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Coronoid Process Fracture

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121. Elbow Dislocation (Diagnosis)

Elbow Dislocation (Diagnosis) Elbow Dislocation: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTY3NTgtb3ZlcnZpZXc= processing > Elbow Dislocation Updated: Sep 26 (...) for up to 50% of elbow dislocations, and this type of injury is more commonly seen in adolescent and young adult populations (see the image below). Posterior and lateral dislocation of the left elbow in a soccer goalie. A small avulsion fracture of the olecranon is present. Posterior elbow dislocations comprise over 90% of elbow injuries. Early recognition of this injury is required due to the need for early reduction, given a higher likelihood for poor function and possible neurovascular compromise

2014 eMedicine.com

122. Wrist and Forearm Amputations (Treatment)

Wrist and Forearm Amputations (Treatment) Wrist and Forearm Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NTUzNS1vdmVydmlldw== processing > Wrist (...) balance while sitting and serve to distribute the forces of weightbearing over a larger area, thus minimizing pressure sores. In general, amputations in the upper extremity are also indicated for persons with malignant tumors without evidence of metastases. [ ] Even after metastases, amputation may be necessary to relieve pain when a neoplasm has become ulcerated and infected or has caused a pathologic fracture. In these oncologic cases, the indications for amputations versus limb salvage procedures

2014 eMedicine Surgery

123. Elbow and Above-Elbow Amputations (Treatment)

fossa (medially) allow the humerus to accept the head of the radius and the coronoid process of the ulna when the joint is in full flexion. On the central aspect of the posterior humerus above the trochlea of the humeral condyle is the olecranon fossa, which allows the humerus to accept the olecranon of the ulna when the joint is in extension. The olecranon is the proximal end of the ulna, from which the C-shaped trochlea notch is carved. For more information about the relevant anatomy, see (...) Elbow and Above-Elbow Amputations (Treatment) Elbow and Above-Elbow Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzNzg4Ni1vdmVydmlldw== processing

2014 eMedicine Surgery

124. Wrist and Forearm Amputations (Overview)

Wrist and Forearm Amputations (Overview) Wrist and Forearm Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NTUzNS1vdmVydmlldw== processing > Wrist (...) balance while sitting and serve to distribute the forces of weightbearing over a larger area, thus minimizing pressure sores. In general, amputations in the upper extremity are also indicated for persons with malignant tumors without evidence of metastases. [ ] Even after metastases, amputation may be necessary to relieve pain when a neoplasm has become ulcerated and infected or has caused a pathologic fracture. In these oncologic cases, the indications for amputations versus limb salvage procedures

2014 eMedicine Surgery

125. Ulnar Nerve Entrapment (Overview)

epicondyle, the ulnar nerve pierces the flexor-pronator aponeurosis, the fibrous common origin of the flexor and pronator muscles. The ligament of Spinner is an additional aponeurosis between the flexor digitorum superficialis of the ring finger and the humeral head of the flexor carpi ulnaris. This septum is independent of the other aponeuroses and attaches directly to the medial epicondyle and the medial surface of the coronoid process of the ulna. With anterior transposition of the ulnar nerve (...) process The tubercle of the coronoid process is 1.5 times larger in men Contreras et al suggested that the coronoid process may be a potential site for ulnar nerve compression in men and that the increased subcutaneous fat around the ulnar nerve in women may provide a protective advantage against acute ulnar neuropathy. [ ] Previous Next: Prognosis A favorable surgical outcome is more likely for sensory function than for motor function. Overall, however, a favorable outcome occurs in 85-95% of cases

2014 eMedicine Surgery

126. Mannerfelt Syndrome (Overview)

affecting other flexor tendons in a more ulnar direction. [ ] Bilateral ruptures have been reported. [ ] In his series of patients with affected flexor tendons in the carpal tunnel, Mannerfelt reported that 20 of 25 patients had involvement of the FPL tendon and that nearly all flexor tendon attritions occurred in women. [ ] Next: Anatomy The FPL originates from the middle of the anterior surface of the radial shaft, the adjoining part of the interosseous membrane, and the coronoid process (...) Mannerfelt Syndrome (Overview) Mannerfelt Syndrome: Background, Anatomy, Pathophysiology and Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NTY3MS1vdmVydmlldw== processing > Mannerfelt Syndrome

2014 eMedicine Surgery

127. Elbow and Above-Elbow Amputations (Follow-up)

fossa (medially) allow the humerus to accept the head of the radius and the coronoid process of the ulna when the joint is in full flexion. On the central aspect of the posterior humerus above the trochlea of the humeral condyle is the olecranon fossa, which allows the humerus to accept the olecranon of the ulna when the joint is in extension. The olecranon is the proximal end of the ulna, from which the C-shaped trochlea notch is carved. For more information about the relevant anatomy, see (...) Elbow and Above-Elbow Amputations (Follow-up) Elbow and Above-Elbow Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzNzg4Ni1vdmVydmlldw== processing

