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Biomechanics of the Elbow

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The Unstable Elbow

Abstract

Elbow stability is provided by a complex interplay of static and dynamic stabilizers that are of variable importance depending upon the position of the elbow and upon which structures have been damaged. Static stabilizers include the conformity of the ulnotrochlear joint, the coronoid process, the concavity–convexity of the radial head and capitellum, the anterior band of the ulnar collateral ligament, and the lateral collateral ligament complex. The anterior band of the ulnar collateral ligament is the primary stabilizer against valgus stress, with the radial head serving as a secondary stabilizer. The lateral collateral ligament complex, which consists of the radial collateral ligament, the lateral ulnar collateral ligament, and the annular ligament, is the primary stabilizer to varus stress, with the coronoid serving as a secondary stabilizer. Dynamic stabilizers of the ulnotrochlear joint include the biceps, brachialis, triceps, and anconeus. These structures act to center contact pressures. The flexor-pronator mass serves as a dynamic stabilizer to valgus stress and the extensors serve as a dynamic stabilizer to varus stress, completing the “concavity-compression” mechanism of the radiocapitellar joint. A thorough understanding of the anatomy, function, and interaction of these structures is crucial for understanding the rationale for the surgical treatment of elbow instability.

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References

  1. Morrey BF, Chao EY. Passive motion of the elbow joint. J Bone Joint Surg Am. 1976;58:501–8.

    Article  CAS  PubMed  Google Scholar 

  2. An K-N, Zobitz ME, Morrey BF. Biomechanics of the elbow. In: Morrey BF, editor. The elbow and its disorders. 4th ed. Amsterdam: Elsevier; 2009. p. 39–63.

    Chapter  Google Scholar 

  3. Schlein AP. Semiconstrained total elbow arthroplasty. Clin Orthop Relat Res 1976; 222–9.

    Google Scholar 

  4. Deland JT, Garg A, Walker PS. Biomechanical basis for elbow hinge-distractor design. Clin Orthop Relat Res. 1987; 303–12.

    Google Scholar 

  5. Cohen MS, Hastings H. Rotatory instability of the elbow. The anatomy and role of the lateral stabilizers. J Bone Joint Surg Am. 1997;79:225–33.

    Article  CAS  PubMed  Google Scholar 

  6. Sekiya H, Neale PG, O’Driscoll SW, An KN, Morrey BF. An in vitro biomechanical study of a hinged external fixator applied to an unstable elbow. J Shoulder Elbow Surg. 2005;14:429–32.

    Article  CAS  PubMed  Google Scholar 

  7. Bigazzi P, Biondi M, Corvi A, Pfanner S, Checcucci G, Ceruso M. A new autocentering hinged external fixator of the elbow: a device that stabilizes the elbow axis without use of the articular pin. J Shoulder Elbow Surg. 2015;24:1197–205.

    Article  PubMed  Google Scholar 

  8. Olsen BS, Søjbjerg JO, Nielsen KK, Vaesel MT, Dalstra M, Sneppen O. Posterolateral elbow joint instability: the basic kinematics. J Shoulder Elbow Surg. 1998;7:19–29.

    Article  CAS  PubMed  Google Scholar 

  9. O’Driscoll SW, Morrey BF, An KN. Intraarticular pressure and capacity of the elbow. Arthroscopy. 1990;6:100–3.

    Article  PubMed  Google Scholar 

  10. Morrey BF. Post-traumatic contracture of the elbow. Operative treatment, including distraction arthroplasty. J Bone Joint Surg Am. 1990;72:601–18.

    Article  CAS  PubMed  Google Scholar 

  11. Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63:872–7.

    Article  CAS  PubMed  Google Scholar 

  12. Sardelli M, Tashjian RZ, MacWilliams BA. Functional elbow range of motion for contemporary tasks. J Bone Joint Surg Am. 2011;93:471–7.

    Article  PubMed  Google Scholar 

  13. An KN, Morrey BF, Chao EY. The effect of partial removal of proximal ulna on elbow constraint. Clin Orthop Relat Res. 1986; 270–9.

