Arthroscopic Lateral Collateral Ligament Repair

Kim, Jeong Woo; Yi, Young; Kim, Tae Kyun; Kang, Hong Je; Kim, Jong Youn; Lee, Jong Myoung; Bae, Kyu Hwan; Joo, Min Su

doi:10.2106/jbjs.15.00811

Cited by 33 publications

(15 citation statements)

References 27 publications

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“…8 Several studies have turned to arthroscopy to circumvent some of these issues. 3,8,9 Kim et al 10 reported the results of arthroscopic LUCL repair in 13 patients with a mean age of 25 years, all of whom had posterolateral rotatory instability after simple elbow dislocation. At the time of final follow-up, at a minimum of 18 months, all 13 patients reported complete resolution of the instability and mean (SD) extension of 3 (1 ), flexion of 138 (6 ), supination of 88 (5 ) and pronation of 87 (6 ).…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

et al. 2017

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If left untreated, varus posteromedial rotatory injuries of the elbow result in poor functional outcomes. Surgical treatment allows restoration of elbow kinematics, minimizing the chances of chronic varus instability and early onset osteoarthritis. However, large exposures are associated with extensive soft tissue stripping, a high risk of infection, nerve injury, poor visualization of the articular surface and longer recovery. Consequently, there has been renewed interest in the use of elbow arthroscopy to circumvent these problems. Arthroscopic treatment offers the potential advantage of a swift recovery, with instant rehabilitation, less stiffness and swelling than might be expected after open repair. We present the first combined arthroscopic-assisted anteromedial facet coronoid fracture fixation and lateral ulna collateral ligament repair in a varus posteromedial rotatory injury of the elbow.

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Section: Discussionmentioning

confidence: 99%

Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

et al. 2017

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“…To avoid these complications, the arthroscopic approach has emerged as a safe and effective means for a wide range of acute and chronic elbow pathologies. Some studies report several advantages of arthroscopic management of elbow fractures, including improved visualization, better wound healing, preservation of soft tissue, and opportunity for early motion, thereby minimizing complications resulting from stiffness [ 11 , 12 , 19 , 20 ]. The most important advantage of arthroscopic management over open procedures is that it offers an appropriate view of the articular surface without damaging the surrounding soft tissue [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…An anterolateral portal was created using a spinal needle, and the FiberWire (Arthrex, Munich, Germany) was then transferred from the radial head portal to this portal for fixation at the LCL complex footprint. The FiberWires were fixed using one knotless anchor suture on the articular side of the LCL complex footprint of the humeral attachment [ 11 , 12 ]. After surgery, the joint was rendered immovable for approximately 2 to 3 days using a splint, which was later replaced with an elbow hinged brace to allow a phased joint movement.…”

Section: Methodsmentioning

confidence: 99%

Comminuted Radial Head Fracture in All-arthroscopic Repair of Elbow Fracture-dislocation: Is Partial Excision of the Radial Head an Acceptable Treatment Option?

Yang

Kim

Lee

et al. 2018

Clin Shoulder Elbow

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BACKGROUND: In elbow fracture-dislocation, partial excision of the comminuted radial head fracture that is not amenable to fixation remains controversial considering the accompanying symptoms. This study was undertaken to evaluate the results of radial head partial excision when the comminuted radial head fracture involved < 50% of the articular surface in all-arthroscopic repair of elbow fracture-dislocation.METHODS: Patients were divided into two groups based on the condition of the radial head fracture. In Group A, the patients had a radial head comminuted fracture involving < 50% of the articular surface, and underwent arthroscopic partial excision. Group B was the non-excision group comprising patients with stable and non-displacement fractures. Follow-up consultations were conducted at 6 weeks and at 3, 6, 12, and 24 months after surgery.RESULTS: In all, 19 patients (Group A: 11; Group B: 8) met the inclusion criteria and were enrolled in the study. At the final follow-up, all 19 patients showed complete resolution of elbow instability. No significant differences were observed in the range of motion, visual analogue scale score, and Mayo elbow performance score between groups. Radiological findings did not show any complications of the radiocapitellar joint. However, nonunion of the coracoid fracture was observed in 3 patients (Group A: 1; Group B: 2), without any accompanying instability and clinical symptoms.CONCLUSIONS: Considering that the final outcome is coronoid fracture fixation and lateral collateral ligament complex repair for restoring elbow stability, arthroscopic partial excision for radial head comminuted fractures involving < 50% of articular surface is an effective and acceptable treatment for elbow fracture-dislocation.

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“…Con una presión en varo sobre el antebrazo puede abrirse la articulación un poco más, lo que permite ver una mayor proporción de la superficie articular de la cabeza radial. En el caso de una apertura excesiva con una amplia visualización de la cabeza radial se debe valorar una insuficiencia del ligamento colateral lateral (4) . La inspección de las estructuras articulares nos permitirá diagnosticar cuadros clínicos de lesiones condrales (Figura 12) o artrosis en sus diferentes estadios, así como la presencia de osteocondritis, más típica en el capitellum (Figura 13).…”

Section: Compartimento Anteriorunclassified

“…Posterolateralmente, se delimita por la cápsula articular y superficial el ligamento colateral lateral (4) , medialmente por el cúbito y la articulación ulno-humeral, y distalmente por el repliegue sinovial capsular que cubre la porción posterior del ligamento anular.…”

Section: Gotiera Lateral O Compartimento Posterolateralunclassified

Anatomía del codo para el cirujano artroscopista

Gonzalez¹,

Heredia²,

Marco³

et al. 2018

REACA

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RESUMEN Debido a sus características, el codo es una articulación especialmente exigente a la hora de realizar artroscopia y se debe conocer la anatomía ósea de las 3 articulaciones que forman el codo, de sus ligamentos y músculos, así como de las estructuras vasculonerviosas que lo envuelven para evitar lesiones iatrogénicas. Es esencial también conocer la anatomía normal del interior de la articulación para una exploración artroscópica efectiva, que permita un correcto diagnóstico y tratamiento de las lesiones. Este artículo hace un repaso en profundidad de los aspectos anatómicos más relevantes y de la anatomía artroscópica del codo. Palabras clave: Anatomía artroscópica codo. Complejo articular codo. Compartimentos artroscopia codo. Anatomía quirúrgica codo.

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Arthroscopic Lateral Collateral Ligament Repair

Abstract: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 33 publications

References 27 publications

Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

Comminuted Radial Head Fracture in All-arthroscopic Repair of Elbow Fracture-dislocation: Is Partial Excision of the Radial Head an Acceptable Treatment Option?

Anatomía del codo para el cirujano artroscopista

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