2014 eMedicine Surgery

128. Wrist and Forearm Amputations (Diagnosis)

Wrist and Forearm Amputations (Diagnosis) Wrist and Forearm Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NTUzNS1vdmVydmlldw== processing > Wrist (...) balance while sitting and serve to distribute the forces of weightbearing over a larger area, thus minimizing pressure sores. In general, amputations in the upper extremity are also indicated for persons with malignant tumors without evidence of metastases. [ ] Even after metastases, amputation may be necessary to relieve pain when a neoplasm has become ulcerated and infected or has caused a pathologic fracture. In these oncologic cases, the indications for amputations versus limb salvage procedures

2014 eMedicine Surgery

129. Ulnar Nerve Entrapment (Diagnosis)

epicondyle, the ulnar nerve pierces the flexor-pronator aponeurosis, the fibrous common origin of the flexor and pronator muscles. The ligament of Spinner is an additional aponeurosis between the flexor digitorum superficialis of the ring finger and the humeral head of the flexor carpi ulnaris. This septum is independent of the other aponeuroses and attaches directly to the medial epicondyle and the medial surface of the coronoid process of the ulna. With anterior transposition of the ulnar nerve (...) process The tubercle of the coronoid process is 1.5 times larger in men Contreras et al suggested that the coronoid process may be a potential site for ulnar nerve compression in men and that the increased subcutaneous fat around the ulnar nerve in women may provide a protective advantage against acute ulnar neuropathy. [ ] Previous Next: Prognosis A favorable surgical outcome is more likely for sensory function than for motor function. Overall, however, a favorable outcome occurs in 85-95% of cases

2014 eMedicine Surgery

130. Wrist and Forearm Amputations (Follow-up)

Wrist and Forearm Amputations (Follow-up) Wrist and Forearm Amputations: Background, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NTUzNS1vdmVydmlldw== processing > Wrist (...) balance while sitting and serve to distribute the forces of weightbearing over a larger area, thus minimizing pressure sores. In general, amputations in the upper extremity are also indicated for persons with malignant tumors without evidence of metastases. [ ] Even after metastases, amputation may be necessary to relieve pain when a neoplasm has become ulcerated and infected or has caused a pathologic fracture. In these oncologic cases, the indications for amputations versus limb salvage procedures

2014 eMedicine Surgery

131. Dislocation, Elbow (Treatment)

2 methods commonly are used for posterior elbow reductions. Be certain that the patient has received adequate analgesic and sedative medications before beginning either procedure. Also see, . With the elbow flexed to 90 degrees and supinated, apply posterior pressure to the humerus while a second operator applies downward pressure on the proximal forearm. A coupling is felt and heard as the capitellum slides over the coronoid process and the joint realigns. The second method (the Parvin method (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODIzMjc3LXRyZWF0bWVudA== processing > Elbow Dislocation in Emergency Medicine Treatment & Management Updated: Jan 21, 2016 Author: James E Keany, MD, FACEP; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Elbow Dislocation in Emergency Medicine Treatment Prehospital Care Prehospital personnel should splint the limb in the position found. Because of the risk of neurovascular injury, field reduction is not recommended. Successful reduction is usually unsuccessful without

2014 eMedicine Emergency Medicine

132. Dislocation, Elbow (Follow-up)

2 methods commonly are used for posterior elbow reductions. Be certain that the patient has received adequate analgesic and sedative medications before beginning either procedure. Also see, . With the elbow flexed to 90 degrees and supinated, apply posterior pressure to the humerus while a second operator applies downward pressure on the proximal forearm. A coupling is felt and heard as the capitellum slides over the coronoid process and the joint realigns. The second method (the Parvin method (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODIzMjc3LXRyZWF0bWVudA== processing > Elbow Dislocation in Emergency Medicine Treatment & Management Updated: Jan 21, 2016 Author: James E Keany, MD, FACEP; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Elbow Dislocation in Emergency Medicine Treatment Prehospital Care Prehospital personnel should splint the limb in the position found. Because of the risk of neurovascular injury, field reduction is not recommended. Successful reduction is usually unsuccessful without

2014 eMedicine Emergency Medicine

133. Indomethacin Prophylaxis for Heterotopic Ossification After Surgical Treatment of Elbow Trauma

provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 85 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Terrible Triad Radial head fracture surgical treatment Monteggia and Trans-olecranon Fracture Dislocations Distal Biceps Tendon Injuries Distal Humerus Fractures Coronoid Fractures Capitellar-Trochlear fractures Olecranon Fractures Exclusion Criteria: Associated (...) terms Wounds and Injuries Ossification, Heterotopic Pathologic Processes Pantoprazole Indomethacin Anti-Ulcer Agents Gastrointestinal Agents Proton Pump Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Antirheumatic Agents Gout Suppressants Tocolytic Agents Reproductive Control Agents

2012 Clinical Trials

134. New mechanism of the posterior elbow dislocation. (Abstract)

under varus stress. In Group B, the ulnar collateral ligament was more commonly injured than the lateral ulnar collateral ligament, and lateral bone contusion accompanied most cases.PL dislocation is thought to start from the medial side in contrary to PM dislocation beginning at the lateral side. If the disengagement of the coronoid process is not completed due to the insufficient valgus/varus distraction, a coronoid fracture will develop at the same time as the elbow dislocation during PFER.

