Current events on elbow complex instability
Keywords:
ELBOW JOINT, FRACTURE HEALING, ELBOW/injuries, DISLOCATIONS/surgeryAbstract
The elbow joint is the second most commonly dislocated joint of the upper limb; more than 25 % of such lesions are associated with articular fractures. The complex fractures and luxations of the elbow are difficult to attend to, and an inappropriate treatment could lead to chronic instability, residual osteoarthritis, severe stiffness and permanent pain with limb ergonomic damages. A review paper was carried out with the aim of deepening on the knowledge on acute elbow complex instability and emphasizing the current progress on the study and therapeutic management of the coronoid process, the caput radii, the olecranon, the distal part of the humerus and its associations. To conduct the study several resources available in Infomed were used: EBSCOhost, PubMed, Hinari, The Cochrane Library and SciELO; by means of them the following databases were accessed: MEDLINE, MedicLatina and Scopus. Information from several scientific articles referring to the frequency of the lesions included in the instability was collected. Different aspects related to articular biomechanics, injury mechanism, classifications and individualized treatment are described in detail. The advantages of ligamentous repair, internal fixation and prosthetic replacement of the radial head are also covered. There are controversies on the management and the results obtained by different surgical procedures which do not achieve inter-observer’s uniformity, although there is unanimity in paying special attention to the interpretation of the main mechanisms of the instability and the exact identification of the lesion components in order to perform a sequential repair of these structures.Downloads
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