    Google Scholar 

  14. Beuerlein MJ, Reid JT, Schemitsch EH, McKee MD. Effect of distal humeral varus deformity on strain in the lateral ulnar collateral ligament and ulnohumeral joint stability. J Bone Joint Surg Am. 2004;86-A:2235–42.

    Article  PubMed  Google Scholar 

  15. Chanlalit C, Shukla DR, Fitzsimmons JS, Thoreson AR, An K-N, O’Driscoll SW. Radiocapitellar stability: the effect of soft tissue integrity on bipolar versus monopolar radial head prostheses. J Shoulder Elbow Surg. 2011;20:219–25.

    Article  PubMed  Google Scholar 

  16. Cohen MS. Lateral collateral ligament instability of the elbow. Hand Clin. 2008;24:69–77.

    Article  PubMed  Google Scholar 

  17. Dargel J, Boomkamp E, Wegmann K, Eysel P, Müller LP, Hackl M. Reconstruction of the lateral ulnar collateral ligament of the elbow: a comparative biomechanical study. Knee Surg Sports Traumatol Arthrosc. 2015; doi: 10.1007/s00167-015-3627-3.

  18. Dunning CE, Zarzour ZD, Patterson SD, Johnson JA, King GJ. Ligamentous stabilizers against posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 2001;83-A:1823–8.

    Article  CAS  PubMed  Google Scholar 

  19. Fuss FK. The ulnar collateral ligament of the human elbow joint. Anatomy, function and biomechanics. J Anat. 1991;175:203–12.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. de Haan J, Schep NWL, Eygendaal D, Kleinrensink G-J, Tuinebreijer WE, den Hartog D. Stability of the elbow joint: relevant anatomy and clinical implications of in vitro biomechanical studies. Open Orthop J. 2011;5:168–76.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Eygendaal D, Verdegaal SH, Obermann WR, van Vugt AB, Pöll RG, Rozing PM. Posterolateral dislocation of the elbow joint. Relationship to medial instability. J Bone Joint Surg Am. 2000;82:555–60.

    Article  CAS  PubMed  Google Scholar 

  22. Josefsson PO, Gentz CF, Johnell O, Wendeberg B. Surgical versus non-surgical treatment of ligamentous injuries following dislocation of the elbow joint. A prospective randomized study. J Bone Joint Surg Am. 1987;69:605–8.

    Article  CAS  PubMed  Google Scholar 

  23. Josefsson PO, Johnell O, Wendeberg B. Ligamentous injuries in dislocations of the elbow joint. Clin Orthop Relat Res. 1987; 221–5.

    Google Scholar 

  24. An KN, Himeno S, Tsumura H, Kawai T, Chao EY. Pressure distribution on articular surfaces: application to joint stability evaluation. J Biomech. 1990;23:1013–20.

    Article  CAS  PubMed  Google Scholar 

  25. Seiber K, Gupta R, McGarry MH, Safran MR, Lee TQ. The role of the elbow musculature, forearm rotation, and elbow flexion in elbow stability: an in vitro study. J Shoulder Elbow Surg. 2009;18:260–8.

    Article  PubMed  Google Scholar 

  26. Shukla DR, Fitzsimmons JS, An K-N, O’Driscoll SW. Effect of radial head malunion on radiocapitellar stability. J Shoulder Elbow Surg. 2012;21:789–94.

    Article  PubMed  Google Scholar 

  27. Szekeres M, Chinchalkar SJ, King GJW. Optimizing elbow rehabilitation after instability. Hand Clin. 2008;24:27–38.

    Article  PubMed  Google Scholar 

  28. Hughes RE, Schneeberger AG, An KN, Morrey BF, O’Driscoll SW. Reduction of triceps muscle force after shortening of the distal humerus: a computational model. J Shoulder Elbow Surg. 1997;6:444–8.

    Article  CAS  PubMed  Google Scholar 

  29. Markolf KL, Lamey D, Yang S, Meals R, Hotchkiss R. Radioulnar load-sharing in the forearm. A study in cadavera. J Bone Joint Surg Am. 1998;80:879–88.

