Simple acute postero-lateral elbow dislocation: A historical perspective.

Autor: Jauffrit D; Department of orthopedic surgery, Hôpital Pellegrin, Bordeaux 31600 France., Heraudet P; Department of orthopedic surgery, Hôpital Pellegrin, Bordeaux 31600 France., Tibbo M; Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, US., Erbland A; Department of orthopedic surgery, Hôpital Pellegrin, Bordeaux 31600 France., Carlier Y; Centre de l'Arthrose, Clinique du Sport, Mérignac 33700, France., Mansat P; Department of orthopedic surgery, Hôpital Pierre Paul Riquet, Toulouse 31300 France., Laumonerie P; Department of orthopedic surgery, Hôpital Pellegrin, Bordeaux 31600 France. Electronic address: laumonerie.pierre@hotmail.fr.
Jazyk: angličtina
Zdroj: Injury [Injury] 2024 Mar; Vol. 55 (3), pp. 111353. Date of Electronic Publication: 2024 Jan 17.
DOI: 10.1016/j.injury.2024.111353
Abstrakt: Purpose: The aims of this study were to summarize (1) the historical knowledge of the posterolateral elbow dislocation (PLED) pattern and the biomechanical, radiographic, and clinical data that engendered its evolution; and (2) to help clinicians better understand the management of PLED.
Methods: A literature search was performed using Ovid, Scopus and Cochrane Library, and the Medical Subject Headings vocabulary. Results are discussed as a chronologic review of the relevant literature between 1920-2022.
Results: In 1966 Osborn and Cotterill were the first to describe posterolateral rotatory instability (PLRI) causing the PLED. Several theories on PLED were then published by others surgeons as our understanding of elbow biomechanics continued to improve. Multiple treatment protocols have been designed based on the aforementioned theories. Conservative and surgical treatment for PLED provides excellent functional outcomes. However, high rates of persistent pain stiffness and instability have been reported long-term, and no single approach to treatment has been widely accepted.
Conclusion: Despite a growing body of biomechanical evidence, there is no consensus surgical indication for the treatment of PLED. Both conservative and surgical management result in satisfactory functional outcomes after PLED. However, elevated rates of residual pain, and instability have also been described and may limit heavy labor and sports participation. The next challenge for elbow surgeons will be to identify those patients who would benefit from surgical stabilization following PLED.
Competing Interests: Declaration of competing interest Jauffrit Daphné: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Heraudet Paul: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Tibbo Meagan: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Alexandra Erbland: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Carlier Yacine: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Mansat Pierre: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. Laumonerie Pierre: This author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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