Universität zu Köln

Wegmann, Kilian, Burkhart, Klaus Josef, Bingoel, Alperen Sabri, Ries, Christian, Neiss, Wolfram Friedrich and Mueller, Lars Peter (2015). Anatomic relations between the lateral collateral ligament and the radial head: implications for arthroscopic resection of the synovial fold of the elbow. Knee Surg. Sports Traumatol. Arthrosc., 23 (11). S. 3421 - 3426. NEW YORK: SPRINGER. ISSN 1433-7347

Full text not available from this repository.

Abstract

The purpose of this study was to determine the anatomic relationship between the radial head and the lateral collateral ligament (LCL) and when the LCL would be at risk of iatrogenic injury during arthroscopic resection of the synovial fold. Thirty-four formalin-fixed upper extremities were dissected. A projection of the LCL onto the radial head was marked with a needle. The percentage of the posterior border of the radial head overlaid by the LCL was digitally measured. A portion of the projection of the LCL was statistically correlated with the overall diameter of the radial head. The overall diameter of the radial head was 21.2 mm +/- A 2.3. The proportionate projection of the medial border of the LCL onto the radial head was 5.3 +/- A 1.6 mm on average. The lateral 25 % of the radial head was overlaid by the LCL with a maximum value of 40 % on average. The inter- and intraobserver reliability showed very good accordance with the digital measurements (r > 0.8). Care must be taken when performing a resection in the lateral 40 % of the radial head, whereas resection in the medial 60 % of the radial head appears to be safe. The LCL is an important stabiliser of the elbow joint, a lesion of which by undeliberate arthroscopic dissection may lead to joint instability. Iatrogenic injury to the LCL presumably can be prevented when respecting the given data. Experimental study.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Burkhart, Klaus Josef UNSPECIFIED UNSPECIFIED UNSPECIFIED Bingoel, Alperen Sabri UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Neiss, Wolfram Friedrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-388464
DOI:	10.1007/s00167-014-3091-5
Journal or Publication Title:	Knee Surg. Sports Traumatol. Arthrosc.
Volume:	23
Number:	11
Page Range:	S. 3421 - 3426
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-7347
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RADIOHUMERAL JOINT; RECONSTRUCTION; INJURIES; PLICA Multiple languages Orthopedics; Sport Sciences; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38846