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Elbow Anatomy

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1. A new local muscle flap for elbow coverage-the medial triceps brachii flap: anatomy, surgical technique, and preliminary outcomes. (Abstract)

A new local muscle flap for elbow coverage-the medial triceps brachii flap: anatomy, surgical technique, and preliminary outcomes. The medial triceps brachii is vascularized by the middle collateral artery and the arterial circle of the elbow. This vascularization allows a distal pedicled use to cover soft tissue defects of the elbow. We report our experience using this flap to cover traumatic and postsurgical wounds.Patients who underwent a pedicled medial triceps brachii flap procedure (...) between 2008 and 2015 were included. Data concerning characteristics of the patients, wound size, surgical technique, and complications were retrospectively reviewed. An independent observer examined patients and assessed outcome of the coverage procedure: wound healing, scar length, range of elbow motion, and patient satisfaction.Eight patients were included (70.6 ± 17.7 years old at the time of surgery). All patients had serious comorbidities and risk factors of poor wound healing. Defects were due

2018 Journal of Shoulder and Elbow Surgery

2. Understanding the medial ulnar collateral ligament of the elbow: Review of native ligament anatomy and function Full Text available with Trip Pro

Understanding the medial ulnar collateral ligament of the elbow: Review of native ligament anatomy and function The medial ulnar collateral ligament complex of the elbow, which is comprised of the anterior bundle [AB, more formally referred to as the medial ulnar collateral ligament (MUCL)], posterior (PB), and transverse ligament, is commonly injured in overhead throwing athletes. Attenuation or rupture of the ligament results in valgus instability with variable clinical presentations. The AB (...) or MUCL is the strongest component of the ligamentous complex and the primary restraint to valgus stress. It is also composed of two separate bands (anterior and posterior) that provide reciprocal function with the anterior band tight in extension, and the posterior band tight in flexion. In individuals who fail comprehensive non-operative treatment, surgical repair or reconstruction of the MUCL is commonly required to restore elbow function and stability. A comprehensive understanding of the anatomy

2018 World journal of orthopedics

3. Insertional anatomy of the anterior medial collateral ligament on the sublime tubercle of the elbow. (Abstract)

Insertional anatomy of the anterior medial collateral ligament on the sublime tubercle of the elbow. Acute injuries to the anterior medial collateral ligament (AMCL) can occur due to valgus trauma or during other dislocating events to the elbow. AMCL lesions are often associated with bony lesions, such as radial head fractures or fractures of the coronoid process. We analyzed the insertion of the AMCL on the sublime tubercle in relation to surrounding osseous structures. We aimed to increase (...) the understanding of the involvement of the AMCL in bony lesions to the sublime tubercle.We investigated 86 elbows from 43 embalmed human specimens. We measured the most ventral extensions of the AMCL at the sublime tubercle in relation to a clearly defined and reproducible landmark. We used as our landmark a horizontal line (baseline) originating on the lesser sigmoid notch in a right angle to the ulnar ridge.The mean distance of the coronoid process tip to the baseline was 4.0 mm (standard deviation [SD], 1.3

2018 Journal of Shoulder and Elbow Surgery

4. Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. Full Text available with Trip Pro

Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. The elbow comprises a complex of bony and ligamentous stabilizers that provide both primary and secondary constraints to elbow instability. Through trauma and overuse, classic instability patterns arise by loss of these important stabilizers. The diagnosis of elbow instability can made using specific examination maneuvers and testing to diagnose the clinical pattern. This article reviews the elbow's unique anatomy (...) and biomechanical characteristics and these are applied when reviewing the maneuvers and testing used to diagnose elbow instability.Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2017 Journal of Hand Surgery - American

5. Anterior and posterior bands of the anterior bundle in the elbow ulnar collateral ligament: ultrasound anatomy. (Abstract)

