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Published in: European Journal of Trauma and Emergency Surgery 6/2012

01-12-2012 | Review Article

Therapeutic options for acute and chronic elbow instability

Authors: F. Dehlinger, S. Franke, B. Hollinger

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2012

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Abstract

Introduction

Acute elbow instability usually develops after injuries involving the bony or ligamentous stabilizers of the joint. It occurs frequently after dislocation and/or fracture-dislocation, but isolated valgus or varus overloading can also lead to ligament ruptures with subsequent instability. Chronic instability can result from incompletely healed acute injuries or from recurring microtrauma, for example after repetitive strain from participating in certain sports.

Conclusion

Stable conditions of the joint are essential for early functional post-traumatic or postoperative treatment of the elbow, as permanent mobility deficits may result otherwise. The following article gives an overview of the current understanding of these injuries and concepts in treatment.
Literature
1.
go back to reference Josefsson PO, Getz CF, Johnell O, Wendeberg B. Surgical versus nonsurgical treatment of ligamentous injuries following dislocations of the elbow joint. A prospective randomized study. J Bone Joint Surg Am. 1987;4:605–8. Josefsson PO, Getz CF, Johnell O, Wendeberg B. Surgical versus nonsurgical treatment of ligamentous injuries following dislocations of the elbow joint. A prospective randomized study. J Bone Joint Surg Am. 1987;4:605–8.
2.
3.
go back to reference O’Driscoll SW. Classification and evaluation of recurrent instability of the elbow. Clin Orthop Relat Res. 2000;370:34–43.PubMedCrossRef O’Driscoll SW. Classification and evaluation of recurrent instability of the elbow. Clin Orthop Relat Res. 2000;370:34–43.PubMedCrossRef
4.
go back to reference Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin Othop Relat Res. 1991;271:170–9. Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin Othop Relat Res. 1991;271:170–9.
5.
go back to reference Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint. Tech Hand Up Extrem Surg. 2003;7(4):168–78.PubMedCrossRef Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint. Tech Hand Up Extrem Surg. 2003;7(4):168–78.PubMedCrossRef
6.
go back to reference Safran, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg. 2005;14(1 Suppl S):179S–85S.PubMedCrossRef Safran, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg. 2005;14(1 Suppl S):179S–85S.PubMedCrossRef
7.
go back to reference O’Driscoll SW, Morrey BF, Korinek S, An KN. Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Relat Res. 1992;280:186–97.PubMed O’Driscoll SW, Morrey BF, Korinek S, An KN. Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Relat Res. 1992;280:186–97.PubMed
8.
go back to reference Letsch R, Schmit-Neuerburg K-P. Bandverletzungen und Luxationen des Ellenbogengelenkes. In: Schmit-Neuerburg K-P, Towfigh H, Letsch R (Hrsg) Tscherne Unfallchirurgie. Ellenbogen, Unterarm, Hand, Band 1. Berlin: Springer; 2001. p. 67–76. Letsch R, Schmit-Neuerburg K-P. Bandverletzungen und Luxationen des Ellenbogengelenkes. In: Schmit-Neuerburg K-P, Towfigh H, Letsch R (Hrsg) Tscherne Unfallchirurgie. Ellenbogen, Unterarm, Hand, Band 1. Berlin: Springer; 2001. p. 67–76.
9.
go back to reference Regan W, Morrey B. Fractures of the coronoid process of the ulna. J Bone Joint Surg Am. 1989;71(9):1348–54.PubMed Regan W, Morrey B. Fractures of the coronoid process of the ulna. J Bone Joint Surg Am. 1989;71(9):1348–54.PubMed
10.
go back to reference O’Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34.PubMed O’Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34.PubMed
11.
go back to reference Mehlhoff TL, Noble PC, Benett JB, Tullos HS. Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am. 1988;70(2):244–9.PubMed Mehlhoff TL, Noble PC, Benett JB, Tullos HS. Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am. 1988;70(2):244–9.PubMed
12.
go back to reference Farron A, Ménétrey J. Isolated dislocation of the elbow. Swiss Surg. 1997;3(4):172–6.PubMed Farron A, Ménétrey J. Isolated dislocation of the elbow. Swiss Surg. 1997;3(4):172–6.PubMed
13.
go back to reference Rafai M, Largab A, Cohen D, Trafeh M. Pure posterior luxation of the elbow in adults: immobilization or early mobilization. A randomized prospective study of 50 cases. Chir Main. 1999;18(4):272–8.PubMed Rafai M, Largab A, Cohen D, Trafeh M. Pure posterior luxation of the elbow in adults: immobilization or early mobilization. A randomized prospective study of 50 cases. Chir Main. 1999;18(4):272–8.PubMed
14.
go back to reference Maripuri SN, Debnath UK, Rao P, Mohatny K. Simple elbow dislocation among adults: a comparative study of two different methods of treatment. Injury. 2007;38(11):1254–8. Epub 2007 Jul 20.PubMedCrossRef Maripuri SN, Debnath UK, Rao P, Mohatny K. Simple elbow dislocation among adults: a comparative study of two different methods of treatment. Injury. 2007;38(11):1254–8. Epub 2007 Jul 20.PubMedCrossRef
15.
go back to reference de Haan J, Schep NWL, Tuinebreijer WE, Patka P, den Hartog D. Simple elbow dislocation: a systematic review of the literature. Arch Orthop Trauma Surg. 2010;130:241–9.PubMedCrossRef de Haan J, Schep NWL, Tuinebreijer WE, Patka P, den Hartog D. Simple elbow dislocation: a systematic review of the literature. Arch Orthop Trauma Surg. 2010;130:241–9.PubMedCrossRef
16.
go back to reference McKee MD, Schemitsch EH, Sala MJ, O’Driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg. 2003;12(4):391–6.PubMedCrossRef McKee MD, Schemitsch EH, Sala MJ, O’Driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg. 2003;12(4):391–6.PubMedCrossRef
17.
go back to reference Heck S, Gick S, Dargel J, Pennig D. External fixation with motion capacity in acute dislocations and fracture dislocations of the elbow. Fixation with motion capacity. Unfallchirurgie. 2011;114(2):114–22.CrossRef Heck S, Gick S, Dargel J, Pennig D. External fixation with motion capacity in acute dislocations and fracture dislocations of the elbow. Fixation with motion capacity. Unfallchirurgie. 2011;114(2):114–22.CrossRef
18.
go back to reference Charalambous CP, Stanley JK. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2008;90(3):272–9. Charalambous CP, Stanley JK. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2008;90(3):272–9.
Metadata
Title
Therapeutic options for acute and chronic elbow instability
Authors
F. Dehlinger
S. Franke
B. Hollinger
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
European Journal of Trauma and Emergency Surgery / Issue 6/2012
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-012-0205-y

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