Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Elbow 39 articles


What Injury Mechanism and Patterns of Ligament Status Are Associated With Isolated Coronoid, Isolated Radial Head, and Combined Fractures?

In Hyeok Rhyou MD, Ji-Ho Lee MD, Kyung Chul Kim MD, Kee Baek Ahn MD, Seong Cheol Moon MD, Hyeong Jin Kim MD, Jung Hyun Lee MD

Isolated coronoid, isolated radial head, and combined coronoid and radial head fractures are common elbow fractures, and specific ligamentous injury of each fracture configuration has been reported. However, the osseous injury mechanism related to ligament status remains unclear.

A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis

Joon Yub Kim MD, PhD, Seok Won Chung MD, PhD, Joo Hak Kim MD, Jae Hong Jung MD, Gwang Young Sung MD, Kyung-Soo Oh MD, Jong Soo Lee MD

Olecranon bursitis might be a minor problem in the outpatient clinic but relatively be common to occur. However, there are few well-designed studies comparing approaches to treatment.

What Factors are Associated With a Surgical Site Infection After Operative Treatment of an Elbow Fracture?

Femke M. A. P. Claessen MD, Yvonne Braun MD, Wouter F. Leeuwen MD, George S. Dyer MD, Michel P. J. den Bekerom MD, David Ring MD, PhD

Surgical site infections are one of the more common major complications of elbow fracture surgery and can contribute to other adverse outcomes, prolonged hospital stays, and increased healthcare costs.

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Femke M. A. P. Claessen MD, Yvonne Braun MD, Rinne M. Peters BSc, George Dyer MD, Job N. Doornberg MD, PhD, David Ring MD, PhD

Surgery for fixation of olecranon fractures is associated with reoperation, mostly for implant removal. A study of a large cohort of patients treated by many different surgeons allows us to determine if specific techniques or implants are associated with a higher rate of reoperation.

Elbow Positioning and Joint Insufflation Substantially Influence Median and Radial Nerve Locations

Michael Hackl MD, Sebastian Lappen, Klaus J. Burkhart MD, PhD, Tim Leschinger MD, Martin Scaal PhD, Lars P. Müller MD, PhD, Kilian Wegmann MD

The median and radial nerves are at risk of iatrogenic injury when performing arthroscopic arthrolysis with anterior capsulectomy. Although prior anatomic studies have identified the position of these nerves, little is known about how elbow positioning and joint insufflation might influence nerve locations.

Does Nonsurgical Treatment Improve Longitudinal Outcomes of Lateral Epicondylitis Over No Treatment? A Meta-analysis

Eli T. Sayegh BS, Robert J. Strauch MD

Lateral epicondylitis is a painful tendinopathy for which several nonsurgical treatment strategies are used. Superiority of these nonsurgical treatments over nontreatment has not been definitively established.

Good Functional Recovery of Complex Elbow Dislocations Treated With Hinged External Fixation: A Multicenter Prospective Study

Gijs I. T. Iordens MD, Dennis Hartog PhD, Esther M. M. Lieshout PhD, Wim E. Tuinebreijer PhD, Jeroen Haan PhD, Peter Patka PhD, Michael H. J. Verhofstad PhD, Niels W. L. Schep PhD

After a complex dislocation, some elbows remain unstable after closed reduction or fracture treatment. Function after treatment with a hinged external fixator theoretically allows collateral ligaments to heal without surgical reconstruction. However, there is a lack of prospective studies that assess functional outcome, pain, and ROM.

What Design and Material Factors Impact the Wear and Corrosion Performance in Total Elbow Arthroplasties?

Mark P. Figgie MD, Timothy M. Wright PhD, Denise Drinkwater BA

The survivorship of total elbow arthroplasties is lower than surgeons and patients would like it to be, especially in patients with posttraumatic arthritis of the elbow. To improve durability, it is important to understand the failure modes of existing implants. Total elbow arthroplasties were designed primarily for low-demand rheumatoid patients. As surgical indications have extended to more active patient populations, the mechanical performance of current designs must meet an increased mechanical burden. Evaluating the degree to which they do this will guide conclusions about which contemporary devices might still meet the need and, as importantly, what design and material changes might be needed to improve performance.

Radial Head Reconstruction in Elbow Fracture-Dislocation: Monopolar or Bipolar Prosthesis?

Robert U. Hartzler MD, MS, Bernard F. Morrey MD, Scott P. Steinmann MD, Manuel Llusa-Perez MD, Joaquin Sanchez-Sotelo MD, PhD

Monopolar and bipolar radial head prosthetic arthroplasties have been used successfully to treat elbow fracture-dislocation with unsalvageable radial head fractures. The relative stability of these two designs in different clinical situations is a topic of ongoing investigation.

The Management of Elbow Instability Using an Internal Joint Stabilizer: Preliminary Results

Jorge L. Orbay MD, Michael R. Mijares MD

Nonsurgical and surgical treatments such as immobilization, transarticular pinning, and hinged or nonhinged external fixation have been used to treat unstable elbows. These methods all have drawbacks. We thought that a bent Steinmann pin introduced through the axis of ulnohumeral rotation and attached to the ulna could provide an improved method of treatment and that this could result in the development of a proper internal joint fixator that may have widespread application.