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  1. Article: Suture Button Repair for Lateral Ulnar Collateral Ligament in Terrible Triad Injuries: Surgical Technique.

    Tedesco, Liana J / Noback, Peter C / Paskey, Taylor L / Konigsberg, Matthew / Kadiyala, R Kumar

    Arthroscopy techniques

    2024  Volume 13, Issue 2, Page(s) 102861

    Abstract: Terrible triad injuries are typically treated surgically to restore elbow stability, as the radial head acts as a secondary stabilizer to valgus stress, while the coronoid provides stability against posterior elbow dislocations. The lateral ulnar ... ...

    Abstract Terrible triad injuries are typically treated surgically to restore elbow stability, as the radial head acts as a secondary stabilizer to valgus stress, while the coronoid provides stability against posterior elbow dislocations. The lateral ulnar collateral ligament (LUCL) is also commonly injured in terrible triad of the elbow injuries, and if not repaired, leads to posterolateral rotatory instability. Depending on the fracture pattern and size, the radial head fracture may be treated with open reduction internal fixation (ORIF), arthroplasty, or excision, whereas the coronoid fracture is most commonly treated with ORIF. If treated, these injuries are managed prior to LUCL fixation to avoid stressing the LUCL repair. We describe a technique for treatment of a LUCL injury with a suture button. When repairing the LUCL, a Kocher approach is used to visualize the LUCL footprint, which is then reattached to the insertion point on the lateral epicondyle using a suture button. The purpose of this study was to provide a step-by-step approach to using this surgical technique and an associated postoperative protocol.
    Language English
    Publishing date 2024-01-20
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2653101-X
    ISSN 2212-6287
    ISSN 2212-6287
    DOI 10.1016/j.eats.2023.10.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Outerbridge-Kashiwagi Procedure for the Treatment of a Supracondylar Humerus Fracture Malunion (O-K Procedure).

    Alrabaa, Rami George / Simhon, Matthew / Kadiyala, R Kumar

    Arthroscopy techniques

    2020  Volume 9, Issue 3, Page(s) e339–e344

    Abstract: The Outerbridge-Kashiwagi (O-K) procedure has conventionally been used for the treatment of osteoarthritis of the elbow and to treat posttraumatic sequelae including posttraumatic arthritis, stiffness, contracture, and ulnar neuritis. The procedure ... ...

    Abstract The Outerbridge-Kashiwagi (O-K) procedure has conventionally been used for the treatment of osteoarthritis of the elbow and to treat posttraumatic sequelae including posttraumatic arthritis, stiffness, contracture, and ulnar neuritis. The procedure involves exposure of the posterior elbow joint as well creating a window posteriorly through the olecranon fossa to target anterior aspects of the elbow. Several case series have shown the O-K procedure to have good functional outcomes with minimal complications. Used mostly for the surgical treatment of adult osteoarthritis, the O-K procedure has not been previously described for the treatment of a pediatric supracondylar humerus fracture malunion. This article and accompanying video will present the pearls and discuss the technique of the O-K procedure used to treat the loss of elbow flexion as a sequelae of supracondylar humerus fracture malunion.
    Language English
    Publishing date 2020-02-07
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2212-6287
    ISSN 2212-6287
    DOI 10.1016/j.eats.2019.11.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Denervation of the Wrist Joint for the Management of Chronic Pain.

    Kadiyala, R Kumar / Lombardi, Joseph M

    The Journal of the American Academy of Orthopaedic Surgeons

    2017  Volume 25, Issue 6, Page(s) 439–447

    Abstract: Wrist denervation for the management of chronic wrist pain is a safe and effective procedure that can delay or eliminate the need for more invasive and kinematically compromising salvage procedures. Wrist denervation has become increasingly popular since ...

