Background: Polymorphous light eruption (PLE) is the most common form of idiopathic photodermatosis. Several morphologic variants of PLE have been described, including a localized form of PLE primarily affecting the helices of the ears. To our knowledge, the presence of lesions on the elbows as the unique manifestation of PLE has not yet been reported. We have studied 9 patients presenting with a recurrent eruption on the elbows, with clinical and histopathologic features indistinguishable from PLE, occurring during springtime. Recently, a peculiar eruption of the elbows, with similar clinical features to our patients, has been proposed as a manifestation of cutaneous lupus erythematosus.
Methods: Nine patients presenting a recurrent spring eruption on the elbows, collected from April 1989 to June 2012, were retrospectively analyzed. We studied their clinical and histopathological features, and the immunophenotype of the infiltrate.
summer of elbow
Results: Five patients were men and 4 were women. The mean age was 44.7 years. The lesions consisted of pruriginous, erythematous-edematous papules and plaques, located on both elbows. The eruption appeared during the spring or early summer and recurred seasonally. No associated symptoms were present and the eruption regressed spontaneously or with topical corticosteroids after 7 to 15 days. Histopathologically, the lesions showed typical features of PLE, with variable degree of edema in the papillary dermis, and a papillary and reticular dermal perivascular infiltrate mostly composed of small lymphocytes. Immunohistochemical studies demonstrated strong immunoreactivity for CD2, CD4, and CD8, revealing the infiltrate was composed predominantly of T lymphocytes, with a predominance of T-helper over T-cytotoxic lymphocytes. Immunostaining for CD123 was negative, highlighting the absence of plasmacytoid dendritic cells. Other T- and B-cell markers, including CD30, PD-1, CXCL13, FoxP3, CD79a, and CD56 were also negative.
Conclusions: We believe this recurrent eruption of the elbows represents a distinctive and localized variant of PLE rather than a peculiar manifestation of cutaneous lupus erythematosus and suggest the term "spring and summer eruption of the elbows" for this peculiar condition. The mechanism of this localization on the elbows, with sparing of other photoexposed areas, remains unknown.
Objective: Elbow injuries in Olympic sports and their imaging findings have not been described previously. The main objective of this article is to analyze the demographic data on imaging of elbow injuries at the London 2012 Summer Olympic Games and to review the spectrum of imaging findings.
Conclusion: Elbow injuries were seen in a wide variety of sports. Judo and weight-lifting contributed nearly half of all injuries, with only a surprisingly small number of injuries seen in throwing athletes. Knowledge of elbow anatomy coupled with awareness of types of elbow injuries and their prevalence in various sports will contribute toward improving diagnostic accuracy, handling of workload, and overall provision of services at similar major international sporting events in the future.
Playing tennis or any racquet sport on a regular basis or with poor technique is the most common cause of tennis elbow. Besides the impact of hitting the ball, repetitive motion and overuse can cause muscle strain, inflammation, and pain. This leads to irritation of the tissue connecting the forearm muscle to the elbow. In some cases, tiny tears form in the tendons that join the forearm muscles on the outside of the elbow. Overuse, repetitive activities, and age typically trigger the onset of tennis elbow.
Yes, elbow hygromas are common in the summer. During the warmer months, dogs tend to look for cool places to lay. This often means avoiding carpeting and soft bedding to lay on hard, cold surfaces. Unfortunately, this can put excessive pressure on the elbow joints.
If your dog has an elbow hygroma or is prone to getting them, you need to take some extra precautions this summer. Try to convince your dog to sleep on bedding or carpet whenever possible. Try placing a pet-safe cooling pad under their bedding to encourage them to use it. Keeping them inside during the warmer months can help keep them cool as well.
Keep in mind, your dog will probably want to lay down onto a cold hard floor following a fun day in the sun. Using an elbow support like Standard Length Adjustable DogLeggsTM helps protect and support the joint. This high quality elbow hygroma support can even be used to provide coverage and support during exercise.
Stafford, who's dealt with plenty of pain throughout his 13-year NFL career, overcame the issue during the Rams' Super Bowl-winning season in 2021. Excluded from offseason workouts after undergoing a procedure on the elbow, Stafford has consistently downplayed the nagging injury and has maintained all along that his performance won't suffer.
