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Abstracts From The Argentina Congress Of Shoulder Surgery.

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 30-32 | Byron Torres, Paúl Terán Authors: Byron Torres [?], Paúl Terán [?]. [1] Hospital Metropolitano de Quito Hospital Vozandes de Quito Sociedad Latinoamericana de Hombro y Codo Address of Correspondence Dr. Byron Torres D. Hospital Metropolitano de Quito […]

Dynamic Anatomy of Elbow Stability

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 30-32 | Juan Del Castillo, Rodrigo Fratelli, Mauricio Oehler, Nicolás Casales, Viviana Teske, Domingo Beltramelli Authors: Juan Del Castillo [1], Rodrigo Fratelli [1], Mauricio Oehler [1], Nicolás Casales [1], Viviana Teske [1], Domingo Beltramelli [1]. [1] Departamento de Anatomía Facultad […]

Abstracts From The Argentina Congress Of Shoulder Surgery.

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Dynamic Anatomy of Elbow Stability

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

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Abstracts From The Argentina Congress Of Shoulder Surgery.

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Authors: Byron Torres [?], Paúl Terán [?].

[1] Hospital Metropolitano de Quito Hospital Vozandes de Quito Sociedad Latinoamericana de Hombro y Codo

Address of Correspondence
Dr. Byron Torres D.
Hospital Metropolitano de Quito Hospital Vozandes de Quito
Sociedad Latinoamericana de Hombro y Codo
Email: btorres@ceoecuador.com.

Abstract

Introduction: The rotator cuff irreparable tears cause pain and an important functional impairment in patients. The different strategies that we have to treat them, have given variable results and the great concern remains in how to hold the progression towards degenerative arthropathy. The superior capsular reconstruction seems to be a logical and biomechanically adequate concept with good clinical results. With this in mind, we set ourselves the objectives of carrying out this procedure assessing its replicability and perform a follow-up with ultrasound, functional scores and of patient satisfaction score.
Methods: It deals with a series of 10 cases with prospective follow-up (2 men and 8 women), who were performed the superior capsule reconstruction, by the same surgeon between January 2015 and February 2016 with an average follow-up of 6 months. All of them with irreparable rupture of the rotator cuff, not responding to conservative management. We performed shoulder arthroscopy and superior capsular reconstruction with autologous ipsilateral fascia lata graft.
Results: The DASH score was of 64 in average in the pre-surgical, and of 24 average in the post- surgical phases. The working module obtained 56 as average range in the pre-surgical and 18 as average in the post-surgical phases. The sports module obtained 56 in the average range during the pre-surgical and 22 of average in the post-surgical phases. All the 10 patients made known that they would repeat the proceeding towards the final follow-up, which in average was of 6 months. The average age of the patients was of 61.5 years, with a minimum age of 53 and the maximum of 67 years old. Graft’s width was assessed through ultrasound, in the most anterior part, intermediate part, and the most posterior part, being the narrower graft of 3mm in average and the thicker of 6.9 mm in average. The anteroposterior length was also assessed, with an average of 1.9 cm and values that ranged from 1.2 cm through 2.56 cm. Three out of 10 patients related occasional residual pain at the donor site.
Conclusions: The superior capsular reconstruction with fascia lata autograft Is a demanding but a replicable procedure that in our series had good clinical results in the medium term, and also had good to excellent results in functional and satisfaction scales. Up-to-date information suggests that long-term results are influenced by the width of the graft, but that goes beyond this follow-up. We are committed to keep track of the cases, so the thickness can be assessed further in time, and its impact in the results noted. This encourages us to continue with our cases so as to assess this data in the future and its impact on the results. Autologous grafting often generates some post-surgery discomfort, reason why maybe the heterologous grafting may be a better option, if available.
Keywords: superior capsular reconstruction, irreparable rotator cuff tear

References

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How to Cite this article: Ramon S, Alentorn-Geli E, Alvarez P, Unzurrunzaga R, Lama N, Alvarez X, Cugat R. Differences in postoperative rehabilitation after inverted prosthesis by traumatic pathology compared to degenerative disease. Acta of Shoulder and Elbow Surgery July – Dec 2017;2(2):33.

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Dynamic Anatomy of Elbow Stability

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Authors: Juan Del Castillo [1], Rodrigo Fratelli [1], Mauricio Oehler [1], Nicolás Casales [1], Viviana Teske [1], Domingo Beltramelli [1].

[1] Departamento de Anatomía Facultad de Medicina UdelaR (Anatomy Department, School of Medicine, University of the Republic of Uruguay

Address of Correspondence
Dr. Juan Del Castillo,
Departamento de Anatomía Facultad de Medicina UdelaR
(Anatomy Department, School of Medicine, University of the Republic of Uruguay
Email:btorres@ceoecuador.com.

Abstract

Background: Elbow dislocation leads to varying degree of instabilities depending on the ligaments damaged and amount of damage to these ligaments. Various studies have noted role of these ligaments and present study is a dynamic cadaveric study to understand these instabilities better
Material and Methods: 10 cadaveric elbows maintained in 10% formaldehyde concentration were employed. Healthy joint upper limbs were prepared, and the elbow joint was further dissected. The different joint osseous and ligament stabilizers were sectioned by stages, and their implication on the stability of the elbow joint complex was recorded.
Results: Collateral ligaments were confirmed to be the main ligament stabilizers in the elbow. The lateral complex controls both varus and posterolateral stress. The medial collateral complex controls valgus stress, mainly thanks to its anterior bundle. The radial head plays a secondary role, controlling valgus stress once the medial collateral complex has been sectioned. Once radial head has been replaced, valgus stress stability is regained
Conclusion: The role of elbow stabilizers has been determined, and our results are consistent with those of international literature
Keywords: Elbow Instability, Cadaveric Study

References

1. O’Driscoll SW, Jupiter JB, King GJ, et al. The unstable elbow. Instr Course Lect 2001;50:89–102.
2. Crhis D. Bryce; April D. Armstrong. Anatomy and Biomechanics of the elbow. Orthop Clin N Am 39 (2008 141-154)
3. Miller Mark, Thompson S. DeLee & Drez ́s Orthopaedic Sports Medicine Principles and Practice 2015
4. Morrey B, The Elbow and its disorders, 3rd ed 2004

How to Cite this article: Castillo JD, Fratelli R, Oehler M, Casales N, Teske V, Beltramelli D. Dynamic anatomy of elbow stability . Acta of Shoulder and Elbow Surgery July – Dec 2017;2(2):30-32.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Abstracts From The Argentina Congress Of Shoulder Surgery.

Dynamic Anatomy of Elbow Stability

Abstracts From The Argentina Congress Of Shoulder Surgery.

Dynamic Anatomy of Elbow Stability

Full Sized Blog Element (Big Preview Pic)

Abstracts From The Argentina Congress Of Shoulder Surgery.

Authors: Byron Torres [?], Paúl Terán [?].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Dynamic Anatomy of Elbow Stability

Authors: Juan Del Castillo [1], Rodrigo Fratelli [1], Mauricio Oehler [1], Nicolás Casales [1], Viviana Teske [1], Domingo Beltramelli [1].

Abstract

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(Abstract Full Text HTML) (Download PDF)

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