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There are a variety of ways to treat chronic elbow dislocations, including repeat closed reduction and immobilization, transarticular pinning, temporary bridge plating, hinged or rigid external fixation, and internal fixator application. Although each have distinct advantages and disadvantages, avoiding recurrent instability is critical. The internal-fixator is a relatively new option to maintain a stable, concentric reduction and facilitate early range of motion. This article and accompanying video describe the surgical technique of using an internal joint stabilizer for treatment of a chronically unstable ulnohumeral joint.
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http://dx.doi.org/10.1097/BOT.0000000000002176 | DOI Listing |
Orthop Traumatol Surg Res
September 2025
Department of Orthopaedic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan. Electronic address:
Objective: The treatment of severe post-traumatic elbow stiffness is extremely complex. Complete open release of the elbow joint and reconstruction of stiffness-related injuries are considered crucial; however, these procedures may lead to elbow instability, particularly chronic instability due to underlying conditions. This retrospective study aimed to assess the outcomes of using an internal joint stabilizer (IJS) to ensure post-release stability in these complex cases.
View Article and Find Full Text PDFAm J Phys Med Rehabil
August 2025
Department of Surgery, Akasakamitsuke Maeda Hospital, Minato-ku, Tokyo, Japan.
J Shoulder Elbow Surg
September 2025
University of Calgary, Calgary, Alberta, Canada; South Health Campus Research Unit for Bone and Soft Tissue, Calgary, Alberta, Canada.
Background: Surgical treatment options for distal biceps tendon ruptures vary based on time from injury to surgery. While direct repair (DR) is preferred for acute injuries, high flexion angle repair (HFA) and allograft reconstruction (AR) are alternatives for chronic cases. This study examines the relationship between time to surgery, surgical technique selection, and complication rates.
View Article and Find Full Text PDFCureus
August 2025
Plastic and Reconstructive Surgery, University of Louisville Hospital, Louisville, USA.
Hyper IgE syndrome (HIES) is a rare primary immunodeficiency that is characterized by elevated serum IgE levels, recurrent sinopulmonary infections, and chronic eczema, among other symptoms. Though reports on patients with HIES exist, they primarily focus on the clinical features, diagnosis, and management of HIES without detailing surgical interventions. Here, we present the surgical management of an extensive cellulitic infection that developed into skin necrosis in an HIES patient with a history of polysubstance abuse.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Rationale: The opportunistic pathogen Corynebacterium striatum has been generating more clinical infections in recent years, but secondary infections at different parts caused by it have been reported more rarely.
Patient Concerns: This case details a 52-year-old male patient who got an infection that advanced to multiple osteomyelitis and soft tissue abscess after block therapy for external humeral epicondylitis of the right arm. Unexpectedly, the chronic ulcerated region of the patient's neck was infested with Corynebacterium striatum due to inadequate treatment of the main infection, resulting in a secondary infection of the neck mass.