Chronic posterolateral elbow instability. Ligament reconstruction.

Main Article Content

Abstract

Introduction: The objective of this paper is to evaluate the results of a series of patients with posterolateral elbow instability treated with reconstruction of the ulnar collateral ligament using tendon graft.Methods: We reported 10 patients with a mean age of 47 years. Time from posterolateral dislocation to surgery was 16 months. The pivot shift test under anesthesia was positive in all patients. Seven patients had stage 1 instability according to Horii, one patient presented a stage 2 and two patients had stage 3 under fluorosopy. Palmaris minor was the most common tendon used for reconstruction. Follow-up was 21 months.Results: Flexo-extension was 126-3º. Pain according to visual analogue scale was 0 at rest and 1 in activity. DASH score was 12 and Mayo Clinic score was 95. Sensation of instability was not reported by any patient. The pivot shift test in an awake patient was always negative. Inestabilidad posterolateral crónica de codo.Conclusions: Ulnar collateral ligament reconstruction with tendon graft in patients with posterolateral elbow instability is useful to restore joint stability. Best results were observed in patients with stage 1 or 2 instability according to Horii. Residual instability was not observed. 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Gallucci, G. L., Rellán, I., Boretto, J. G., Alfie, V. A., Donndorff, A., & De Carli, P. (2016). Chronic posterolateral elbow instability. Ligament reconstruction. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(4), 294-301. https://doi.org/10.15417/580
Section
Clinical Research
Author Biography

Gerardo Luis Gallucci

Medico de Planta del Servicio de Ortopedia y Traumatologia del Hospital Italiano de Buenos Aires ARgentinaEspecialista en Ortopedia y TraumatologiaEspecialista en Cirugia de la Mano

References

1. O’Driscoll SW, Bell DF, Morrey BF. Posterolateral rotator instability of the elbow. J Bone Joint Surg Am 1991;73:440-6.

2. O’Driscoll SW, Morrey BF, Korinek S, Ann KN. Elbow subluxation and dislocation: A spectrum of instability. Clin Orthop 1992;280:167-97.
3. Cohen MS, Hastings H 2nd. Rotatory instability of the elbow: the anatomy and role of the lateral stabilizers. J Bone Joint Surg Am
1997;79:225-33.

4. Olsen BS, Sojbjerg JO, Dalstra M, Sneppen O. Kinematics of the lateral ligamentous constraints of the elbow joint. J Shoulder Elbow
Surg1996;5:333-41.

5. Olsen BS, Vaesel MT, Sojbjerg JO, Helmig P, Sneppen O. Lateral collateral ligament of the elbow joint: anatomy and kinematics. J
Shoulder Elbow Surg 1996;5:103-12.

6. Lin KY, Shen PH, Lee CH, Pan RY, Lin LC, Shen HC. Functional outcomes of surgical reconstruction for posterolateral rotator instability of the elbow. Injury 2912;43:1657-61.

7. Sanchez-Sotelo J, Morrey BF, O’Driscoll SW. Ligamentous repair and reconstruction for posterolateral rotator instability of the elbow. J Bone Joint Surg Br 2005;87:54-61.

8. Olsen BS, Sjojbjerg JO. The treatment of recurrent posterolateral instability of the elbow. J Bone Joint Surg 2003;85:342-64.

9. Borris LC, Lassen MR, Christensen CS. Elbow dislocation in children and adults: a long-term follow-up of conservatively treated patients. Acta Orthop Scand 1987;58:649-51.

10. Josefsson PO, Johnell O, Gentz CF. Long-term sequelae of simple dislocation of the elbow. J Bone Joint Surg Am 1984;66:927-30.

11. Osborne G, Cotterill P. Recurrent dislocation of the elbow. J Bone Joint Surg Br 1966;48:340-6.

12. O’Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect 2001;50:89-102.

13. Nestor BJ, O’Driscoll SW, Morrey BF. Ligamentous reconstruction for posterolateral rotator instability of the elbow. J Bone Joint Surg Am 1992;74:1235-41.

14. O’Driscoll SW, Spinner RJ, McKee MD, Kibler WB, Hastings H 2nd, Morrey BF, et al. Tardy posterolateral rotatory instability of the elbow due to cubitus varus. J Bone Joint Surg Am 2001;83:1358-69.

15. Moritomo H, Murase T, Arimitsu S, Oka K, Yoshikawa H, Sugamoto K. The in vivo isometric point of the lateral ligament of the elbow. J Bone Joint Surg Am 2007;89:2011-7.

Most read articles by the same author(s)

<< < 1 2