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Journal of Orthopaedics and Traumatology

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Open Access 01-12-2013 | Case Report

Elbow instability secondary to lateral epicondylar nounion in an adult

Authors: Maria Valencia, Raul Barco, Samuel A. Antuña

Published in: Journal of Orthopaedics and Traumatology | Issue 4/2013

Abstract

Symptomatic nonunion of the lateral epicondyle of the elbow is a rare injury. We present the case of a 36-year-old woman who complained of elbow pain and instability several months after a conservatively treated lateral epicondyle fracture that evolved into nonunion. In order to reestablish elbow stability, the patient underwent removal of the nonunited epicondylar fragment and ligament repair, with excellent clinical outcome.

Sanchez-Sotelo J (2009) Lateral collateral ligament insufficiency. In: Morrey BF (ed) The elbow and it’s disorders, 4th edn. WB Saunders Company, Philadelphia, pp 669–677. ISBN No 978-1-4160-2902-1

O′Driscoll SW, Bell DF, Morrey BF (1991) Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 73:440–446PubMed

McKee MD, Mirzayan R, Zionts LE (2003) Displaced fractures of the lateral epicondyle of the humerus and posterolateral rotatory instability of the elbow. J Bone J Surg Am 85:1165–1166

McKee MD, Schemitsch EH, Sala MJ, O′Driscoll SW (2003) The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg 12:391–396. doi:10.1016/S1058-2746(03)00027-2PubMedCrossRef

Kobayashi Y, Oka Y, Ikeda M, Munesada S (2000) Avulsion fracture of the medial and lateral epicondyles of the humerus. J Shoulder Elbow Surg 9:59–64. doi:10.1016/S1058-2746(00)90010-7PubMedCrossRef

Gilchrist AD, McKee MD (2002) Valgus instability of the elbow due to medial epicondyle nonunion: treatment by fragment excision and ligament repair—a report of 5 cases. J Shoulder Elbow Surg 11:493–507. doi:10.1067/mse.2002.126206PubMedCrossRef

Grumet RC, Friel NA, Cole BJ (2010) Bony avulsion of medial ulnar collateral ligament in a gymnast: a case report. J Shoulder Elbow Surg 19:e1–e6. doi:10.1016/j.jse.2010.04.007PubMedCrossRef

Smith JT, McFeely ED, Bae DS, Waters PM, Micheli LJ, Kocher MS (2010) Operative fixation of medial humeral epicondyle fracture nonunion in children. J Pediatr Orthop 30:644–648PubMedCrossRef

Title: Elbow instability secondary to lateral epicondylar nounion in an adult
Authors: Maria Valencia
Raul Barco
Samuel A. Antuña
Publication date: 01-12-2013
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 4/2013
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-012-0221-z

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Elbow instability secondary to lateral epicondylar nounion in an adult

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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