Elbow joint laxity after experimental radial head excision and lateral collateral ligament rupture: Efficacy of prosthetic replacement and ligament repair

2005 ◽  
Vol 14 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Steen Lund Jensen ◽  
Bo Sanderhoff Olsen ◽  
Stein Tyrdal ◽  
Jens Ole Søjbjerg ◽  
Otto Sneppen
Keyword(s):  
Radial Head ◽  
Elbow Joint ◽  
Lateral Collateral Ligament ◽  
Joint Laxity ◽  
Prosthetic Replacement ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Ligament Rupture ◽  
Radial Head Excision

Lateral Collateral Ligament Repair for Hallux Metatarsophalangeal Joint Instability in a Collegiate Sumo Wrestler: A Case Report

2021 ◽  
Vol 111 (1) ◽  
Author(s):  
Sadanori Shimizu ◽  
Tetsuya Sato ◽  
Tomohiko Tateishi ◽  
Tsuyoshi Nagase ◽  
Teruhiko Nakagawa ◽  
...  
Keyword(s):  
Athletic Performance ◽  
Joint Instability ◽  
Lateral Collateral Ligament ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Bone ◽  
Burr Hole ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Surgical Treatments

Although sprains of the hallux metatarsophalangeal (MTP) joint ligaments occur in barefooted martial arts athletes, few studies discuss the surgical treatments for lateral collateral ligament damage. We report herein a case of lateral collateral ligament repair for chronic hallux MTP joint instability. A 21-year-old male collegiate sumo wrestler injured his left hallux by snagging it on a sumo straw bale at 14 years of age. After entering university (4 years after the injury), he could no longer put weight on his foot at the left hallux; his athletic performance deteriorated, and he was referred to our department by his doctor. He had instability in the MTP joint of the left hallux, and magnetic resonance imaging revealed a tear in the attachment of the lateral collateral ligament to the metatarsal bone. Conservative treatment, such as taping, did not improve the symptoms; thus, surgery was performed, which consisted of passing a strong suture attached to the capsular ligament through a burr hole made in the metatarsal bone and fixing it to the burr-hole wall using an anchor. Postoperatively, the patient's joint instability improved, and he returned to competitive wrestling 4 months after surgery. He was able to put weight on his left hallux, and his athletic performance improved. The follow-up period after surgery was 2 years. In competitive sumo wrestling, hallux weakness and joint instability lead to a significant reduction in performance. Thus, ligament repair is an effective treatment for hallux MTP joint instability that cannot be treated by conservative means.

scholarly journals Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? Mid-Term Postoperative Outcomes Following a Standardized Protocol

2020 ◽  
Vol 9 (11) ◽  
pp. 3500
Author(s):  
Beom-Soo Kim ◽  
Du-Han Kim ◽  
Seok-Ho Byun ◽  
Chul-Hyun Cho
Keyword(s):  
Operative Treatment ◽  
Radial Head ◽  
Lateral Collateral Ligament ◽  
Type I ◽  
Dash Score ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Recurrent Instability ◽  
Standardized Protocol ◽  
Coronoid Fractures

The purpose of this study was to investigate mid-term outcomes and complications after operative treatment according to a standardized protocol for terrible triad injuries. Twenty-four patients that were treated by a single surgeon with a standardized surgical protocol were retrospectively reviewed. After the complete reconstruction of radial head and/or lateral collateral ligament (LCL) complex through a lateral approach, coronoid process, and/or medial collateral ligament (MCL) complex through a medial approach were fixed if the elbow is unstable. For coronoid fractures, only type III were fixed in four cases (16.7%). Twenty-two LCL (91.7%) and five MCL (20.8%) complexes were repaired. At the final follow-up, the mean MEPS and Quick-DASH score were 91.5 and 17.3, respectively. There was no recurrent instability after operation in all cases. This study revealed that operative treatment that was based on our standardized protocol for terrible triad injuries yielded satisfactory mid-term clinical and radiographic outcomes without any recurrent instability. These results suggest that Type I and II coronoid fractures in terrible triad injuries do not need to be fixed if the radial head and ligamentous complex are completely reconstructed.

