Anatomical parameters in the lateral ulnar collateral ligament reconstruction: a cadaver study

Stipp, Willian Nandi; Ribeiro, Fabiano Rebouças; Junior, Antonio Carlos Tenor; Filho, Cantídio Salvador Filardi; Molin, Danilo Canesin Dal; Petros, Rodrigo Souto Borges; Filho, Rômulo Brasil

doi:10.1016/j.rboe.2012.05.001

Cited by 3 publications

(3 citation statements)

References 25 publications

(57 reference statements)

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“…When compared to the torn state, all procedures considerably increased posterolateral rotatory stability from 30° to 120° of elbow flexion, but not at full extension (0°) 6 . This may be due to the LUCL not being isometric because the ligament is lax in elbow extension and tight in elbow flexion 16 . Sheiderer et al also mention that tape is more stiff than the native LUCL, and overtensioning of the radiocapitellar joint should be avoided and evaluated intraoperatively 6 .…”

Section: Discussionmentioning

confidence: 99%

Bracing with Tape and Extensor Refixation of Elbow with Posterolateral Instability Due to Cubitus Varus

Sachinis,

Beitzel,

Moya

et al. 2023

JBJS Case Connector

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Case: A 54-year-old patient had lateral ligament insufficiency due to cubitus varus from a childhood supracondylar fracture. Arthrolysis/synovectomy and at a later stage double-row extensor origin refixation and lateral ulnar collateral ligament bracing with nonabsorbent tape and anchors were performed. Follow-up at 3, 6, 12, and 24 months showed excellent Mayo Elbow Performance and Disabilities of Arm, Shoulder, and Hand Scores (24-month follow-up = 100 and 2.5, respectively). Conclusion: Suture tape augmentation and double-row extensor refixation in cases of lateral collateral ligament complex insufficiency due to cubitus varus may provide improved short-term functional outcomes, from the third postoperative month.

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Section: Discussionmentioning

confidence: 99%

Bracing with Tape and Extensor Refixation of Elbow with Posterolateral Instability Due to Cubitus Varus

Sachinis,

Beitzel,

Moya

et al. 2023

JBJS Case Connector

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show abstract

“…[15][16][17][18] An accessory lateral collateral ligament may be present in some cases, extending from the most distal and lateral fibers of the AL to the supinator crest of the ulna. 19 The AL is responsible for proximal radioulnar stability, together with the radioulnar interosseous membrane (IOM).…”

Section: Annular Ligamentmentioning

confidence: 99%

Acute Ligament Injuries of the Elbow

Edelmuth

Helito

Correa

et al. 2021

Semin Musculoskelet Radiol

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“…Controversy remains regarding the anatomy of the lateral collateral ligament complex of the elbow and their relation to the surrounding forearm extensor muscles. The lateral ulnar collateral ligament (LUCL) has been described as an important stabilizer against posterolateral rotatory forces in several studies [ 4 - 6 ]. Hackl et al [ 7 ] considered the LUCL is coalescing ligament with the annular ligament (AL) rather than representing a distinct ligament.…”

Section: Introductionmentioning

confidence: 99%

A modified trans-anconeus approach to facilitate fixation of a posterior radial head fracture: a cadaveric feasibility study

et al. 2023

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Fixation of radial head fracture with minimally invasive posterior approach remains a significant challenge. The aim of this study was to determine the feasibility of trans-anconeus posterior elbow approach and to observe lateral ulnar collateral ligament (LUCL) in extended elbows. This cadaveric study was performed in twenty upper limbs of fresh fixed adult male cadavers. An oblique incision was made in the middle segment of anconeus until the lateral ligament complex and the joint capsule had been revealed. A deep dissection was explored to observe the anatomical relationship of the LUCL to the anconeus. Measurements of the LUCL were recorded while the elbow was fully extended. The mean distance between the edge of the radial head and the proximal insertion of the LUCL was 13.3 mm (11.5-16.2 mm); the mean distance between the edge of the radial head and the distal insertion of the LUCL was 20.9 mm (19.2-23.4 mm); the distance between the edge of the radial head and the distal edge of the annular ligament was 11.2 mm (8.22-11.7 mm). By estimate correlation of the previous measurements, the direct and accessible way to expose the posterolateral articular capsule of the elbow joint was through a window in medial 2/3 of the middle segment of anconeus muscle. These trans-anconeus approach is useful. It provides good visualization, facilitates applying the implants, and lessens the risk of radial nerve injury. Awareness of the anatomy is mandatory to avoid injury of LUCL.

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Anatomical parameters in the lateral ulnar collateral ligament reconstruction: a cadaver study

Cited by 3 publications

References 25 publications

Bracing with Tape and Extensor Refixation of Elbow with Posterolateral Instability Due to Cubitus Varus

Bracing with Tape and Extensor Refixation of Elbow with Posterolateral Instability Due to Cubitus Varus

Acute Ligament Injuries of the Elbow

A modified trans-anconeus approach to facilitate fixation of a posterior radial head fracture: a cadaveric feasibility study

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