    Article  CAS  PubMed  Google Scholar 

  30. Morrey BF, An KN, Stormont TJ. Force transmission through the radial head. J Bone Joint Surg Am. 1988;70:250–6.

    Article  CAS  PubMed  Google Scholar 

  31. Hotchkiss RN, An KN, Sowa DT, Basta S, Weiland AJ. An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius. J Hand Surg Am. 1989;14:256–61.

    Article  CAS  PubMed  Google Scholar 

  32. Morrey BF, Tanaka S, An KN. Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res. 1991; 187–95.

    Google Scholar 

  33. Pomianowski S, O’Driscoll SW, Neale PG, Park MJ, Morrey BF, An KN. The effect of forearm rotation on laxity and stability of the elbow. Clin Biomech (Bristol, Avon). 2001;16:401–7.

    Article  CAS  Google Scholar 

  34. Pomianowski S, Morrey BF, Neale PG, Park MJ, O’Driscoll SW, An KN. Contribution of monoblock and bipolar radial head prostheses to valgus stability of the elbow. J Bone Joint Surg Am. 2001;83-A:1829–34.

    Article  CAS  PubMed  Google Scholar 

  35. Safran MR, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg. 2005;14:179S–85.

    Article  PubMed  Google Scholar 

  36. O’Driscoll SW, Morrey BF, Korinek S, An KN. Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Relat Res. 1992; 186–97.

    Google Scholar 

  37. McKee MD, Schemitsch EH, Sala MJ, O’Driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg. 2003;12:391–6.

    Article  PubMed  Google Scholar 

  38. Steinmann SP. Coronoid process fracture. J Am Acad Orthop Surg. 2008;16:519–29.

    Article  PubMed  Google Scholar 

  39. Tashjian RZ, Katarincic JA. Complex elbow instability. J Am Acad Orthop Surg. 2006;14:278–86.

    Article  PubMed  Google Scholar 

  40. Wyrick JD, Dailey SK, Gunzenhaeuser JM, Casstevens EC. Management of complex elbow dislocations: a mechanistic approach. J Am Acad Orthop Surg. 2015;23:297–306.

    Article  PubMed  Google Scholar 

  41. Schreiber JJ, Warren RF, Hotchkiss RN, Daluiski A. An online video investigation into the mechanism of elbow dislocation. J Hand Surg Am. 2013;38:488–94.

    Article  PubMed  Google Scholar 

  42. Morrey BF, An KN. Functional anatomy of the ligaments of the elbow. Clin Orthop Relat Res. 1985; 84–90.

    Google Scholar 

  43. Murthi AM, Keener JD, Armstrong AD, Getz CL. The recurrent unstable elbow: diagnosis and treatment. Instr Course Lect. 2011;60:215–26.

    PubMed  Google Scholar 

  44. Anakwenze OA, Kancherla VK, Iyengar J, Ahmad CS, Levine WN. Posterolateral rotatory instability of the elbow. Am J Sports Med. 2014;42:485–91.

    Article  PubMed  Google Scholar 

  45. Moritomo H, Murase T, Arimitsu S, Oka K, Yoshikawa H, Sugamoto K. The in vivo isometric point of the lateral ligament of the elbow. J Bone Joint Surg Am. 2007;89:2011–7.

    PubMed  Google Scholar 

  46. Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin Orthop Relat Res. 1991; 170–9.

    Google Scholar 

  47. O’Driscoll SW, Spinner RJ, McKee MD, et al. Tardy posterolateral rotatory instability of the elbow due to cubitus varus. J Bone Joint Surg Am. 2001;83-A:1358–69.

    Article  PubMed  Google Scholar 

  48. O’Driscoll SW, Bell DF, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1991;73:440–6.

    Article  PubMed  Google Scholar 

  49. McAdams TR, Masters GW, Srivastava S. The effect of arthroscopic sectioning of the lateral ligament complex of the elbow on posterolateral rotatory stability. J Shoulder Elbow Surg. 2005;14:298–301.

    Article  PubMed  Google Scholar 

  50. Olsen BS, Henriksen MG, Sojbjerg JO, Helmig P, Sneppen O. Elbow joint instability: a kinematic model. J Shoulder Elbow Surg. 2009;3:143–50.

