Healthcare News
Elbow OCD: A Difficult Diagnosis in Young Throwers
Osteochondritis dissecans (OCD) is a condition in which an area of the bone and cartilage around a joint does not receive a robust enough blood supply to allow microinjuries to heal. Elbow OCD is typically characterized by pain in the lateral part of the elbow, specifically in the capitellum, and the injury is especially common among baseball pitchers and gymnasts after stress from repetitive overhead and loading activities.
Corticosteroids Versus Platelet-Rich Plasma Injections for Knee Osteoarthritis: Where is there More Evidence? A Systematic Review of 60 Years of Literature
PRP injections for knee OA have been documented in more studies and in larger patient numbers compared with CS injections. The higher number of high-level trials for PRP, combined with the lower safety and efficacy documented for CS by previous meta-analyses directly comparing the two products, strongly suggests reconsidering current guidelines that favor CS, highlighting PRP’s body of evidence and the potential role in the effective and safe treatment of knee OA.
Management of Severe Elbow Arthritis in a Young Patient
Elbow osteoarthritis is occasionally primary and most often post-traumatic. Nonoperative treatment is frequently the best course of action. Available surgical options are governed by the location of cartilage deterioration, bone structure, and preoperative joint instability.
Over-the-top triangular fibrocartilage complex repair may be viable option for instability
The triangular fibrocartilage complex is a critical structure in the wrist that provides stability to the distal radioulnar joint. Injury to the foveal attachment of the triangular fibrocartilage complex (TFCC) at the distal ulnar head often disrupts the deep fibers of the dorsal and volar radioulnar ligaments, leading to pain with or without distal radioulnar joint (DRUJ) instability. This article describes the arthroscopic inside-out transosseous or "over-the-top" technique to repair the TFCC and presents a case example of this method.
Heterotopic Ossification in Patients with Posttraumatic Elbow Stiffness: 3D Analysis of Regional Distribution Features and Associated Risk Factors
The development of heterotopic ossification (HO) is a common yet debilitating complication after elbow injuries and related surgical procedures. We intend to evaluate the regional distribution features of HO around the elbow joint in patients with posttraumatic elbow stiffness (PTES), and explore the independent risk factors for HO development in different regions.