Complex Elbow Instability: What’s New in the Diagnosis, Classification and Principles of Surgical Treatment

Giuseppe Giannicola, Stefano Gumina, David Polimanti, Marco Scacchi and Gianlica Bullitta
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Stefano Gumina: Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, “Sapienza†University of Rome, Italy
David Polimanti: S Pertini Hospital Rome, Italy
Marco Scacchi: M G Vannini Figlie di S Camillo Hospital Rome, Italy
Gianlica Bullitta: Spaziani Hospital Frosinone, Italy

Orthopedics and Rheumatology Open Access Journals, 2019, vol. 14, issue 1, 14-28

Abstract: Complex elbow instability represent a challenging injury even for expert elbow surgeons. Chronic instability, posttraumatic osteo-arthritis, stiffness and poor functional outcomes are frequent if these injuries are not adequately treated. A correct preoperative evaluation includes X-rays, CT scan with 2D and 3D reconstruction and stability tests under fluoroscopy in order to recognize all osseous and ligamentous lesions. The most common patterns of complex elbow instability includes: (1) radial head fractures associated with lateral and medial collateral ligaments lesions; (2) coronoid fractures and lateral collateral ligament lesion; (3) Terrible Triad; (4) fracture-dislocations of the proximal ulna and radius, also referred to as transolecranon fracture-dislocations and Monteggia-like lesions; and (5) humeral shear fractures associated with lateral and medial collateral ligament lesions.

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:14:y:2019:i:1:p:14-28

DOI: 10.19080/OROAJ.2019.14.555879

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