Elbow Injury, Pediatric Male

Keyword(s):  
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Patrick Lee ◽  
Allison Z. Piatek ◽  
Michael J. DeRogatis ◽  
Paul S. Issack

“Floating elbow” injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. She sustained a torsional and axial loading injury to her left upper extremity resulting in ipsilateral humeral shaft and Galeazzi fractures. The combination of ipsilateral humeral shaft and Galeazzi fractures resulted in a rare floating elbow variant. Prompt open reduction and internal fixation of both fractures and early range of motion of the elbow and wrist resulted in an excellent clinical and radiographic result. Floating elbow injuries and their variants should be promptly recognized as early anatomic reduction, and rigid internal fixation can allow for good elbow function with minimization of stiffness.


1993 ◽  
Vol 9 (2) ◽  
pp. 113-115
Author(s):  
LEONARD E. SWISCHUK
Keyword(s):  

2016 ◽  
Vol 24 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Tsuyoshi Tajika ◽  
Tsutomu Kobayashi ◽  
Atsushi Yamamoto ◽  
Tetsuya Kaneko ◽  
Hitoshi Shitara ◽  
...  

2013 ◽  
Vol 95 (6) ◽  
pp. 415-417 ◽  
Author(s):  
PM Guyver ◽  
AE Cattell ◽  
MJ Hall ◽  
MD Brinsden

Introduction Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure an elbow specific PROM for the population of the South West Peninsula. Methods A cross-sectional survey was undertaken of patients and healthcare professionals from the South West Peninsula population. Participants were asked to complete a simple demographic questionnaire and an Oxford elbow score for each elbow. Respondents with a history of elbow surgery, elbow injury, chronic elbow problems or an incomplete dataset were excluded from the study. Results A total of 1,765 respondents (3,530 elbows) completed the survey but 567 questionnaires were excluded due to incomplete datasets, pre-existing elbow pathology or age criteria, leaving 1,198 individuals (2,396 elbows) for analysis. The median scores for each decade group were 48, with mean scores ranging from 46.74 to 47.94. There was no significant clinical difference in the scores for age, sex or hand dominance. Conclusions When using the Oxford elbow score to assess outcomes after surgery, a normal score should be used as the benchmark. This benchmark is independent of age, sex and hand dominance.


2012 ◽  
Vol 18 (6) ◽  
pp. 479-482 ◽  
Author(s):  
Hassan Amiri ◽  
Samad Shams Vahdati ◽  
Sanaz Fekri ◽  
Shayan Abdollah Zadegan ◽  
Hamid Shokoohi ◽  
...  

2016 ◽  
Vol 44 (9) ◽  
pp. 2214-2219 ◽  
Author(s):  
Thomas J. Noonan ◽  
Charles A. Thigpen ◽  
Lane B. Bailey ◽  
Douglas J. Wyland ◽  
Michael Kissenberth ◽  
...  

2021 ◽  
Author(s):  
Hitoshi Shitara ◽  
Tsuyoshi Tajika ◽  
Takuro Kuboi ◽  
Tsuyoshi Ichinose ◽  
Tsuyoshi Sasaki ◽  
...  

Abstract The relationship between baseball pitchers’ satisfaction with their own performance and the incidence of shoulder and elbow injuries is unclear. We analyzed the relationship between daily satisfaction scores before injury and incidence of shoulder/elbow injury in high-school baseball pitchers in this prospective, time-to-event study. We collected baseline data on baseball experience, height, weight, elbow and shoulder range of motion, and shoulder muscle strength. The 108 enrolled participants aged 15-17 years were divided into satisfied (88) and unsatisfied (22) groups based on the Receiver operating characteristics analysis results that revealed the cutoff value to be 4 points. The incidence of injury was 10.2% and 50.0% in the satisfied and unsatisfied groups, respectively. We observed that high-school baseball pitchers with a low satisfaction significantly increased the risk of shoulder and elbow injuries: these players had a 7.3-times greater risk of injuries and a 1.9-times earlier occurrence of injuries than pitchers who are satisfied with their performance. High-school baseball pitchers who had low satisfaction with their pitching performance had higher risk of shoulder and elbow injuries and lower time to injury than satisfied pitchers. Daily evaluation of players’ self-satisfaction could predict shoulder and elbow injuries in high-school baseball pitchers.


2016 ◽  
Vol 24 (2) ◽  
pp. 279-279
Author(s):  
Levent Adiyeke ◽  
Tahir Mutlu Duymus ◽  
Serkan Tuna

Author(s):  
Robert C Manske ◽  
Mark Stovak ◽  
Peter Loo ◽  
Michael Breunig ◽  
Todd Ellenbecker ◽  
...  

Interval tennis rehabilitation programs (ITRPs) are advocated during later stages of shoulder and elbow rehabilitation. ITRPs utilize gradual increases in hitting or serving effort, based on perceived effort. Over-estimation of effort may increase stress. This investigation purpose was to determine actual tennis serve velocity when asked to hit serves at perceived effort of 50%, 75%. Thirty-nine healthy college tennis players performed a warm-up of groundstrokes and serves. Five maximal effort serves (100% velocity) functioned as the 100% maximal effort serve. Then, five serves were hit at each of two randomly determined velocities. The average of five trials for maximum effort (100% velocity) was calculated. Based on this number, 75% and 50% of maximum velocity was determined. Using one-sample t-tests, the subjects’ perceived efforts were compared against computed percentages. Differences were found between perceived effort and calculated percent. Overall, actual velocity served was greater than percieved. Because velocity at 100% effort was significantly different for males and females, a separate analyses was done by gender. Both males’ and females’ perceived velocities were significantly greater (p < .05) than the athletes’ computed velocities at 75% and 50%, respectively. Perceived serve effort does not equate to actual ball velocity. A need exists to use other measures to determine effort or intensity during ITRPs. Serving at higher velocity levels early after musculoskeletal shoulder or elbow injury may increase the risk of re-injury or lack of progression. This study provides clinicians with guidance for the progression of tennis players during an interval program.


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