The Experts below are selected from a list of 2835 Experts worldwide ranked by ideXlab platform

James R Andrews - One of the best experts on this subject based on the ideXlab platform.

Brian G Smith - One of the best experts on this subject based on the ideXlab platform.

  • incarcerated medial Epicondyle fracture following pediatric elbow dislocation 11 cases
    Journal of Hand Surgery (European Volume), 2014
    Co-Authors: Seth D Dodds, Brody A Flanagin, Daniel D Bohl, Peter A Deluca, Brian G Smith
    Abstract:

    Purpose To describe outcomes after surgical management of pediatric elbow dislocation with incarceration of the medial Epicondyle. Methods We conducted a retrospective case review of 11 consecutive children and adolescents with an incarcerated medial Epicondyle fracture after elbow dislocation. All patients underwent open reduction internal fixation using a similar technique. We characterized outcomes at final follow-up. Results Average follow-up was 14 months (range, 4–56 mo). All patients had clinical and radiographic signs of healing at final follow-up. There was no radiographic evidence of loss of reduction at intervals or at final follow-up. There were no cases of residual deformity or valgus instability. Average final arc of elbow motion was 4° to 140°. All patients had forearm rotation from 90° supination to 90° pronation. Average Mayo elbow score was 99.5. Four of 11 patients had ulnar nerve symptoms postoperatively and 1 required a second operation for ulnar nerve symptoms. In addition, 1 required a second operation for flexion contracture release with excision of heterotopic ossification. Three patients had ulnar nerve symptoms at final follow-up. Two of these had mild paresthesia only and 1 had both mild paresthesia and weakness. Conclusions Our results suggest that open reduction internal fixation of incarcerated medial Epicondyle fractures after elbow dislocation leads to satisfactory motion and function; however, the injury carries a high risk for complications, particularly ulnar neuropathy. Type of study/level of evidence Therapeutic IV.

Kai Nan An - One of the best experts on this subject based on the ideXlab platform.

  • origin of the medial ulnar collateral ligament
    Journal of Hand Surgery (European Volume), 1992
    Co-Authors: Shawn W Odriscoll, Robyn Jaloszynski, Bernard F Morrey, Kai Nan An
    Abstract:

    Abstract The anatomic features of the origin of the anterior medial collateral ligament of the elbow were studied in 10 cadaver elbows to determine the percentage of the medial Epicondyle that can be removed without violating the ligament, and whether or not this ligament attaches to the condyle as well as to the Epicondyle. In all specimens the anterior medial collateral ligament originated exclusively from the anteroinferior surface of medial Epicondyle and had no attachment to the condyle. Only 20% of the width of the medial Epicondyle in the coronal plane can be removed without violating a portion of the origin of the anterior medial collateral ligament, an essential stabilizer of the elbow. Excision of the entire Epicondyle for ulnar neuropathy would completely detach this ligament from its origin and might therefore potentiate instability. Since the ligament originates on the anteroinferior surface of the Epicondyle, more bone can be removed with less violation of the anterior medial collateral ligament origin if the plane of the osteotomy lies between the sagittal and coronal planes.

Gilberto Melo Costa - One of the best experts on this subject based on the ideXlab platform.

  • a rare case of elbow dislocation associated with unrecognized fracture of medial Epicondyle and delayed ulnar neuropathy in pediatric age
    Journal of Shoulder and Elbow Surgery, 2013
    Co-Authors: Sara Lima, Joao Freitas Correia, Rui Ribeiro, Rui Moura Martins, Nuno Alegrete, Jorge Coutinho, Gilberto Melo Costa
    Abstract:

    Elbow dislocations in children are rare. They may be associated with other fractures of this region, with the most common being medial Epicondyle avulsion. In 1518% of cases, the fragment is incarcerated within the joint. Less common is the association with paralysis of the ulnar nerve, which may result from the injury itself, as well as from manipulation, such as in closed reduction, or during surgical treatment. Treatment of medial Epicondyle fractures is controversial, with equally satisfactory results when comparing conservative treatment and surgery, even in cases of fractures with deviation. However, open reduction with internal fixation of the Epicondyle fragment is clearly indicated in cases of intraarticular entrapment of the fragment, on suspicion of entrapment of the ulnar nerve or in cases of marked instability of the elbow. The authors present the case of a 10-year-old boy with a posterior dislocation of the left elbow, and a fracture of the medial Epicondyle that was not initially recognized until he developed ulnar nerve palsy 3 months later. To date, the authors found only 1 case in the English language literature involving a detailed description of the history and approach of this type of injury.

Zhao Renhua - One of the best experts on this subject based on the ideXlab platform.

  • internal fixation with bioabsorbable screw and stick in the treatment of humerus Epicondyle fracture
    Journal of Chongqing Medical University, 2013
    Co-Authors: Zhao Renhua
    Abstract:

    Objective:To quantify the possibility and efficacy of internal fixation with bioabsorbable screw and stick in the treatment of humerus Epicondyle fracture.Methods:Totally 23 children with humerus Epicondyle fracture who received internal fixation using bioabsorbable screw and stick from 2008 to 2009 were enrolled.Functional exercise was taken 3 weeks after the operation.Follow-up lasted for 6 months to 3 years,18 months in average.Results:All 23 cases were followed up and healed.Function of the elbow joint was excellent in 20 cases,good in 3 cases and bad in 0 case,with good and excellent rate being 100%.Conclusions:With satisfactory fracture reduction and firm internal fixation,bioabsorbable screw and stick is effective in the treatment of humerus Epicondyle fracture.Bioabsorbable screw and stick will break down as time goes by,without harming human body influencing imaging examination.The second stage operation is needed to take out the materials.Early functional exercise is conductive to promoting the healing results.Elbow function development of the epiphysis will not be affected.