Anterior and posterior bands of the anterior bundle in the elbow ulnar collateral ligament: ultrasound anatomy. The anterior oblique bundle (AOL) of the ulnar collateral ligament (UCL) is composed of anterior and posterior bands. This study evaluated the anatomy of the anterior and posterior bands in the AOL of the UCL for their separate visualization with ultrasound (US).We dissected 18 cadaveric elbow joints and recorded the direction of each band from the lateral view to determine the proper (...) of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

2017 Journal of Shoulder and Elbow Surgery

6. Elbow vascularized composite allotransplantation-surgical anatomy and technique. (Abstract)

Elbow vascularized composite allotransplantation-surgical anatomy and technique. Elbow reconstruction with vascularized composite allotransplantation (VCA) may hold promise in treating end-stage arthritis as no current treatment is both functional and durable. We describe the vascular and gross anatomy of the elbow in the context of VCA procurement and propose a step-by-step surgical technique for human elbow VCA.We injected latex in the arterial tree of 16 fresh adult cadaveric upper (...) innervation was most commonly derived from ulnar and median nerve branches. We refined our proposed surgical technique after performing 2 cadaveric elbow VCAs.Elbow VCA may be technically feasible on the basis of its consistent vascular anatomy and our proposed surgical technique.Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

2017 Journal of Shoulder and Elbow Surgery

7. Clinical Anatomy and Assessment of the Elbow Full Text available with Trip Pro

Clinical Anatomy and Assessment of the Elbow The elbow is a complex synovial hinge joint comprising of three articulations. Satisfactory function and stability are provided by bony and soft tissue stabilising structures. Injuries around the elbow joint are common.A literature search was performed and the authors' personal experiences reported.The article discusses the osseous and ligamentous anatomy around the elbow joint and their relevance when assessing and managing elbow injuries.Knowledge (...) of the intricate anatomy around the elbow joint is essential to successfully assessing and managing elbow injuries and restoring good function.

2017 The open orthopaedics journal

8. Vascular Anatomy of the Elbow

Vascular Anatomy of the Elbow Vascular Anatomy of the Elbow Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vascular Anatomy (...) of the Elbow Vascular Anatomy of the Elbow Aka: Vascular Anatomy of the Elbow , Arterial Rete of Elbow II. Anatomy: Artery III. Anatomy: Vein Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Vascular Anatomy of the Elbow." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Entire arterial rete of elbow joint

2018 FP Notebook

9. Elbow Anatomy

Elbow Anatomy Elbow Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Elbow Anatomy Elbow Anatomy Aka: Elbow Anatomy , Elbow II (...) . Physiology Elbow is a hinged joint with the ability to pronate and supinate III. Anatomy: Bones and Ligaments Also available as a . See Also available as a . See Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) IV. Anatomy: Muscles Lewis (1918) Gray's Anatomy 20th ed

2018 FP Notebook

10. Tiny Tip: Is this a ‘CASE’ of an elbow fracture?

Tiny Tip: Is this a ‘CASE’ of an elbow fracture? Tiny Tip: Is this a ‘CASE’ of an elbow fracture? - CanadiEM Tiny Tip: Is this a ‘CASE’ of an elbow fracture? In , by Graham Wilson June 23, 2017 An elbow fracture is a common pediatric injury in emergency medicine. These fractures present challenges in diagnosis due to the maturing skeletal anatomy and the subtlety of these injuries. 1 Plain radiographs are adequate to detect elbow fractures in most cases and a systematic approach can help (...) . Emergency department evaluation and treatment of pediatric orthopedic injuries. Emerg Med Clin North Am . 1999;17(4):895-922, vii. [ ] 4. Lins R, Simovitch R, Waters P. Pediatric elbow trauma. Orthop Clin North Am . 1999;30(1):119-132. [ ] Reviewing with the Staff Elbow fractures are one of the most common pediatric injuries we see in Emergency Medicine. As noted above, x-ray interpretation of elbows is often challenging for learners, because of evolving anatomy and the subtlety of some elbow fractures

2017 CandiEM

11. Basics of Elbow Arthroscopy Part I: Surface Anatomy, Portals, and Structures at Risk Full Text available with Trip Pro

Basics of Elbow Arthroscopy Part I: Surface Anatomy, Portals, and Structures at Risk As our knowledge and technology advance, the indications for elbow arthroscopy continue to grow rapidly. During this expansion, a number of new portals have been described and reported using variable nomenclature and location descriptions. Accordingly, a comprehensive review of these portals is warranted. Given the concern for potential iatrogenic injury to surrounding neurovascular structures, a discussion (...) of these critical nerves and vessels is also timely. In this work, we review pertinent surface anatomy; portal nomenclature, locations, and utility; and review distances to the nearest structures at risk.

