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A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 3 | Issue 1 | Jan- June 2019 | Page 3-6 | Michał Górecki, Piotr Czarnecki Authors: Michał Górecki [1], Piotr Czarnecki [2]. [1] Student Research Group of Hand Surgery, University of Medical Sciences Poznań, Poland [2] Department of Traumatology, Orthopaedics and Hand Surgery of Viktor Dega […]

Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 1 | Issue 1 | Oct-Dec 2016 | Page 2-3 | José Carlos Garcia Jr. Author: José Carlos Garcia Jr. [1]. [1] NAEON-Santa Catarina Hospital Address of Correspondence Dr. Jose Carlos Garcia Jr., MD, MSc, PhD NÆON-Hospital Santa Catarina-SP-Brazil Email: jose.cjunior@hsl.org.br Most Shoulder and Elbow Surgery journals are written in a […]

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 5 | Issue 1 | January-June 2021 | Page — | Robert J. Burton, Anna LR Porter, Yusuf Michla Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1] [1] Department of Orthopaedics, Sunderland Royal Hospital, Sunderland, UK. Address of Correspondence Dr. Anna LR Porter Sunderland […]

Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 4 | Issue 1 | January-June 2020 | Page 20-22 | Benjamin W. Sears, Mitchell J. Sungelo, Jacqueline E. Bader, Armodios M. Hatzidakis, Charles L. Getz Authors: Subbiah Venkatesh Babu [1] [1] Deparment of Orthopaedics & Trauma Surgery, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India. Address of […]

A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

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A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Authors: Michał Górecki [1], Piotr Czarnecki [2].

[1] Student Research Group of Hand Surgery, University of Medical Sciences Poznań, Poland
[2] Department of Traumatology, Orthopaedics and Hand Surgery of Viktor Dega Orthopedic and Rehabilitation Clinical Hospital

Address of Correspondence
Dr. Michał Górecki,
Mścibora 74, 61-062 Poznań, Poland
E-mail: michalmgorecki@gmail.com

Abstract

Background: Osteochondromas are the most common form of benign bone tumour. They are mostly asymptomatic, but sometimes they can irritate surrounding structures, like vessels or nerves, and cause complications. More often they apply to the lower extremities, especially around the knee joint. Osteochondromas which cause complications in the upper extremities are much less common. This paper presents a rare case of a brachial artery pseudoaneurysm as a complication of a proximal humerus exostosis, which was initially described and treated as malignant tumour of the arm. A comprehensive review of the literature has also been carried out.
Methods: A 19-year-old male patient was admitted with acute pain of the left arm. Eight years earlier he had been diagnosed with hereditary multiple osteochondromas. Examination revealed a palpable, non-painful tumour of the axilla’s area and the posterior part of the left arm. An magnetic resonance imaging (MRI) with contrast demonstrated three osteochondromas in the area of the proximal humerus. From the free end of one of these, a big, nodular structure was spreading. From the MRI, a chondrosarcoma was suspected. Samples were taken for histopathological examination. After the surgery, increased pulsations were observed around the operative area. A ultrasonography (USG) revealed a fibrotic pseudoaneurysm of the left brachial artery. Histopathological examination showed deposits of heamosiderin without any cancer cells. With the change in diagnosis, the next stage of treatment was planned – artery reconstruction using a saphenous vein graft and an osteochondroma excision.
Results: A few weeks after surgery, the patient recovered full function of the upper extremity and did not report any discomfort. A control USG showed proper flow through the brachial artery and venous graft.
Conclusion: In the case of a tumour in the area of an osteochondroma, caused by trauma, a pseudoaneurysm should be suspected. Diagnostic and therapeutic treatment must be properly planned, as unrecognised it could cause a severe, life-threatening haemorrhage during the operation.
Keywords: pseudoaneurysm, osteochondroma, malignant transformation, brachial artery, chondrosarcoma.

