Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Elbow 38 articles

Articles

Revision Allograft Reconstruction of the Lateral Collateral Ligament Complex in Elbows With Previous Failed Reconstruction and Persistent Posterolateral Rotatory Instability

Yaser M. K. Baghdadi MD, Bernard F. Morrey MD, Shawn W. O’Driscoll MD, PhD, Scott P. Steinmann MD, Joaquin Sanchez-Sotelo MD, PhD

Primary reconstruction of the lateral collateral ligament complex (LCLC) using graft tissue restores elbow stability in many, but not all, elbows with acute or chronic posterolateral rotatory instability (PLRI). Revision reconstruction using a tendon allograft is occasionally considered for persistent PLRI, but the outcome of revision ligament reconstruction in this setting is largely unknown.

Radiographic Loss of Contact Between Radial Head Fracture Fragments Is Moderately Reliable

Wendy E. Bruinsma MD, Thierry Guitton MD, PhD, David Ring MD, PhD

Loss of contact between radial head fracture fragments is strongly associated with other elbow or forearm injuries. If this finding has adequate interobserver reliability, it could help examiners identify and treat associated ligament injuries and fractures (eg, forearm interosseous ligament injury or elbow dislocation).

Heterotopic Ossification of the Elbow Treated With Surgical Resection: Risk Factors, Bony Ankylosis, and Complications

Dane Salazar MD, Andrew Golz BS, Heidi Israel PhD, Guido Marra MD

Heterotopic ossification is the most common extrinsic cause of elbow contracture and may lead to clinically important stiffness, and rarely, complete bony ankylosis. Surgery sometimes is performed to treat this problem, and published reports differ regarding the factors that are associated with success or failure after this operation and whether the procedure is effective for patients with elbow ankylosis.

Is ORIF Superior to Nonoperative Treatment in Isolated Displaced Partial Articular Fractures of the Radial Head?

Albert Yoon MBChB, Graham J. W. King MD, MSc, Ruby Grewal MD, MSc

While good results have been reported with both nonoperative and operative treatment of isolated displaced partial radial head fractures, there remains considerable disagreement about the role of surgery in the management of these injuries.

Open Reduction and Internal Fixation of Radial Head Fractures: Do Outcomes Differ Between Simple and Complex Injuries?

Jeffrey M. Pike MD, MPH, Ruby Grewal MD, MSc, George S. Athwal MD, Kenneth J. Faber MD, MHPE, Graham J. W. King MD, MSc

Radial head fractures can occur in isolation or in association with elbow and forearm injuries. Treatment options include nonoperative management, fragment or whole-head excision, open reduction and internal fixation (ORIF), and radial head arthroplasty. However, the evidence supporting ORIF for repairable radial head fractures is inconclusive.

Can We Treat Select Terrible Triad Injuries Nonoperatively?

Kevin Chan MD, MSc, Joy C. MacDermid BScPT, MSc, PhD, Kenneth J. Faber MD, MHPE, FRCSC, Graham J. W. King MD, MSc, FRCSC, George S. Athwal MD

While the majority of terrible triad elbow injuries (ulnohumeral dislocation with radial head and coronoid fractures) are managed surgically, nonoperative treatment may be appropriate in selected patients, but results with this approach have been limited by very small studies.

Radial Head Replacement for Acute Complex Fractures: What Are the Rate and Risks Factors for Revision or Removal?

Andrew D. Duckworth MSc, MRCSEd, Neil R. Wickramasinghe MBChB, Nicholas D. Clement MRCSEd, Charles M. Court-Brown MD, FRCSEd(Orth), Margaret M. McQueen MD, FRCSEd(Orth)

When treating complex radial head fractures, important goals include prevention of elbow or forearm instability, with restoration of radiocapitellar contact essential. When open reduction and internal fixation cannot achieve this, radial head replacement is routinely employed, but the frequency of and risk factors for prosthesis revision or removal are not well defined.

Complications of Hinged External Fixation Compared With Cross-pinning of the Elbow for Acute and Subacute Instability

David Ring MD, PhD, Wendy E. Bruinsma MD, Jesse B. Jupiter MD

Elbows that are unstable after injury or reconstructive surgery often are stabilized using external fixation or cross-pinning of the joint supplemented by cast immobilization. The superiority of one approach or the other remains a matter of debate.

Comparative Study of Simple and Complex Open Elbow Dislocations

Jorge G. Boretto MD, Mario Rodriguez Sammartino MD, Gerardo Gallucci MD, Pablo De Carli MD, David Ring MD, PhD

Open elbow dislocations are rare injuries. Most of the evidence related to these dislocations is found in case reports or in series with closed injuries. We reviewed the experiences of three centers in the treatment of open elbow dislocations.

Long-term Outcome of Displaced, Transverse, Noncomminuted Olecranon Fractures

Hendrik J. A. Flinterman MD, Job N. Doornberg MD, PhD, Thierry G. Guitton MD, PhD, David Ring MD, PhD, J. Carel Goslings MD, PhD, Peter Kloen MD, PhD

Operative treatment of a displaced, transverse, noncomminuted fracture of the olecranon is associated with good to excellent elbow function in retrospective short-term followup studies. However, to our knowledge, no studies have evaluated objective and subjective outcomes using standardized outcome instruments (ie, DASH and Mayo Elbow Performance Index [MEPI]) to quantify long-term outcome of these specific fractures.