Effect of ulnar tunnel location on elbow stability in double-strand lateral collateral ligament reconstruction.

Abstract:

BACKGROUND:Double-strand lateral ulnar collateral ligament (LUCL) reconstruction is an effective treatment for posterolateral rotatory instability (PLRI) of the elbow, but anatomic landmarks for ulnar tunnel placement are often difficult to identify intraoperatively, which potentially can result in a nonanatomic LUCL reconstruction. This study investigated the effect of ulnar tunnel location on joint stability in double-strand LUCL reconstruction. METHODS:PLRI was artificially created in 7 cadaveric elbows, and double-strand LUCL reconstruction was performed. Five different ulnar tunnels were made along the length of the ulna. In each specimen, each possible pair of 2 tunnels (10 total) were used for graft passage. Varus and posterolateral joint gapping was measured after joint loading using a 3-dimensional digitizer system and X-ray image intensifier. RESULTS:No significant gapping was observed at the posterolateral ulnohumeral joint regardless of the location of the ulnar tunnels (P > .05). In contrast, the lateral radiocapitellar joint showed statistically significant varus gapping when both ulnar tunnels were placed proximal to the radial head-neck junction (P < .05). DISCUSSION:This findings of study suggest that the location of the ulnar tunnels may not be as critical as that of the humeral tunnel during double-strand LUCL reconstruction and that posterolateral rotatory elbow stability can be achieved reasonably well as long as at least 1 of the 2 ulnar tunnels is located at or distal to the radial head-neck junction level.

journal_name

J Shoulder Elbow Surg

authors

Kim HM,Andrews CR,Roush EP,Pace GI,Lewis GS

doi

10.1016/j.jse.2016.08.008

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

409-415

issue

3

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(16)30345-7

journal_volume

26

pub_type

杂志文章
  • Reliability and accuracy of templating the proximal humeral component for shoulder arthroplasty.

    abstract:BACKGROUND:The purpose of this paper is to examine the intra-observer and inter-observer reliability of preoperative templating to help determine its usefulness for approximating proximal humeral stem and head size in shoulder arthroplasty. METHODS:Thirty-one nonconsecutive patients underwent uncemented total shoulder...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2008.11.015

    authors: Buzzell JE,Lutton DM,Shyr Y,Neviaser RJ,Lee DH

    更新日期:2009-09-01 00:00:00

  • The mineralization patterns at the subchondral bone plate of the glenoid cavity in healthy shoulders.

    abstract::The distribution of mineralization of the subchondral bone plate (DMSB) is used as a parameter for the individual stress distribution of joints. In this study the DMSB of the glenoid from healthy glenohumeral joints was analyzed. In a standardized manner, 44 macroscopically normal shoulder specimens (28 individuals ag...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1067/mse.2002.121635

    authors: Schulz CU,Pfahler M,Anetzberger HM,Becker CR,Müller-Gerbl M,Refior HJ

    更新日期:2002-03-01 00:00:00

  • Revision for a failed reverse: a 12-year review of a lateralized implant.

    abstract:BACKGROUND:The purpose of this study was (1) to evaluate the rates of reverse shoulder arthroplasty (RSA) revisions during a 12-year period, (2) to assess the influence of primary diagnosis and the impact of implant modifications on revisions, (3) to describe surgical management of failed RSA, and (4) to analyze outcom...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2015.09.027

    authors: Stephens BC,Simon P,Clark RE,Christmas KN,Stone GP,Lorenzetti AJ,Frankle MA

    更新日期:2016-05-01 00:00:00

  • Long-term results after simple rotational osteotomy of the radius shaft for congenital radioulnar synostosis.

    abstract:BACKGROUND:The present study was conducted to clarify the long-term (≥10 years) results of simple rotational osteotomy for congenital radioulnar synostosis (CRUS). METHODS:Twelve forearms in 9 Asian patients with CRUS who underwent simple rotational osteotomy of the radius shaft were monitored for an average of 13.6 y...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2018.04.012

    authors: Satake H,Kanauchi Y,Kashiwa H,Ishigaki D,Takahara M,Takagi M

    更新日期:2018-08-01 00:00:00

  • Residual subluxation of the elbow after dislocation or fracture-dislocation: treatment with active elbow exercises and avoidance of varus stress.