References

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3. Wuyts W, Schmale GA, Chansky HA, Raskind WH. Hereditary Multiple Osteochondromas. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJ, Stephens K, et al., editors. Ge-neReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993 [cited 2019 Mar 28]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1235/
4. Herget GW, Kontny U, Saueressig U, Baumhoer D, Hauschild O, Elger T, et al. [Osteochon-droma and multiple osteochondromas: recommendations on the diagnostics and follow-up with special consideration to the occurrence of secondary chondrosarcoma]. Radiol. 2013 Dec;53(12):1125–36 (in German).
5. Raherinantenaina F, Rakoto-Ratsimba HN, Rajaonanahary TMA. Management of extremity arterial pseudoaneurysms associated with osteochondromas. Vascular. 2016 Dec;24(6):628–37.
6. Turley K, Watson R, Joseph T. Osteochondroma. In: Health Encyclopedia – University of Rochester Medical Center [Internet]. 2014 [cited 2019 Mar 28]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00125
7. Nasr B, Albert B, David CH, Marques da Fonseca P, Badra A, Gouny P. Exostoses and vascu-lar complications in the lower limbs: two case reports and review of the literature. Ann Vasc Surg. 2015 Aug;29(6):1315.e7-1315.e14.
8. Beauchamp-Chalifour P, Pelet S. Osteochondroma of the Scapula with Accessory Nerve (XI) Compression. Case Rep Orthop [Internet]. 2018 [cited 2019 Mar 28]; Available from: https://www.hindawi.com/journals/crior/2018/7018109/
9. Aldashash F, Elraie M. Solitary osteochondroma of the proximal femur causing sciatic nerve compression. Ann Saudi Med. 2017;37(2):166–9.
10. Payne R, Sieg E, Fox E, Harbaugh K, Rizk E. Management of nerve compression in multiple hereditary exostoses: a report of two cases and review of the literature. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg. 2016 Dec;32(12):2453–8.
11. Aouini F, Garali W, Saaidi A, El Mahdi A, Mechergui S, Jabeur C, et al. [Nerve and deep vein compression by femoral artery pseudoaneurysm in a patient with multiple exostosis]. Ann Cardiol Angeiol (Paris). 2015 Apr;64(2):113–5 (in French).
12. Göçmen S, Topuz AK, Atabey C, Şimşek H, Keklikçi K, Rodop O. Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature. J Neurosurg. 2014 May;120(5):1105–12.
13. Gerrand CH. False aneurysm and brachial plexus palsy complicating a proximal humeral exos-tosis. J Hand Surg Edinb Scotl. 1997 Jun;22(3):413–5.
14. Lucarelli DD, Subram A. Type IV popliteal arterial entrapment associated with an osteochon-droma. J Vasc Surg Cases Innov Tech. 2017 Apr 25;3(2):66–8.
15. Ruales Romero AM, Doiz Artazcoz E, Craven-Bartle Coll A, Gonzalez Calbo A, Rodríguez Piñero M. Thrombosed Popliteal Artery Pseudoaneurysm as Herald of Tibial Osteochondroma. EJVES Short Rep. 2016 Oct 17;33:27–31.
16. Gouicem D, Palcau L, Hello CL, Coffin O, Maiza D, Berger L. Gigantic clavicle osteochon-droma with carotid compression as a rare cause of stroke. J Vasc Surg. 2013 Mar;57(3):845–7.
17. Joo Han O, Kim JY, Kang M, Bae T, Lee T. Deep Vein Thrombosis Associated with Femur Osteochondroma: Report of a Case. Ann Vasc Dis. 2009;2(3):178–81.
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How to Cite this article: Górecki M, Czarnecki P. A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis. Acta of Shoulder and Elbow Surgery Jan- June 2019;3(1):3-6.

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Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

Author: José Carlos Garcia Jr. [1].

[1] NAEON-Santa Catarina Hospital

Address of Correspondence
Dr. Jose Carlos Garcia Jr., MD, MSc, PhD
NÆON-Hospital Santa Catarina-SP-Brazil
Email: jose.cjunior@hsl.org.br

Most Shoulder and Elbow Surgery journals are written in a far beyond context than most developing countries are up to. Distinguished features related to developed countries impact on the way people make surgeries, use materials and even make researches.