    Article  Google Scholar 

  51. Gray AB, Alolabi B, Ferreira LM, Athwal GS, King GJW, Johnson JA. The effect of a coronoid prosthesis on restoring stability to the coronoid-deficient elbow: a biomechanical study. J Hand Surg Am. 2013;38:1753–61.

    Article  PubMed  Google Scholar 

  52. Schneeberger AG, Sadowski MM, Jacob HAC. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg Am. 2004;86-A:975–82.

    Article  PubMed  Google Scholar 

  53. Hotchkiss RN, Weiland AJ. Valgus stability of the elbow. J Orthop Res. 1987;5:372–7.

    Article  CAS  PubMed  Google Scholar 

  54. Deutch SR, Jensen SL, Tyrdal S, Olsen BS. Elbow joint stability following experimental osteoligamentous injury and reconstruction. Journal of Shoulder and reconstruction. J Shoulder Elbow Surg. 2003;12(5):466–71. doi:10.1016/S1058-2746(03)00062-4.

    Article  PubMed  Google Scholar 

  55. Deutch SR, Jensen SL, Olsen BS. Elbow joint stability in relation to forced external rotation: an experimental study of the osseous constraint. J Shoulder Elbow Surg. 2003;12(3):287–92. doi:10.1016/S1058-2746(02)86814-8.

    Article  PubMed  Google Scholar 

  56. Sabo MT, Shannon HL, Deluce S, Lalone E, Ferreira LM, Johnson JA, King GJW. Capitellar excision and hemiarthroplasty affects elbow kinematics and stability. J Shoulder Elbow Surg. 2012;21:1024–1031.e4.

    Article  PubMed  Google Scholar 

  57. Root CG, Meyers K, Wright T, Hotchkiss R. Capitellum excision: mechanical implications and clinical consequences. J Orthop Res. 2014;32:346–50.

    Article  PubMed  Google Scholar 

  58. Jensen SL, Olsen BS, Tyrdal S, Søjbjerg JO, Sneppen O. Elbow joint laxity after experimental radial head excision and lateral collateral ligament rupture: efficacy of prosthetic replacement and ligament repair. J Shoulder Elbow Surg. 2005;14:78–84.

    Article  PubMed  Google Scholar 

  59. Chanlalit C, Shukla DR, Fitzsimmons JS, An K-N, O’Driscoll SW. The biomechanical effect of prosthetic design on radiocapitellar stability in a terrible triad model. J Orthop Trauma. 2012;26:539–44.

    Article  PubMed  Google Scholar 

  60. Moon J-G, Berglund LJ, Zachary D, An K-N, O’Driscoll SW. Radiocapitellar joint stability with bipolar versus monopolar radial head prostheses. J Shoulder Elbow Surg. 2009;18:779–84.

    Article  PubMed  Google Scholar 

  61. Van Glabbeek F, Van Riet RP, Baumfeld JA, Neale PG, O’Driscoll SW, Morrey BF, An KN. Detrimental effects of overstuffing or understuffing with a radial head replacement in the medial collateral-ligament deficient elbow. J Bone Joint Surg Am. 2004;86-A:2629–35.

    Article  PubMed  Google Scholar 

  62. Schwab GH, Bennett JB, Woods GW, Tullos HS. Biomechanics of elbow instability: the role of the medial collateral ligament. Clin Orthop Relat Res. 1980; 42–52.

    Google Scholar 

  63. Armstrong AD, Dunning CE, Ferreira LM, Faber KJ, Johnson JA, King GJW. A biomechanical comparison of four reconstruction techniques for the medial collateral ligament-deficient elbow. J Shoulder Elbow Surg. 2005;14:207–15.

    Article  PubMed  Google Scholar 

  64. Søjbjerg JO, Ovesen J, Nielsen S. Experimental elbow instability after transection of the medial collateral ligament. Clin Orthop Relat Res. 1987; 186–90.

    Google Scholar 

  65. Hassan SE, Parks BG, Douoguih WA, Osbahr DC. Effect of distal ulnar collateral ligament tear pattern on contact forces and valgus stability in the posteromedial compartment of the elbow. Am J Sports Med. 2015;43:447. doi:10.1177/0363546514557239.