    abstract::During a 6-year period, 2 surgeons prescribed active elbow exercises and avoidance of shoulder abduction (varus stress) for 23 patients (15 men, 8 women) with a mean age of 43 years (range, 19-74 years) who had slight residual subluxation of a dislocated elbow after either nonoperative (3 simple dislocations and 2 fra...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2007.06.006

    authors: Duckworth AD,Kulijdian A,McKee MD,Ring D

    更新日期:2008-03-01 00:00:00

  • Traumatic recurrent anterior dislocation of the shoulder: two- to four-year follow-up of an anatomic open procedure.

    abstract::The purpose of this study was to evaluate the results of an anatomic open stabilization procedure. Twenty-three consecutive patients with traumatic, recurrent, anterior glenohumeral instability were managed with a modified open procedure. All had a Bankart lesion. A standardized, true anatomic capsulolabral reconstruc...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2003.09.006

    authors: Jolles BM,Pelet S,Farron A

    更新日期:2004-01-01 00:00:00

  • Outcomes assessment in rotator cuff pathology: what are we measuring?

    abstract:BACKGROUND:Assessments used to measure outcomes associated with rotator cuff pathology and after repair are varied. This lack of standardization leads to difficulty drawing comparisons across studies. We hypothesize that this variability in patient-reported outcome measures and objective metrics used in rotator cuff st...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2015.08.007

    authors: Makhni EC,Steinhaus ME,Morrow ZS,Jobin CM,Verma NN,Cole BJ,Bach BR Jr

    更新日期:2015-12-01 00:00:00

  • Glenoid deformity in the coronal plane correlates with humeral head changes in osteoarthritis: a radiographic analysis.

    abstract:BACKGROUND:A variety of measurements can be used to assess radiographic osteoarthritic changes of the shoulder. This study aimed to analyze the correlation between the radiographic humeral-sided Samilson and Prieto classification system and 3 different radiographic classifications describing the changes of the glenoid ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.07.007

    authors: Hawi N,Magosch P,Tauber M,Lichtenberg S,Martetschläger F,Habermeyer P

    更新日期:2017-02-01 00:00:00

  • The effect of current and former tobacco use on outcomes after primary reverse total shoulder arthroplasty.

    abstract:BACKGROUND:The purpose of this study was to determine the influence of current and former tobacco use on minimum 2-year clinical and radiographic outcomes after reverse total shoulder arthroplasty (RTSA). METHODS:Review of primary RTSA patient data identified 186 patients with at least 2 years of follow-up. Patients w...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2019.05.045

    authors: Walters JD,George LW 2nd,Walsh RN,Wan JY,Brolin TJ,Azar FM,Throckmorton TW

    更新日期:2020-02-01 00:00:00

  • The effect of the beach-chair position angle on cerebral oxygenation during shoulder surgery.

    abstract:BACKGROUND:Although the safety of the beach-chair position (BCP) is widely accepted, rare devastating neurologic complications have been reported and attributed to cerebral hypoperfusion. Cerebral oxygenation (regional oxygen saturation [rSO2]) can be monitored noninvasively using near-infrared spectroscopy. The purpos...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.03.018

    authors: Songy CE,Siegel ER,Stevens M,Wilkinson JT,Ahmadi S

    更新日期:2017-09-01 00:00:00

  • Clinical evaluation of sodium hyaluronate for the treatment of patients with rotator cuff tear.

    abstract::A randomized study of two types of conservative treatment of 78 shoulders in 78 patients with rotator cuff tears was performed. Twenty-five milligrams of sodium hyaluronate (SH) was injected into shoulders in one group (SH group) and 2 mg of dexamethasone was injected in the other group (steroid group). Injection of e...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mse.2001.113501

    authors: Shibata Y,Midorikawa K,Emoto G,Naito M

    更新日期:2001-05-01 00:00:00

  • Spinal accessory nerve in a trapezius-splitting surgical approach.

    abstract::To elucidate the safe limits for muscle-splitting incisions of the trapezius muscle, 25 cadaver shoulders were studied. To describe the position of the nerve distances were expressed as a percentage of the distance from the tips of the vertebral spinous processes to the lateral tip of the acromion. The spinal accessor...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/s1058-2746(05)80007-2

    authors: Jobe CM,Kropp WE,Wood VE

    更新日期:1996-05-01 00:00:00

  • Establishing minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state after biceps tenodesis.

    abstract:BACKGROUND:The purposes of this study were to establish thresholds for improvement in patient-reported outcome scores that signify the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) after biceps tenodesis (BT) and to assess patient var...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2018.09.025

    authors: Puzzitiello RN,Gowd AK,Liu JN,Agarwalla A,Verma NN,Forsythe B

    更新日期:2019-04-01 00:00:00

  • Validation of the Dutch version of the Oxford Shoulder Score.

