Current concepts in elbow fracture dislocation

2019 ◽  
pp. 175857321988401 ◽  
Author(s):  
Adam C Watts ◽  
Jagwant Singh ◽  
Michael Elvey ◽  
Zaid Hamoodi
Keyword(s):  
Injury Pattern ◽  
Classification Systems ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Injury Patterns ◽  
Fracture Dislocations ◽  
Elbow Fracture Dislocation ◽  
Comprehensive Classification ◽  
Management Algorithms

Background Elbow fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail to provide a comprehensive system that encompasses all of the elements and patterns seen in elbow fracture dislocations. Methods The commonly used elbow fracture dislocation classifications are reviewed and the three-column concept of elbow fracture dislocation is described. This concept is applied to the currently recognised injury patterns and the literature on management algorithms. Results Current elbow fracture dislocation classification systems only describe one element of the injury, or only include one pattern of elbow fracture dislocation. A new comprehensive classification system based on the three-column concept of elbow fracture dislocation is presented with a suggested algorithm for managing each injury pattern. Discussion The three-column concept may improve understanding of injury patterns and treatment and leads to a comprehensive classification of elbow fracture dislocations with algorithms to guide treatment.

Elbow Fracture Dislocation

2018 ◽  
pp. 127-138
Author(s):  
Chad M. Corrigan ◽  
Clay A. Spitler ◽  
Basem Attum
Keyword(s):  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Elbow Fracture Dislocation

Terrible Triad Elbow Fracture Dislocation with Ipsilateral Triceps Avulsion and Radial Shaft Fracture

2020 ◽  
Vol 10 (4) ◽  
pp. e20.00308-e20.00308
Author(s):  
HamidReza Dehghani Nazhvani ◽  
Sam Bemani Lirgeshasi ◽  
Milad Bahari
Keyword(s):  
Shaft Fracture ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Terrible Triad ◽  
Elbow Fracture Dislocation

scholarly journals Proposal of a new classification scheme for periocular injuries

2017 ◽  
Vol 50 (01) ◽  
pp. 021-028 ◽  
Author(s):  
Devi Prasad Mohapatra ◽  
Friji Meethale Thiruvoth ◽  
Ravi Kumar Chittoria ◽  
S. Dinesh Kumar ◽  
Sudhanva Hemant Kumar ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Classification Scheme ◽  
Soft Tissue Injuries ◽  
Classification Systems ◽  
Lateral Canthus ◽  
Aesthetic Appearance ◽  
Adjacent Structures ◽  
Tissue Injuries ◽  
Comprehensive Classification

ABSTRACT Background: Eyelids are important structures and play a role in protecting the globe from trauma, brightness, in maintaining the integrity of tear films and moving the tears towards the lacrimal drainage system and contribute to aesthetic appearance of the face. Ophthalmic trauma is an important cause of morbidity among individuals and has also been responsible for additional cost of healthcare. Periocular trauma involving eyelids and adjacent structures has been found to have increased recently probably due to increased pace of life and increased dependence on machinery. A comprehensive classification of periocular trauma would help in stratifying these injuries as well as study outcomes. Material and Methods: This study was carried out at our institute from June 2015 to Dec 2015. We searched multiple English language databases for existing classification systems for periocular trauma. We designed a system of classification of periocular soft tissue injuries based on clinico-anatomical presentations. This classification was applied prospectively to patients presenting with periocular soft tissue injuries to our department. Results: A comprehensive classification scheme was designed consisting of five types of periocular injuries. A total of 38 eyelid injuries in 34 patients were evaluated in this study. According to the System for Peri-Ocular Trauma (SPOT) classification, Type V injuries were most common. SPOT Type II injuries were more common isolated injuries among all zones. Discussion: Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. The SPOT classification has taken into account the periocular soft tissue injuries i.e., upper eyelid, lower eyelid, medial and lateral canthus injuries., based on observed clinico-anatomical patterns of eyelid injuries. Conclusion: The SPOT classification seems to be a reliable system to address eyelid injuries. This classification scheme would guide the ophthalmic and facial reconstructive surgeons to provide optimal outcomes in eyelid injuries. Based on the classification scheme and review of existing literature, an algorithm is presented to facilitate repair and reconstruction.

scholarly journals Radial Head Reconstruction in Elbow Fracture-Dislocation: Monopolar or Bipolar Prosthesis?

2014 ◽  
Vol 472 (7) ◽  
pp. 2144-2150 ◽  
Author(s):  
Robert U. Hartzler ◽  
Bernard F. Morrey ◽  
Scott P. Steinmann ◽  
Manuel Llusa-Perez ◽  
Joaquin Sanchez-Sotelo
Keyword(s):  
Radial Head ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Bipolar Prosthesis ◽  
Elbow Fracture Dislocation
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