Universität zu Köln

Ott, Nadine, Leschinger, Tim, Rausch, Valentin, Wegmann, Kilian, Mueller, Lars Peter and Hackl, Michael (2020). Management of complications of traumatic elbow instability. Arthroskopie, 33 (3). S. 134 - 143. NEW YORK: SPRINGER. ISSN 1434-3924

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Abstract

Traumatic elbow dislocations and fracture dislocations are severe injuries, which jeopardize the stability of the elbow joint. Various possibilities for complications arise as a result of the complexity of these injuries. A thorough understanding of the anatomical and biomechanical characteristics is required to provide an optimal management of complications. The patients frequently present with a painful restriction in range of motion, while joint instability is not necessarily subjectively perceived. A detailed physical examination in combination with 3D imaging diagnostics help to specify the cause of the problem. The subsequent treatment strategy depends on the underlying pathology. Chronic defects of the coronoid process can be reconstructed by bone grafts, usually taken from the iliac crest, to restore joint congruity and stability. Reconstruction of the radial column after unstable radial head defects is reliably achieved with radial head arthroplasty. After reconstruction of the bony defects, restoration of the collateral ligament complex and the dynamic stabilizers is an equally important step in the management of traumatic elbow instability. While ligament repair is usually achieved in (sub)acute cases, chronic instability is commonly treated with ligament replacement grafts to restore sufficient joint stability.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ott, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Leschinger, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Rausch, Valentin UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Hackl, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-335393
DOI:	10.1007/s00142-020-00340-y
Journal or Publication Title:	Arthroskopie
Volume:	33
Number:	3
Page Range:	S. 134 - 143
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3924
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTEROLATERAL ROTATORY INSTABILITY; RADIAL HEAD; LIGAMENT RECONSTRUCTION; CORONOID RECONSTRUCTION; FUNCTIONAL-ANATOMY; VALGUS STABILITY; DISLOCATION; FRACTURE; GRAFT Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33539