    Abstract Wrist denervation for the management of chronic wrist pain is a safe and effective procedure that can delay or eliminate the need for more invasive and kinematically compromising salvage procedures. Wrist denervation has become increasingly popular since it was first described in 1959, and the technique has evolved from more extensive denervations to limited single-incision approaches. Many physicians have performed this procedure as a palliative approach to managing chronic wrist pain and as an adjunct to other procedures.
    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200524-1
    ISSN 1940-5480 ; 1067-151X
    ISSN (online) 1940-5480
    ISSN 1067-151X
    DOI 10.5435/JAAOS-D-14-00243
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4048: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 274: Show issues

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  4. Article ; Online: Combined Upper Extremity and Gluteal Compartment Syndrome Following Illicit Drug Abuse: A Retrospective Case Series.

    Konigsberg, Matthew W / Mueller, John D / Lebovic, Jordan A / Kadiyala, R Kumar

    Orthopedic research and reviews

    2020  Volume 12, Page(s) 203–208

    Abstract: Introduction: The purpose of this study was to describe four cases of patients who developed concomitant upper extremity and gluteal compartment syndrome in the context of substance abuse. In somnolent patients unable to provide a reliable physical exam, ...

    Abstract Introduction: The purpose of this study was to describe four cases of patients who developed concomitant upper extremity and gluteal compartment syndrome in the context of substance abuse. In somnolent patients unable to provide a reliable physical exam, the healthcare provider must be aware of patients presenting with concomitant upper extremity and gluteal compartment syndrome.
    Methods: Retrospective chart review identified cases of the combined upper extremity and gluteal compartment syndrome following illicit drug abuse at a single academic center during the years 2009-2019.
    Results: During the 11-year period examined, a total of eight patients were diagnosed with compartment syndrome secondary to illicit drug use and prolonged immobilization. Four (50%) patients presented with combined upper extremity and gluteal compartment syndrome. All of these patients underwent prompt surgical release of the affected compartments. All eventually returned to normal activities of daily living.
    Discussion: Compartment syndrome is primarily a clinical diagnosis, with physical exam being extremely important. In patients presenting with somnolence secondary to illicit drug use, physical exam may not be reliable. It is critical to have a high clinical suspicion in this patient population, understanding that these patients may present with concomitant upper extremity and gluteal compartment syndrome.
    Level of evidence: Level IV, case series.
    Language English
    Publishing date 2020-12-31
    Publishing country New Zealand
    Document type Case Reports
    ZDB-ID 2520718-0
    ISSN 1179-1462 ; 1179-1462
    ISSN (online) 1179-1462
    ISSN 1179-1462
    DOI 10.2147/ORR.S285638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Subfascial-located contraceptive devices requiring surgical removal.

    Hellwinkel, Justin E / Konigsberg, Matthew W / Oviedo, Johana / Castaño, Paula M / Kadiyala, R Kumar

    Contraception and reproductive medicine

    2021  Volume 6, Issue 1, Page(s) 13

    Abstract: Background: Subdermal etonogestrel implants are highly effective contraceptive methods. Despite standardization of insertion technique by the manufacturer, some implants are inadvertently placed too deeply within or below the plane of the biceps brachii ...

    Abstract Background: Subdermal etonogestrel implants are highly effective contraceptive methods. Despite standardization of insertion technique by the manufacturer, some implants are inadvertently placed too deeply within or below the plane of the biceps brachii fascia. Placement of these implants in a deep tissue plane results in more difficult removal, which is not always possible in the office setting. In rare cases, surgical removal by an upper extremity surgeon is warranted.
    Case presentation: Here we present 6 cases of etonogestrel implants located in a subfascial plane requiring removal by an upper extremity surgeon. Implants were all localized with plain radiography and ultrasound prior to surgical removal. All cases had implants located in the subfascial plane and one was identified intramuscularly. The average age was 28 years (19-33) and BMI was 24.0 kg/m^2 (19.1-36.5), with the most common reason for removal being irregular bleeding. The majority of cases (5/6) were performed under monitored anesthesia care with local anesthetic and one case utilized regional anesthesia. All implants were surgically removed without complication.
    Conclusions: Insertion of etonogestrel contraceptive implants deep to the biceps brachii fascia is a rare, but dangerous complication. Removal of these implants is not always successful in the office setting and referral to an upper extremity surgeon is necessary to avoid damage to delicate neurovascular structures for safe removal.
    Language English
    Publishing date 2021-05-03
    Publishing country England
    Document type Journal Article
    ISSN 2055-7426
    ISSN (online) 2055-7426
    DOI 10.1186/s40834-021-00158-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Flexor Tenosynovitis of the Hand Caused by

