A preliminary report of acute and subacute arthroscopic repair of the radial ulnohumeral ligament after elbow dislocation in the high-demand patient
| Autor: | Michael J. O'Brien, Randall Lee Murphy, Felix H. Savoie |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Adolescent Elbow Joint Dislocations Physical examination Young Adult Elbow Joint medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Physical Examination Retrospective Studies medicine.diagnostic_test business.industry Gold standard Retrospective cohort study Middle Aged musculoskeletal system Occupational Injuries Brace Surgery medicine.anatomical_structure Treatment Outcome Elbow dislocation Athletic Injuries Ligaments Articular Physical therapy Ligament Female business Range of motion Elbow Injuries |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 30(6) |
| ISSN: | 1526-3231 |
| Popis: | Purpose The purpose of this study was to evaluate functional outcomes, range of motion (ROM), elbow stability, and time to return to full activities after acute and subacute arthroscopic repair of a simple elbow dislocation in high-demand patients. Methods "High-demand patients" were defined as in-season athletes and individuals who required use of both hands for their profession and believed that they could not miss the 6 weeks of work that may be required with conservative treatment in an elbow brace. We retrospectively reviewed 14 consecutive patients with a simple elbow dislocation who underwent arthroscopic repair of the radial ulnohumeral ligament from 2008-2012. Outcomes measures included the Mayo Elbow Performance Score (MEPS), elbow ROM, elbow stability, and time to return to full activities. Each patient was contacted once by telephone to determine the current activity level and presence of any pain or functional limitations. Results The mean patient age was 25 years, with telephone follow-up at a mean of 30 months and clinical examination after a minimum of 6 months. The postoperative MEPS was excellent (mean, 99.6; range, 95 to 100) for all 14 patients, and all returned to their preinjury level of function with no restrictions or instability. Final ROM averaged −3° of full extension to greater than 130° of flexion. The mean time to return to full activities in and out of a brace was 2.7 weeks and 6.6 weeks, respectively, in the acute group and 4.6 weeks and 8.9 weeks, respectively, in the subacute group. All patients were satisfied with their outcome. Conclusions Conservative management remains the gold standard for most simple elbow dislocations. We believe that certain high-demand patients may be candidates for acute arthroscopic ligamentous repair. Our preliminary data show that acute arthroscopic repair of the radial ulnohumeral ligament is a safe, effective procedure that restores stability to the elbow and allows patients to quickly return to full activities. Level of Evidence Level IV, therapeutic case series. |
| Databáze: | OpenAIRE |
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