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Elbow Instability

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12 papers 25 to 100 followers
By Rajesh Purushothaman Additional Professor of Orthopaedics, Government Medical College, Kozhikode, Kerala, India
Giuseppe Giannicola, David Polimanti, Federico M Sacchetti, Marco Scacchi, Gianluca Bullitta, Erica Manauzzi, Stefano Gumina, Gianluca Cinotti
The surgical procedures for and outcomes of soft tissue constraint reconstruction in complex elbow instability have been rarely investigated. The purpose of this study was to analyze the clinical outcomes in a series of patients with complex elbow instability in whom the associated soft tissue constraint injures were identified and treated based on the pathoanatomic changes found intraoperatively. Forty-five patients (23 men and 22 women; mean age, 54 years) with complex elbow instability were followed prospectively...
December 2012: Orthopedics
Daniel C Acevedo, Brian Lee, Raffy Mirzayan
Ulnar collateral ligament (UCL) reconstruction of the elbow has been shown to restore function in overhead athletes with valgus instability. Since the initial description of using bone tunnels for reconstruction, many modifications to the surgical technique have been introduced, including the modified Jobe technique, the docking technique, fixation with interference screws, and button fixation. The authors introduce a technique that uses a button on each of the humeral and ulnar sides for fixation. This method allows proper tensioning of the graft and provides immediate secure fixation that relies on metal implants as opposed to sutures over bone bridges alone...
November 2012: Orthopedics
James R Andrews, Patrick W Jost, E Lyle Cain
CONTEXT: The ulnar collateral ligament of the elbow (UCL) is frequently injured in throwing athletes, most commonly baseball pitchers. The ligament is reconstructed through bone tunnels using palmaris longus or gracilis autograft. RESULTS: This study highlights the following technique for UCL reconstruction in over 2000 athletes.(2) CONCLUSION: When conservative management fails, ligament reconstruction can allow the athlete to return to their sport...
September 2012: Sports Health
Christopher C Dodson, David W Altchek
CONTEXT: Ulnar collateral ligament (UCL) insufficiency of the elbow can be a debilitating injury that often prevents athletes from competing effectively. The overhead athlete is particularly susceptible to this injury because the anterior bundle of the UCL is the primary restraint to the valgus stress that is created during the throwing motion. Repetitive trauma from constant overhead or throwing activity can ultimately render the ligament incompetent and cause recurrent pain and instability...
September 2012: Sports Health
Fraser Taylor, Martyn Sims, Jean-Claude Theis, G Peter Herbison
BACKGROUND: Dislocation of the elbow joint is a relatively uncommon injury. OBJECTIVES: To assess the effects of various forms of treatment for acute simple elbow dislocations in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (April 2011), the Cochrane Central Register of Controlled Trials (The Cochrane Library, 2011 Issue 1), MEDLINE (1948 to March Week 5 2011), EMBASE (1980 to 2011 Week 14), PEDro (April 2011), CINAHL (April 2011), various trial registers, various conference proceedings and bibliographies of relevant articles...
April 18, 2012: Cochrane Database of Systematic Reviews
Shane A Wear, D Dean Thornton, Martin L Schwartz, Robert C Weissmann, E Lyle Cain, James R Andrews
OBJECTIVE: We are often asked to evaluate the postoperative elbow using MRI. In this article, we present both the normal appearance of the reconstructed ulnar collateral ligament (UCL) and a spectrum of UCL graft abnormalities at MR arthrography. CONCLUSION: The UCL is the primary medial stabilizer of the elbow during flexion and is susceptible to injury, particularly in overhead throwing athletes. In the setting of UCL injury, ligament reconstruction is the principal surgical procedure available to restore stability and function and to relieve pain with activity...
November 2011: AJR. American Journal of Roentgenology
Juan Rodriguez-Martin, Juan Pretell-Mazzini, Eva Maria Andres-Esteban, Ricardo Larrainzar-Garijo
Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few years have led to the development of standard surgical protocols. This review article analyses the results in 137 elbow triad injuries of five studies treated using the current protocols...
June 2011: International Orthopaedics
Ivan Micic, Shin-Yoon Kim, Il-Hyung Park, Poong-Taek Kim, In-Ho Jeon
The purpose of this study was to describe soft tissue injury patterns and report the clinical results of primary ligament repair with use of protected early mobilisation in unstable elbow dislocations with pure capsulo-ligamentous injuries. Twenty-four patients who presented with traumatic unstable elbow dislocation without associated intra-articular fracture were reviewed. Anatomical repair was performed using metal anchor screws and the bone tunnel method. Ligament avulsion was noted in 55% for the medial collateral ligament, 80% for the lateral collateral ligament, 60% for the flexor tendon and 80% for the extensor tendon...
August 2009: International Orthopaedics
Derrick G Hickey, Mark I Loebennerg
No abstract text is available yet for this article.
2006: Bulletin of the NYU Hospital for Joint Diseases
P Langer, P Fadale, M Hulstyn
Ulnar collateral ligament (UCL) insufficiency is potentially a career threatening, or even a career ending, injury, particularly in overhead throwing athletes. The evolution of treating modalities provides afflicted athletes with the opportunity to avoid premature retirement. There have been several clinical and basic science research efforts which have investigated the pathophysiology of UCL disruption, the biomechanics specific to overhead throwing, and the various types of treatment modalities. UCL reconstruction is currently the most commonly performed surgical treatment option...
June 2006: British Journal of Sports Medicine
J Sanchez-Sotelo, B F Morrey, S W O'Driscoll
We describe the intermediate results of lateral ligamentous repair or reconstruction for posterolateral rotatory instability of the elbow. Between 1986 and 1999, we performed 12 direct repairs and 33 ligament reconstructions with a tendon autograft. One patient was lost to follow-up and 44 were retrospectively studied at a mean of six years (2 to 15). Surgery restored stability in all except five patients. In two the elbow became stable after a second procedure. The mean post-operative Mayo elbow performance score was 85 points (60 to 100)...
January 2005: Journal of Bone and Joint Surgery. British Volume
F K Fuss
The posterior portion of the ulnar collateral ligament, which arises from the posterior surface of the medial epicondyle, is taut in maximal flexion. The anterior portion, which takes its origin from the anterior and inferior surfaces of the epicondyle, contains three functional fibre bundles. One of these is taut in maximal extension, another in intermediate positions between middle position and full flexion while the third bundle is always taut and serves as a guiding bundle. Movements of the elbow joint are checked by the ligaments well before the bony processes forming the jaws of the trochlear notch lock into the corresponding fossae on the humerus...
April 1991: Journal of Anatomy
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