Universität zu Köln

Hopf, Johannes C., Berger, Volker, Krieglstein, Christian F., Mueller, Lars P. and Koslowsky, Thomas C. (2015). Treatment of unstable elbow dislocations with hinged elbow fixation-subjective and objective results. J. Shoulder Elbow Surg., 24 (2). S. 250 - 258. NEW YORK: MOSBY-ELSEVIER. ISSN 1058-2746

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Abstract

Background: The aim of this study was to provide subjective and objective results of surgical treatment of unstable elbow dislocations with the hinged external fixation technique. Methods: Twenty-six patients were available for re-examination after treatment. Parameters used to quantify the subjective functional results were the Mayo Elbow Performance Score, the shortened Disabilities of the Arm, Shoulder, and Hand questionnaire, and the stability of the elbow joint. In addition, we measured the medial and lateral joint space by varus and valgus stress ultrasound examinations of the elbow. Results: The mean Mayo Elbow Performance Score was 93.5 (+/- 8.3 standard deviation), and the shortened Disabilities of the Arm, Shoulder, and Hand questionnaire showed an average of 7.3 points (+/- 8.9 standard deviation). We saw 18 patients with stable joints and 8 patients with slight instability. In the ultrasound stress test, we saw a significant difference of the affected joint under varus stress (7.8 +/- 1.7 mm) compared with the healthy joint (5.8 +/- 1.2 mm) laterally. Furthermore, medially the gap was significantly larger (4.8 +/- 0.9 mm; treated elbow) than contralaterally under valgus stress (3.3 +/- 0.7 mm) (P < .001). Conclusion: Closed reduction and hinged external fixation of unstable elbow dislocations resulted in good and very good results. We could identify a slight difference in the stability of the affected elbow compared with the contralateral side in all patients without clinical relevance. (C) 2015 Journal of Shoulder and Elbow Surgery Board of Trustees.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hopf, Johannes C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Berger, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Krieglstein, Christian F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koslowsky, Thomas C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-413515
DOI:	10.1016/j.jse.2014.09.034
Journal or Publication Title:	J. Shoulder Elbow Surg.
Volume:	24
Number:	2
Page Range:	S. 250 - 258
Date:	2015
Publisher:	MOSBY-ELSEVIER
Place of Publication:	NEW YORK
ISSN:	1058-2746
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTEROLATERAL ROTATORY INSTABILITY; EXTERNAL FIXATION; LIGAMENTOUS REPAIR; CORONOID PROCESS; RADIAL HEAD; JOINT; FRACTURES; RECONSTRUCTION; COMPLEX; STABILITY Multiple languages Orthopedics; Sport Sciences; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41351