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Therapeutic options for acute and chronic elbow instability

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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.

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References

  1. 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.

    Google Scholar 

  2. Hobgood ER, Khan SO, Field LD. Acute dislocations of the adult elbow. Hand Clin. 2008;24:1–7.

    Article  PubMed  Google Scholar 

  3. O’Driscoll SW. Classification and evaluation of recurrent instability of the elbow. Clin Orthop Relat Res. 2000;370:34–43.

    Article  PubMed  Google Scholar 

  4. Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin Othop Relat Res. 1991;271:170–9.

    Google Scholar 

  5. Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint. Tech Hand Up Extrem Surg. 2003;7(4):168–78.

    Article  PubMed  Google Scholar 

  6. Safran, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg. 2005;14(1 Suppl S):179S–85S.

    Article  PubMed  Google Scholar 

  7. 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  Google Scholar 

  8. 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. Regan W, Morrey B. Fractures of the coronoid process of the ulna. J Bone Joint Surg Am. 1989;71(9):1348–54.

    PubMed  CAS  Google Scholar 

  10. O’Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34.

    PubMed  Google Scholar 

  11. 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  CAS  Google Scholar 

  12. Farron A, Ménétrey J. Isolated dislocation of the elbow. Swiss Surg. 1997;3(4):172–6.

    PubMed  CAS  Google Scholar 

  13. 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  CAS  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  CAS  Google Scholar 

  18. Charalambous CP, Stanley JK. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2008;90(3):272–9.

    Google Scholar 

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Conflict of interest

The authors mention that they have no conflict of interest.

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Authors and Affiliations

  1. ARCUS-Sportklinik, Rastatter Str. 17-19, 75179, Pforzheim, Germany

    F. Dehlinger, S. Franke & B. Hollinger

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  1. F. Dehlinger
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  2. S. Franke
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  3. B. Hollinger
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Correspondence to F. Dehlinger.

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Dehlinger, F., Franke, S. & Hollinger, B. Therapeutic options for acute and chronic elbow instability. Eur J Trauma Emerg Surg 38, 585–592 (2012). https://doi.org/10.1007/s00068-012-0205-y

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  • DOI: https://doi.org/10.1007/s00068-012-0205-y

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