Introduction Articular fractures of the distal humerus are treated most successfully with operative intervention in order to restore function. Despite advances in plating constructs, these fractures can be difficult to fix and failures can result in a high reoperation rate.…
Introduction Today, several salvage options exist for severe articular or structural bone loss from trauma, tumor, infection, or failed prior intervention. The use of chondral grafting for articular problems is covered in Chapters 33 and 67 . In this chapter…
Introduction This chapter deals with two final options to preserve some effective function of the extremity. Other revision replacement options are discussed in Chapter 106, Chapter 107, Chapter 108 . We continue to use reinsertion into the cement host; strut…
Introduction Primary osteoarthritis of the elbow as discussed in Chapter 76 is a relatively common condition historically linked to overuse of the joint over extended periods of time as in manual laborers or heavy weight lifters. Patients initially present with…
Introduction It would seem that it remains appropriate to introduce this topic with the following statement from Monro from 1788: Ensuring the smooth and frictionless working of the body corporate, usually uncomplaining, inconspicuous, hard-working, and very modest in their requirements,…
Introduction Distal biceps tendon ruptures are relatively rare injuries, with a reported incidence of about one per 100,000 persons per year. Most injuries occur in male laborers and athletes, with a peak incidence in the fourth and fifth decades. Several…
Introduction Of the numerous potential causes for elbow stiffness, the causes and pathophysiologic mechanisms dictate treatment and affect prognosis. An extensive treatment of these mechanisms and classification have been addressed in Chapter 53 . As discussed previously, extrinsic contracture typically…
Introduction Loss of joint motion is a common complication of elbow trauma. Posttraumatic elbow stiffness is seen after major but also trivial injuries. Dealing with posttraumatic elbow stiffness is a challenging task for the orthopedic surgeon as it often involves…
Introduction Occasionally, it becomes necessary to perform extensile surgical exposures to the humerus for trauma, malignancy or revision elbow surgery with periprosthetic fracture, or severe and significant bone loss where allograft prosthetic composites are planned. In this chapter, we will…
Introduction This chapter deals with the basics of a general comprehensive history and physical examination of the elbow. Specific and focused features of the history and examination are pictured with the various conditions described in the following sections. History Without…