Anatomical Reconsideration of the Lateral Collateral Ligament in the Human Knee: Anatomical Observation and Literature Review

Fractures of the capitellum and trochlea are uncommon fractures of the elbow and can be challenging to treat due to their size, location, and articular nature. Because of their intra-articular nature and predilection toward displacement, these fractures are typically treated operatively. Furthermore, capitellum fractures have high rates of associated injuries, including radial head fractures or lateral collateral ligament injury in ~30% to 60% of patients. In addition to open reduction internal fixation, operative options include fragment excision, arthroscopic assisted reduction and fixation, and elbow arthroplasty. In this article, we undertake a comprehensive literature review of capitellum fractures of the distal humerus, in an attempt to summarize the existing body of evidence and propose areas of future study.

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Biomechanical Properties of the Stifle Joint Lateral Collateral Ligament in Dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633103 ◽

1992 ◽

Vol 05 (04) ◽

pp. 158-162 ◽

Cited By ~ 1

Author(s):

D. Blackketter ◽

J Harari ◽

J. Dupuis

Keyword(s):

Mechanical Properties ◽

Cruciate Ligament ◽

Lateral Collateral Ligament ◽

Biomechanical Properties ◽

Fibular Head ◽

Joint Stability ◽

Collateral Ligament ◽

Cranial Cruciate Ligament ◽

Stifle Joint

Bone/lateral collateral ligament/bone preparations were tested and structural mechanical properties compared to properties of cranial cruciate ligament in 15 dogs. The lateral collateral ligament has sufficient stiffness to provide stifle joint stability and strength to resist acute overload following fibular head transposition.

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Repair of a Divergent Elbow Dislocation with Distal Ulnar Fracture in a Dog Using TightRope and External Skeletal Fixation

VCOT Open ◽

10.1055/s-0041-1731439 ◽

2021 ◽

Vol 04 (01) ◽

pp. e58-e64

Author(s):

Marcos Garcia ◽

Camille Bismuth ◽

Claire Deroy-Bordenave

Keyword(s):

Elbow Dislocation ◽

Lateral Collateral Ligament ◽

Normal Activity ◽

Long Term Results ◽

Collateral Ligament ◽

Elbow Luxation ◽

Ulnar Fracture ◽

Fixation System

AbstractThe aim of this study was to report the outcome in a 6-year-old male English Setter dog that suffered a combination of divergent elbow dislocation and open distal ulnar fracture. This study is a case report. After surgical reduction in the elbow luxation, the dog was treated with the TightRope fixation system used as replacement of the lateral collateral ligament, a radioulnar positional screw, and external skeletal fixation. Removal of all implants was performed 3 months postoperatively. The 6-month follow-up visit found the dog without lameness, displaying normal activity, and with normal elbow range of motion and normal Campbell's test. Successful surgical management was achieved with good long-term results using TightRope, a positional screw, and an external skeletal fixator.

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

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2004.05.009 ◽

2005 ◽

Vol 14 (1) ◽

pp. 78-84 ◽

Cited By ~ 67

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

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Surgical Treatment for Malunion of the Lateral Humeral Epicondyle with Posterior Subluxation of the Radial Head: A Case Report and Literature Review

Case Reports in Orthopedics ◽

10.1155/2018/1901235 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Koichi Yano ◽

Yasunori Kaneshiro ◽

Hideki Sakanaka

Keyword(s):

Lateral Collateral Ligament ◽

High Energy ◽

Limited Range ◽

Forearm Rotation ◽

Collateral Ligament ◽

Lateral Epicondyle ◽

Limited Range Of Motion ◽

Contracture Release ◽

Normal Congruence ◽

The Right

A 24-year-old right-handed man suffered right olecranon and lateral epicondylar fracture from high energy trauma. Fixation of olecranon was performed by a previous doctor. Three months after operation, he presented with limited range of motion (ROM) of the right elbow caused by malunion of the lateral epicondylar fracture and subluxation of the radiohumeral joint. Preoperative ROM of the right elbow was flexion 110° and extension −75°. Forearm rotation was pronation 85° and supination 65°. Fragment excision of the lateral epicondyle, which was 27 mm in length, and lateral collateral ligament repair using anchors were performed. Fourteen months postoperatively, contracture release of the elbow was performed. Twenty-four months postoperatively, radiograph of the elbow showed normal congruence without osteoarthritic changes and the ROM of the right elbow was flexion 120° and extension −35°. Forearm rotation was pronation 90° and supination 70°. In the surgical setting, in case of the size of the lateral epicondylar fragment is relatively large, the fragment should be fixed or lateral collateral ligament should be repaired when the instability of the elbow is found.

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