    Article  PubMed  Google Scholar 

  66. Fleisig GS, Andrews JR, Dillman CJ, Escamilla RF. Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med. 1995;23:233–9.

    Article  CAS  PubMed  Google Scholar 

  67. Aguinaldo AL, Chambers H. Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Am J Sports Med. 2009;37:2043–8.

    Article  PubMed  Google Scholar 

  68. Anz AW, Bushnell BD, Griffin LP, Noonan TJ, Torry MR, Hawkins RJ. Correlation of torque and elbow injury in professional baseball pitchers. Am J Sports Med. 2010;38:1368–74.

    Article  PubMed  Google Scholar 

  69. Davis JT, Limpisvasti O, Fluhme D, Mohr KJ, Yocum LA, Elattrache NS, Jobe FW. The effect of pitching biomechanics on the upper extremity in youth and adolescent baseball pitchers. Am J Sports Med. 2009;37:1484–91.

    Article  CAS  PubMed  Google Scholar 

  70. Dillman CJ, Fleisig GS, Andrews JR. Biomechanics of pitching with emphasis upon shoulder kinematics. J Orthop Sports Phys Ther. 1993;18:402–8.

    Article  CAS  PubMed  Google Scholar 

  71. Feltner ME, Dapena J. Three-dimensional interactions in a two-segment kinetic chain. Part 1; General model. Int J Sports Biomech. 1989;5:403–19.

    Article  Google Scholar 

  72. Werner SL, Fleisig GS, Dillman CJ, Andrews JR. Biomechanics of the elbow during baseball pitching. J Orthop Sports Phys Ther. 1993;17:274–8.

    Article  CAS  PubMed  Google Scholar 

  73. Altchek DW, Hyman J, Williams R, Levinson M, Allen AA, Paletta Jr GA, Dines DM, Botts JD. Management of MCL injuries of the elbow in throwers. Tech Shoulder Elbow Surg. 2000;1:73–81.

    Article  Google Scholar 

  74. Dodson CC, Altchek DW. Ulnar collateral ligament reconstruction revisited: the procedure I use and why. Sports Health. 2012;4:433–7.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Dodson CC, Thomas A, Dines JS, Nho SJ, Williams RJ, Altchek DW. Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes. Am J Sports Med. 2006;34:1926–32.

    Article  PubMed  Google Scholar 

  76. Morrey BF, An KN. Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med. 1983;11:315–9.

    Article  CAS  PubMed  Google Scholar 

  77. Bowers AL, Dines JS, Dines DM, Altchek DW. Elbow medial ulnar collateral ligament reconstruction: clinical relevance and the docking technique. J Shoulder Elbow Surg. 2010;19:110–7.

    Article  PubMed  Google Scholar 

  78. Conway JE, Jobe FW, Glousman RE, PINK M. Medial instability of the elbow in throwing athletes. Treatment by repair or reconstruction of the ulnar collateral ligament. J Bone Joint Surg Am. 1992;74:67–83.

    Article  CAS  PubMed  Google Scholar 

  79. Jobe FW, Stark H, Lombardo SJ. Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am. 1986;68:1158–63.

    Article  CAS  PubMed  Google Scholar 

  80. Savoie FH, Morgan C, Yaste J, Hurt J, Field L. Medial ulnar collateral ligament reconstruction using hamstring allograft in overhead throwing athletes. J Bone Joint Surg Am. 2013;95:1062–6.

    Article  PubMed  Google Scholar 

  81. Thompson WH, Jobe FW, Yocum LA, Pink MM. Ulnar collateral ligament reconstruction in athletes: muscle-splitting approach without transposition of the ulnar nerve. J Shoulder Elbow Surg. 2001;10:152–7.

    Article  CAS  PubMed  Google Scholar 

  82. Waris W. Elbow injuries of javelin-throwers. Acta Chir Scand. 1946;93:563–75.

    CAS  PubMed  Google Scholar 

  83. Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS, DiCarlo E, Brause BD, Warren RF. Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. J Shoulder Elbow Surg. 2010;19:303–7.

