Soft tissue constraint injuries in complex elbow instability: prevalence, pathoanatomy, and classification.

Abstract:

:The types and prevalence of soft tissue constraint injuries associated with complex elbow instability have been rarely investigated. The purpose of this study was to analyze the intraoperative findings of soft tissue constraint injuries in complex elbow instability and provide a comprehensive classification of these lesions. Forty-seven patients undergoing surgery for complex elbow instability were prospectively analyzed. Ligament injuries were classified as simple or complex lesions, depending on whether the ligament was damaged at a single zone or 2 to 3 zones, including its proximal, middle, and distal portions. Posterolateral capsule injuries were classified as small or large in the presence of capsular avulsions smaller than or larger than 1 cm, respectively. The presence of lesions of the common extensor and flexor-pronator muscles were also recorded. Ligament injuries were found in 96% of patients. The lateral collateral ligament showed a simple lesion, including a proximal and distal avulsion, in 19% and 2% of patients, respectively, and a middle-zone tear in 13%. Complex lesions, including the association of a middle-zone tear with a proximal or distal avulsion, were found in 47% and 6% of patients, respectively, and a combination of proximal, distal, and middle-zone injuries in 4%. Small and large posterolateral capsule lesions were found in 49% and 17% of patients, respectively. A medial collateral ligament injury was present in 45% of patients. A high prevalence of soft tissue constraint lesions was found to be associated with complex elbow instability. Soft tissue constraint status should be carefully evaluated pre- and intraoperatively in patients with complex elbow instability. The classification reported herein may be helpful in planning the proper treatment of these complex injuries.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Giannicola G,Polimanti D,Sacchetti FM,Scacchi M,Gumina S,Greco A,Cinotti G

doi

10.3928/01477447-20121120-18

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

e1738-45

issue

12

eissn

0147-7447

issn

1938-2367

journal_volume

35

pub_type

杂志文章
  • Delayed-Onset Paraplegia Due to Spinal Cord Infarction After Repeated Tumor Excision Surgeries of the Thoracic Spine.

    abstract::Tumor excision surgeries of the spine present a distinct challenge regarding the maintenance of spinal cord blood supply because they often require preoperative embolization of segmental arteries, ligation of the corresponding nerve roots, and circumferential exposure of the dural sac. The authors present a case of de...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181023-07

    authors: Kobayashi M,Kato S,Murakami H,Demura S,Yoshioka K,Yonezawa N,Takahashi N,Shimizu T,Tsuchiya H

    更新日期:2019-01-01 00:00:00

  • Accuracy of the Subchondral Smile and Surface Referencing Techniques in Reverse Shoulder Arthroplasty.

    abstract::Inferior glenoid baseplate tilt relative to the coronal axis of the scapular body has been associated with improved results and fewer postoperative complications in reverse shoulder arthroplasty. However, the native glenoid surface is not always a reliable reference for the true scapular axis. Digital preoperative pla...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160610-04

    authors: Dilisio MF,Warner JJ,Walch G

    更新日期:2016-07-01 00:00:00

  • Determination of radiographic guidelines for percutaneous fixation of proximal humerus fractures using a cadaveric model.

    abstract::The humeral heads of whole body cadaveric shoulders underwent fluoroscopic evaluation with the head divided into three zones on both anteroposterior (AP) and axillary views creating nine zones. Five AP and three axillary fluoroscopic images in different rotational positions were assessed for pin penetration. All image...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20070801-04

    authors: Klepps SJ,Miller SL,Lin J,Gladstone J,Flatow EL

    更新日期:2007-08-01 00:00:00

  • Multimodal pain management in orthopedics: implications for joint arthroplasty surgery.

    abstract::Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many diffe...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20130122-51

    authors: Parvizi J,Bloomfield MR

    更新日期:2013-02-01 00:00:00

  • Augmentation of bone healing by specific frequency and amplitude compressive strains.

    abstract::A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm g...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Shadmehr A,Esteki A,Oliaie GR,Torkaman G,Sabbaghian A

    更新日期:2009-03-01 00:00:00

  • Treatment of acquired muscle spasticity using phenol peripheral nerve blocks.

    abstract::The use of phenol motor nerve blocks is advantageous in the early period of acquired spasticity (ie, that occurring following traumatic brain injury or incomplete spinal cord injury), when increased muscle tone is often the most severe. Because acquired spasticity is dynamic and usually improves slowly, a temporary tr...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Botte MJ,Abrams RA,Bodine-Fowler SC

    更新日期:1995-02-01 00:00:00

  • Metaphyseal cupping: a case report.

    abstract::A case of metaphyseal cupping of bone that probably occurred as the result of an impaired blood supply to the leg of an infant is reported. Avascularity and premature closure of the central segment of the growth plate is the proposed pathogenesis. The blood supply, growth and development of the ends of growing bones a...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19810601-06

    authors: Wiss DA

    更新日期:1981-06-01 00:00:00

  • Volar ligament repair for radiocarpal fracture-dislocation.