2016 Arthroscopy techniques

12. Novel exploration of 3D printed personalized total elbow arthroplasty to solve the severe bone defect after internal fixation failure of comminuted distal humerus fracture: A case report. Full Text available with Trip Pro

Novel exploration of 3D printed personalized total elbow arthroplasty to solve the severe bone defect after internal fixation failure of comminuted distal humerus fracture: A case report. Severe bone defect could often occur after removing the fractured fixation plates of comminuted fracture in the distal humerus. The reoperation of internal fixation or conventional total elbow arthroplasty could hardly restore the anatomy structure and function of the elbow. However, a novel exploration of 3 (...) -dimensional (3D) printed personalized elbow prosthesis was presented in this work. This is a rare and successful treatment for the severe bone defect after removing the fractured fixation plates of comminuted distal humerus fracture.A 60-year-old male patient was admitted to the hospital with the chief complaint of right elbow joint pain and limitation of motion for 10 years. He suffered from an open reduction with internal fixation surgery 10 years ago due to a fall injury-induced right distal humerus

2020 Medicine

13. Elbow US: Anatomy, Variants, and Scanning Technique. (Abstract)

Elbow US: Anatomy, Variants, and Scanning Technique. As with other musculoskeletal joints, elbow ultrasonography (US) depends on the examination technique. Deep knowledge of the relevant anatomy, such as the bone surface anatomy, tendon orientation, nerves, and vessels, is crucial for diagnosis. It is important to be aware of the primary imaging pitfalls related to US technique (anisotropy) in the evaluation of deep tendons such as the distal biceps and peripheral nerves. In this article, US (...) scanning technique for the elbow as well as the related anatomy, primary variants, and scanning pitfalls are described. In addition, an online video tutorial of elbow US describes a possible approach to elbow evaluation. Online supplemental material is available for this article.RSNA, 2015

2015 Radiology

14. Are eponyms used correctly or not? A literature review with a focus on shoulder and elbow surgeryEditor's Choice FREE

Are eponyms used correctly or not? A literature review with a focus on shoulder and elbow surgeryEditor's Choice FREE Are eponyms used correctly or not? A literature review with a focus on shoulder and elbow surgery | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password (...) For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Are eponyms used correctly or not? A literature review with a focus on shoulder and elbow surgery Article Text Systematic review Are eponyms used correctly or not? A literature

2016 Evidence-Based Medicine

15. CRACKCast E052 – Orthopedics – Humerus and Elbow

CRACKCast E052 – Orthopedics – Humerus and Elbow CRACKCast E052 - Orthopedics - Humerus and Elbow - CanadiEM CRACKCast E052 – Orthopedics – Humerus and Elbow In , , by Adam Thomas December 5, 2016 This episode of CRACKCast covers Rosen’s Chapter 52, Humerus and Elbow injuries. These injuries can be seen in patients of all ages, so this is a high yield chapter that may help you on your very next shift! PDF – Rosen’s in Perspective The elbow allows for pronation, supination, flexion, extension (...) Three articulations: Trochlea and the deep trochlear notch of the ulna Capitellum and the radial head allowing elbow flexion The radial head rotating on the capitellum and radial notch of the ulna Bones Distal humerus tapers into: Medial (wrist flexors) and lateral (wrist extensors) condyles, which sandwich the coronoid fossa in-between Fractures through the distal humerus usually result in displacement because of these muscular attachments The epicondyles sit above the articular condyles Volarly

