Recurrence of an Olecranon Stress Fracture in an Elite Pitcher After Percutaneous Internal Fixation

Stephenson, Daniel R.; Love, Shawn; Garcia, Genaro G.; Mair, Scott D.

doi:10.1177/0363546511422796

Cited by 13 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Elbow pain caused by persistent olecranon physis is relatively rare compared with other causes including medial epicondylitis, osteochondrosis of the humeral capitulum, ulnar nerve neuritis, and other soft tissue injuries [ 1 , 2 ]. Persistence of the olecranon physis is thought to be caused by valgus extension overload of the ulnohumeral joint, repetitive abutment of the olecranon into the olecranon fossa, traction from the triceps during the deceleration phase of throwing, and impaction of the medial olecranon onto the medial wall of the olecranon fossa [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Cartilage Degeneration at Symptomatic Persistent Olecranon Physis in Adolescent Baseball Players

Enishi

Matsuura

Suzue

et al. 2014

Advances in Orthopedics

View full text Add to dashboard Cite

Background. Elbow overuse injuries are common in adolescent baseball players, but symptomatic persistent olecranon physis is rare, and its pathogenesis remains unclear. Purpose. To examine the histopathological and imaging findings of advanced persistent olecranon physis. Methods. The olecranon physes of 2 baseball pitchers, aged 14 and 15 years, were examined by preoperative magnetic resonance imaging (MRI), and surgical specimens were examined histologically. Results. T2-weighted MRI revealed alterations in the intrachondral signal intensity possibly related to collagen degeneration and increased free water content. Histological findings of specimens stained with hematoxylin-eosin showed complete disorganization of the cartilage structure, hypocellularity, chondrocyte cluster formation, and moderately reduced staining. All these findings are hallmarks of osteoarthritis and are suggestive of cartilage degeneration. Conclusion. Growth plate degeneration was evident in advanced cases of symptomatic persistent olecranon physis. These findings contribute to understanding the pathogenesis of this disease.

show abstract

Section: Introductionmentioning

confidence: 99%

Cartilage Degeneration at Symptomatic Persistent Olecranon Physis in Adolescent Baseball Players

Enishi

Matsuura

Suzue

et al. 2014

Advances in Orthopedics

View full text Add to dashboard Cite

show abstract

“…Although some patients can be managed nonoperatively, surgical fixation is usually necessary for displaced fractures ( 5 , 6 ). Indications for surgical fixation include extensor mechanism weakness, intra-articular displacement, and instability of the humeroulnar joint ( 7 , 8 ). The most commonly used surgical techniques for the treatment of olecranon fractures are tension-band wiring (TBW) fixation and plate fixation (PF).…”

Section: Introductionmentioning

confidence: 99%

Case Report: J-Shaped External Fixator for Treatment of Mayo Type II Olecranon Fractures – A Novel Surgical Technique and Report of Clinical Applications

Tian

Zou

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

PurposeWe designed a J-shaped external fixator (J-EF) to provide a minimally invasive, one-step surgical method for olecranon fractures. The aim of this study is to retrospectively review the method and the outcomes in 14 patients treated with J-EF fixation.MethodsBiomechanical comparative study was performed to test the tensile properties of the J-EF using a universal testing machine. Between January 2002 and December 2005, 14 patients (age range: 25–67 years) with Mayo type II olecranon fractures were treated using the external fixation technique. Follow-up was done by standard measures (radiography, range of motion, and complications monitoring) and patient-reported outcomes (Mayo Elbow Performance Score [MEPS] and Disabilities of the Arm, Shoulder, and Hand [DASH] scores) 6 months after surgery. Eight of the patients were reviewed 15 years after the surgery.ResultsResults from biomechanical studies indicate the non-inferiority of J-EF to tension-band wiring (TBW) in tensile properties. At the time of release, the mean elbow flexion arc was 132.5° and the mean forearm rotation arc was 173.6°. The mean DASH score was 14.1 points, and the mean MEPS was 93.9 points. Operative time and intraoperative blood loss were decreased by 41.3% and 64.6%, respectively, in J-EF patients than those in a comparable group treated by TBW. All eight patients are still alive after the surgery and maintaining the original outcome.ConclusionsExternal fixation using the J-EF could be considered as an alternative treatment for Mayo type II olecranon fractures as it appears to be a reliable, minimally invasive, and time-saving.Level of EvidenceTherapeutic Level IV.

show abstract

Stress Fractures: Specific Site Involvement, Prevention, and the Role of Female Recruits in Military Service

Mann¹,

Dolev²,

Palmanovich³

et al. 2015

Sports Injuries

View full text Add to dashboard Cite

Recurrence of an Olecranon Stress Fracture in an Elite Pitcher After Percutaneous Internal Fixation

Cited by 13 publications

References 21 publications

Cartilage Degeneration at Symptomatic Persistent Olecranon Physis in Adolescent Baseball Players

Cartilage Degeneration at Symptomatic Persistent Olecranon Physis in Adolescent Baseball Players

Case Report: J-Shaped External Fixator for Treatment of Mayo Type II Olecranon Fractures – A Novel Surgical Technique and Report of Clinical Applications

Stress Fractures: Specific Site Involvement, Prevention, and the Role of Female Recruits in Military Service

Contact Info

Product

Resources

About