    abstract::Radiocarpal fracture-dislocations are uncommon injuries, comprising a spectrum of trauma to the capsuloligamentous complex and osseous structures of the radiocarpal joint along with the adjacent structures. Management guidelines are derived from limited case series and expert opinions. An understanding of the relevant...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130523-07

    authors: Brown D,Mulligan MT,Uhl RL

    更新日期:2013-06-01 00:00:00

  • Algorithmic approach for reconstruction of proximal femoral bone loss in revision total hip arthroplasty.

    abstract::Reconstruction of the femur depends on the quantity of bone loss and the quality of the remaining bone stock. Multiple classifications and reporting systems can be used to characterize the bone defect. We present a simple algorithmic approach for proximal femoral bone loss reconstruction during revision total hip arth...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090728-18

    authors: Higuera CA,Capello W,Barsoum WK

    更新日期:2009-09-01 00:00:00

  • Prediction of prognosis in patients with cervical spinal cord injury without radiologic evidence of trauma using MRI.

    abstract::The purpose of this study was to investigate whether pre- to postoperative changes of increased signal intensity (ISI) of the spinal cord as seen on T2-weighted magnetic resonance imaging (MRI) reflect the surgical outcome in patients with cervical spinal cord injury without radiologic evidence of trauma (SCIWORET). I...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140225-65

    authors: Sun LQ,Shen Y,Li YM,Cao JM

    更新日期:2014-03-01 00:00:00

  • Pharmacologic approaches to smoking cessation.

    abstract::Cigarette smokers experience greater rates of morbidity and mortality. Despite the known health risks, use of tobacco products remains high throughout the United States (approximately 19.3% of adults). Tobacco use is associated with higher rates of cardiovascular illness, cardiovascular risk factors (ie, hypertension ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120525-07

    authors: Bailey AM,Macaulay T

    更新日期:2012-06-01 00:00:00

  • Recurrent, locked posterior glenohumeral dislocation requiring hemiarthroplasty and posterior bone block with humeral head autograft.

    abstract::This article describes the case of a 77-year-old man with a recurrent posterior shoulder dislocation, treated with humeral hemiarthroplasty and reconstruction of a large posteroinferior glenoid defect with a bone block created from humeral head autograft. On examination, the patient's left arm was held in internal rot...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120123-19

    authors: Riggenbach MD,Najarian RG,Bishop JY

    更新日期:2012-02-17 00:00:00

  • Mechanical and histological studies of acute joint hemorrhage.

    abstract::In this study, a simple animal model has been used to gather data on the mechanical and histologic changes in cartilage and the histologic changes in synovium attendant to acute joint hemorrhage. The continuous presence of autologous blood in the experimental joints for 10 days results in cartilage which is significan...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Parsons JR,Zingler BM,McKeon JJ

    更新日期:1987-07-01 00:00:00

  • National Trends in Operative Treatment of Pediatric Fractures in the Ambulatory Setting.

    abstract::This study evaluated the expanding role of freestanding ambulatory surgery centers in pediatric fracture care based on the only national ambulatory surgery database within the United States. Released by the Centers for Disease Control and Prevention in 1996 and again in 2006, these reports were used to estimate the vo...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151002-52

    authors: Bernstein DT,Chen C,Zhang W,McKay SD

    更新日期:2015-10-01 00:00:00

  • Low cervical chordoma: report of two cases with documentation by computed tomography and review of the literature.

    abstract::Chordoma is a slow-growing neoplasm of the axial skeleton. Two cases of lower cervical chordoma are reported, along with a review. Despite combined high voltage radiation therapy and radical surgery chordoma invariably recurs, producing bone erosion and destruction of vital contiguous structures with resulting high mo...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19800701-04

    authors: Prete P,Thorne RP

    更新日期:1980-07-01 00:00:00

  • Tibial plateau fractures. A review of operative treatment using AO technique.

    abstract::In a retrospective review of 80 tibial plateau fractures, 28 fractures were treated nonoperatively with a variety of closed methods and 52 were treated with open reduction and internal fixation using AO technique. At an average follow up of 24 months, a satisfactory result was obtained in 87% of the operatively treate...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Savoie FH,Vander Griend RA,Ward EF,Hughes JL

    更新日期:1987-05-01 00:00:00

  • Arthroplasty using acetabular implants in secondary protrusioned hips.

    abstract::From 1979 to 1987, 102 operations were performed at the author's institution. The technique is simple and does not use any heterogenic material. There were no complications, except for one suppuration. Results are classified according to Charnley. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Udvarhelyi I

    更新日期:1991-01-01 00:00:00

  • Clinical Characteristics and Long-term Outcomes After Septic Arthritis of the Native Glenohumeral Joint: A 20-Year Retrospective Review.

    abstract::Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181227-01

    authors: Sweet MC,Sheena GJ,Liu S,Fisk FE,Lynch JR,Muh SJ

    更新日期:2019-01-01 00:00:00

  • Chronic Antiplatelet Use Associated With Increased Blood Loss in Lumbar Spinal Surgery Despite Adherence to Protocols.

