Extensive soft tissue lesions in redislocated after simple elbow dislocations
2017 (Engelska)Ingår i: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 26, nr 7, s. 1294-1297Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Background: The majority of simple elbow dislocations (no associated fractures) can be treated nonoperatively with a short period of immobilization followed by guided aftercare. This case series describes the soft tissue injuries in a rare subset of patients in whom the elbow redislocated despite adequate immobilization. Methods: During a 6-year period, 8 patients were identified. They were all treated with reduction and casting in 90 degrees of flexion or more. At 1 week of follow-up, redislocation had occurred in all patients and open soft tissue repair was performed. The injuries were documented and the patients were followed up clinically and with radiographs. Results: Extensive soft tissue injuries, including both collateral ligament injuries and muscle origin avulsions from either or both sides, were found in all patients. The functional result at follow-up was satisfactory in all patients. Conclusion: Vast soft tissue injuries including both collateral ligaments and muscle origins should be expected in the event of early severe instability of a dislocated elbow joint. (C) 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
Ort, förlag, år, upplaga, sidor
MOSBY-ELSEVIER , 2017. Vol. 26, nr 7, s. 1294-1297
Nyckelord [en]
Simple elbow dislocation; medial ulnar collateral ligament; lateral ulnar collateral ligament; elbow surgery; redislocation; common extensor origin; common flexor origin
Nationell ämneskategori
Kirurgi
Identifikatorer
URN: urn:nbn:se:liu:diva-140976DOI: 10.1016/j.jse.2017.02.019ISI: 000406341000030PubMedID: 28478899OAI: oai:DiVA.org:liu-140976DiVA, id: diva2:1142304
2017-09-192017-09-192021-12-29