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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Introduction Posterolateral rotatory instability (PLRI) was first described by O’Driscoll et al, 1 and while it is relatively uncommon, it is the most common form of chronic elbow instability. The lateral collateral ligament (LCL) complex
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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a lever arm on the joint. To be efficient, such a system requires a stable fulcrum. The necessary stability is provided by static and dynamic factors such as bony contours, ligaments, labrum, capsule, etc. The specificity of biomechanically
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the medial collateral ligament? What is the best exposure for the more complex cases? What is the role of external fixation, and should it be dynamic or static? What if there is an associated Essex-Lopresti injury? Do I add prophylaxis to prevent
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, valgus instability may also occur after traumatic dislocations with fracture. Overall, however, injury to the medial ulnar collateral ligament (MUCL) has become increasingly common. 1 Waris 2 first described injuries to the MUCL of the elbow in
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girdle. 4 These are mainly superior, inferior, anterior and posterior ligaments. Their main function is reinforcement of the capsule surrounding the joint. The AC and CC (coracoclavicular) ligaments are the static stabilizers whereas the deltoid and
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collateral ligament (MCL) insufficiency, and, of those, some may have chronic signs of impingement, also known as ‘chronic valgus overload syndrome’. Acute medial elbow instability is usually a distinct and obvious diagnosis, but progressive attenuation and
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site in rotator cuff tear patients. Nearly 60 years later, Clark and Harryman published a detailed anatomical study of the rotator cuff and described a fibrous tissue which originates from the deep layer of coracohumeral ligament and moves along the
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elbow joint, secondary to the collateral ligaments and coronoid process. The management of radial head fractures encompasses a spectrum of treatment options, spanning from conservative methods to surgical procedures such as internal fixation
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glenohumeral joint, mainly preventing inferior dislocation. 2 , 3 The long head of the biceps tendon, 4 the rotator interval capsule and the coracohumeral ligament, 5 located in an antero-superior position relative to the humeral head, add
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sternoclavicular (SC) ligaments, the costoclavicular (CC) or rhomboid ligament and the interclavicular ligament provide stability to the shallow articular surfaces. 1 The bony articulation between the medial end of the clavicle and the manubrium is < 50%, thus