The skin eruption associated with frictional lichenoid dermatitis (FLD) is usually asymptomatic or occasionally pruritic. It occurs most commonly in children. Most cases occur in the spring and summer months. Many cases have been associated with outdoor activities and minor frictional trauma from contact with abrasive or irritant materials such as sand, grass, wool, rough materials, and rugs. Many affected individuals have atopic dermatitis, or a personal or family history of atopy.
Psoriatic papules or plaques are usually erythematous. The papules can become confluent into large plaques. Lesions are commonly present on the scalp, elbows, knees, umbilicus, genitalia, and gluteal crease. Skin involvement with psoriasis can be widespread. Lesions usually have prominent silvery scaling. Nail involvement, such as pitting and separation of the nail plate, can also be present.
Rams quarterback Matthew Stafford downplayed his lingering elbow pain in August, blaming a limited throwing schedule this summer on "a little soreness." Now, coach Sean McVay is throwing even more cold water on the notion that Stafford's injury, which he previously called "abnormal for a quarterback," will affect him this season. Days away from the Rams' 2022 opener, McVay was asked if he'd trust Stafford to throw more than 50 passes to win a single game, and his answer was blunt.
Stafford originally sat out all throwing drills during the Rams' spring practices after receiving an injection for elbow pain in his throwing arm. NFL Media later reported that the QB was battling severe elbow tendonitis, which could've kept him in pain throughout the 2022 campaign, but neither Stafford nor the Rams ever officially labeled his ailment as such.
We classified the fracture mechanisms into six categories as follows: tumble, tumbled on outstretched elbow at ground level; fall, fall on outstretched elbow from above ground level; lateral bend, bent the elbow during sports or accidents; direct hit, smashed by an object or the elbow got caught in the door; throw, injured after throwing a ball or other object, and unknown. The aetiologies were categorized by the activity or location of the injuries (e.g. tumble while playing football/skateboarding, fall from chair/bed, or lateral bend during Judo). Subjects were classified into three age subgroups: 0 to 5 years, 6 to 10 years, and 11 to 15 years old.
Fracture mechanisms are summarized in Table 4. Fall was the most common cause of injury (242 fractures, 49.6%). In the 0 to 5 years subgroup, fall (123 fractures) was the most frequent, and tumble for the 6 to 10 year subgroup (126 fractures). The major aetiology of falls in 0 to 5 year olds were indoor falls (from a chair in 18 cases, a sofa in 11, and a bed in 6). In contrast, falls in 6 to 10 year olds were more often outdoor falls (from playground equipment in 14 cases, trees in 11, iron rod in 11, and aerial ladder in 10). The most frequent aetiology in 6 to 10 year olds was injury while skateboarding or caster-boarding (44 fractures, 19%). In 6 to 10 year olds, elbow fractures while skateboarding and caster-boarding were 4.9 times more common than those during bicycle injuries, the second most common aetiology.
Supracondylar fractures are the most common type of elbow fracture in children, with a reported incidence of 177.3/100,000 children.9 Among all elbow fractures, 55% to 58% were supracondylar fractures in previous studies.4,6,7 In the current study, the supracondylar fracture was the most common at 43.8%, followed by lateral condyle fracture at 22.3%. In previous studies, however, the second most frequent type was reported to be proximal radius fracture (radius neck and head) and the rates were reported to vary from 11% to 18%.4,6,7 In the current study, the rate of proximal radius fractures was only 5.3%, making it the fifth most common type of fracture. In contrast, the frequency of lateral condyle fracture was reported at 9% to 12% in previous studies,4,6,7 much lower than that in current study (22.3%). Looking at only Japanese articles and textbooks, however, lateral condyle fracture is the second most common type of fracture, followed by supracondylar fracture. Kang and Park10 reported the majority of cases with an injury mechanism of hyperextension with valgus stress caused proximal radius fractures, while hyperextension with varus stress caused lateral condyle fractures. They also reported that a more anatomically valgus-deviated elbow predisposed individuals to radial neck fracture, while a more varus-deviated elbow predisposed them to lateral condyle fracture. In other words, the carrying angle in elbows with radial neck fractures was significantly greater than that in elbows with lateral condyle fractures.10 In Japanese children, the elbow alignment may be more varus-deviated than in children of other nationalities or ethnicities. However, to our knowledge, there is no English-language scientific article describing differences in elbow alignment between national or ethnic groups. 2ff7e9595c
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