scholarly journals Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

2017 ◽  
Vol 11 (5) ◽  
pp. 378-383 ◽  
Author(s):  
Abbas Rashid ◽  
David Copas ◽  
Jeremy Granville-Chapman ◽  
Adam Watts
Keyword(s):  
Articular Surface ◽  
Ulnar Collateral Ligament ◽  
Fracture Dislocation ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Elbow Arthroscopy ◽  
Lateral Ulnar Collateral Ligament ◽  
Arthroscopically Assisted ◽  
Facet Fracture

If left untreated, varus posteromedial rotatory injuries of the elbow result in poor functional outcomes. Surgical treatment allows restoration of elbow kinematics, minimizing the chances of chronic varus instability and early onset osteoarthritis. However, large exposures are associated with extensive soft tissue stripping, a high risk of infection, nerve injury, poor visualization of the articular surface and longer recovery. Consequently, there has been renewed interest in the use of elbow arthroscopy to circumvent these problems. Arthroscopic treatment offers the potential advantage of a swift recovery, with instant rehabilitation, less stiffness and swelling than might be expected after open repair. We present the first combined arthroscopic-assisted anteromedial facet coronoid fracture fixation and lateral ulna collateral ligament repair in a varus posteromedial rotatory injury of the elbow.

scholarly journals Biomechanical assessment of lateral ulnar collateral ligament repair and reconstruction with or without internal brace augmentation

2020 ◽  
Vol 4 (2) ◽  
pp. 224-230
Author(s):  
Craig Melbourne ◽  
James L. Cook ◽  
Gregory J. Della Rocca ◽  
Christopher Loftis ◽  
John Konicek ◽  
...  
Keyword(s):  
Ulnar Collateral Ligament ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Biomechanical Assessment ◽  
Lateral Ulnar Collateral Ligament ◽  
Internal Brace

scholarly journals Management of Terrible Triad Injuries of the Elbow

2015 ◽  
Vol 5 (1) ◽  
pp. 28-34
Author(s):  
Tyler Vovos ◽  
Daniel J Blizzard ◽  
Grant Garrigues
Keyword(s):  
Radial Head ◽  
Functional Outcomes ◽  
Radial Head Fracture ◽  
Ulnar Collateral Ligament ◽  
Injury Patterns ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Lateral Ulnar Collateral Ligament ◽  
Fracture Dislocations

ABSTRACT The term ‘Terrible Triad’ was initially coined by Hotchkiss et al to describe fracture-dislocations of the elbow involving three specific injuries: a posterolateral dislocation, coronoid fracture and radial head fracture.1 Fracture-dislocations of this type are notoriously unstable secondary to loss of the anterior buttress support from the coronoid, valgus support from the radial head, and the posterolateral stabilization of the lateral ulnar collateral ligament (LUCL).2,3 Furthermore, these injury patterns are particularly difficult to treat and have resulted in poor functional outcomes including the need for multiple reoperations.4-6 Herein, the pathoanatomy, classification, diagnosis and management of these challenging injuries will be discussed. Vovos T, Blizzard DJ, Garrigues G. Management of Terrible Triad Injuries of the Elbow. The Duke Orthop J 2015;5(1): 2834.

Elbow Dislocation and Articular Fracture of the Distal Humerus

2010 ◽  
Vol 2 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Thierry G. Guitton ◽  
Andrew D. Duckworth ◽  
Margaret M. Mcqueen ◽  
Peter Kloen ◽  
David Ring
Keyword(s):  
Medial Collateral Ligament ◽  
Articular Surface ◽  
Present Report ◽  
Elbow Dislocation ◽  
Distal Humerus ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Collateral Ligament ◽  
Articular Fracture

Background The present report describes subluxation and dislocation of the elbow with articular fracture of the distal humerus and injury to the medial collateral ligament, a type of elbow fracture-dislocation about which little is available in the literature. Methods Twenty-two patients with subluxation or dislocation of the elbow (with injury to the medial collateral ligament) and a fracture of the distal humerus articular surface (capitellum/trochlea) were identified. Seventeen patients had a minimum of 12 months follow-up and eight patients returned for a long-term follow-up at a median of 36 months (range 12 months to 154 months) after injury. Results Nine patients had one or more subsequent surgeries. Seven patients had surgery to address complications and two had a planned implant removal. The final median arc of elbow flexion was 120° (range 100° to 145°) and the median arc of forearm rotation was 175° (range 150° to 180°). The median Broberg and Morrey score was 88 points (range 63 points to 100 points) and the median Disabilities of the Arm Shoulder and Hand score was 9 points (range 1 point to 43 points). Discussion Some elbow dislocations and subluxations are associated with osteochondral fractures of the distal humeral articular surface.

scholarly journals Anatomical parameters in the lateral ulnar collateral ligament reconstruction: a cadaver study

2013 ◽  
Vol 48 (1) ◽  
pp. 52-56
Author(s):  
Willian Nandi Stipp ◽  
Fabiano Rebouças Ribeiro ◽  
Antonio Carlos Tenor Junior ◽  
Cantídio Salvador Filardi Filho ◽  
Danilo Canesin Dal Molin ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Cadaver Study ◽  
Collateral Ligament ◽  
Lateral Ulnar Collateral Ligament ◽  
Ulnar Collateral Ligament Reconstruction ◽  
Anatomical Parameters
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