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Case: Three male patients, 8-, 13-, and 18-year-old, all developed posttraumatic cubitus varus elbow deformity after distal humerus supracondylar fractures. Each underwent a distal humerus osteotomy with application of a hexapod external fixator to gradually correct the deformity.
Conclusion: In patients with cubitus varus malunion, the stability of the hexapod external fixation, percutaneous nature of the osteotomy, and availability of running a residual computer-assisted program provides a consistent technique for deformity correction.
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http://dx.doi.org/10.2106/JBJS.CC.22.00284 | DOI Listing |
Orthop J Sports Med
September 2025
American Sports Medicine Institute, Birmingham, Alabama, USA.
Background: The rates of ulnar collateral ligament injury and surgery continue to rise in baseball. Increased ball velocity and elbow varus torque may correlate with the increased risk of injury.
Hypothesis: Increased ball weight and/or size correlate with decreased elbow varus torque during pitching.
Background: Poor lumbopelvic-hip control has been linked to higher shoulder and elbow joint moments and injury risk in collegiate and professional baseball pitchers. The purpose of this study was to investigate if lumbopelvic-hip control was correlated with shoulder and elbow joint moments and drive leg ground reaction force (GRF) in high school baseball pitchers. The hypothesis was that poorer lumbopelvic-hip control would be correlated with higher joint moments and lower drive leg GRF.
View Article and Find Full Text PDFShoulder Elbow
August 2025
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Introduction: Cubitus varus deformity, a common late complication of pediatric supracondylar fractures, is often viewed as cosmetic but can lead to functional issues such as tardy ulnar nerve palsy (TUNP). While both conditions have been studied individually, the literature addressing their coexistence and the optimal surgical approach is limited.
Method: This study investigates functional and electrophysiological outcomes in patients with concurrent cubitus varus and TUNP who underwent tailored surgical treatment.
Orthop Traumatol Surg Res
August 2025
Orthopédie Pédiatrique, CHU Montpellier, Université de Montpellier, 191 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France; PhyMedExp, CNRS UMR 9214, INSERM U1046, University of Montpellier, Montpellier, France. Electronic address:
Background: Neonatal separation of the distal humeral epiphysis (NSDHE) is a very rare injury. On one hand, anatomical reduction is usually required in pediatric elbow fractures due to limited remodeling potential at the distal humerus. But on the other hand, neonatal fractures often show favorable evolution without reduction, even in cases of severe displacement.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
August 2025
Department of Orthopedic and Trauma Surgery, Lucerne Cantonal Hospital, Lucerne, Switzerland; Medical Faculty, University of Zurich, Zurich, Switzerland.
Background: Proximal humerus fractures are frequent in patients with low bone mineral density. PHILOS plates are widely used with either Minimally Invasive Plate Osteosynthesis (MIPO) or Open Reduction and Internal Fixation (ORIF) techniques. However, it remains unclear whether four cement-augmented screws provide biomechanical stability comparable to four non-augmented screw plus two additional calcar screws in unstable fractures in osteoporotic bone.
View Article and Find Full Text PDF