    abstract:BACKGROUND:The Oxford Shoulder Score (OSS) is an internationally-used patient-based outcome score. Up to now, it was not validated in Dutch. The purpose of this study was to produce a Dutch translation of the OSS and to test this version in terms of reliability and validity. METHODS:Translation of the OSS was done acc...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jse.2010.01.017

    authors: Berendes T,Pilot P,Willems J,Verburg H,te Slaa R

    更新日期:2010-09-01 00:00:00

  • The function of the clavicle on scapular motion: a cadaveric study.

    abstract:HYPOTHESIS:The clavicle serves as a strut between the thorax and scapula, and lack of this function could affect shoulder mobility. We hypothesized that clavicular discontinuity changes shoulder kinematics, particularly affecting scapular motion. MATERIALS AND METHODS:The study used 14 cadaveric shoulders. Cadavers we...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.02.006

    authors: Matsumura N,Nakamichi N,Ikegami H,Nagura T,Imanishi N,Aiso S,Toyama Y

    更新日期:2013-03-01 00:00:00

  • Glenohumeral range of motion in handball players with and without throwing-related shoulder pain.

    abstract:BACKGROUND:Overhead athletes are subject to adaptations in the shoulder including glenohumeral internal rotation deficit (GIRD). It has been documented that this alteration is more evident in overhead athletes with pain. Our objective was to compare glenohumeral rotation motion between symptomatic and asymptomatic hand...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.08.027

    authors: Almeida GP,Silveira PF,Rosseto NP,Barbosa G,Ejnisman B,Cohen M

    更新日期:2013-05-01 00:00:00

  • A review of national shoulder and elbow joint replacement registries.

    abstract:BACKGROUND:The aim was to review the funding, organization, data handling, outcome measurements, and findings from existing national shoulder and elbow joint replacement registries; to consider the possibility of pooling data between registries; and to consider wether a pan european registry might be feasible. MATERIA...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2012.03.004

    authors: Rasmussen JV,Olsen BS,Fevang BT,Furnes O,Skytta ET,Rahme H,Salomonsson B,Mohammed KD,Page RS,Carr AJ

    更新日期:2012-10-01 00:00:00

  • Acromioclavicular and coracoclavicular cerclage reconstruction for acute acromioclavicular joint dislocations.

    abstract:BACKGROUND:Little information is available on the results of the different stabilization techniques described for treatment of acute acromioclavicular (AC) joint injuries. Additionally, no studies have analyzed isometric performance of the shoulder after AC stabilization. The objective of our study was to present funct...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2010.08.007

    authors: Lädermann A,Grosclaude M,Lübbeke A,Christofilopoulos P,Stern R,Rod T,Hoffmeyer P

    更新日期:2011-04-01 00:00:00

  • Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder.

    abstract:HYPOTHESIS:The nonanatomical design of reverse shoulder prostheses induce medial displacement of the center of rotation, impingements and may reduce the mobility of the shoulder. The aim of this study is to test the hypothesis that during activities of daily living functional mobility of the shoulder can be restored by...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.09.014

    authors: Terrier A,Scheuber P,Pioletti DP,Farron A

    更新日期:2013-07-01 00:00:00

  • Clavicle morphometry revisited: a 3-dimensional study with relevance to operative fixation.

    abstract:BACKGROUND:The advocacy for operative fixation of midshaft clavicle fractures has prompted a reemergence of interest in clavicle anatomy. Three-dimensional (3D) anatomical studies provide more information than 2-dimensional studies, but are currently rare. MATERIAL AND METHODS:Twenty-five skeletonized clavicles were d...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.01.019

    authors: Bachoura A,Deane AS,Wise JN,Kamineni S

    更新日期:2013-01-01 00:00:00

  • Intraoperative and anatomic dimensions of the coracoid graft as they pertain to the Latarjet-Walch procedure.

    abstract:BACKGROUND:Our objective was to study the anatomic and intraoperative coracoid measurements with an aim to closely replicate the Latarjet-Walch technique and find the similarities and dissimilarities in our population. METHODS:In the cadaveric study, 20 shoulders in 10 fresh cadavers were dissected, and the coracoid l...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2018.09.013

    authors: Sahu D,Jagiasi J

    更新日期:2019-04-01 00:00:00

  • Shoulder arthroplasty in morbidly obese patients.

