Nick Hilgersom

Nick Hilgersom
University Medical Center Utrecht | UMC Utrecht · Orthopedic Surgery

MD

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23
Publications
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122
Citations
Introduction
Skills and Expertise

Publications

Publications (23)
Article
Background The aim of this study was to assess the efficacy of 3 weeks of Indomethacin, a non-selective non-steroidal anti-inflammatory drug (NSAID), in comparison to 1 week of meloxicam as prophylaxis for heterotopic ossifications (HO) after distal biceps tendon repair. Methods A single-center retrospective study was performed on 78 patients unde...
Article
Background: This study aimed to assess the results after soft-tissue posterior instability surgery and address possible challenges during these operations. Methods: The databases of two tertiary hospitals were reviewed to identify patients treated for posterior shoulder instability between 2000 and 2015. Out of 198 treated patients, 19 cases und...
Article
Full-text available
Purpose During pronation, the distal biceps tendon and radial tuberosity internally rotate into the radioulnar space, reducing the linear distance between the radius and ulna by approximately 50%. This leaves a small space for the distal biceps tendon to move in and could possibly cause mechanical impingement or rubbing of the distal biceps tendon....
Article
Full-text available
Background and purpose: Humeral shaft fractures are often associated with radial nerve palsy (RNP) (8-16%). The primary aim of this systematic review was to assess the incidence of primary and secondary RNP in closed humeral shaft fractures. The secondary aim was to compare the recovery rate of primary RNP and the incidence of secondary RNP betwee...
Article
Full-text available
Purpose Ulnar nerve injury is the most common neurological complication of elbow arthroscopy. The purpose of this cadaveric study was to quantify the ability of surgeons to locate the ulnar nerve behind the posteromedial capsule during elbow arthroscopy using sole arthroscopic vision. Methods Twenty-one surgeons were asked to pin the ulnar nerve a...
Chapter
Osteochondritis dissecans of the elbow is a localized disorder of the subchondral bone and overlying cartilage, resulting in separation and fragmentation of the articular surface. The capitellum is most commonly affected. It is thought that repetitive microtrauma to the relatively poorly vascularized capitellum leads to this condition, which is mai...
Chapter
The aim of arthroscopic debridement is creating a stable rim and improving nutrient supply by chondral abrasion to provide an optimal environment for the cartilage to regenerate. Microfracturing can be added to further improve nutrient supply and formation of fibrocartilaginous tissue [1, 2]. Additionally, loose or fixed bodies can be removed, or i...
Chapter
Valgus extension overload is a syndrome of elbow symptoms and pathology common to throwing athletes. The condition is caused by a repetitive valgus force and medial laxity of the elbow leading to excessive shear forces and compression of the articulation between the posteromedial olecranon and the olecranon fossa (Fig. 32.1). Consequently, osteophy...
Chapter
Magnetic resonance imaging and computed tomography are indicated to assess osteochondritis dissecans for lesion stability and associated loose bodies, respectively. In general, osteochondritis dissecans can be distinguished into a stable or unstable lesion. For stable lesions in an immature patient, nonoperative treatment is advocated and consists...
Article
Purpose The use of electrocautery during arthroscopy may heat intra-articular saline and subsequently damage intra- and extra-articular tissue. Newer electrocautery devices have the ability to measure the outflow fluid temperature and switch off before reaching a certain threshold; however, the scientific evidence establishing these temperature thr...
Article
Full-text available
Background Elbow arthroscopy is a difficult surgical technique. Objective metrics can be used to improve safe and effective training in elbow arthroscopy. Force exerted on the elbow tissue during arthroscopy can be a measure of safe tissue manipulation. The purpose of this study was to determine the force magnitude and force direction used by exper...
Article
Full-text available
Purpose Knowledge of ulnar nerve position is of utmost importance to avoid iatrogenic injury in elbow arthroscopy. The aim of this study was to determine how accurate surgeons are in locating the ulnar nerve after fluid extravasation has already occurred, and basing their localization solely on palpation of anatomical landmarks. Methods Seven cada...
Chapter
Please check the hierarchy of the section headings and correct if necessary.
Article
This classic discusses the original publication ‘Elbow Arthroscopy: A New Technique’ by Poehling et al, published in 1989 in The Journal of Arthroscopic and Related Surgery on the introduction of the prone position and the proximal medial portal to elbow arthroscopy. The first attempt to perform elbow arthroscopy was on a cadaveric specimen by Burm...
Article
This classic examines the landmark publication ‘Reconstruction of the Ulnar Collateral Ligament in Athletes’ by Jobe et al, published in 1986. Dr Frank W Jobe was the first to perform and describe a standard technique for ulnar collateral ligament (UCL) reconstruction with the use of a figure-of-eight configuration and submuscular ulnar nerve trans...
Article
Purpose: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. Methods: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the...
Article
Full-text available
Elbow arthroscopy is a technical challenging surgical procedure because of close proximity of neurovascular structures and the limited articular working space. With the rising number of elbow arthroscopies being performed nowadays due to an increasing number of surgeons performing this procedure and a broader range of indications, a rise in complic...
Article
Background: Low back pain (LBP) hampers performance and experiencing an episode of LBP is strongly associated with recurrent episodes. Objective: The prevalence of LBP and associated risk factors among young elite athletes in popular sports in the Netherlands were studied. Methods: A questionnaire-based cross-sectional study was performed amon...
Article
Postmortem computed tomography (CT) is increasingly being used as a tool in forensic pathology. The exact value of postmortem imaging in detecting specific conditions has not yet been established, but in specific cases, it can be used as a diagnostic tool demonstrating findings that remain undetected during autopsy, as in this case. Pneumomediastin...
Article
Full-text available
To prevent reduction of performance, the prevalence of low back pain (LBP) and self-reported associated factors among young elite speed skaters were studied. A questionnaire-based cross-sectional study was performed among 116 young elite speed skaters. 75 athletes responded (response rate 65%). The 12-month prevalence of LBP was 60%. In speed skati...

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