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Nonacute Treatment of Elbow Fracture with Persistent Ulnohumeral Dislocation or Subluxation

Chen, Neal C. MD; Jupiter, Jesse B. MD; Steinmann, Scott P. MD; Ring, David MD, PhD

Journal of Bone & Joint Surgery - American Volume: 6 August 2014 - Volume 96 - Issue 15 - p 1308–1316
doi: 10.2106/JBJS.M.00817
Current Concepts Review
Supplementary Content
Disclosures

➤ There are patterns of traumatic elbow instability that help a surgeon to anticipate which structures are injured.

➤ Patients treated for persistent subluxation or dislocation of the elbow more than two weeks after injury regain less motion and experience more adverse events.

➤ The primary goal of treatment is stable reduction of the ulnohumeral joint and functional elbow motion.

➤ Motion and pain are affected by contracture and scarring of the soft tissues, malalignment of the joint, fracture malunion, damage to the articular surface, and ulnar neuropathy.

➤ Biomechanical and clinical studies support treatment with radial head arthroplasty and/or coronoid reconstruction for patients who have osseous insufficiency.

1Philadelphia Hand Center, P.C., 834 Chestnut Street, G114, Philadelphia, PA 19107. E-mail address: ncchen@handcenters.com

2Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey 2100, 55 Fruit Street, Boston, MA 02114

3Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905

Copyright 2014 by The Journal of Bone and Joint Surgery, Incorporated
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