Availability of materials and devices, costs, local regulatory agencies and many other points need to be considered when talking about developing countries.Sometimes solutions adapted for these countries will not make sense for people of developed countries, with a different reality.
Then researches using some of the developing countries’ solutions will don’t make sense for reviewers from developed countries.
In the opposite side, discussing these solutions may be very important to develop shoulder and elbow surgery in developing countries. It is not about making second class researches, it is about looking researches within a different way of view. The first answer therefore is: We made this journal because we need to discuss issues adapted to our reality. We need to demonstrate results that can improve techniques possible to be reproduced all over the world. Consequently we will need to makeresearches that can be more suitable to our day by day. It does not mean bad research or bad results, it means a different way to make good things.
The second answer is: Because low cost innovations will make the world better and more equal. This journal has begun with an editorial board capable of diffusing the most recent concepts at no cost, making data easy to spread and replicate.
The third answer is: Considering that, in general, developing countries need some degree of refinement in shoulder and elbow surgery yet, transformations will be required. A rational step towards this new paradigm is an intersection of the two worlds, developed and developing countries.
This journal aims to promote this intersection by using new surgical techniques, researches and symposiums. As one wants to go further, one must have a general panorama of what is going on around to better know where to go. That is the purpose of the Current Concepts section of this journal whose content is a summary of the main journals of Shoulder and Elbow Surgery. It is not intend to explore the deepness of all research published but just a general panorama. Our concept is by accessing just this journal one can know what is going on around the world of Shoulder and Elbow Surgery and also have access to researches, symposiums and many other academical papers.
Combining all these characteristics in a single journal is essential to make surgeons updated and open minded to innovations.
This journal also begins by bringing a new concept to understand researches within the surgical field, it uses new ideas from IDEAL-Collaboration, Oxford, aiming to improve research methodology on surgical field.
We hope Acta of Shoulder and Elbow Surgery can be the new channel for all orthopedic surgeons interested in the area.
You are invited to be our reader, contributor and friend.

Warm Regards

José Carlos Garcia Jr.
Editor-in-Chief

How to Cite this article:.JC Garcia Jr. Why a new Shoulder and Elbow Journal?. Acta of Shoulder and Elbow Surgery Oct – Dec 2016;1(1):1

José Carlos Garcia Jr., MD

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Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1]

[1] Department of Orthopaedics, Sunderland Royal Hospital, Sunderland, UK.

Address of Correspondence
Dr. Anna LR Porter
Sunderland Royal Hospital, Kayll Road, Sunderland, UK.
E-mail: Annalrporter1@gmail.com

Abstract

A 65 year old gentleman presented with persistent severe pain and joint incongruity on plain radiographs following a first time traumatic anterior shoulder dislocation without concurrent fracture to the tuberosities. Further investigation with MRI scan demonstrated interposition of the long head of biceps tendon within the glenohumeral joint, causing persistent pain and the subtle incongruity seen on AP and Axillary radiographs. Under arthroscopy the tendon was grossly tendinopathic at it’s insertion into the labrum, and reduction into the inter-tubucular groove was not possible. Tenotomy was performed, which immediately resolved the patients symptoms. Repeated radiographs demonstrated that the joint congruity had been restored. This case demonstrates that long head of biceps displacement is possible without concurrent fracture, and is a rare but important cause for persistent disproportionate pain post-reduction. Radiographs should be examined carefully for any evidence of joint in-congruity, and ultrasound or MR scanning will adequately demonstrate interposition of the long head of biceps within the glenohumeral joint.

Key Words: Anterior shoulder dislocation; Biceps tendon interposition; Glenohumeral-subluxation.

References

1. Allard J, Bancroft J. Irreducible posterior dislocation of the shoulder; MR and CT findings. Journal of computer assisted tomography. 1991;15 (4); 694-696. https://pubmed.ncbi.nlm.nih.gov/2061493/
2. Goldman A, Sherman O, Price A, Minkoff J. Posterior fracture-dislocation of the shoulder with biceps tendon interposition. The Journal of Trauma; Injury, Infection and Critical Care.1987; 27(9):1083-1086. https://pubmed.ncbi.nlm.nih.gov/3656473/
3. Gudena R, Iyengar K, Nadkuri J, Loh W. Irreducible shoulder dislocation – a word of caution. Orthopaedics & Traumatology, Surgery and Research. 2011; 97(4): 451-453. 10.1016/j.otsr.2011.02.004. https://pubmed.ncbi.nlm.nih.gov/21511554/
4. Seradge H, Orme G. Acute Irreducible Anterior Dislocation of the Shoulder. The Journal of Trauma: Injury, Infection and Critical Care. 1982;22(4):330-332. https://pubmed.ncbi.nlm.nih.gov/7077691/
5. Velghe A, Humblet P, Lesire M, Liselele D. Fresh posterior luxation of the shoulder: irreducibility due to interposition of the long biceps. Ap-ropos of 2 cases. Revue de chirurgie orthopaedique et reparatrice de l’appareil moteur. 1998;74(8):782-785. https://pubmed.ncbi.nlm.nih.gov/3253850/
6. Wyatt A, Porrino J, Shah S, Hsu J. Irreducible superolateral dislocation of the glenohumeral joint. Skeletal Radiology. 2015:44(9);1387-1391. 10.1007/s00256-015-2183-8. https://pubmed.ncbi.nlm.nih.gov/26051805/

How to Cite this article: Burton RJ, Porter ALR, Michla Y | Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation | Acta of Shoulder and Elbow Surgery | January-June 2021; 5(1): —-.

