scholarly journals Humeral Avulsion of the Lateral Collateral Ligament of the Elbow Concomitant with the Medial Epicondyle Fracture of a Child with General Joint Laxity

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Toru Morimoto ◽  
Masashi Izumi ◽  
Hiroaki Ueba ◽  
Masahiko Ikeuchi
Keyword(s):  
Chronic Conditions ◽  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Medial Epicondyle ◽  
Joint Laxity ◽  
Collateral Ligament ◽  
Elbow Injury ◽  
Satisfactory Outcome ◽  
To Receive ◽  
Medial Epicondyle Fracture

Medial epicondyle fracture is a common elbow injury for children, and it was reported that 30-50% of this fracture was associated with elbow dislocation. However, dysfunction of the lateral collateral ligament (LCL) complex accompanied with the medial epicondyle fracture has rarely been reported. In this report, a 13-year-old girl who had a humeral avulsion of the LCL concomitant with a displaced medial epicondyle fracture was presented. Since her general joint laxity had been recognized from past medical history and the humeral avulsion of the LCL was clearly confirmed by ultrasonography, simultaneous surgical repair for the LCL avulsion and medial epicondyle fracture was conducted and satisfactory outcome was achieved. Although general joint laxity does not tend to receive attention in trauma as much as chronic conditions, it should be borne in mind to prevent overlooking important soft tissue damage coexisting with apparent fractures.

scholarly journals Repair of a Divergent Elbow Dislocation with Distal Ulnar Fracture in a Dog Using TightRope and External Skeletal Fixation

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e58-e64
Author(s):  
Marcos Garcia ◽  
Camille Bismuth ◽  
Claire Deroy-Bordenave
Keyword(s):  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Normal Activity ◽  
Long Term Results ◽  
Collateral Ligament ◽  
Elbow Luxation ◽  
Ulnar Fracture ◽  
Fixation System

AbstractThe aim of this study was to report the outcome in a 6-year-old male English Setter dog that suffered a combination of divergent elbow dislocation and open distal ulnar fracture. This study is a case report. After surgical reduction in the elbow luxation, the dog was treated with the TightRope fixation system used as replacement of the lateral collateral ligament, a radioulnar positional screw, and external skeletal fixation. Removal of all implants was performed 3 months postoperatively. The 6-month follow-up visit found the dog without lameness, displaying normal activity, and with normal elbow range of motion and normal Campbell's test. Successful surgical management was achieved with good long-term results using TightRope, a positional screw, and an external skeletal fixator.

An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy

2010 ◽  
Vol 19 (5) ◽  
pp. 459-461 ◽  
Author(s):  
Nor Hazla Mohamed Haflah ◽  
Sharaf Ibrahim ◽  
Jamari Sapuan ◽  
Shalimar Abdullah
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Medial Epicondyle ◽  
Ulnar Nerve Palsy ◽  
Medial Epicondyle Fracture

A Blocking Barrier During Reduction of the Elbow Dislocation in Children: Incarcerated Medial Epicondyle Fracture

2018 ◽  
Vol 4 (3) ◽  
pp. 103
Author(s):  
Guzelali Ozdemir ◽  
Alper Deveci ◽  
Olgun Bingol ◽  
Enver Kilic ◽  
Erman Ceyhan ◽  
...  
Keyword(s):  
Elbow Dislocation ◽  
Medial Epicondyle ◽  
Medial Epicondyle Fracture

scholarly journals Anterior elbow dislocation without fracture in an adult: a rare injury pattern

2019 ◽  
Vol 12 (9) ◽  
pp. e230115 ◽  
Author(s):  
Sandeep Vijayan ◽  
Vijayaraghavan Chalappurath ◽  
Sudeep Jose ◽  
Sharath Kumar Rao
Keyword(s):  
Elbow Dislocation ◽  
Functional Results ◽  
Ligament Injury ◽  
Anterior Dislocation ◽  
Joint Stability ◽  
Collateral Ligaments ◽  
Collateral Ligament ◽  
Rare Injury ◽  
Elbow Injury ◽  
Medial Collateral Ligament Injury