    Article  PubMed  Google Scholar 

  84. Petty DH. Ulnar collateral ligament reconstruction in high school baseball players: clinical results and injury risk factors. Am J Sports Med. 2004;32:1158–64.

    Article  PubMed  Google Scholar 

  85. Podesta L, Crow SA, Volkmer D, Bert T, Yocum LA. Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med. 2013;41:1689–94.

    Article  PubMed  Google Scholar 

  86. Rohrbough JT, Altchek DW, Hyman J, Williams RJ, Botts JD. Medial collateral ligament reconstruction of the elbow using the docking technique. Am J Sports Med. 2002;30:541–8.

    PubMed  Google Scholar 

  87. Kodde IF, Rahusen FTG, Eygendaal D. Long-term results after ulnar collateral ligament reconstruction of the elbow in European athletes with interference screw technique and triceps fascia autograft. J Shoulder Elbow Surg. 2012;21:1656–63.

    Article  PubMed  Google Scholar 

  88. Glousman RE, Barron J, Jobe FW, Perry J, Pink M. An electromyographic analysis of the elbow in normal and injured pitchers with medial collateral ligament insufficiency. Am J Sports Med. 1992;20:311–7.

    Article  CAS  PubMed  Google Scholar 

  89. Chronister JE, Morris RP, Andersen CR, Buford WL, Bennett JM, Mehlhoff TL. A biomechanical comparison of 2 hybrid techniques for elbow ulnar collateral ligament reconstruction. J Hand Surg. 2014;39:2033–40.

    Article  Google Scholar 

  90. Ahmad CS, Lee TQ, ElAttrache NS. Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screw fixation. Am J Sports Med. 2003;31:332–7.

    PubMed  Google Scholar 

  91. Ciccotti MG, Siegler S, Kuri JA, Thinnes JH, Murphy DJ. Comparison of the biomechanical profile of the intact ulnar collateral ligament with the modified Jobe and the Docking reconstructed elbow: an in vitro study. Am J Sports Med. 2009;37:974–81.

    Article  PubMed  Google Scholar 

  92. Hurbanek JG, Anderson K, Crabtree S, Karnes GJ. Biomechanical comparison of the docking technique with and without humeral bioabsorbable interference screw fixation. Am J Sports Med. 2009;37:526–33.

    Article  PubMed  Google Scholar 

  93. McGraw MA, Kremchek TE, Hooks TR, Papangelou C. Biomechanical evaluation of the docking plus ulnar collateral ligament reconstruction technique compared with the docking technique. Am J Sports Med. 2013;41:313–20.

    Article  PubMed  Google Scholar 

  94. Morgan RJ, Starman JS, Habet NA, Peindl RD, Bankston LS, D’Alessandro DD, Connor PM, Fleischli JE. A biomechanical evaluation of ulnar collateral ligament reconstruction using a novel technique for ulnar-sided fixation. Am J Sports Med. 2010;38:1448–55.

    Article  PubMed  Google Scholar 

  95. Paletta GA, Klepps SJ, Difelice GS, Allen T, Brodt MD, Burns ME, Silva MJ, Wright RW. Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow. Am J Sports Med. 2006;34:1599–603.

    Article  PubMed  Google Scholar 

  96. Ruland RT, Hogan CJ, Randall CJ, Richards A, Belkoff SM. Biomechanical comparison of ulnar collateral ligament reconstruction techniques. Am J Sports Med. 2008;36:1565–70.

    Article  PubMed  Google Scholar 

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Acknowledgements

The work for this chapter was performed at Washington University Medical Center in Saint Louis, MO.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA

    Peter N. Chalmers MD

  2. Department of Orthopedic Surgery, Washington University Medical Center, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA

    Aaron M. Chamberlain MD, MSc

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Correspondence to Aaron M. Chamberlain MD, MSc .

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  1. Department of Orthopedics, University of Utah School of Medicine, Salt Lake City, Utah, USA

    Robert Z. Tashjian

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Chalmers, P.N., Chamberlain, A.M. (2017). Biomechanics of the Elbow. In: Tashjian, R. (eds) The Unstable Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-46019-2_2

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