2012 Knee Surgery, Sports Traumatology, Arthroscopy

135. Radial head reconstruction versus replacement in the treatment of terrible triad injuries of the elbow. (Abstract)

Radial head reconstruction versus replacement in the treatment of terrible triad injuries of the elbow. Dislocation of the elbow with associated fractures of the radial head and the coronoid process of the ulna have been referred to as the terrible triad of the elbow because of the difficulties in treating this injury and the poor outcomes.There were 23 patients (24 elbows) available for evaluation with this injury during a 7-year period at Auckland City Hospital.There were 11 women and 12 men (...) Shoulder and Elbow Surgeons score, satisfaction score, range of motion (flexion, extension, supination, pronation), and the associated arcs of motion. Only one significant difference was noted: the radial head replacement group scored higher values on the Disabilities of Arm, Shoulder, and Hand assessment.Elbow fracture-dislocations are difficult injuries to treat. Our study shows that with operative repair or replacement of the radial head to restore stability through radiocapitellar contact, coronoid

2012 Journal of Shoulder and Elbow Surgery

136. Evidence-based indications for elbow arthroscopy. (Abstract)

arthritis, osteochondritis dissecans, radial head resection, loose bodies, post-traumatic arthrofibrosis, posteromedial impingement, excision of a plica, and fractures of the capitellum, coronoid process, and radial head (grade C(f) recommendation). There is insufficient evidence to give a recommendation for or against the arthroscopic treatment of posterolateral rotatory instability and septic arthritis (grade I recommendation).The available evidence supports the use of elbow arthroscopy

2012 Arthroscopy

137. Radial head replacement with the MoPyC pyrocarbon prosthesis. (Abstract)

was performed using the Broberg-Morrey and the Mayo Elbow Performance Score (MEPS) scales.Thirty-two patients (20 men, 12 women; mean age, 54 years; 22 dominant upper limbs) were evaluated. Twenty had a comminuted radial head fracture (Mason IV, 15; Mason III, 5), 2 from radial head fracture malunion, and 10 had complex elbow injuries (comminuted radial head fractures with ligamentous ruptures with or without coronoid process fractures). Mean follow-up was 27 months (range, 21-46 months). The mean results (...) Radial head replacement with the MoPyC pyrocarbon prosthesis. Radial head fractures often pose therapeutic dilemmas. We present the early results of patients who underwent radial head replacement with the MoPyC prosthesis (Bioprofile, Tornier, Saint-Ismier, France).We re-evaluated patients who underwent post-traumatic radial head resection and implantation of the MoPyC prosthesis due to pain and motion restriction. All patients underwent radiographic evaluation. Clinical evaluation

2012 Journal of Shoulder and Elbow Surgery

138. Ankylosis of the Temporomandibular Joint (TMJ)

(see ). Intra-articular (true) ankylosis must be distinguished from extra-articular (false) ankylosis, which may be caused by enlargement of the coronoid process, depressed fracture of the zygomatic arch, or scarring resulting from surgery, irradiation, or infection. In most cases of true ankylosis, x-rays of the joint show loss of normal bony architecture. Treatment may include a condylectomy if the ankylosis is intra-articular or an ostectomy of part of the ramus if the coronoid process

2013 Merck Manual (19th Edition)

139. Overview of Temporomandibular Disorders

or muscle disorders Eagle syndrome (calcified stylohyoid ligament or an elongated styloid process) Trismus Depressed fracture of the zygomatic arch Infection Osteochondroma of the coronoid process Pericoronitis Patients are asked to describe the pain and designate painful areas. The muscles of mastication (temporalis, masseters, and medial and lateral pterygoids) and cervical and occipital muscles are palpated for general tenderness and trigger points (spots that radiate pain to another area). Patients

2013 Merck Manual (19th Edition)

140. Treatment of Complex Elbow Injuries With a Postoperative Custom-Made Progressive Stretching Static Elbow Splint. (Abstract)

Treatment of Complex Elbow Injuries With a Postoperative Custom-Made Progressive Stretching Static Elbow Splint. Complex elbow injuries consist of fractures of one or several of the bony stabilizers of the elbow, including the radial head, proximal ulna, coronoid process, collateral ligaments, and capsular complex. These injuries, if not properly treated, were reported to have a poor prognosis with recurrent instability, stiffness, posttraumatic arthrosis, and pain. This study was conducted (...) to review clinical outcomes after fracture stabilization and ligament repair with a postoperative custom-made progressive stretching (CMPS) elbow splint in the treatment of complex elbow injuries.From December 2001 to October 2006, 14 patients with complex elbow fractures or instability underwent surgery in Far Eastern Memorial Hospital by Chang Chih-Hung, using suture anchors. All patients used our CMPS static elbow splint postoperatively. No hinged elbow external skeletal fixator was necessary

2010 Journal of Trauma

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