Pure elbow dislocation in a child wrestler with underlying hyperlaxity: what is the optimal time to return to competition?

Elbow dislocations are often considered serious injuries that can cause a child athlete to miss the entire season in wrestling. It was reported that the return to sports after the elbow dislocation was between 6-12 months in child wrestlers. In some cases, underlying hyperlaxity may have an essential role in the occurrence of pure elbow dislocation without any ligament injury. We report the case of a 10-year-old boy patient who had pure elbow dislocation following falling onto an outstretched hand in a wrestling match. Because of the physical examination findings of the patient indicated the presence of hyperlaxity, the patient was treated by closed reduction, short-term immobilization, and early strengthening of the dynamic stabilizers. This case report's findings suggest that detecting the presence of hyperlaxity in this specific patient group is crucial since this patient group has the potential to return to competitions 6 weeks after injury, unlike patients without hyperlaxity.Keywords:pure elbow dislocation, child wrestler, hyperlaxity, return to competition, return to sport

An unusual cause of shoulder pain: stress fracture of the clavicle

We report a case of stress fracture of the clavicle in which diagnosis was delayed due to the unusual localization of pain and absence of predisposing risk factors. A 34-year-old woman presented with severe right-sided pain in the shoulder, arm, neck, and hemithorax, and numbness in her right upper extremity. Systemic radiographs, cervical and brachial plexus magnetic resonance imaging (MRI) and thorax computed tomography (CT) did not show any pathology. In a retrospective review of the shoulder MRI sections, an edematous appearance was noted in the right clavicle and adjacent soft tissues, suggesting a stress fracture of the clavicle. The patient was followed-up with activity limitation and analgesic treatment and her complaints subsided gradually. Control radiographs obtained 10 months later showed fracture healing with atypical callus formation. Stress fractures of the clavicle must be kept in mind in the differential diagnosis of shoulder pain presenting as an atypical severe arm pain radiating to the upper extremity and hemithorax. In suspected cases, it may be helpful to obtain CT and MRI sections parallel to the long axis of the clavicle

COMPARISON OF MATRIX RHYTHM THERAPY AND STRETCHING EXERCISES ON FROZEN SHOULDER: RANDOMISED CONTROLLED TRIAL

Purpose: To compare the short-term effectiveness of Matrix Rhythm Therapy and stretching exercises in patients with frozen shoulder

COMPARISON OF MATRIX RHYTHM THERAPY AND STRETCHING EXERCISES ON FROZEN SHOULDER: RANDOMISED CONTROLLED TRIAL

Purpose: To compare the short-term effectiveness of Matrix Rhythm Therapy and stretching exercises in patients with frozen shoulder

Anconeus arthroplasty: a salvage procedure in recurrent heterotopic ossification

Anconeus interpositional arthroplasty has been used in the treatment of radiocapitellar and radioulnar joint problems occurring after trauma. We performed anconeus interposition arthroplasty in a 31-year-old male patient who developed heterotopic ossification (HTO) in the elbow following surgical treatment of an isolated radial neck fracture. Treatment with implant removal and excision of the radial head resulted in recurrent HTO and a stiff elbow. The patient underwent excision of the heterotrophic new bone and mobilization of the proximal radius. The anconeus muscle was mobilized and interposed between the proximal radius and ulna. Sixteen months after the operation, forearm rotation, elbow flexion and extension increased by 80 degrees, 45 degrees, and 60 degrees, respectively. Control X-rays showed maintenance of the radiohumeral gap without any signs of HTO

Anconeus arthroplasty: a salvage procedure in recurrent heterotopic ossification

Ankoneus interpozisyon artroplastisinin travma sonrası oluşan radikapitellar ve radioulnar eklem sorunlarının tedavisinde kullanılabileceği bildirilmiştir. Bu yazıda, ankoneus interpozisyon artroplastisi ile tedavi edilen 31 yaşında bir erkek hasta sunuldu. Hastada radius boyun kırığı osteosentezi sonrasında heterotopik ossifikasyon (HTO) gelişmişti. Ossifikasyon odakları temizlenip radius başı eksize edildikten sonra HTO ve dirsek sertliği tekrarlayan hastaya, tekrar ossifikasyon eksizyonu sonrasında ankoneus kası ile interpozisyon artroplastisi uygulandı. Ameliyattan 16 ay sonraki kontrolde, önkol supinasyonu, dirsek fleksiyonu ve ekstansiyonunda sırasıyla 80, 45 ve 60 derece kazanım sağlandığı görüldü. Kontrol radyografilerinde HTO’nun tekrarlamadığı ve radioulnar ve radiokapitellar eklemlerin açık olduğu izlendi.Anconeus interpositional arthroplasty has been used in the treatment of radiocapitellar and radioulnar joint problems occurring after trauma. A 31-year-old male patient developed heterotopic ossification (HTO) in the elbow following surgical treatment of an isolated radial neck fracture. Treatment with implant removal and excision of the radial head resulted in recurrent HTO and a stiff elbow. We performed anconeus interposition arthroplasty with excision of the heterotrophic new bone and mobilization of the proximal radius. The anconeus muscle was mobilized and interposed between the proximal radius and ulna. Sixteen months after the operation, forearm rotation, elbow flexion and extension increased by 80°, 45°, and 60°, respectively. Control X-rays showed maintenance of the radiohumeral gap without any signs of HTO