2016 CandiEM

16. Medial elbow pain Full Text available with Trip Pro

Medial elbow pain Medial elbow pain is uncommon when compared with lateral elbow pain.Medial epicondylitis is an uncommon diagnosis and can be confused with other sources of pain.Overhead throwers and workers lifting heavy objects are at increased risk of medial elbow pain.Differential diagnosis includes ulnar nerve disorders, cervical radiculopathy, injured ulnar collateral ligament, altered distal triceps anatomy or joint disorders.Children with medial elbow pain have to be assessed (...) for 'Little League elbow' and fractures of the medial epicondyle following a traumatic event.This paper is primarily focused on the differential diagnosis of medial elbow pain with basic recommendations on treatment strategies. Cite this article: EFORT Open Rev 2017;2:362-371. DOI: 10.1302/2058-5241.2.160006.

2017 EFORT open reviews

17. Understanding the Radiographic Anatomy of the Proximal Ulna and Avoiding Inadvertent Intraarticular Screw Placement. (Abstract)

Understanding the Radiographic Anatomy of the Proximal Ulna and Avoiding Inadvertent Intraarticular Screw Placement. To map the proximal ulnar articular margins and ensure safe extraarticular placement of implants.Ten fresh frozen adult elbow cadaver specimens were obtained. Radiopaque wire was applied to the articular margin of the articular facets and the central trochlear ridge of the proximal ulna. Fluoroscopic images were obtained demonstrating the articular facet margins. Radiographic

2020 Journal of Orthopaedic Trauma

18. Elbow Arthroscopy Made Simple: Indications and Techniques. (Abstract)

Elbow Arthroscopy Made Simple: Indications and Techniques. Elbow arthroscopy is a technically demanding procedure. A comprehensive understanding of the elbow neurovascular anatomy combined with a very detail-oriented technique for portal placement helps to minimize risk and facilitates performing elbow arthroscopic procedures effectively and safely for the appropriate indications. The technique for establishing all portals is critical regardless of which portals are used. Care should be taken (...) the joint before portal placement is that insufflation increases anterior capsular tension, making penetration of the capsule with the blunt trocars easier and more reliable. In summary, elbow arthroscopy is a reliable procedure that requires a clear understanding of the anatomy to be able to safely access the joint.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

19. Editorial Commentary: Safety in Anteromedial Elbow Portal Placement? Go North! Full Text available with Trip Pro

Editorial Commentary: Safety in Anteromedial Elbow Portal Placement? Go North! Since iatrogenic injury to surrounding structures is more likely in the elbow than in the other major joints, many studies have examined the relationship of elbow arthroscopy portals to the at-risk anatomy. In accessing the anterior compartment of the elbow from the medial side, the brachial artery and median, ulnar, and medial antebrachial cutaneous nerves are at risk. Factors that improve the safety (...) of this approach include the use of a proximal versus distal anteromedial portal, a distended versus and nondistended joint, and a flexed versus extended elbow position, all of which result in an approximate margin of safety of 2 cm from the deep at-risk structures.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

20. "Forearm Based Turnover Muscle Flaps for Elbow Soft Tissue Reconstruction: A Comparison of Regional Coverage Based on Distal Flap Perfusion." (Abstract)

"Forearm Based Turnover Muscle Flaps for Elbow Soft Tissue Reconstruction: A Comparison of Regional Coverage Based on Distal Flap Perfusion." Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis and flexor carpi ulnaris muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor carpi radialis, with a direct comparison of the brachioradialis, flexor carpi ulnaris, and flexor carpi radialis (...) muscle flaps for coverage around the elbow.Six fresh-frozen upper extremity specimens were dissected for brachioradialis, flexor carpi radialis, and flexor carpi ulnaris flaps. Vascular data from prior studies were combined with our anatomical measurements to determine the area of perfused coverage around the elbow for the brachioradialis and flexor carpi ulnaris. The flexor carpi radialis flap distal vascular perfusion was examined separately with transverse sections at 1-cm intervals after India

2018 Plastic and reconstructive surgery

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