    Cohen-Tanugi, Samuel / Wright, Margart L / Kadiyala, R Kumar

    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews

    2018  Volume 2, Issue 4, Page(s) e083

    Abstract: Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity. ...

    Abstract Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity.
    Language English
    Publishing date 2018-04-23
    Publishing country United States
    Document type Case Reports
    ISSN 2474-7661
    ISSN (online) 2474-7661
    DOI 10.5435/JAAOSGlobal-D-17-00083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Economic Impact of Unused Surgical Instruments in an Orthopaedic Surgery Department at an Academic Medical Center: A Prospective Cross-sectional Study.

    Shim, Stephanie S / Danford, Nicholas C / Wright, Margaret L / Abernathie, Laura A Vogel / Kim, Jun S / Kadiyala, R Kumar / Vosseller, J Turner

    Journal of surgical orthopaedic advances

    2021  Volume 30, Issue 3, Page(s) 131–135

    Abstract: Orthopaedic surgical trays contain unused instruments, but we do not know which specific instruments go unused nor do we know the savings from eliminating them from a given tray. This was a single-site, observational study conducted at an academic ... ...

    Abstract Orthopaedic surgical trays contain unused instruments, but we do not know which specific instruments go unused nor do we know the savings from eliminating them from a given tray. This was a single-site, observational study conducted at an academic medical center. The primary outcome was type of unused instruments and percentage of instruments used in two commonly used surgical trays. The secondary outcome was cost savings in United States dollars (USD) that could be attained by eliminating these instruments. In the first tray, five instruments (10.6%) were unused in any of 37 observed cases. In the second tray, nineteen instruments (19.6%) were unused in 37 observed cases. The total annual savings from replacement cost analysis and reprocessing cost analysis was $6,597.00 USD. Unused instruments are common in surgical trays. Eliminating unused instruments can result in immediate cost savings. (Journal of Surgical Orthopaedic Advances 30(3):131-135, 2021).
    MeSH term(s) Academic Medical Centers ; Cost Savings ; Cross-Sectional Studies ; Humans ; Operating Rooms ; Orthopedic Procedures ; Prospective Studies ; Surgical Instruments
    Language English
    Publishing date 2021-10-01
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2189157-6
    ISSN 2158-3811 ; 1548-825X ; 1059-1052
    ISSN (online) 2158-3811
    ISSN 1548-825X ; 1059-1052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4751: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
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    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Recurrence Rates of Dorsal Wrist Ganglion Cysts After Arthroscopic Versus Open Surgical Excision: A Retrospective Comparison.

    Konigsberg, Matthew W / Tedesco, Liana J / Mueller, John D / Ball, Jacob R / Wu, Chia H / Kadiyala, R Kumar / Strauch, Robert J / Rosenwasser, Melvin P

    Hand (New York, N.Y.)

    2021  Volume 18, Issue 1, Page(s) 133–138

    Abstract: Background: This study directly compares the recurrence rates of dorsal wrist ganglion cysts in patients treated via open surgical excision versus arthroscopic surgical excision. We hypothesized that there would be no difference between recurrence rates ...

