Kinematics of the lateral ligamentous constraints of the elbow joint

Olsen, Birgit Anette; Søjbjerg, Jens Ole; Dalstra, Michel; Sneppen, O

doi:10.1016/s1058-2746(96)80063-2

Cited by 127 publications

(59 citation statements)

References 23 publications

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“…[1][2][3][4][5][6][7]14 Injury to the lateral ligament complex is usually traumatic or iatrogenic. 1,6 Most of the patients in our study developed the instability after an injury.…”

Section: Discussionmentioning

confidence: 99%

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Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Sánchez-Sotelo

Morrey

O’Driscoll

2005

The Journal of Bone and Joint Surgery. British volume

216

106

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We describe the intermediate results of lateral ligamentous repair or reconstruction for posterolateral rotatory instability of the elbow. Between 1986 and 1999, we performed 12 direct repairs and 33 ligament reconstructions with a tendon autograft. One patient was lost to follow-up and 44 were retrospectively studied at a mean of six years (2 to 15).Surgery restored stability in all except five patients. In two the elbow became stable after a second procedure. The mean post-operative Mayo elbow performance score was 85 points (60 to 100). The result was classified as excellent in 19, good in 13, fair in seven and poor in five patients. Thirty-eight patients (86%) were subjectively satisfied with the outcome of the operation. Better results were obtained in patients with a post-traumatic aetiology (p = 0.03), those with subjective symptoms of instability at presentation (p = 0.006) and those who had an augmented reconstruction using a tendon graft (p = 0.04).Reconstruction using a tendon graft seems to provide better results than ligament repair and the results do not seem to deteriorate with time.

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“…[1][2][3][4][5][6][7]14 Injury to the lateral ligament complex is usually traumatic or iatrogenic. 1,6 Most of the patients in our study developed the instability after an injury.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Most cases have a post-traumatic or iatrogenic origin. 6 The ligamentous insufficiency results in multiple episodes of instability during which the ulna and radius rotate as a unit posterolaterally, losing congruency with the distal humerus.…”

mentioning

confidence: 99%

Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Sánchez-Sotelo

Morrey

O’Driscoll

2005

The Journal of Bone and Joint Surgery. British volume

216

106

View full text Add to dashboard Cite

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“…The results are expressed as mean and standard error of the mean (SEM), and considered significant when P < 0.05. The reproducibility of the set-up has been checked in prior studies [29,30].…”

Section: Methodsmentioning

confidence: 99%

Combined hyperextension and supination of the elbow joint induces lateral ligament lesions

Tyrdal

Olsen

1998

Knee Surgery, Sports Traumatology, Arthroscopy

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An epidemiological study suggested that the injury mechanism of 'handball goalie's elbow' may be hyperextension. The pathomechanics of hyperextension combined with supination was studied in ten macroscopically normal, male, cadaveric elbow joint specimens. The age of the donors was 28.8 years (range 18-45 years). Extension loading of the elbow was performed in an experimental three-dimensional (3D)-kinematic loading apparatus. The degree of extension increased by 16.7 degrees +/- 8.7 degrees after loading. Hyperextension loads induced significant joint laxity in joint flexion (< 50 degrees) during forced valgus, external and internal rotation, respectively, but not during forced varus. The hyperextension trauma produced three lesions: (1) anterior capsule rupture, (2) avulsion of the proximal insertion of both the medial and the lateral collateral ligaments, and (3) occasional single rupture of the lateral collateral ligament. The lesions indicate that combined hyperextension and supination represent a possible mechanism leading to 'handball goalie's elbow'.

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“…The medial collateral ligament and the radial head are the primary constraints to valgus stress [12], whereas disruption of the lateral collateral ligament causes postero lateral instability [13].…”

Section: Biomechanicsmentioning

confidence: 99%

Fractures of the Coronoid Process of the Ulna: Which Ones to Fix and Which Ones to Leave Alone: A Review

Samii

Zellweger

2008

Eur J Trauma Emerg Surg

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The coronoid process of the ulna forms the anterior boundary of the trochlear notch and is crucial for elbow stability. Coronoid fractures are uncommon and they occur in aproximately 10% of elbow dislocations. They are mostly associated with ligamentous and capsular disruptions as well as concomitant fractures. Posterior elbow dislocations, combined with fractures of the coronoid and the radial head are known as the terrible-triad of the elbow. These injuries result in instability of the elbowjoint and, if not treated properly, lead to recurrent dislocations that can cause further damage. Depending on the pattern of the injury and the quality of the bone, the surgeon has to choose from a variety of treatment options. Large coronoid fragments and other associated fractures are ideally treated by ORIF (open reduction internal fixation); a prosthetic radial head replacement may be favorable if a comminuted radial head fracture is not reconstructable. Isolated small coronoid process fractures can be treated non-operatively with satisfactory results. Although rough guidelines can bemade, it is important to view each patient's elbow injury individually and then make a specific treatment plan. Data on treatment results are sparse. Improved understanding of coronoid fractures and their management will result in better outcomes and decrease possible complications including a certain degree of stiffness, neuropathy and arthrosis.

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Kinematics of the lateral ligamentous constraints of the elbow joint

Cited by 127 publications

References 23 publications

Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Combined hyperextension and supination of the elbow joint induces lateral ligament lesions

Fractures of the Coronoid Process of the Ulna: Which Ones to Fix and Which Ones to Leave Alone: A Review

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