Lateral collateral ligament of the elbow joint: Anatomy and kinematics

1996 ◽  
Vol 5 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Bo Sanderhoff Olsen ◽  
Michael T. V˦sel ◽  
Jens O. Søjbjerg ◽  
Peter Helmig ◽  
Otto Sneppen
Keyword(s):  
Elbow Joint ◽  
Lateral Collateral Ligament ◽  
Collateral Ligament

scholarly journals A novel Medial Patellofemoral Ligament Reconstruction Technique; Preliminary Clinical Results

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0007
Author(s):  
Hasan Basri Sezer ◽  
Raffi Armağan ◽  
Muharrem Kanar ◽  
Osman Tuğrul Eren
Keyword(s):  
Range Of Motion ◽  
Medial Patellofemoral Ligament ◽  
Femoral Tunnel ◽  
Full Range ◽  
Lateral Collateral Ligament ◽  
Reconstruction Technique ◽  
Collateral Ligament ◽  
Ligament Rupture ◽  
Patella Luxation ◽  
The Mean

Medial Patellofemoral ligament(MPFL) is the main passive stabilizer of the patellofemoral joint. MPFL is injured in the 2/3 rds of the patients after patella luxation. In this study we present a novel aproach to the anatomical MPFL reconstruction and preliminary results of the technique. We operated 7 patients(4 female and female and 3 male) who applied to our clinic after a patella luxation episode. The mean age was 27,1 years(16-42). The mean follow up time was 23,5 months(24-35). We evaluated the patients clinically and radiologically for concommitant pathologies. 1 patient had patellar cartilage demage and patella alta, 1 patient had medial collateral ligament rupture, 1 patient had lateral collateral ligament and anterior cruciate ligament rupture and these pathologies were treated as well. The operation was done in the supine position on a radiolucent table and under the image intensifier control. The semitendinosus autograft was prepared. The femoral tunnel was drilled and double strand graft was introduced in the femoral tunnel and secured with ToggleLoc femoral fixation device(Biomet). The graft was advanced over the facia to the patellar side and passed through the 2 patellar tunnels and tied to each other. After exercising the knee the graft tension was rechecked at 30 degrees of knee flexion. Early postoperatively range of motion and quadriceps strenghtening exercises were carried out and patients were allowed to bear weight. All of the patients had full range of motion and free of pain. Postoperative x-ray and MRI examinations revealed the correction of patellar tilt and lateral shift of the patella in all patients. The only complication was a fissure of patella in 1 patient in the 6th week of rehabilitation due to anteriorly located patellar tunnel and heavy exercise. We immobilsed the patient in a brace and the patient returned to rehabilitation after 6 weeks when the fissure healed. All the patients returned to the previous functional level. Our anatomical MPFL technique uses ToggleLoc for the femoral side but implant free at the patellar side. The technique provided excellent preliminiary result in all of the patients. The technique allows graft retensioning again and again from both the femoral and the patellar side. The double bundle reconstruction seems to immitate the natural behaviour of the MPFL. However patellar tunnels carry a substantial risk of patella fracture and must be placed with great attention.

Lateral Collateral Ligament Repair Restores the Initial Varus Stability of the Elbow: An In Vitro Biomechanical Study

2008 ◽  
Vol 22 (9) ◽  
pp. 615-623 ◽  
Author(s):  
Gillian S Fraser ◽  
Jamie E Pichora ◽  
Louis M Ferreira ◽  
Jamie R Brownhill ◽  
James A Johnson ◽  
...  
Keyword(s):  
Lateral Collateral Ligament ◽  
Biomechanical Study ◽  
Ligament Repair ◽  
Collateral Ligament

scholarly journals Use of Suture Anchors for Coronoid Fractures in the Terrible Triad of the Elbow

2009 ◽  
Vol 17 (1) ◽  
pp. 31-35 ◽  
Author(s):  
V Pai ◽  
V Pai
Keyword(s):  
Radial Head ◽  
Lateral Collateral Ligament ◽  
Lateral Condyle ◽  
Type I ◽  
Suture Anchors ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Flexion Extension ◽  
The Mean

