Introduction This chapter reviews the elbow pathology associated with some hematologic conditions. The symptoms and radiographic changes of hematologic arthritis resemble inflammatory conditions such as rheumatoid arthritis. The medical treatment of the underlying process plays an important role in the…
Introduction Trauma to the elbow resulting in damage to the articular cartilage or residual surface in congruencies can alter the load distribution across bearing surfaces and place the joint at risk for development of degenerative changes and early-onset arthritis. Posttraumatic…
Introduction The lateral collateral ligament (LCL) complex is one of the main structures implicated in the stability of the elbow joint. Insufficiency of the LCL complex is present in many patients with elbow instability. Several basic science and clinical studies…
Introduction The term heterotopic ossification (HO) refers to the presence of mature lamellar bone tissue outside of the bones that form the skeleton. HO and ectopic bone are terms that are used interchangeably for this type of bone formation. Conceptually,…
Introduction The basic science and surgical procedures to restore motion in patients with elbow stiffness have been thoroughly reviewed in the previous three chapters. Unfortunately, recurrence of stiffness is not uncommon, maintenance of the range of motion (ROM) achieved in…
Introduction Restoration of elbow motion in patients with stiffness is commonly attempted arthroscopically. The reader should refer to Part 2 for an in-depth review of arthroscopic elbow surgery. Chapter 21 reviews the arthroscopic management of the arthritic elbow, and many…
Introduction Nonunion and malunion are two of the most common and challenging complications of distal humerus fractures. Newer internal fixation principles and techniques have improved our ability to achieve stable fixation of complex distal humerus fractures (see Chapter 44, Chapter…
Introduction Distal humerus fractures represent a very challenging injury. For years, these injuries were universally treated using relatively unstable internal fixation (wires or unstable plate constructs), which led to a substantial rate of poor outcomes secondary to nonunion, stiffness, or…
Unfortunately, a number of patients treated for a radial head fracture according to the principles described in previous chapters will not do well and may require further surgery. Management of these patients will be different depending on the nature of…
Introduction The term simple elbow dislocation is applied to those injuries resulting in loss of congruity between the distal humerus and the proximal forearm (ulna and radius) without associated bony injuries. The structures disrupted include the elbow capsule, lateral collateral…