Posterolateral rotatory instability of the elbow

Posterolateral rotatory instability is the most common type of symptomatic chronic instability of the elbow. In this condition the forearm complex rotates externally in relation to the humerus, causing posterior subluxation or dislocation of the radial head. The lateral ligament complex, radial head...

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Veröffentlicht in:Journal of bone and joint surgery. British volume 2008-03, Vol.90 (3), p.272-279
Hauptverfasser: CHARALAMBOUS, C. P, STANLEY, J. K
Format: Artikel
Sprache:eng
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Zusammenfassung:Posterolateral rotatory instability is the most common type of symptomatic chronic instability of the elbow. In this condition the forearm complex rotates externally in relation to the humerus, causing posterior subluxation or dislocation of the radial head. The lateral ligament complex, radial head and coronoid process are important constraints to posterolateral rotatory instability, and their disruption is involved in the pathogenesis of this condition. The diagnosis relies on a high index of clinical suspicion, active and passive apprehension tests, and examination under anaesthesia. Surgical treatment has given consistently successful results. Open reconstruction of the lateral ligaments with a tendon graft has been the procedure of choice, with arthroscopic techniques emerging as a potential alternative.
ISSN:0301-620X
2049-4394
2044-5377
2049-4408
DOI:10.1302/0301-620X.90B3.19868