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Extensive soft tissue lesions in redislocated after simple elbow dislocations
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences.
2017 (English)In: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 26, no 7, 1294-1297 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
MOSBY-ELSEVIER , 2017. Vol. 26, no 7, 1294-1297 p.
Keyword [en]
Simple elbow dislocation; medial ulnar collateral ligament; lateral ulnar collateral ligament; elbow surgery; redislocation; common extensor origin; common flexor origin
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-140976DOI: 10.1016/j.jse.2017.02.019ISI: 000406341000030PubMedID: 28478899OAI: oai:DiVA.org:liu-140976DiVA: diva2:1142304
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-09-19

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Adolfsson, LarsNestorson, JensScheer, Johan
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Orthopaedics in Linköping
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Journal of shoulder and elbow surgery
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