Surgical Treatment and Clinical Implication for Posterolateral Rotatory Instability of the Elbow: Osborne-Cotterill Lesion of the Elbow

Jeon, In-Ho; Min, Woo‐Kie; Micić, Ivan; Cho, Hwan-Seong; Kim, Poong-Taek

doi:10.1097/ta.0b013e3182095c8a

Cited by 18 publications

(31 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This lesion has previously been recognized to have an association with posterolateral rotatory instability . Jeon et al observed that an isolated ligament reconstruction may not be successful in these patients and advised addressing the osteochondral defect, as well as performing a lateral ligament reconstruction . We would agree with their observation.…”

Section: Discussionsupporting

confidence: 77%

Surgical Reconstructions for Posterolateral Rotatory Instability of Elbow using a Synthetic Ligament

2013

View full text Add to dashboard Cite

Background Chronic posterolateral rotatory instability occurs as a result of disruption of the lateral ulnar collateral ligament of the elbow. It is usually treated by ligament reconstruction using an autogenous graft. We present our experience of reconstruction with the use of a synthetic polyester (LARS®; Ligament Advanced Reinforcement System; Surgical Implants and Devices, Arc‐sur‐Tille, France) ligament and discuss the advantages of this technique. Methods Ten consecutive cases of lateral ligament reconstruction using a LARS® ligament were reviewed. The mean age at the time of surgery was 30.2 years. The mean duration of instability symptoms preoperatively was 32.4 months. Three patients had generalized hyperlaxity. Three patients had previously undergone an unsuccessful autogenous graft reconstruction. Results The mean postoperative follow‐up was 27 months. At review, seven of the 10 patients had stable elbows with no feelings of recurrent instability. This included two of the patients with generalized hyperlaxity. The mean postoperative arc of flexion/extension was 13° to 137°. The mean Mayo Elbow Performance Score was 87.5. Conclusions The use of a synthetic ligament for reconstruction of posterolateral rotatory instability of the elbow provides satisfactory stability. It avoids the associated morbidity of using an autograft, appears to be well tolerated and is particularly valuable in the treatment of complex generalized hyperlaxity problems.

show abstract

Section: Discussionsupporting

confidence: 77%

Surgical Reconstructions for Posterolateral Rotatory Instability of Elbow using a Synthetic Ligament

2013

View full text Add to dashboard Cite

show abstract

“…[36][37][38] Trochlear and trochlear notch chondromalacia occurs in throwing athletes with medial instability, 39 while osteochondral injury of the capitellum is a feature of posterolateral rotatory instability. 40 Capitellar cartilage injury also occurs in about 10% of patients with radial head fracture. 41 The type, size and stability are the key elements of any focal cartilage injury that needs to be assessed when deciding on whether to pursue conservative or arthroscopic treatment.…”

Section: Discussionmentioning

confidence: 99%

Elbow MR arthrography with traction

Lee

Griffith

Yuen

et al. 2016

BJR

View full text Add to dashboard Cite

“…Ligament reconstruction techniques in addition to bone defect correction using bone graft were successful in patients with bone defect greater than onefourth of the joint surface. The biomechanical evaluation could be important to determine the exact relevant amount of bone loss secondary to PLRI in order to establish the optimal surgical treatment for this patient population [2,9]. Clark et al described a case of capitellum fracture associated with PLRI.…”

Section: Discussionmentioning

confidence: 99%

“…In 1966, Osborne and Cotterill described a posterior capitellum defect in recurrent elbow dislocation (Osborne-Cotterill lesion) [1][2][3][4]. Posterolateral rotatory instability (PLRI) was, more recently, described by O'Driscoll in 1991 [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?

Patiño

Moirano

2020

Case Reports in Orthopedics

View full text Add to dashboard Cite

Case. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. However, a bone graft was not performed. After 2 years of follow-up, the DASH score was 3.3. The Mayo Score was 90. Conclusion. Posterolateral instability associated with an engaging bone defect, in every elbow extension and pivot shift test, was not found in the literature. The capitellum defects are associated with PLRI and make it worse. Bone reconstruction may not be indicated.

show abstract

Surgical Treatment and Clinical Implication for Posterolateral Rotatory Instability of the Elbow: Osborne-Cotterill Lesion of the Elbow

Abstract: Osteochondral defect in the posterolateral aspect of the capitellum is an important indicator of PLRI; however, the result of this study suggests ligament reconstruction for those with a large bone defect may not be always successful.

Cited by 18 publications

References 8 publications

Surgical Reconstructions for Posterolateral Rotatory Instability of Elbow using a Synthetic Ligament

Surgical Reconstructions for Posterolateral Rotatory Instability of Elbow using a Synthetic Ligament

Elbow MR arthrography with traction

Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?

Contact Info

Product

Resources

About