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“Elbow instability” includes a wide variety of disorders from simple acute dislocations to complex dislocations with concomitant injuries to osseous and ligamentous structures.
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Simple dislocations are the most common and can usually be treated with closed reduction and early active motion to produce excellent outcomes.
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Complex elbow dislocations generally require surgical intervention to repair the soft tissue and associated fractures to yield stability and facilitate early active motion.
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Residual
The Management of Acute and Chronic Elbow Instability
Section snippets
Key points
Acute and chronic elbow instability
The elbow is the second most commonly dislocated major joint in adults. It is also the most commonly dislocated major joint in the pediatric population, with dislocations accounting for 10% to 25% of all elbow injuries.1 The mean age is 30 years and it is more common in males.
Instability of the elbow can range from simple dislocation with no associated fractures to more complex patterns with varying degrees of bony and ligamentous injuries. Chronic instability can present with recurrent
Summary
“Elbow instability” includes a wide variety of disorders ranging from simple acute dislocations to complex dislocations with additional injuries. These injuries require an assessment of the entire involved upper extremity with a full neurovascular examination. Simple dislocations are the most common and can usually be treated with closed reduction and early active motion to produce excellent outcomes. More complicated dislocations with fractures generally require operative intervention to
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2020, Comparative Kinesiology of the Human Body: Normal and Pathological ConditionsThe shape match of the olecranon tip for reconstruction of the coronoid process: influence of side and osteotomy angle
2019, Journal of Shoulder and Elbow SurgeryCitation Excerpt :In a study by Pollock et al,20 it was shown that the anteromedial facet of the coronoid process is especially important for varus stability, together with the lateral collateral ligament. As a consequence, acute or chronic deficiency of the coronoid often leads to clinical instability of the elbow, pain, stiffness, and rapid degeneration.1 Reconstruction of the coronoid process can be performed by prosthetic replacement, as reported by Bellato and O'Driscoll7 in 2017.
Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques
2018, Journal of Emergency MedicineCitation Excerpt :The elbow includes 3 articulations: the ulno-trochlear, the proximal radio-ulnar, and the radio-capitellar joints (19). The articular surfaces are highly congruent and, therefore, inherently stable (10,21–23). Further stability is provided by the static restraints, comprised of the medial collateral ligament (MCL), lateral collateral ligament (LCL), and the joint capsule.