OS3-25 Minimally invasive plate osteosynthesis by anterior approach: an alternative in distal humeral shaft fractures produced by arm wrestling

Sîrbu, Paul Dan; Berea, Grigore; Asaftei, R.; Tudor, Razvan; Rares, S.; Bodescu, A.

doi:10.1016/s0020-1383(16)30511-3

Cited by 3 publications

(5 citation statements)

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“…Spiral fractures of the distal third of the humerus are by far the most common injury reported in the setting of arm wrestling. 4 , 5 , 6 , 7 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 30 The underlying biomechanics of the injury have been the subject of some investigation with Brismar et al., in 1975 described the forces acting on the humerus during play. In the neutral position both players sit facing one another with their elbows on a flat surface attempting to overcome the opposing force of their rival.…”

Section: Discussionmentioning

confidence: 99%

“…Orthopaedic injuries as a result of wrestling may occur due to the enormous torsion that goes through the humerus and elbow joint during play. Humeral fractures as a direct result of arm wrestling are well described, 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 with a lower incidence of forearm and shoulder injuries reported. 26 , 27 , 28 , 29 Injury pattern differs with age.…”

Section: Introductionmentioning

confidence: 99%

“…4 Sirbu et al showed that minimally invasive plate osteosynthesis an effective treatment method for fractures in an arm wrestler, with good outcomes in terms of union rates, radiation exposure and elbow and shoulder patient reported outcomes measures. 7…”

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confidence: 99%

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Injuries associated with arm wrestling: A narrative review

Moloney

Feeley

Hughes

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Objective: Arm wrestling is common sport amongst amateur enthusiasts. Multiple injuries are described as a result of the sport. The authors present a narrative review of the common injuries associated with the sport. Design: Systematic review with a critical appraisal of the literature and a narrative review of the injuries associated with arm wrestling. Data sources: Seven electronic databases were systematically searched using medical subject headings (MeSH) terms as follows. Arm wrestling, Indian Wrestling, Fractures, Injury, Ligament Injury with Boolean search terms "AND". An extensive review of orthopaedic textbooks was also performed. Eligibility criteria for selecting studies: Inclusion criteria were publications which included patients who suffered bony or soft tissue injuries as a result of arm wrestling published in English language. Results: A total of 152 patients was seen across all studies. Spiral fractures of the distal third of the humerus are by far the most common injury reported in the setting of arm wrestling. The humerus fails due torsional and bending stresses. 23% were complicated by medial butterfly fragment and the incidence of radial nerve palsy was 23%. Fracture patterns differ in the skeletally immature arm wrestler, who show an increased incidence of medial humeral epicondyle fractures. We also report on the atypical fracture and soft tissue injury patterns that present.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Injuries associated with arm wrestling: A narrative review

Moloney

Feeley

Hughes

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…Because of the relative infrequency of these injuries, almost all studies were case reports or small case series including fewer than 10 cases; the exception was 7 case series that included 10 or more cases. 12 , 27 , 39 , 45 , 59 , 71 , 82 Of these 7 case series, 2 that described the characteristics of individual patients were included in the analysis. 59 , 82 Each patient was reviewed with respect to age, sex, job or physique, injured side, dominant arm, match status/details, posture in the match, opponent's physical characteristics, fracture configuration/site, associated injuries, type of treatment, and outcome.…”

Section: Methodsmentioning

confidence: 99%

Fractures of the humeral shaft caused by arm wrestling: a systematic review

Ogawa¹,

Yoshida²,

Matsumura³

et al. 2022

JSES Reviews, Reports, and Techniques

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“…Although the humeral shaft can efficiently tolerate coronal or sagittal plane angulation, non-operative treatment of distal humeral shaft fractures requires more union time, particularly when comparing arm wrestling fractures to other injury mechanisms [5]. Sirbu et al showed that single plating is an effective treatment option for fractures caused by arm wrestling, with good union rates and functional outcomes [6]. However, some authors have reported superior biomechanical stability with double plating [7,8].…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes of Single Versus Double Plating in Distal-Third Humeral Fractures Caused by Arm Wrestling: A Retrospective Analysis

et al. 2022

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Background and Objectives: Arm wrestling is a simple and popular activity among young people that causes distal-third humeral fractures. However, injury to the young population may cause economic loss; therefore, they need to return to work as soon as possible. Accordingly, we aimed to compare radiological and functional outcomes of distal-third humeral fractures caused by arm wrestling treated with double and single plating. Materials and Methods: Thirty-four patients with distal-third humeral fractures caused by arm wrestling were treated between January 2015 and January 2021. They were separated into double- and single-plating groups and treated using a triceps-sparing approach. Regular follow-up was performed to evaluate elbow functionality, range of motion, bone union, and complications; the American Shoulder and Elbow Surgeons score was used for functional assessment. Results: Patients treated with single plating exhibited union rate, union time, and elbow range of motion similar to those of patients treated with double plating; however, they exhibited better pain and functional outcomes (American Shoulder and Elbow Surgeons score) at 2 weeks, 1 month, and 3 months postoperatively (84.50 ± 5.01 vs. 61.70 ± 12.53 at 2 weeks, 96.20 ± 2.63 vs. 84.25 ± 14.56 at 1 month, and 100.00 vs. 94.76 ± 9.71 at 3 months, p < 0.05). The two groups exhibited no significant differences after 1 year (100.00 vs. 98.54 ± 3.99, p < 0.13). The overall complication rate was significantly higher in patients treated with double plating than in those treated with single plating (18.75% vs. 5.56%). Radial nerve palsy was observed in patients in both groups. Conclusions: In patients with distal-third humeral fractures caused by arm wrestling, single plating provides a union rate and elbow range of motion similar to those of double plating, with significantly fewer complications and lower surgical time and blood loss with improved early functional outcomes.

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OS3-25 Minimally invasive plate osteosynthesis by anterior approach: an alternative in distal humeral shaft fractures produced by arm wrestling

Cited by 3 publications

References 0 publications

Injuries associated with arm wrestling: A narrative review

Injuries associated with arm wrestling: A narrative review

Fractures of the humeral shaft caused by arm wrestling: a systematic review

Clinical Outcomes of Single Versus Double Plating in Distal-Third Humeral Fractures Caused by Arm Wrestling: A Retrospective Analysis

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