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Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Authors: Subbiah Venkatesh Babu [1]

[1] Deparment of Orthopaedics & Trauma Surgery, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India.

Address of Correspondence
Dr. S Venkatesh Babu,
Consultant Orthopaedic & Trauma Surgeon, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India.
E-mail: drsvbabu@hotmail.com

Abstract

Today, the surgical treatment is being done for most of the elbow diseases and fractures openly, minimally invasive and arthroscopically. The complications after elbow surgery are also in significant proposition. This review exhibits the need of applied anatomical knowledge and operative skills for the surgeon who intends to operate the elbow safely.
Keywords: Safe Surgery, Trauma, Injury, Elbow.

References

1. Kelly EW et al.,(2001) , Complications of elbow arthroscopy , J Bone Joint Surg Am, 2001 Jan: 83 (1) : 23-34
2. Stanley Hoppenfeld et al., , (2009) Surgical Exposures in Orthopaedics, The Anatomic Approach, Fourth Edition, Lippincott Williams & Wilkins
3. Zhiquan An et al., (2010) Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique, International Orthopaedics (SICOT) 2010, 34 : 131-138
4. Jaechon M Kim et al., (2011) Complications of Total Elbow Arthroplasty , J Am Acad Orthop Surg 2011 Jun, 19(6): 328-39
5. Reduan Elfeddali et al., (2013) Arthroscopic Elbow surgery, Is it safe? J Shoulder Elbow Surg , 2013 May; 22 (5): 647-52
6. Nelson et al., (2014) Elbow Arthroscopy: early complications and associated risk factors, J Shoulder Elbow Surg, 2014 Feb: 23(2) : 273-8
7. Rodrigo Kallas Zogaib et al.,(2014) Minimal Invasive Ostheosynthesis for treatment of diaphiseal transverse humeral shaft fractures, Acta Orthop Bras ., 2014; 22(2) : 94-8
8. Daniel Romano Zogbi et al., (2014) Fracture of Distal Humerus : MIPO Technique with visualisation of the Radial Nerve, Acta Orthop Bras , 2014; 22(6) : 300-3
9. Cheung EV et al., (2015) Complications of Elbow Trauma, Hand Clin, 2015, Nov; 31(4) :683-91
10. Izzak F Kodde et al., (2015) Current Concepts in the management of radial head fractures, World J Orthop 2015 December 18;6(11): p 954-960
11. Mohsen Mardani-Kivi et al., (2018), Indications, Results and Complications of Elbow Arthroscopy treatment in Eighteen Patients, Shiraz E-Med J, 2018 June ;19(6):e62606
12. William B Stetson et al., (2018) Avoiding Neurological Complications of Elbow Arthroscopy, Arthroscopy Techniques , Vol 7, No 7 (July), 2018, p717-724
13. William B Stetson et al., (2018), Neurological Complications of Elbow Arthroscopy, Recent Advances in Arthroscopic Surgery, Chapter 9, IntechOpen, p127-144
14. Olga D Savvidou et al., Complications of Open Reduction and Internal Fixation of distal humerus fractures, (2018), Trauma, EFFORT Open Reviews, EOR |Volume 3|October 2018|p 558-567
15. Samuel S Ornell et al.,(2019) Fungal infection following Total Elbow Arthroplasty, Case Rep Orthop ., 2019 : Sep 4; 2019: 1-5
16. Jae-Man Kwak et al., (2019), Total Elbow Arthroplasty; Clinical Outcomes, Complications and Revision Surgery, Clinics in Orthopaedic Surgery 2019;11:p366-379
17. WHO guidelines for safe surgery: safe surgery saves lives, 2009
18. Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use(2015), NICE Guidelines, UK.

How to Cite this article: Babu SV | Safe Elbow Surgery | Acta of Shoulder and Elbow Surgery | January-June 2020; 4(1): 20-22.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

Why a new Shoulder and Elbow Journal?

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Safe Elbow Surgery

A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

Why a new Shoulder and Elbow Journal?

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Safe Elbow Surgery

Full Sized Blog Element (Big Preview Pic)

A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

Authors: Michał Górecki [1], Piotr Czarnecki [2].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Why a new Shoulder and Elbow Journal?

Author: José Carlos Garcia Jr. [1].

(Abstract Full Text HTML) (Download PDF)

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Safe Elbow Surgery

Authors: Subbiah Venkatesh Babu [1]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

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