UNLABELLED Stability is a key issue in treating supination-external rotation ankle fractures, but we do not know how it affects functional outcome and subsequent development of radiographic osteoarthritis. With a systematic literature review, we identified 11 clinical studies (Level IV evidence) published in peer-reviewed journals reporting on at least 10 ankles. Followup was at least 1 year. T...

A retrospective review of 34 patients with congenital dislocation of the radial head was carried out. In 22 patients, the radial head dislocation was the only abnormality. The range of motion of the elbow and forearm was considerably limited in some patients and did cause functional impairment, especially lack of supination. Increased ulnar length in relation to the radius and a hypoplastic cap...

A transverse skin incision 2 cm distal to the elbow skin crease was made and the lateral antebrachial cutaneous nerve was protected. In acute cases the the retracted biceps tendon and the tendon tract were readily identified. With the elbow in full extension and supination, the radial tuberosity was exposed. A cortical window to accommodate the tendon was made with a burr. A drill was advanced ...

The objective of this study is to construct realistic biomechanical models of neuromuscular system for studying sensorimotor control and for development of control system for functional electrical stimulation (FES). In this paper, an elbow model with flextion/extension and supination/pronation degrees of freedom is described. Muscles are defined so that their moment arms match those of experime...

Introduction Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1]. Despite good initial correction with the Ponseti technique, a tibialis anterior tendon transfer (TATT) is required in 20-25% of cases to correct residual dynamic supination observed during gait. Currently, no r...

This paper puts forward a real-time angular tracking (motion capture) system for a low cost upper limb exosuit based on sensor fusion; which is integrated by an elastic sleeve-mitten, two inertial measurement units (IMU), two flex sensors and a wireless communication system. The device can accurately detect the angular position of the shoulder (flexion-extension, abduction-adduction and interna...

Lesions of the nerve produce weakness of flexion at the elbow and weakness of supination. The biceps is an important supinator. There is sensory loss on the lateral side of the forearm. The brachialis muscle receives innervation from both the musculocutaneous nerve and the radial nerve. [7, 8] One study found that the musculocutaneous nerve contributes to 42% of the muscle power that flexes the...

We compared two conservative methods of treating Weber B1 (Lauge-Hansen supination-eversion 2) isolated fractures of the lateral malleolus in 65 patients. Treatment by immediate weight-bearing and mobilisation resulted in earlier rehabilitation than immobilisation for four weeks in a plaster cast. There was no significant difference in the amount of pain experienced or in the requirement for an...

In 40 patients with rheumatoid arthritis 43 operations for excision of the ulnar head were performed. A follow-up study was performed after 35 months. In 38 patients wrist pain had disappeared completely or almost completely. The function in use, supination and pronation of the wrists, and wrist strength had all much improved. The stability of the radiocarpal joint was good after operation. Onl...

Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentous disruptions. A dorsiflexion-supination force upon the hand consists the commonest mechanism of injury. Different treatment options have been proposed for the management of this uncommon entity, ranging from conservative treatment with closed reduction and casting to a wide range o...