HTO) techniques (lateral closed wedge HTO [LCHTO], uniplane medial open wedge HTO [UP-MOHTO], biplane medial open wedge HTO [BP-MOHTO]) and (2) to identify safe zones of the PA in each osteotomy plane.MethodsSixteen knees of patients who underwent magnetic resonance imaging with extension and 90 ° flexion were used to develop subject-specific 3D knee flexion models. Displacement of the PA during knee flexion was measured along theX- andY-axis, as was the dista...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionsThe superior clavicle cortex drilling points and fluoroscopic inclination angles for anatomic tunnel drilling in coracoclavicular ligament reconstruction were demonstrated. Arthroscopy-assisted anatomic coracoclavicular ligament reconstruction has increased in popularity, and these findings may facilitate a more anatomic approach to coracoclavicular ligament reconstruction.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionA well-functioning unilateral THA does not influence on the functional outcome of a subsequent ipsilateral TKA. This finding can help clinicians when counseling patients with hip and knee osteoarthritis.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Condition:   Arthroscopy Interventions:   Drug: Ketamine 0.5;   Drug: Ketamine 1;   Drug: % 0.9 NaCl Sponsor:   Balikesir University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractPurposeThe study purpose is to characterize the sizes of the anterior cruciate ligament (ACL) insertion site and intercondylar notch in Chinese patients undergoing ACL surgery. The findings will provide a reference for individualized clinical treatment of ACL rupture.MethodsFor this study, 137 patients (102 males, 35 females) with an average age of 30.3  ± 9.5 years (range 14–52 years) undergoing ACL reconstruction were included. The tibial ACL insertion site length and width and the intercondylar notch width were measured on MRI and arthroscopically using a ruler. Descriptive s...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
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