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Complex Elbow Instability: What’s New in the Diagnosis, Classification and Principles of Surgical Treatment

Author

Listed:
  • Giuseppe Giannicola
  • Stefano Gumina

    (Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, “Sapienza†University of Rome, Italy)

  • David Polimanti

    (S Pertini Hospital Rome, Italy)

  • Marco Scacchi

    (M G Vannini Figlie di S Camillo Hospital Rome, Italy)

  • Gianlica Bullitta

    (Spaziani Hospital Frosinone, Italy)

Abstract

Complex elbow instability represent a challenging injury even for expert elbow surgeons. Chronic instability, posttraumatic osteo-arthritis, stiffness and poor functional outcomes are frequent if these injuries are not adequately treated. A correct preoperative evaluation includes X-rays, CT scan with 2D and 3D reconstruction and stability tests under fluoroscopy in order to recognize all osseous and ligamentous lesions. The most common patterns of complex elbow instability includes: (1) radial head fractures associated with lateral and medial collateral ligaments lesions; (2) coronoid fractures and lateral collateral ligament lesion; (3) Terrible Triad; (4) fracture-dislocations of the proximal ulna and radius, also referred to as transolecranon fracture-dislocations and Monteggia-like lesions; and (5) humeral shear fractures associated with lateral and medial collateral ligament lesions.

Suggested Citation

  • Giuseppe Giannicola & Stefano Gumina & David Polimanti & Marco Scacchi & Gianlica Bullitta, 2019. "Complex Elbow Instability: What’s New in the Diagnosis, Classification and Principles of Surgical Treatment," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 14(1), pages 14-28, April.
    • Handle: RePEc:adp:joroaj:v:14:y:2019:i:1:p:14-28
    DOI: 10.19080/OROAJ.2019.14.555879
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