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Results for “Elbow Injuries”

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At least 19 recordsLinked to original sources
PubMed1990

Lateral condyle fractures: missed diagnoses in pediatric elbow injuries.

Pediatric elbow injuries represent diagnostic dilemmas to all health care personnel. In particular, nondisplaced lateral condyle fractures are often missed when the child first presents for evaluation, and if left untreated, can potentially produce disastrous results. Several illustrative cases are described in order to demonstrate the diagnostic symptoms and signs, as well as the long-term complications associated with the failure to diagnose and institute early treatment. Pertinent clinical findings and elbow anatomy are also reviewed.

Child↗
PubMed1991

Real-time digital contrast enhancement and magnification in the assessment of acute elbow injuries.

The elbow is a common site of injury and missed fractures may lead to disability and litigation. An assessment was made of a commercially available desk-top digital contrast enhancement and magnification unit (DETECT system) in a series of 320 patients with an acute elbow injury. Five radiologists of varying experience independently viewed elbow radiographs on a conventional light-box, and subsequently using the digitizer, indicating the presence or absence of a fracture. The overall results demonstrated no difference in performance when using the unit, though small improvements in the confidence with which a definite diagnosis was made were observed. Assessment of soft tissues with the digitizer was less reliable.

Acute Disease↗
PubMed1992

Elbow injuries in athletes.

Most elbow injuries carry an excellent prognosis for return to a given sport. Early identification of overuse injuries and joint contractures can deter bone deformities in later life. Early evaluation can deter severe complications such as that of neurovascular injury. Rehabilitation should not be considered complete until there has been maximal restoration and correction of technique and accuracy in addition to the issue of soft-tissue healing.

Athletic Injuries↗
PubMedDate not supplied

Ulna neuropathy after elbow injury in children.

Six children developed seven cases of ulna neuropathy between 7 days and 6 years after significant elbow injury. None had evidence of acute nerve damage at the time of initial trauma. This complication, which develops soon after injury, has not been well documented. For this reason, the mode of presentation, treatment options, and review of the literature is presented.

Adolescent↗
PubMed1988

Shoulder and elbow injuries in the young athlete.

The skeletally immature athlete sustains upper extremity injuries unique to the epiphyseal plate, articular cartilage, musculotendinous units, and specific to the sport itself. Specific shoulder and elbow conditions can be predicted based on the biomechanics of the sport and age of the patient. In the young athlete, recognition of these unique injury patterns with early activity modification and treatment can prevent permanent deformity and functional disability.

Adolescent↗
PubMed1986

Elbow injury: a new imaging approach.

The authors describe a new technique for evaluating traumatic conditions to the elbow: the radial head-capitellum view. This projection has proved useful in demonstrating minimally displaced or nondisplaced fractures of the radial head, capitellum, and coronoid process. The radial head-capitellum view not only delineates the fracture, it also defines the extent of displacement.

Adolescent↗
PubMed1991

Inability to fully extend the injured elbow: an indicator of significant injury.

Elbow injuries are commonly seen in accident departments. Patients with possible bony injuries to the elbow were assessed to see if inability to fully extend the elbow was a good indicator of bony injury and hence the need for X-ray. The sensitivity of this test was 90.7% (95% confidence limits 80.7-100.7) and the specificity 69.5% (95% confidence limits 60.3-78.7). Use of this simple test would reduce both radiography costs and unnecessary exposure to radiation.

Adolescent↗
PubMed1990

Injuries to the elbow.

Presented is an outline of the anatomy, biomechanics and function of the elbow joint, as it relates to normal and sporting activities. A variety of elbow injuries, including fractures of the olecranon, radial head and distal humerus are presented with appropriate methods of treatment. The aim to return patients to early functional activity is stressed. Soft tissue and more chronic over-use problems are briefly discussed, and a treatment regimen presented. In general, elbow injuries which involve acute fractures, dislocations and ligament injuries should be treated aggressively, in order to achieve early functional mobility. The more chronic over-use elbow problems should be viewed with a certain caution, and results are not as predictable following treatment of such injuries and over-use problems.

Athletic Injuries↗
PubMed1992

Use of comparison radiographs in the diagnosis of traumatic injuries of the elbow.

STUDY OBJECTIVE: To determine whether comparison radiographic views of the uninjured elbow result in increased diagnostic accuracy in elbow trauma. DESIGN: Physicians were provided with a short clinical summary and asked to interpret radiographs of the injured elbow or of both the injured and the uninjured elbow in a randomized fashion. SETTING: The radiology department in a university hospital. METHODS: Fifty sets of radiographs from 25 children with elbow injuries were reviewed by two residents, two emergency physicians, and one pediatric radiologist using a standard classification of injuries. For each child, there were two sets of radiographs: one of the injured elbow and one of both the injured and the uninjured elbow. Descriptive statistics were used to report the results. kappa statistics were used to determine interobserver and intraobserver agreement. Missed diagnoses were divided into those that were clinically relevant and those that were not. RESULTS: The overall percentage of correct diagnoses (one versus two elbow radiographs) were as follows: residents, 69% versus 70%; emergency physicians, 62% versus 67%; and pediatric radiologist, 74% versus 72% (P greater than .05). kappa scores for interobserver variability and intrarater agreement were in the moderate range (.383 to .805; kappa, .08). Clinically relevant diagnoses were missed by trainees and emergency physicians regardless of whether radiographs of just the injured elbow or both the injured and the uninjured elbow were interpreted. Incorrect radiograph interpretations were due to false-positives in 17 of 23 cases. CONCLUSION: Comparison radiographs of the uninjured elbow did not improve diagnostic accuracy in elbow trauma in the pediatric emergency department.

Adolescent↗