Complications of Intramedullary Nailing
Fig. 8.1 Example of intramedullary nail fixation in a proximal tibia fracture with severe primary valgus deformity and distraction in the fracture site An accurately placed entry point for any…
Soft Tissue Management and Postoperative Care
Fig. 7.1 (a) Midshaft transverse fracture of the tibia (AO/OTA type 42-A3) after a soccer accident in an 18 year old male. Radiograph ad admission. (b, c) Intramedullary nailing with…
Metal Removal
Fig. 9.1 Proximal nail protrusion after antegrade nailing of a spiral humeral shaft fracture. Due to impingement and erosion of the acromion, there is a clear indication for nail removal…
Mini-open Surgery for Lateral and Medial Epicondylitis (Tendinosis)
Phase I Mild pain after exercise activity, resolves within 24 h Phase II Pain after exercise activity, exceeds 48 h, resolves with warm-up Phase III Pain with exercise activity that does not…
Denervation of the Humeral Epicondyles
Fig. 13.1 Right forearm and elbow of man who had four previous surgical attempts to treat his “tennis elbow” pain. a Outline of the path of the posterior cutaneous nerve…
Role of Therapy and Rehabilitation
Stage 1 Characterized by peritendinous inflammation and crepitus may be palpable over the common extensor origin Stage 2 Inflammatory response ends, as angiofibrotic changes beginning to occur, leading to degradation…
Tennis Elbow: Complications of Surgical Treatment and Salvage Procedures for Failed Surgery
Fig. 15.1 Photograph of a right elbow showing an exposed radiocapitellar joint and a mobilized anconeus muscle flap. The muscle flap is used to cover the soft tissue defect and…
Arthroscopic Treatment of Lateral Epicondylitis
Fig. 12.1 a Lateral view of cadaveric specimen. The ECRL has been reflected anteriorly (it has a purely muscular origin) and the extensor carpi ulnaris posteriorly revealing the common extensor…
Tennis Elbow: Blood and Platelet-Rich Plasma (PRP) Injections
Fig. 8.1 Combination injection: autologous blood and 1 ml local anesthesia in one injection Fig. 8.2 Single-shot or peppering technique There have been a number of randomized controlled trials evaluating autologous…
Orthotic Use in the Management of Epicondylitis: What is the Evidence?
Fig. 10.1 Wrist Brace. The theoretical basis for the protective wrist orthotic is to provide rest for the wrist extensors, particularly the extensor carpi radialis brevis (ECRB), extensor digitorum communis…