Anterior elbow dislocation without periarticular fracture (simple dislocation) is an extremely rare injury and is usually caused by distraction or torsional forces. It is important to look for associated ligamentous and musculotendinous injuries in this pattern. We report an elderly patient who sustained simple anterior dislocation of the elbow and in whom successful closed reduction could be achieved. Reduction by closed method is possible if we know the exact mechanism of elbow injury. Despite the presence of medial collateral ligament injury, he was managed non-operatively and had full functional recovery. Checking for joint stability and collateral ligaments after reduction and getting additional radiological investigations help in better treatment planning. Early protected active mobilisation should be initiated to achieve better functional results.

scholarly journals Common Extensor Complex Is a Predictor to Determine the Stability in Simple Posterolateral Elbow Dislocation: Analysis of MR Images of Stable vs. Unstable Dislocation

2020 ◽  
Vol 9 (10) ◽  
pp. 3094
Author(s):  
Chul-Hyun Cho ◽  
Beom-Soo Kim ◽  
Jaehyuck Yi ◽  
Hoseok Lee ◽  
Du-Han Kim
Keyword(s):  
Soft Tissue ◽  
Interobserver Reliability ◽  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Soft Tissue Injuries ◽  
Collateral Ligament ◽  
Mri Findings ◽  
Partial Tears ◽  
Choice Of Treatment ◽  
Tissue Injuries

Simple posterolateral elbow dislocations (SPLED) may be treated nonoperatively using closed reduction, followed by controlled mobilization. However, the extent of soft tissue injuries might affect the choice of treatment, rehabilitation approach, and prognosis. The purpose of this study is to compare the characteristics of soft tissue injuries between patients with unstable and stable SPLED using MRI findings. Thirty MRIs of elbows with SPLED (unstable group (n = 15); stable group (n = 15)) were randomly reviewed by two experienced musculoskeletal radiologists. Soft tissue injuries were characterized as an intact, partial tear or complete tear for the: medial collateral ligament (MCL) complex, common flexor complex, lateral collateral ligament (LCL) complex, common extensor complex, anterior capsule, and posterior capsule. Moderate to substantial interobserver reliability and substantial to perfect intraobserver reliability were observed for medial and lateral complexes in SPLED. The proportion of soft-tissue injuries of the common extensor complex were significantly different between the unstable (four partial tears and 11 complete tears) and stable groups (11 partial tears and four complete tears). In conclusion, based on MRI findings, the degree of common extensor complex injuries may be a predictor of stability and help inform treatment decisions for SPLED.

Development of 3D Finite Element Model of Human Elbow to Study Elbow Dislocation and Instability

2009 ◽  
Author(s):  
Samer Khodor Al Kork ◽  
Farid Amirouche ◽  
Edward Abraham ◽  
Mark Gonzalez
Keyword(s):  
Finite Element ◽  
Medial Collateral Ligament ◽  
Inverse Dynamics ◽  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Element Model ◽  
Fe Model ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Flexion Extension

The mechanics of elbow dislocation and its stages of dislocation are complex and not well understood. Reconstructing a fall where someone lands on their hand is one of the most challenging problem in biomechanics. Current models which attempt to reconstruct falls usually focus on experimental kinematical conditions that cause the fall coupled with inverse dynamics to determine the joint and muscles forces [1,2] to provide on insight into the joint instability. Our hypothesis based on our experimental investigation is that the mechanism of posterior elbow dislocation is initiated at radial head where the ulna and coronoid fracture followed by anterior tearing of the joint capsule, lateral collateral ligament will then rupture followed by posterior medial collateral ligament rupture and then the medial collateral ligament peeling off the ulna. In this study we developed a quasi-static three-dimensional finite element of human elbow joint, and conducted several cadaveric studies to study elbow dislocation. The FE model is used to investigate how the ligaments, cartilages behave under different flexion, extension of the elbow. Dislocation is investigated as function of different loads and moments applied to the radius-ulna with arm being flexed and configured into a supination or pronation.

Sign in / Sign up

Export Citation Format

Share Document