    abstract:BACKGROUND:The purpose of this study was to determine the results, complications, and failure rates of shoulder arthroplasty in morbidly obese patients. METHODS:Between 1994 and 2005, 45 shoulder arthroplasties were performed for osteoarthritis in patients with a BMI greater than 40. Forty-one shoulders were followed ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2009.02.006

    authors: Linberg CJ,Sperling JW,Schleck CD,Cofield RH

    更新日期:2009-11-01 00:00:00

  • Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis.

    abstract::There is little information available concerning the results of rotator cuff debridement in patients with rheumatoid arthritis (RA). We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-thickness tears. Of t...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2006.04.014

    authors: Smith AM,Sperling JW,Cofield RH

    更新日期:2007-01-01 00:00:00

  • Risk factors for periprosthetic infection after reverse shoulder arthroplasty.

    abstract:BACKGROUND:Management of periprosthetic infection after reverse shoulder arthroplasty (RSA) remains a challenge. Whereas the infection rate after RSA has improved, more information would be helpful to identify patient risk factors for infection after RSA. The purpose of this study was to evaluate risk factors for infec...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2014.05.020

    authors: Morris BJ,O'Connor DP,Torres D,Elkousy HA,Gartsman GM,Edwards TB

    更新日期:2015-02-01 00:00:00

  • Pulsed radiofrequency applied to the suprascapular nerve in painful cuff tear arthropathy.

    abstract::The purpose of this study was to assess the efficacy of pulsed radiofrequency (PRF) applied to the suprascapular nerve for pain relief in medically unfit patients with painful cuff tear arthropathy. Twelve patients with chronic shoulder pain due to cuff tear arthropathy were recruited. The mean age was 68 years (range...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2007.10.007

    authors: Kane TP,Rogers P,Hazelgrove J,Wimsey S,Harper GD

    更新日期:2008-05-01 00:00:00

  • Outcomes for subscapularis management techniques in shoulder arthroplasty: a systematic review.

    abstract:BACKGROUND:This systematic review aims to synthesize published data for the most common subscapularis takedown and repair to compare outcomes in the setting of shoulder arthroplasty. METHODS:Searches of MEDLINE and Cochrane Library databases identified studies that reported clinical or radiologic outcomes for subscapu...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2017.08.003

    authors: Choate WS,Kwapisz A,Momaya AM,Hawkins RJ,Tokish JM

    更新日期:2018-02-01 00:00:00

  • The incidence of pathologic changes of the long head of the biceps tendon.

    abstract::The incidence of primary and secondary bicipital tendinitis remains unknown. In our prospective study, 200 consecutive shoulders underwent arthroscopic subacromial decompression for impingement syndrome. A biceps tenodesis was performed in 80 shoulders (40%) featuring macroscopic degeneration of the long head of the b...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1067/mse.2000.108386

    authors: Murthi AM,Vosburgh CL,Neviaser TJ

    更新日期:2000-09-01 00:00:00

  • Coracoclavicular stabilization using a suture button device for Neer type IIB lateral clavicle fractures.

    abstract:BACKGROUND:The purpose of this study was to evaluate the radiologic and clinical outcomes of coracoclavicular (CC) stabilization using a suture button device for Neer type IIB lateral clavicle fractures. METHODS:Eighteen consecutive patients with Neer type IIB fractures were treated with CC stabilization using a Tight...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.09.048

    authors: Cho CH,Jung JH,Kim BS

    更新日期:2017-05-01 00:00:00

  • Elastic stable intramedullary nailing versus Kirschner wire pinning: outcome of severely displaced proximal humeral fractures in juvenile patients.

    abstract:BACKGROUND:Significantly displaced juvenile proximal humeral fractures (Neer-Horowitz type 3 and 4) usually require reduction and fixation. The most commonly used fixation methods are Kirschner wire (K-wire) pinning or retrograde elastic stable intramedullary nailing (ESIN). However, results comparing the long-term out...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2014.01.015

    authors: Kraus T,Hoermann S,Ploder G,Zoetsch S,Eberl R,Singer G

    更新日期:2014-10-01 00:00:00

  • Arthroscopic osteocapsular arthroplasty for advanced-stage primary osteoarthritis of the elbow using a computed tomography-based classification.

    abstract:HYPOTHESIS:Arthroscopic osteocapsular arthroplasty for stage III osteoarthritis (advanced stage) shows worse clinical and radiologic outcomes compared with stage I or II according to computed tomography (CT)-based classification. METHODS:Clinical and radiologic outcomes in 65 patients treated with arthroscopic osteoca...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2019.09.036

    authors: Kwak JM,Kim H,Sun Y,Kholinne E,Koh KH,Jeon IH

    更新日期:2020-05-01 00:00:00