RESUMEN
AIM: Describe the technique of the elbow arthroscopy and discuss their indications through a series of 12 cases and a review of the literature. METHODS: We report a retrospective study of a short series of 12 cases of elbow arthroscopy performed on 4 years. The indications of this technique were loose bodies in 7 cases, parcellar displaced fracture of radial head in 3 cases, fracture of coronoid process in one case and osseous impingement in one case. RESULTS: We have noted no complications and at a mean follow up of 18 months (6 to 40 months) our results were almost satisfactory. CONCLUSION: Elbow arthroscopy is an effective but delicate technique. Its indications are not frequent. They are dominated by loose bodies.
Asunto(s)
Artroscopía/métodos , Articulación del Codo/cirugía , Codo/cirugía , Inestabilidad de la Articulación/cirugía , Cuerpos Libres Articulares/cirugía , Fracturas del Radio/cirugía , Adulto , Estudios de Seguimiento , Fijación Interna de Fracturas , Humanos , Inestabilidad de la Articulación/diagnóstico , Cuerpos Libres Articulares/diagnóstico , Masculino , Persona de Mediana Edad , Fracturas del Radio/diagnóstico , Rango del Movimiento Articular , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
AIM: We assessed retrospectively forty cases of radial head fractures treated by excision. METHODS: The series is composed of men in 60% of cases and women in 40% of cases. The age of patients ranged from 15 to 68 years with an average of 37 years. According to Duparc classification, the fracture was type II in 20% of cases, type III in 32%, type IV in 42% and type V in 6%. An associated lesion in the same elbow was seen in 50% of cases; elbow dislocation was present in 38% of cases. The average of operative delay was 14 days (0 - 40 days). RESULTS: The functional result was evaluated according to clinical score of Western Orthopaedic society. The results were satisfactory. We have noted a correlation between functional result and associated lesions, the delay of excision and postoperative immobilisation. Valgus ulna and ascension of the radius was minors and well tolerated exceptly in cases of fractures associated to elbow dislocations. CONCLUSION: According to the results, we think that excision of radial head can be proposed essentially for the treatment of isolated radial head fracture.
Asunto(s)
Fracturas del Radio/cirugía , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fracturas del Radio/clasificación , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Arthroscopic surgery replaced at present more and more conventional articular surgery because its anatomic character, its less morbidity and its more simple post-poerative care. After knee, the shoulder is considere as the articulation witch benefit of the progress of arthroscopic technics. Autors reported their experience in shoulder arthroscopy witch is introduced in the service since 1999. The gol of this study is to describe the technic of the shoulder arthroscopy and to precise its main indications.
Asunto(s)
Artroscopía/métodos , Articulación del Hombro/cirugía , Anestesia General , Bursitis/cirugía , Cartílago Articular/patología , Electrocoagulación/métodos , Humanos , Húmero/patología , Artropatías/cirugía , Inestabilidad de la Articulación/cirugía , Ligamentos Articulares/patología , Músculo Esquelético/patología , Postura , Manguito de los Rotadores/patología , Manguito de los Rotadores/cirugía , Articulación del Hombro/patología , Dolor de Hombro/cirugía , TracciónRESUMEN
Kienbock disease is caused by aseptic necrosis of the lunate. The aim of this work is to evaluate the results of the radial shortening procedure for the treatment of stages II. Illa IIb of the disease. We retrospectively reviewed 20 cases of Kienbock disease. This series is composed of 9 men and 11 women. The average age was 32 years. According to Litchman's classification; 17 patients were operate on in stage III (14 IIIa; 311Ib) and 3 patients were operate on in stage III. Average of shortening was: 4 mm. the mean Follow -up was 05 years. Functional results were evaluated according to Michon score. The results were good in 18 cases and poor in 02 cases. Radiologic results were good: Ameliorations were obtained in 3 patients with stage II; 16 stabilizations in 17 patients with stage IIIa and 1 deterioration in 4 patients with stage IIIb. Radial shortening is effective in the treatment of Kienbock disease in wrists that do not have degenerative changes in adjacent carpal joints. Pain, range of motion and strength can be expected to improve but the radiographic aspect of the lunate changes is not likelly to undergo much chance, if any. Osteotomy was effective even in patients who had zero or positive ulnar variance; and an inclination angle of the distal part of the radius.