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Article
Open AccessComprehensive analysis and classification of retrocondylar ulnar groove morphology using CT imaging in an average population of adults
Anatomical variations of the concave shaped retrocondylar ulnar groove (RUG) can contribute to ulnar nerve instability. However, there are currently limited available standardized data describing the anatomy o...
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Article
Open AccessMorphometrics of the coronoid process and the radial notch of the ulna: implications for fracture assessment
A comprehensive analysis of the morphology of fractures of the coronoid process (CP) can aid diagnosis and guide treatment. The involvement of the radial notch of the ulna (RN)—e.g., in anterolateral facet fra...
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Article
Open AccessThe impact of the SARS-CoV-2 pandemic-related lockdowns on orthopedic trauma emergencies at a level-one trauma center
The SARS-CoV-2 pandemic and its associated lockdowns had a profound effect on orthopedic trauma emergencies. This study aimed to investigate the patient volume and injury patterns at a level-one trauma center ...
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Article
Monteggia-like-Verletzungen
Unter dem Begriff der Monteggia-like-Verletzungen oder auch Monteggia-Äquivalent-Verletzungen werden Frakturen der proximalen Ulna mit Luxation oder Luxationsfraktur des Radiuskopfes aus dem proximalen Radioul...
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Article
Open AccessKlinische Ergebnisse der Ellenbogentotalendoprothetik nach Therapieversagen bei Monteggia-like-Verletzungen
Monteggia-like-Frakturen (MLF) sind komplexe Verletzungen mit hohen Komplikationsraten und häufig unbefriedigenden funktionellen Ergebnissen. Bei posttraumatischer Gelenkdestruktion nach MLF stellt die Implant...
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Article
Nachbehandlungskonzepte bei Ellenbogenverletzungen
Für die Nachbehandlung von Ellenbogenverletzungen gibt es noch immer keine eindeutigen Empfehlungen, und häufig wird ein individualisiertes Konzept gewählt. Aufgrund der Anfälligkeit des Ellenbogengelenks für ...
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Article
Open AccessInfluence of rotator cuff preload on fracture configuration in proximal humerus fractures: a proof of concept for fracture simulation
In regard of surgical training, the reproducible simulation of life-like proximal humerus fractures in human cadaveric specimens is desirable. The aim of the present study was to develop a technique that allow...
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Article
Open AccessTrans-fracture approach for ORIF of coronal shear fractures of the distal humerus
Open reduction and internal fixation (ORIF) of comminuted coronal shear fractures of the distal humerus is challenging. When a concomitant lateral condyle fracture is present, it may be used for a trans-fractu...
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Article
Open AccessThe effect of long calcar screws on the primary stability of 3-part, varus impacted proximal humeral fractures compared to short calcar screws: a real fracture simulation study
Complex proximal humeral fracture ranks among the most common fracture types, especially in elderly patients. In locked plate fixation of proximal humerus fractures, the calcar is deciding for screws providing...
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Article
Open AccessComputed tomography-based angle measurements of the sagittal capitulum and trochlea position in relation to the humeral shaft
The radiologic evaluation of the sagittal angulation of the distal humerus is commonly based on standard lateral radiographs. However, lateral radiographs do not allow to examine the lateral angulation of the ...
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Article
Open AccessLocking suture repair versus ligament augmentation—a biomechanical study regarding the treatment of acute lateral collateral ligament injuries of the elbow
Lateral collateral ligament (LCL) tears are frequently observed in fractures and dislocations of the elbow. Recent biomechanical evidence suggests that additional ligament augmentation may improve repair stabi...
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Article
Open AccessAnatomic relations of the median nerve to the ulnar insertion of the brachialis muscle: safety issues and implications for medial approaches to the elbow joint
Preventing nerve injury is critical in elbow surgery. Distal extension of medial approaches, required for coronoid fracture fixation and graft-replacement, may endanger the median nerve. This study aims to des...
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Chapter
Coronoid Fractures
The coronoid process stabilizes the elbow against axial, varus, and valgus forces. Injuries to the coronoid process typically occur during dislocations in combination with radial head injuries, isolated injuri...
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Intra-articular Supracondylar Humerus Fractures
Fractures of the distal humerus are challenging, and reconstruction of those fractures should be performed in centers with upper extremity surgery. This chapter covers the treatment of AO type B3 and type C fr...
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Radial Head Fractures
The radial head is an important secondary stabilizer of the elbow. The Mason classification is commonly used for the characterization and planning of fracture treatment. The incidence of associated ligament in...
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Open Reduction Internal Fixation (ORIF) for Olecranon Fractures
Olecranon fractures are a common injury of the elbow joint with and can occur as isolated fracture or in combination with other injuries, for example, in fracture dislocations like Monteggia-like lesions.
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Article
Die Behandlung der posteromedialen Ellenbogeninstabilität – Was gibt es Neues?
Coronoidfrakturen sind seltene Frakturen am Ellenbogengelenk, die eine akute oder chronische posteromediale Rotationsinstabilität bedingen können. Die Klassifikation nach O’Driscoll hat sich in diesem Zusammen...
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Article
Open AccessIntra-individual variance of bilateral femoro-tibial leg rotation: a CT study of 105 healthy subjects
In cases of suspected rotational deformity of the lower limb, in particular in post-traumatic malalignment following closed nailing, there is a lack of adequate reference values. Available publications on leg ...
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Monteggia Like Lesion – Osteosynthese und ligamentäre Stabilisierung
Proximale Ulnafrakturen mit Luxation des Radiuskopfes werden unter dem Begriff Monteggia-Frakturen zusammengefasst. Im Gegensatz hierzu beschreiben die Monteggia Like Lesions oder Monteggia-Äquivalent-Verletzu...
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Isolierte Koronoidfrakturen – Osteosynthese und ligamentäre Stabilisierung
Anatomisch ist das Koronoid als Region distal der knorpelfreien Zone der proximalen Ulna definiert. Die definitive Einschätzung der jeweiligen Fraktur erfolgt durch eine Computertomografie, möglichst mit 3D-Re...