scholarly journals Arthroscopic Fixation of Coronoid Fractures: Antegrade Wire Technique

2021 ◽  
pp. 255-260
Author(s):  
Francesco Luceri ◽  
Davide Cucchi ◽  
Rahul Sinha ◽  
Paolo Arrigoni ◽  
Pietro Simone Randelli
Keyword(s):  
Arthroscopic Fixation ◽  
Coronoid Fractures

Injuries to the Coronoid Process of the Ulna with Involvement of the Lesser Sigmoid Notch

2020 ◽  
Author(s):  
Valentin Rausch ◽  
Sina Neugebauer ◽  
Tim Leschinger ◽  
Lars Müller ◽  
Kilian Wegmann ◽  
...  
Keyword(s):  
Fragment Size ◽  
Coronoid Process ◽  
Annular Ligament ◽  
Concomitant Injuries ◽  
Proximal Ulna ◽  
Sigmoid Notch ◽  
Coronoid Fractures ◽  
The Mean ◽  
The Stability ◽  
Arthritic Changes

Abstract Introduction This study aimed to describe the involvement of the lesser sigmoid notch in fractures to the coronoid process. We hypothesized that injuries to the lateral aspect of the coronoid process regularly involve the annular ligament insertion at the anterior lesser sigmoid notch. Material and Methods Patients treated for a coronoid process fracture at our institution between 06/2011 and 07/2018 were included. We excluded patients < 18 years, patients with arthritic changes or previous operative treatment to the elbow, and patients with concomitant injuries to the proximal ulna. In patients with involvement of the lesser sigmoid notch, the coronoid height and fragment size (anteroposterior, mediolateral, and craniocaudal) were measured. Results Seventy-two patients (mean age: 47 years ± 17.6) could be included in the study. Twenty-one patients (29.2%) had a fracture involving the lateral sigmoid notch. The mean anteroposterior fragment length was 7 ± 1.6 mm. The fragment affected a mean of 43 ± 10.8% of the coronoid height. The mean mediolateral size of the fragment was 10 ± 5.0 mm, and the mean cranio-caudal size was 7 ± 2.7 mm. Conclusion Coronoid fractures regularly include the lesser sigmoid notch. These injuries possibly affect the anterior annular ligament insertion which is important for the stability of the proximal radioulnar joint and varus stability of the elbow.

Arthroscopic fixation of superior labral lesions using a biodegradable implant: A preliminary report

1995 ◽  
Vol 11 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Michael J. Pagnani ◽  
Kevin P. Speer ◽  
David W. Altchek ◽  
Russell F. Warren ◽  
David M. Dines
Keyword(s):  
Preliminary Report ◽  
Biodegradable Implant ◽  
Arthroscopic Fixation

scholarly journals Arthroscopic Fixation of Os Acetabuli and Labral Repair: Suture-on-Screw Technique

2021 ◽  
Author(s):  
Steven F. DeFroda ◽  
Daniel Wichman ◽  
Robert Browning ◽  
Thomas D. Alter ◽  
Shane J. Nho
Keyword(s):  
Labral Repair ◽  
Arthroscopic Fixation

Arthroscopic Fixation of Fractures Around the Knee

Arthroscopy ◽  
2016 ◽  
pp. 399-418
Author(s):  
Pietro Randelli ◽  
Davide Cucchi ◽  
Filippo Randelli ◽  
Chiara Fossati ◽  
Paolo Cabitza
Keyword(s):  
Arthroscopic Fixation

scholarly journals “Double-Pulley” Dual-Row Technique for Arthroscopic Fixation of Large Bony Bankart Lesion: Minimum 2-Year Follow-up With CT Evaluation

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110292
Author(s):  
Siyi Guo ◽  
Chunyan Jiang
Keyword(s):  
Intraobserver Reliability ◽  
Bankart Lesion ◽  
Reliable Technique ◽  
Bony Bankart Lesion ◽  
Ct Measurements ◽  
Bony Bankart ◽  
Patient Reported ◽  
Arthroscopic Fixation ◽  
The Mean

Background: A “double-pulley” dual-row technique had been applied for arthroscopic fixation of large bony Bankart lesion in which the fragment has a wide base. Purpose: To investigate clinical outcomes and glenoid healing after arthroscopic fixation of bony Bankart lesion using the double-pulley dual-row technique. Study Design: Case series; Level of evidence, 4. Methods: A total of 25 patients were included in this retrospective study. The American Shoulder and Elbow Surgeons (ASES) score, pain visual analog scale (VAS) score, and range of motion of the affected shoulder were assessed. Radiographs and computed tomography (CT) scans (preoperatively, immediately after surgery, and at 1 year postoperatively) were performed to evaluate arthritic changes (Samilson-Prieto classification) and glenoid size. The intraobserver reliability of the CT measurements was analyzed. Results: At a mean follow-up of 3.4 years, the mean ASES and VAS scores were 94.87 ± 5.02 and 0.48 ± 0.59, respectively. Active forward elevation, external rotation with the arm at the side, and internal rotation were 165.80° ± 11.70°, 33.20° ± 8.02°, and T9 (range, T6-S1), respectively. No patient reported a history of redislocation or instability. The intraobserver reliability of the CT measurements was moderate to excellent. The mean preoperative size of the bony fragment was measured as 23.4% ± 7.8% of the glenoid articular surface. The quality of the reduction was judged to be excellent in 13 (52%) cases, good in 8 (32%), and fair in 4 (16%). The mean immediate postoperative glenoid size was 96.8% ± 4.3%, and bone union was found in all cases. There were no significant differences between reconstructed and immediate postoperative glenoid size or between preoperative and final Samilson-Prieto grades. Conclusion: The arthroscopic double-pulley method was a reliable technique for the fixation of large bony Bankart lesions with a wide base. Satisfactory results can be expected regarding the restoration of the glenoid morphology and stability of the shoulder. High healing rate and good shoulder function can be achieved. No radiological evidence of cartilage damage caused by suture abrasion was found at 2- to 5-year follow-up.

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