Acute elbow dislocation: comparison between magnetic resonance imaging and intra-operative finding of ligament injury

Tarallo, Luigi; Merolla, Giovanni; Porcellini, Giuseppe; Amorico, M. G.; Micheloni, Gian Mario; Novi, Michele; Giovine, Ettore Di; Catani, Fabio

doi:10.1007/s00264-020-04875-5

Cited by 9 publications

(4 citation statements)

References 24 publications

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“…Advanced imaging is an extremely helpful tool for orthopedic surgeons; however, they are an expensive modality and may also prove to be less helpful than previously thought. 32 , 34 …”

Section: Discussionmentioning

confidence: 99%

Global elbow instability: a case report

Lytle¹,

Meyers²,

Ballard³

et al. 2023

JSES Reviews, Reports, and Techniques

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“…Advanced imaging is an extremely helpful tool for orthopedic surgeons; however, they are an expensive modality and may also prove to be less helpful than previously thought. 32 , 34 …”

Section: Discussionmentioning

confidence: 99%

Global elbow instability: a case report

Lytle¹,

Meyers²,

Ballard³

et al. 2023

JSES Reviews, Reports, and Techniques

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“…32 One author found low specificity of MR in the diagnosis of elbow ligamentous tears: 50% (1-100%) for LUCL and 63% (38-88%) for UCL. 46 Although their wide confidence intervals limit the interpretation of the findings, considering partial tears in the calculations might explain the significant difference compared with the specificity found by Magee. Another study also cast doubt on the reproducibility of MR in the diagnosis of ligamentous tears after simple dislocations, showing only 60% exact agreement among experienced radiologists and orthopaedic surgeons in the interpretation of images.…”

Section: Imaging Findingsmentioning

confidence: 93%

Acute Ligament Injuries of the Elbow

Edelmuth

Helito

Correa

et al. 2021

Semin Musculoskelet Radiol

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“…T he elbow is the second most common dislocated joint after the shoulder joint 1 . An elbow dislocation can be classified as simple or complex.…”

mentioning

confidence: 99%

“…A simple elbow dislocation (SED) is a dislocation without associated fractures 2 . In many SEDs, small avulsions of the medial and/or collateral lateral ligaments or the capsule are seen; these avulsions are not classified as fractures 1 . The elbow dislocation has an incidence of 5 to 6 per 100,000 per year, of which 74% are SEDs 3,4 .…”

mentioning

confidence: 99%

Treatment Outcomes of Simple Elbow Dislocations

Pott,

de Klerk,

Priester-Vink

et al. 2024

JBJS Reviews

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Background: The treatment of simple elbow dislocations (SEDs) has become more functional last decade with a tendency to shorter immobilization of the elbow, whereas simultaneously, surgical stabilization has been promoted by some authors. The primary aim of this study was to systematically review the literature and analyze the outcomes and complications of different treatment options for acute and persistent SEDs, including operative and nonoperative treatments with varying immobilization periods. Methods: A literature search was performed based on the online medical databases MEDLINE, Embase, and the Cochrane databases. Articles presenting patients with a SED were eligible for inclusion. When an SED persists for >3 weeks, it is categorized as persistent. Various outcome measures were assessed, including the range of motion (ROM), patient-reported outcome measures, and complication rates. To get insight into the severity of complications, all complications were categorized as minor or major. The Methodological Index for Nonrandomized Studies was used to assess the methodological quality of nonrandomized studies. The risk of bias in the randomized studies was assessed with the Cochrane risk-of-bias tool. Results: A total of 37 articles were included with 1,081 dislocated elbows (1,078 patients). A fair quality of evidence was seen for the nonrandomized studies and a low risk of bias for the randomized study. Nonoperative treatment was administered to 710 elbows, with 244 elbows treated with early mobilization, 239 with 1- to 3-week immobilization, and 163 with ≥3-week immobilization. These groups showed a ROM flexion-extension arc (ROM F/E) of 137, 129, and 131°, respectively. Surgical treatment as open reduction and ligament repair or reconstruction was performed in 228 elbows and showed a ROM F/E of 128°. All persistent SEDs were treated surgically and showed a ROM F/E of 90°. Conclusion: The early mobilization treatment showed the most consistent satisfactory outcomes in the literature compared with the other treatment options. Nevertheless, there remains ambiguity regarding which patients would benefit more from surgery than nonoperative treatment. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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Acute elbow dislocation: comparison between magnetic resonance imaging and intra-operative finding of ligament injury

Cited by 9 publications

References 24 publications

Global elbow instability: a case report

Global elbow instability: a case report

Acute Ligament Injuries of the Elbow

Treatment Outcomes of Simple Elbow Dislocations

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