The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence

Heifner, John J.; Chambers, Lori R.; Halpern, Abby L.; Mercer, Deana M.

doi:10.1016/j.jhsg.2023.09.004

Cited by 2 publications

(2 citation statements)

References 37 publications

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“…Furthermore, patients are lost to follow-up which indicates the likelihood of device retention. The review by Heifner et al 6 reported removal in a mean of 69% of cases at a mean of 12 weeks. Device removal was reported from 17% to 100% of cases across the included studies.…”

Section: Discussionmentioning

confidence: 99%

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Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient

Stoneham,

Lindisfarne,

Hargreaves

et al. 2024

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Case: A 14-year-old adolescent boy with SCN1B mutation experienced frequent seizures and recurrent elbow dislocation, occurring up to 30 times per day. Following failed conservative treatment, the decision was made to surgically repair the lateral collateral ligament complex and stabilize the elbow with the internal joint stabilizer (IJS). At more than 3 years postoperatively, the patient has not had a dislocation event and will retain the device for the foreseeable future to maintain predictable elbow stability. Conclusion: Although there is scant evidence supporting the use of the IJS in pediatric cases, the current case supports its use in pediatric elbow instability.

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Section: Discussionmentioning

confidence: 99%

“…Notably, the IJS protects a tenuous ligament repair during early motion. A recent systematic review identified 171 reported cases, the vast majority of which (78%) were for acute trauma 6 . The existent IJS literature is reported for an adult population, with 1 case report on the IJS being used to revise a 17-year-old patient following traumatic injury 7 .…”

mentioning

confidence: 99%

Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient

Stoneham,

Lindisfarne,

Hargreaves

et al. 2024

JBJS Case Connector

Self Cite

View full text Add to dashboard Cite

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Management of Elbow Terrible Triad Injuries: A Comprehensive Review and Update

Fahs,

Waldron,

Afsari

et al. 2024

J Am Acad Orthop Surg

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The “terrible triad” of the elbow, encompassing elbow dislocation, radial head fracture, and coronoid process fracture, remains a formidable challenge in orthopaedic practice. Typically, stabilizing structures in the elbow fail from lateral to medial through a posterolateral rotatory force after a fall onto an outstretched upper extremity. Surgery is often needed to repair the lateral ligamentous complex, replace or fix the radial head, possibly repair the anterior capsule or fix the coronoid, and consider medial repair or application of an internal versus external fixator. However, in some challenging cases persistent instability, complications, and loss of function may occur. Rehabilitation focuses on achieving early range of motion to prevent stiffness which can be common after these injuries. By integrating emerging approaches with established practices, this article aims to guide orthopaedic surgeons toward a fundamental understanding of terrible triad injuries and assist with informed management principles of these complex injuries.

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The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence

Cited by 2 publications

References 37 publications

Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient

Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient

Management of Elbow Terrible Triad Injuries: A Comprehensive Review and Update

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