    abstract::There are conflicting reports regarding postoperative bleeding risks associated with discontinuation of antiplatelet therapy at least 7 days preoperatively. Most of the studies in the spine literature are based on surveys or anecdotal evidence. The majority of surgeons discontinue therapy 7 days preoperatively, but th...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160419-04

    authors: McCunniff PT,Young ES,Ahmadinia K,Kusin DJ,Ahn UM,Ahn NU

    更新日期:2016-07-01 00:00:00

  • Arthroscopic excision of os acromiale: effects on deltoid function and strength.

    abstract::Arthroscopic excision of os acromiale is a feasible alternative to open excision or fusion. This article describes the authors' experience with 28 patients (31 shoulders) who underwent arthroscopic excision of os acromiale and its effect on shoulder pain and function, with specific emphasis on deltoid strength measure...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:10.3928/01477447-20121023-16

    authors: Campbell PT,Nizlan NM,Skirving AP

    更新日期:2012-11-01 00:00:00

  • Dynamically unstable syndesmosis injuries.

    abstract::Distal tibiofibular syndesmosis injuries are complex injuries that often result in extended loss of playing time for athletes. Unstable syndesmosis injuries are uniformly reduced and stabilized by numerous methods. Controversy arises from syndesmosis injuries that are stable on stress radiographs but functionally unst...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130222-07

    authors: Metzler AV,Johnson DL

    更新日期:2013-03-01 00:00:00

  • Arthroscopic transosseous rotator cuff repair: technical note, outcomes, and complications.

    abstract::The goal of this study was to review the authors' initial experience with arthroscopic transosseous rotator cuff repair. Thirty-one patients with full-thickness rotator cuff tears underwent arthroscopic transosseous rotator cuff repair over a 15-month period. Preoperatively, demographics and subjective scores were rec...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150504-50

    authors: Black EM,Lin A,Srikumaran U,Jain N,Freehill MT

    更新日期:2015-05-01 00:00:00

  • Primary Ankle Arthrodesis for Severely Comminuted Tibial Pilon Fractures.

    abstract::Management of severely comminuted, complete articular tibial pilon fractures (Rüedi and Allgöwer type III) remains a challenge, with few treatment options providing good clinical outcomes. Twenty patients with severely comminuted tibial pilon fractures underwent primary ankle arthrodesis with a retrograde calcaneal na...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:10.3928/01477447-20161202-04

    authors: Al-Ashhab ME

    更新日期:2017-03-01 00:00:00

  • Multiligamentous knee injury concomitant with a patellar tendon rupture.

    abstract::Multiligamentous knee injuries with simultaneous patellar tendon ruptures are rare. Surgeons must be prepared to address injured structures of the knee to allow return of knee function. Restoring motion while protecting repairs is important. The authors present 2 cases and discuss treatment strategy for preoperative e...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150105-06

    authors: Brunkhorst J,Johnson DL

    更新日期:2015-01-01 00:00:00

  • Clinical benefits of intra-articular anakinra for arthrofibrosis.

    abstract::Postoperative inflammation and stiffness, as well as the struggle to achieve full range of motion (ROM), following knee surgery is a significant clinical challenge. Interleukin-1 is a crucial mediator of the inflammatory response and development of pathological conditions leading to chronic inflammation. We hypothesiz...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20101021-09

    authors: Brown CA,Toth AP,Magnussen B

    更新日期:2010-12-01 00:00:00

  • Diagnosis and Management of Distal Clavicle Osteolysis.

    abstract::Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20161128-03

    authors: DeFroda SF,Nacca C,Waryasz GR,Owens BD

    更新日期:2017-03-01 00:00:00

  • The orthopedic and social outcome of open tibia fractures in children.

    abstract::To determine whether the accepted principles of management of open tibia fractures apply to children, 40 consecutive open fractures of the tibial shaft in skeletally immature patients were retrospectively reviewed. Attempts were made to evaluate the functional and social impact of open tibia fractures in children. All...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Levy AS,Wetzler M,Lewars M,Bromberg J,Spoo J,Whitelaw GP

    更新日期:1997-07-01 00:00:00

  • Anterior Cervical Corpectomy and Fusion Using a Synthetic Hydroxyapatite Graft for Ossification of the Posterior Longitudinal Ligament.

    abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20161208-02

    authors: Yoshii T,Hirai T,Sakai K,Sotome S,Enomoto M,Yamada T,Inose H,Kato T,Kawabata S,Okawa A

    更新日期:2017-03-01 00:00:00

  • A hole in (B) one.

    abstract::Radiolucencies are frequently observed in the carpus, often in asymptomatic patients. Evaluation of the clinical significance of these radiolucent areas is aided by use of bone scanning. In this case, correlation of the physical exam, bone scan and tomograms allowed effective direct surgical treatment of a symptomatic...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Flynn M,Light TR

    更新日期:1986-02-01 00:00:00

  • Ultrasonography of the infant hip: the significance of provokable instability with normal morphology.

    abstract::The hips of infants 2- to 4-weeks-old were investigated with ultrasonography. In all cases, ultrasonography verified morphologically normal hips; however, either a bilateral or unilateral instability of the hip could be provoked as demonstrated by ultrasonography. The first series of 27 infants (41 hips) were treated ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Reikerås O,Kristiansen LP,Gunderson R

    更新日期:2002-08-01 00:00:00