The Acutely Injured Elbow

Chin, Teck Yew; Chou, Hong; Peh, Wilfred C. G.

doi:10.1016/j.rcl.2019.03.006

Cited by 5 publications

(5 citation statements)

References 59 publications

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“…Simple elbow dislocations are mainly treated with conservative management in current literature [3,7,[13][14][15]. Many authors have reported favorable results after conservative treatment for simple elbow dislocations [10,13,16,17]. Additionally, some studies have reported more satisfactory results after conservative treatment compared to surgical management [11,18].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations

Mühlenfeld

Frank

Lustenberger

et al. 2020

Eur J Trauma Emerg Surg

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Purpose Acute elbow dislocations are complex injuries that predispose to chronic instability and pain. The ideal treatment strategy is part of controversial discussion and evidence-based recommendations for the treatment could not be concluded from the literature. The purpose of the present study was to assess current epidemiological data, injury pattern, and the changing trend for treatment. Methods This study presents a retrospective review of 72 patients ≥ 18 years of age who were treated in our level I trauma centre with acute elbow dislocations from 2014 to 2018. The data were acquired by analysis of the institution’s database, and radiological examinations. Results The average age of the patients was 48.5 years (range 18–86). The ratio of male to female patients was 1.9:1. A fall onto the outstretched arm (42%) was the most common injury mechanism. By classification, 42% of the elbow dislocations were simple, and 58% complex. A total of 85% of patients underwent surgery including 73% of the simple elbow dislocations due to remaining instability or non-congruency of the reduced elbow. The indication for surgical treatment correlated merely with the grade of instability and displacement, but not with age. Conclusion Acute elbow dislocations need identification of the precise injury pattern and instability after reduction of the elbow joint. To achieve a congruent and stable joint, we recommend primary surgical repair as first-line treatment for patients with unstable simple and complex elbow dislocation independent of age.

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Section: Discussionmentioning

confidence: 99%

“…Simple elbow dislocations are mainly treated with conservative management in current literature [ 3 , 7 , 13 – 15 ]. Many authors have reported favorable results after conservative treatment for simple elbow dislocations [ 10 , 13 , 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations

Mühlenfeld

Frank

Lustenberger

et al. 2020

Eur J Trauma Emerg Surg

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“…Complex elbow injuries (CEIs) are severe lesions with at least two structural elements of the joint involved. 1 The incidences of elbow fractures and elbow fracture-dislocation are, respectively, 7-8:10,000 2 and about 1,75:100,000. 3 …”

Section: B Ackgroundmentioning

confidence: 99%

“…CEI results from high-energy traumas, such as car crashes. 2 These lesions are rare, and their treatment is difficult due to the different patterns of clinical presentations. Standard methods cannot often be applied.…”

Section: B Ackgroundmentioning

confidence: 99%

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A Peculiar Case of Open Complex Elbow Injury with Critical Bone Loss, Triceps Reinsertion, and Scar Tissue might Provide for Elbow Stability?

Facco¹,

Politano²,

Marchesini³

et al. 2021

Strategies in Trauma and Limb Reconstruction

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A bstract Background Complex elbow injuries (CEIs) are severe and rare lesions, difficult to treat correctly due to the different patterns of clinical presentations. Standard methods cannot often be applied. The main goals of the treatment are performing a stable osteosynthesis of all fractures, obtaining a concentric and stable reduction of the elbow by repairing the soft tissue constraint lesions, and allowing early motion. Since the introduction of virtual reality (VR) approaches in clinical practice, three-dimensional (3D) computed tomography (CT) and 3D printing have revolutionised orthopaedic surgeries, thus helping to understand the anatomy and the pathology of complex cases. Case description We discussed a case of CEI, characterised by an extended soft tissue (IIIB Gustilo classification) and neurovascular lesions associated with bone loss in a young female patient. Olecranon fracture was type IIIB according to Mayo classification. We outlined the steps of a pluri-tissue reconstructive approach and stressed the importance of 3D printing in the preoperative planning for such cases. Finally, peculiar final functional patient outcomes were reported. Conclusion In this case, we found out that triceps reinsertion and scar process may provide for the joint stability in a low-demanding patient. 3D printing and VR approaches in clinical practice can be useful in the management of CEIs associated with an important bone and soft tissue loss. How to cite this article Facco G, Politano R, Marchesini A, et al. A Peculiar Case of Open Complex Elbow Injury with Critical Bone Loss, Triceps Reinsertion, and Scar Tissue might Provide for Elbow Stability? Strategies Trauma Limb Reconstr 2021;16(1):53–59.

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MRI in acute simple elbow dislocations: correlation of preoperative imaging and intraoperative findings of collateral ligaments and associated soft tissue injuries

et al. 2020

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The Acutely Injured Elbow

Cited by 5 publications

References 59 publications

Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations

Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations

A Peculiar Case of Open Complex Elbow Injury with Critical Bone Loss, Triceps Reinsertion, and Scar Tissue might Provide for Elbow Stability?

MRI in acute simple elbow dislocations: correlation of preoperative imaging and intraoperative findings of collateral ligaments and associated soft tissue injuries

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