11/17. elbow joint: assessment with double-contrast CT arthrography.The elbow joint was evaluated by means of computed tomography (CT) immediately following double-contrast arthrography. Normal baseline anatomy and representative abnormal studies are illustrated. Intraarticular abnormalities, such as osteocartilaginous bodies, hyperplastic synovium, fracture fragments, and osteophytes, were identified and precisely located on postarthrography CT scans. This technique, which enabled such abnormalities to be seen, has provided an anatomic and mechanical basis for seemingly idiopathic instances of limited elbow motion.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
12/17. patellar dislocation and osteochondral fractures.Follow-up study of nine patients with patellar dislocation in combination with osteochondral fractures. Three of these patients with special problems in relation to knee pathology are discussed in detail. This group of knee injuries is often overlooked because of frequent spontaneous reposition. Etiology, diagnosis and treatment are discussed. arthroscopy is recommended to visualize chondral defects. Results are presented in combination with follow-up. Four patients still complain of instability of the knee after surgery. Reconstruction is the treatment of choice. The kind of fixation depends on the size of the osteochondral fragment, and consists of either screws or fibrin, in future possibly resorbable pins. Continuous passive motion is to be recommended after operation. Factors predisposing to recurrence are an indication for correction.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
13/17. Post-fracture, late debridement resection arthroplasty of the ankle.Seven patients (three male and four female), aged 10 to 45 years (average, 36 years), who suffered fractures at the ankle (three right and four left) from 6 months to 20 years ago (average, 7.6 years), underwent late debridement resection arthroplasty. Follow-up ranged from 3.5 to 7 years (average, 5 years). Six patients improved in range of motion, endurance, and freedom from pain and swelling and were able to engage thereafter in increased activities, including sports. The oldest female (aged 45), because of continual pain 15 months later, had an ankle arthrodesis. No "normal" ankles resulted, but final rating determinations based on range of motion, endurance, swelling, pain, and subjective analyses were: excellent (1), good (3), fair (2), poor (1) (arthrodesis patient). Results of the 5-year follow-ups suggest that this type of surgery in selected cases is a feasible, at least interim, alternative to more radical total ankle arthroplasty or ankle arthrodesis.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
14/17. The surgical treatment of osteochondritis of the capitellum.This paper reviews 14 patients who underwent elbow arthrotomy for osteochondritis of the capitellum. The etiology in 7 of the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and elbow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range of motion was increased an average of 18 degrees. Eighty-six percent (12 out of 14) patients returned to organized, competitive athletic activity without restrictions. The Little League background of those patients with apparent repetitive microtrauma to the elbow is examined in terms of length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these patients is evaluated with respect to the type of delivery at possible risk for the development of osteochondritis. We conclude that after a failure of conservative therapy, surgical treatment, including removal of the intraarticular loose bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement in joint motion. A return to organized competitive sport activities can be expected.- - - - - - - - - - ranking = 3keywords = motion (Clic here for more details about this article) |
15/17. Giant synovial cyst of the shoulder presenting as a chest wall mass.Synovial cysts are most frequently found about the knee. Less commonly they have been described at the shoulder, elbow, ankle, and hip joints. Synovial cysts of the shoulder are associated with rheumatoid arthritis, osteoarthritis, chronic steroid use, Charcot joint disease, and long-standing rotator cuff tears. Although often asymptomatic, patients may present complaining of pain, loss of joint motion, or presence of an unexplained mass. The authors present the case of an elderly man with a very large synovial cyst presenting as an anterior chest wall mass.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
16/17. Synovial osteochondromatosis of the elbow presenting with ulnar nerve neuropathy.Synovial chondromatosis is an uncommon disorder in which cartilaginous material is formed within synovial tissue. The cartilaginous nodules may undergo enchondral ossification, described as synovial osteochondromatosis. The nodules may be shed from the synovium and become intra-articular loose bodies. The presenting symptoms are usually diffuse discomfort in the affected joint and decreased range of motion with an accompanying gritty or locking sensation. The authors present the case of a young man with elbow synovial osteochondromatosis associated with ulnar nerve neuropathy.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
17/17. Os supratrochlear dorsale of the elbow: a report of two cases.The os supratrochlear dorsale, an accessory ossicle of the elbow, has rarely been described in the literature. Rather than being caused by trauma, it is subject to trauma by elbow extension with secondary chondrometaplasia, resulting symptomatology. The aim of this report is to remind readers that its presence is crucial for both diagnostic and therapeutic purposes. Arthroscopic removal may be required to relieve persistent pain, catching and limited range of motion.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
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