Open research questions in Elbow and Forearm Trauma Treatment
187 gap statements mined from Elbow and Forearm Trauma Treatment papers in our 7.9M-paper local library, which holds 1,084 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Limited epidemiological and clinical data from Saudi Arabia. Lack of knowledge regarding the management and complications of pediatric supracondylar humerus fractures in Makkah.
Epidemiology, management patterns, and complication profile of pediatric supracondylar humerus fractures in Makkah: A retrospective analysis · 2026 · DOIThe study's methodology has limitations, including the exclusion of nonoperatively managed patients and the recoding of surgical approaches. The study's findings reflect healthcare utilization rather than direct patient-centered benefits or long-term functional recovery.
Letter to the editor on: “Clinical and logistical determinants of operative timing, surgical approach, and admission in pediatric supracondylar humerus fractures” · 2026 · DOIThe study identifies the challenge of balancing the needs of patients with different fracture severities and patient characteristics.
Clinical and logistical determinants of operative timing, surgical approach, and admission in paediatric supracondylar humerus fractures · 2026 · DOIPrior work has not fully examined the association between fracture severity, patient characteristics, and outcomes.
Clinical and logistical determinants of operative timing, surgical approach, and admission in paediatric supracondylar humerus fractures · 2026 · DOIThere is a lack of understanding of how patterns of care are changing at the population level. Definitive guidelines for the management of radial head fractures are still lacking.
Utilization and physician reimbursement patterns for radial head fractures in elderly patients · 2026 · DOIThe lack of understanding of the role of posterior capitellar lesions in PLRI. The limited knowledge on the effectiveness of surgical treatment in addressing posterior capitellar lesions. The need for standardized protocols for the assessment of potential influential factors such as defect size and location of posterior capitellar lesions.
Surgical management of posterolateral rotatory instability of the elbow with associated posterior capitellar lesions: a retrospective case series · 2026 · DOILack of independent second reader for radiographic analysis. Potential for bias due to the retrospective study design.
Clinical relevance of postoperative radial neck osteolysis after modular press-fit pyrocarbon radial head arthroplasty: a retrospective radiographic–functional correlation study · 2026 · DOIThe medium-to long-term follow-up clinical results of press-fit radial head arthroplasty in acute fractures and post-traumatic conditions have not been well described. The few studies that have analyzed the outcomes of press-fit implants have yielded conflicting results.
Medium- to long-term results of press-fit radial head arthroplasty in acute fractures and post-traumatic conditions · 2026 · DOIThe effectiveness of digital training systems for physiotherapeutic elbow-specific training is unclear. There is a need to compare digital training systems to conventional training.
Digital Physiotherapeutic Elbow-Specific Training System for Patients After Arthroscopic Release of Elbow Contracture: Noninferiority Randomized Controlled Trial · 2026 · DOIThe lack of effective treatment options for neglected elbow dislocations with secondary heterotopic ossification. The need for a comprehensive approach to restore elbow function and prevent long-term complications. The importance of early diagnosis and intervention in preventing long-term complications.
Targeted counseling is recommended, and future studies are warranted to further granularize outcomes.
Stress shielding is a known cause of periprosthetic bone loss in joint arthroplasty, but its clinical implications in radial head arthroplasty (RHA) remain unclear.
Stress shielding in radial head arthroplasty: a comparative analysis of partially vs. fully grit-blasted press-fit stems · 2026 · DOIThere are no data on pain outcomes using a validated pain instrument to plan a trial.
Pain score distribution: an expert elicitation study for distal humerus hemiarthroplasty and total elbow arthroplasty using a validated numerical patient rated outcome-measure in trauma · 2026 · DOIThe relative contributions of postoperative immobilization and intrinsic soft tissue damage remain debated.
Pre-operative soft tissue injuries as independent predictors of elbow stiffness after radial head fracture fixation: a pilot study · 2026 · DOIWhile 3D virtual planning and patient-specific guides are promising for correcting malunion via osteotomy, it remains uncertain whether these techniques improve outcomes, especially elbow rotation.
Enhanced outcomes in forearm malunion correction: the added value of patient-specific guides in improving elbow rotation and surgical efficiency · 2026 · DOIRadiographic markers, such as the dropping sign and radial head subluxation, are associated with LLC injuries, but their physiological ranges and diagnostic value are not well established.
CT Evaluation of Dropping Sign and Radial Head Subluxation in Lateral Ligamentous Complex Injury · 2026 · DOIThere is no consensus on whether parallel or orthogonal plating is the most effective method of fixation for type C3 distal humerus fractures (AO classification) when there is also a coronal shear fracture.
Comparison of Parallel vs Orthogonal technique for Coronal Shear Fracture of the Distal Humerus; A-Cadaveric study · 2026 · DOIThe study notes that some providers may bill only for an office visit rather than the specific nonoperative fracture CPT code, potentially leading to underreporting. The decision between open reduction and internal fixation and radial head arthroplasty remains an area of debate. Injury complexity greatly influences implant removal rates.
Utilization and physician reimbursement patterns for radial head fractures in elderly patients · 2026 · DOIDespite its clinical relevance, no standardized, reproducible tools specifically designed for the self-assessment of elbow stiffness or comparative evaluation of treatment outcomes exist.
