Arthroscopic Repair of a Coronoid Process Fracture

Noorzad, Ali S.; Jelani, Zohal; Rinaldi, Joseph; Abdie, Rachab; Zikria, Bashir A.

doi:10.2106/jbjs.cc.20.00715

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…In addition, the indications have been extended to include more complex conditions such as radial head resection, arthroscopically assisted fixation of intra-articular fractures, total synovectomy, and ligament reconstruction. 2 , 3 , 10 …”

Section: Discussionmentioning

confidence: 99%

Outcomes of arthroscopic elbow synovectomy and neurolysis of the ulnar nerve for tenosynovial giant cell tumor in a young athlete: a case report and literature review

Alzobi¹,

Aminake²,

Mohammed³

et al. 2023

JSES International

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Section: Discussionmentioning

confidence: 99%

Outcomes of arthroscopic elbow synovectomy and neurolysis of the ulnar nerve for tenosynovial giant cell tumor in a young athlete: a case report and literature review

Alzobi¹,

Aminake²,

Mohammed³

et al. 2023

JSES International

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“…Arthroscopy has been applied to different kinds of elbow diseases, including posttraumatic stiffness, 8,42 stiff elbow, 50 rheumatoid arthritis, 41 primary osteoarthritis, 23,26,27 lateral epicondylitis, 6,24,35 lateral collateral ligament reconstruction, 5,25 and elbow trauma. 11,33 This technique is minimally invasive but relatively complex, with various complications compared with open surgery. 5,6,32…”

mentioning

confidence: 99%

Prevalence, Timing, Locational Distribution, and Risk Factors for Heterotopic Ossification After Elbow Arthroscopy

Ben,

Kholinne,

Zeng

et al. 2023

Am J Sports Med

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Background: Arthroscopic techniques aim to reduce complications and accelerate recovery of the elbow after treatments for posttraumatic stiffness, arthritis diseases, lateral epicondylitis, ligament reconstruction, and elbow trauma. However, data on the true prevalence and characteristics of heterotopic ossification (HO) formation after elbow arthroscopy are limited. Purpose: To investigate the prevalence, timing, locational distribution, and risk factors of HO after elbow arthroscopy. Study Design: Cohort study; Level of evidence, 4. Methods: Data on 205 patients undergoing elbow arthroscopy by a single senior elbow surgeon at a single institution between May 2011 and January 2022 were retrospectively reviewed. The patients were evaluated at 2 weeks, 8 weeks, 6 months, and then annually after surgery or more frequently if HO developed, with a minimum of 1 year of postoperative follow-up. Postoperative anteroposterior and lateral elbow radiographs were taken at 2 weeks to rule out fracture and at 8 weeks to identify HO. The clinical outcomes were evaluated based on the pain visual analog scale; the shortened version of the Disabilities of the Arm, Shoulder and Hand score; Mayo Elbow Performance Score; and the Single Assessment Numeric Evaluation scores before and after surgery. Bivariate logistic regression analyses were used to determine factors affecting HO prevalence. Results: Thirteen (12 male, 1 female) of 205 (6.3%) patients developed HO, with 10 (76.9%) with HO that formed on the medial compartment of the elbow. Ten (76.9%) patients were diagnosed at 8 weeks after arthroscopic surgery, 1 (7.7%) at 6 months after surgery, and 2 (15.4%) at 12 months after surgery. HO was not found at 2 weeks after surgery in any patient. The mean follow-up time was 3.5 years (range, 1.0-11.8 years). Eleven asymptomatic patients were treated nonoperatively, and 2 symptomatic patients underwent HO excision arthroscopically or had a combination of open surgery and arthroscopy. Age was a protective factor for HO formation (odds ratio [OR], 0.953; 95% CI, 0.910-0.999; P = .047). The risk factors for HO formation were tourniquet time (OR, 1.042; 95% CI, 1.019-1.065; P < .001) and surgical time (OR, 1.026; 95% CI, 1.011-1.041; P < .001). Conclusion: Among 205 patients who underwent elbow arthroscopy, HO was a minor complication of elbow arthroscopy, with a prevalence rate of 6.3%, and was usually located on the medial compartment of the elbow. Although the presence of HO may not affect the clinical outcomes in most patients, it should be carefully monitored for a minimum of 8 weeks postoperatively. Younger age, longer tourniquet time, and longer surgical time contributed to HO formation after elbow arthroscopy.

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