The radiological findings in complex elbow fracture-dislocation injuries

Al-Ani, Zeid; Tham, Jun-Li; Ooi, Michelle Wei Xin; Wright, Andrew; Ricks, Matthew; Watts, Adam C.

doi:10.1007/s00256-021-03900-x

Cited by 6 publications

(3 citation statements)

References 61 publications

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“…Fractures of the radial head, coronoid, distal humerus, monteggia fracture-dislocations (and variants), and transolecranon fracture dislocations must be ruled out. [39][40][41] unlike anterior olecranon fracture-dislocations, posterior fracture-dislocations are often associated with radial head and coronoid fractures, as well as lateral collateral ligament complex injuries. [39][40][41] these complex injuries will not be the focus of this instructional review.…”

Section: Diagnosis and Classificationmentioning

confidence: 99%

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Olecranon fractures

Duckworth

Carter

Chen

et al. 2023

The Bone & Joint Journal

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Despite being one of the most common injuries around the elbow, the optimal treatment of olecranon fractures is far from established and stimulates debate among both general orthopaedic trauma surgeons and upper limb specialists. It is almost universally accepted that stable non-displaced fractures can be safely treated nonoperatively with minimal specialist input. Internal fixation is recommended for the vast majority of displaced fractures, with a range of techniques and implants to choose from. However, there is concern regarding the complication rates, largely related to symptomatic metalwork resulting in high rates of implant removal. As the number of elderly patients sustaining these injuries increases, we are becoming more aware of the issues associated with fixation in osteoporotic bone and the often fragile soft-tissue envelope in this group. Given this, there is evidence to support an increasing role for nonoperative management in this high-risk demographic group, even in those presenting with displaced and/or multifragmentary fracture patterns. This review summarizes the available literature to date, focusing predominantly on the management techniques and available implants for stable fractures of the olecranon. It also offers some insights into the potential avenues for future research, in the hope of addressing some of the pertinent questions that remain unanswered. Cite this article: Bone Joint J 2023;105-B(2):112–123.

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Section: Diagnosis and Classificationmentioning

confidence: 99%

“…[39][40][41] unlike anterior olecranon fracture-dislocations, posterior fracture-dislocations are often associated with radial head and coronoid fractures, as well as lateral collateral ligament complex injuries. [39][40][41] these complex injuries will not be the focus of this instructional review.…”

Section: Diagnosis and Classificationmentioning

confidence: 99%

Olecranon fractures

Duckworth

Carter

Chen

et al. 2023

The Bone & Joint Journal

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“…Обычно они включают отрывные переломы медиального или латерального надмыщелка, верхушки венечного отростка или небольшие костно-хрящевые повреждения, не всегда видимые на стандартных рентгенограммах. Значимость таких повреждений неизвестна и малоизучена [19,20].…”

Section: обоснованиеunclassified

Mid-term results of the treatment of acute postero-lateral rotational instability of the elbow joint

Haj Hmaidi,

Lazko,

Prizov

et al. 2023

Journal of Clinical Practice

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Background: Dislocations of the forearm are rare injuries with the annual incidence of 6.1 cases per 100 000 population. Postero-lateral rotational instability is the most common complication after the conservative treatment of forearm dislocations. To restore the congruency and provide early movements in the elbow joint, the primary repair or reconstruction of the damaged ligaments of the elbow are required. Aim: to evaluate the clinical and functional results after the surgical repair of the elbow joint ligaments in acute postero-lateral rotational instability. Methods: The study was based on a retrospective analysis of a series of clinical cases, including 17 patients with acute postero-lateral rotational instability, among them 5 simple forearm dislocations, 9 fracture-dislocations of the forearm and 3 fractures of the radial head. Refixation of the lateral ulnar ligament was performed with anchor fixation or bone tunnels. The evaluation was performed using the clinical aspects (the lateral pivot shift test, the range of motion), according to the scale for the evaluation of the elbow joint functional condition (MEPS), Oxford scale of the elbow joint evaluation (OEC), the X-ray results were also estimated. Results: In all the cases the elbow joint stability had been achieved, according to the X-ray and clinical aspects. In 4 cases, additional plasty of the medial collateral ligament was needed and performed after the restoration of the lateral ligament complex. According to the MEPS scale, 58% of the achieved results were excellent, 35% were good and 5.8% were satisfactory. Conclusion: The restoration of the lateral ulnar collateral ligament complex is a safe and effective procedure, which restores the elbow joint stability and allows the patients to return to full physical activity and avoid the development of postero-lateral rotational joint instability.

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