Simplified Assessment of Elbow Dysfunction as a Basis for Developing a Specific Score for Elbow Stiffness · 2026 · DOIWhile research on the role of instability in this patient group is increasing, its boundaries are not clearly defined.
Is arthroscopic release an insufficient intervention for tennis elbow patients with symptomatic minor instability of the lateral elbow? · 2026 · DOIPotential selection bias from differential missing data on weekends, - Exclusion of nonoperatively managed patients, - Recoding of surgical approaches, - No correction for multiple comparisons, - Limited to operatively managed…
Letter to the editor on: “Clinical and logistical determinants of operative timing, surgical approach, and admission in pediatric supracondylar humerus fractures” · 2026 · DOIInvestigation of the correlation between osteolysis depth and functional outcomes with a larger sample size, - Long-term follow-up of patients with modular press-fit pyrocarbon radial head arthroplasty, - Comparison of the results with other types of radial head…
Clinical relevance of postoperative radial neck osteolysis after modular press-fit pyrocarbon radial head arthroplasty: a retrospective radiographic–functional correlation study · 2026 · DOIFurther studies with longer follow-up and larger sample sizes are needed, - Comparison of press-fit implants with other types of radial head arthroplasty, - Investigation of the effects of implant design on clinical…
Medium- to long-term results of press-fit radial head arthroplasty in acute fractures and post-traumatic conditions · 2026 · DOIInvestigation of optimal timing for surgical intervention, - Comparison of different surgical approaches for neglected elbow dislocations, - Study of the effects of prolonged physiotherapy on dislocated joints with intra-articular…
In the group with medial elbow tenderness, no statistically significant association was detected; however, these findings remain inconclusive due to the limited sample size and low statistical power…
Relation between forearm flexor–pronator muscle elasticity and ulnar collateral ligament laxity of the elbow joint in high school pitchers with and without medial elbow tenderness: evaluation using shear wave elastography · 2026 · DOI
Most-cited papers in Elbow and Forearm Trauma Treatment
- Articular and ligamentous contributions to the stability of the elbow joint · The American Journal of Sports Medicine · 1983 · 853 citations
- Outcome of Ulnar Collateral Ligament Reconstruction of the Elbow in 1281 Athletes · The American Journal of Sports Medicine · 2010 · 477 citations
- Elbow Injuries in Throwing Athletes: A Current Concepts Review · The American Journal of Sports Medicine · 2003 · 418 citations
- Operative Treatment of Ulnar Collateral Ligament Injuries of the Elbow in Athletes · The American Journal of Sports Medicine · 2000 · 405 citations
- Medial Collateral Ligament Reconstruction of the Elbow using the Docking Technique · The American Journal of Sports Medicine · 2002 · 399 citations
- Valgus extension overload in the pitching elbow · The American Journal of Sports Medicine · 1983 · 339 citations
- Outcome of Elbow Surgery in Professional Baseball Players · The American Journal of Sports Medicine · 1995 · 317 citations
- Preoperative Evaluation of the Ulnar Collateral Ligament by Magnetic Resonance Imaging and Computed Tomography Arthrography · The American Journal of Sports Medicine · 1994 · 296 citations
- Biomechanical Evaluation of a New Ulnar Collateral Ligament Reconstruction Technique with Interference Screw Fixation · The American Journal of Sports Medicine · 2003 · 257 citations
- Medial Ulnar Collateral Ligament Reconstruction of the Elbow in Throwing Athletes · The American Journal of Sports Medicine · 2006 · 256 citations
Most recent work
- Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation · The Lancet · 2026
- Total elbow arthroplasty for the management of post-traumatic sequelae of distal humeral fractures · The Bone & Joint Journal · 2026
- Conservative versus operative treatment of distal biceps tendon ruptures in young and active patients · International Orthopaedics · 2026
- A comparison of survivorship and functional outcomes for total elbow arthroplasty performed for distal humerus fracture, rheumatoid arthritis, and osteoarthritis, a New Zealand Joint Registry study · Journal of Shoulder and Elbow Surgery · 2026
- Comparative Efficacy of Anterior MIPO With PHILOS Versus Posterior ORIF With EA-LCP in Distal-Third Humerus Fractures: A Randomized Controlled Trial · Journal of Orthopaedic Trauma · 2026
- Increased Elbow Valgus Torque During Pitching Is Not a Risk Factor for Medial Elbow Injuries in Young Baseball Pitchers: A Prospective Cohort Study · Arthroscopy The Journal of Arthroscopic and Related Surgery · 2026
- Screening and prevention of elbow injuries in youth baseball players in Japan · International Orthopaedics · 2026
- Management of displaced supracondylar fractures of the humerus using lateral versus crossed Kirschner wires: a prospective randomized controlled clinical trial · The Bone & Joint Journal · 2026
- Comparison of the posterolateral rotatory drawer test and magnetic resonance imaging in diagnosing chronic lateral collateral ligament insufficiency of the elbow · Journal of Shoulder and Elbow Surgery · 2026
- Ulnohumeral Joint Space Gapping Restoration to Normal on Postoperative Stress Ultrasound after Ulnar Collateral Ligament Reconstruction · The American Journal of Sports Medicine · 2026
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