Fracture of the coracoid process of the scapula.
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Biomedical subjects
Publications and source records attributed to A I Froimson.
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Five patients with an average age of thirty-five years had satisfactory restoration of elbow motion by a cutis arthroplasty technique with minimum medial-lateral instability. In three patients marked stiffness or ankylosis had followed severe fractures or dislocations. The fourth patient had rheumatoid arthritis, and the fifth had sustained a birth injury to the brachial plexus. An average follow-up of three and one-half years confirmed the durability of the results.
A simple but efficient way to secure the biceps tendon after it has been detached at its upper end by either trauma, attrition or surgical interference is the use of the keyhole in the upper humerus. A tied or rolled knot of tendon inserted into a keyhole shaped opening in the bicipital groove permits firm attachment of the tendon to bone permitting immediate shoulder and elbow motion. Immediate postoperative joint motion avoids aggravation of coexisting shoulder disease and permits early return to work or sports. Use of this procedure in 11 patients with good to excellent results in all confirns its merit.
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The surgeon should use strict technical vigilance to prevent intraoperative arthroscopic complications. An expert understanding of the anatomy, along with visualization of all instruments during surgery, should prevent inadvertent injury to neighboring structures. This case report represents one unusual complication associated with arthroscopic knee surgery and should serve to heighten the surgeon's awareness that arthroscopy is not a benign procedure.
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