Purpose. To report outcomes in 6 patients with the terrible triad of the elbow treated with our modified protocol. Methods. 6 men aged 26 to 54 years underwent surgery for the terrible triad of the elbow by a single surgeon. All the patients had a displaced comminuted fracture of the radius, posterior dislocation of the elbow, and Morrey type-I fracture of the coronoid. They all underwent replacement of the radial head and repair of the lateral collateral ligament to the isometric part of the lateral condyle using suture anchors. Five had an additional capsular fixation to the anterior coronoid using suture anchors; in patient 6 the coronoid was not repaired because it was stable. Functional outcomes were evaluated using the Hospital for Special Surgery (HSS) elbow assessment score. Bone union, implant loosening, heterotopic ossification, and degenerative changes were assessed using anteroposterior and lateral radiographs. Results. After a mean follow-up of 2.2 (range, 1–3) years, the mean arc of flexion-extension was 116 degrees and the mean flexion contracture was 15 degrees. All patients maintained a concentric reduction of both the ulnotrochlear and the radiocapitellar articulation, with isometric fixation of the lateral collateral ligament. No patient had dislocation of the radial-head prosthesis. All had good-to-excellent HSS elbow scores, and none required re-operation. Patient 2 had neuropraxia of the radial nerve, which recovered within 3 months. Patient 4 had a range of movement of only 20 to 100 degrees, but was satisfied with the outcome. Conclusion. Repair of the articular capsule using suture anchors in addition to replacement of the radial head and repair of the lateral collateral ligament achieves favourable outcome in patients with the terible triad of the elbow.

scholarly journals Surgical Technique for Arthroscopic Lateral Collateral Ligament Repair

2016 ◽  
Vol 6 (3) ◽  
pp. e33 ◽  
Author(s):  
Jeong Woo Kim ◽  
Sung Hyun Lee ◽  
Se Jin Kim ◽  
Jin Sung Park
Keyword(s):  
Surgical Technique ◽  
Lateral Collateral Ligament ◽  
Ligament Repair ◽  
Collateral Ligament

Ligamentous repair of acute lateral collateral ligament rupture of the elbow

2013 ◽  
Vol 22 (11) ◽  
pp. 1469-1473 ◽  
Author(s):  
Byung Sung Kim ◽  
Kang Hee Park ◽  
Hyun Seok Song ◽  
Sung-Yong Park
Keyword(s):  
Lateral Collateral Ligament ◽  
Collateral Ligament ◽  
Ligament Rupture ◽  
Ligamentous Repair

Acute Skier's Thumb Repaired With a Proximal Phalanx Suture Anchor

1998 ◽  
Vol 26 (5) ◽  
pp. 644-650 ◽  
Author(s):  
Craig Zeman ◽  
Robert E. Hunter ◽  
John R. Freeman ◽  
Mark L. Purnell ◽  
Jackie Mastrangelo
Keyword(s):  
Functional Outcome ◽  
Suture Anchor ◽  
Surgical Repair ◽  
Proximal Phalanx ◽  
Ulnar Collateral Ligament ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Ligament Rupture ◽  
A New Technique ◽  
Postoperative Interval

The purpose of this study was to determine the functional outcome of a surgical technique for the repair of injuries of the ulnar collateral ligament of the thumb. A 14-point questionnaire was developed to determine functional outcome after surgical repair of acute ulnar collateral ligament rupture. Early ulnar collateral ligament repair was performed on 58 patients with grade III sprains (complete rupture) of the ligament using a new technique that employs a suture anchor for fixation. Forty-five patients were interviewed at a minimum postoperative interval of 12 months and were included in this study. Forty-four patients (98%) believed they had a stable repair, were satisfied with their surgery, and would have it again if necessary. Forty-four patients (98%) were not hindered in their day-to-day activities and had a functional range of motion. Mild discomfort was felt by eight of our patients (17%), but only three patients (7%) had pain with activities. The average time to return to skiing was 1.7 days. The use of a suture anchor provided a strong and stable repair if the surgery was performed early.

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