    Abstract Background: This study directly compares the recurrence rates of dorsal wrist ganglion cysts in patients treated via open surgical excision versus arthroscopic surgical excision. We hypothesized that there would be no difference between recurrence rates with these 2 surgical options.
    Methods: We retrospectively reviewed the charts of all patients with a dorsal ganglion cyst undergoing either open or arthroscopic surgical excision at a single academic center with 3 fellowship-trained attending hand surgeons from 2012 to 2017. Charts were identified using
    Results: The charts of 172 patients undergoing either arthroscopic or open dorsal ganglion excision were reviewed. Nine of 54 (16.7%) arthroscopic excisions resulted in cyst recurrence, while 8 of 118 (6.8%) open excisions resulted in cyst recurrence (
    Conclusions: Dorsal wrist ganglion cysts are the most common benign soft tissue mass of the upper extremity, but it remains unknown whether arthroscopic or open surgical excision leads to lower recurrence rate. Scant literature exists directly comparing these 2 methods of surgical excision. This study suggests that open excision of dorsal wrist ganglia leads to a lower recurrence rate than does arthroscopic excision.
    MeSH term(s) Humans ; Wrist/surgery ; Ganglion Cysts/surgery ; Retrospective Studies ; Wrist Joint/surgery ; Arthroscopy/methods
    Language English
    Publishing date 2021-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277325-3
    ISSN 1558-9455 ; 1558-9447
    ISSN (online) 1558-9455
    ISSN 1558-9447
    DOI 10.1177/15589447211003184
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6820: Show issues Location:
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  9. Article ; Online: Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey.

    Tedesco, Liana J / Swindell, Hasani W / Anderson, Forrest L / Jang, Eugene / Wong, Tony T / Kazam, Jonathan K / Kadiyala, R Kumar / Popkin, Charles A

    Open access journal of sports medicine

    2020  Volume 11, Page(s) 93–103

    Abstract: Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any ...

    Abstract Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any other sport. In this review, we present a comprehensive analysis of evaluation and management strategies of common hand, wrist, and elbow injuries in ice hockey players. Future reseach focusing on the incidence and outcomes of these hand, wrist and elbow injuries in ice hockey players is warranted.
    Language English
    Publishing date 2020-04-28
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2586658-8
    ISSN 1179-1543 ; 1179-1543
    ISSN (online) 1179-1543
    ISSN 1179-1543
    DOI 10.2147/OAJSM.S246414
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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  10. Article: Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents.

    Waters, Peter M / Bae, Donald S / Kadiyala, R Kumar

    Journal of pediatric orthopedics

    2003  Volume 23, Issue 4, Page(s) 464–469

    Abstract: Posterior sternoclavicular joint (SCJ) dislocations and posteriorly displaced physeal fractures of the medial clavicle require prompt diagnosis and treatment to prevent persistent symptoms, recurrent instability, and potential complications. The purpose ... ...

    Abstract Posterior sternoclavicular joint (SCJ) dislocations and posteriorly displaced physeal fractures of the medial clavicle require prompt diagnosis and treatment to prevent persistent symptoms, recurrent instability, and potential complications. The purpose of this investigation was to review one institution's experience with these injuries. A retrospective review of 13 patients with posterior SCJ fracture-dislocations was performed. Average patient age was 14.6 years, and 85% of injuries were sustained during sporting activities. Patients with posterior dislocations underwent ligament repair and those with posteriorly displaced medial clavicular physeal fractures had open reduction and suture stabilization. At an average of 22.2 months follow-up, all patients had excellent functional outcomes. There were no respiratory or neurovascular complications. Skeletally immature patients may expect excellent functional outcomes following surgery for posterior SCJ dislocations or posteriorly displaced physeal fractures of the medial clavicle.
    MeSH term(s) Adolescent ; Female ; Fractures, Bone/surgery ; Humans ; Joint Dislocations/surgery ; Male ; Retrospective Studies ; Sternoclavicular Joint/injuries ; Treatment Outcome
    Language English
    Publishing date 2003-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604642-3
    ISSN 1539-2570 ; 0271-6798
    ISSN (online) 1539-2570
    ISSN 0271-6798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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