The elbow is a complex joint comprising three distinct articulations and stabilized by multiple osseous and ligamentous structures. As a result, elbow instability can be a challenging problem to successfully treat. Elbow instability can present on a spectrum of severity,…
Indications Indications for open reduction internal fixation of a medial coronoid fracture include a large medial coronoid fracture in the setting of an unstable elbow. Regan and Morrey described coronoid fractures based upon the lateral plain film radiographs ( Fig.…
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Relevant Anatomy The elbow is a complex hinge joint connecting the distal end of the humerus with the proximal ends of the radius and ulna, forming three articulations: the ulnohumeral, radiocapitellar, and proximal radioulnar joints ( Fig. 47.1 ). The…
Indications Radial head arthroplasty (RHA) is a valuable surgical option for complex, comminuted radial head fractures with associated elbow instability. An RHA is recommended when anatomic repair and fixation of a radial head fracture is not possible and removal of…
Indications Open reduction internal fixation (ORIF) is recommended for Mason Type II fractures with a mechanical block and Mason Type III fractures where stable fracture fixation is feasible. Radial head fractures with concomitant injuries (e.g., coronoid, olecranon, and/or capitellum fractures)…
Introduction Fractures of the radial head are the most common elbow injuries, accounting for approximately 30% of all elbow fractures in adult patients. The majority of patients are between 20 and 64 years of age with no gender predominance. ,…
Indications Damage to bony, muscular, and ligamentous structures from injuries such as simple but unstable elbow dislocations or fracture-dislocations may result in elbow instability. Attempts to repair these structures may not address the resultant elbow instability. When instability persists, the…
Introduction Ulnar collateral ligament (UCL) reconstruction has grown dramatically in popularity and utilization since the time of Frank Jobe and Tommy John. Over this period, UCL reconstruction constructs have evolved significantly from the original Jobe technique. Modifications have included refinements…
Indications The most common indication for lateral ulnar collateral ligament (LUCL) reconstruction is a chronic posttraumatic posterolateral rotatory instability of the elbow resulting in mechanical symptoms, pain, and disability. While prior trauma is the most common etiology of LUCL insufficiency,…