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DOI: 10.1055/s-0040-1714232
Multidirectional Instability in a Neglected Elbow Dislocation Managed with Circumferential Ligament Reconstruction. A Case Report[*]
Article in several languages: português | English
Abstract
Neglected elbow dislocation is an uncommon condition and its treatment remains challenging. We present a case of a middle-aged woman presenting with neglected elbow dislocation and multi-direction instability in whom open reduction of the elbow joint and circumferential ligamentous reconstruction with a gracilis tendon graft was done. The functional outcome assessed with the Mayo elbow performance index was excellent. This circumferential technique is undoubtedly a viable technique and the indications can be extended to even manage a neglected dislocation. This procedure reduces the need or diminishes the duration of external fixation requirement and thereby encourages early mobilization.
Statement of Informed Consent
The patient was informed that data concerning the case would be submitted for publication and the patient agreed.
* This study was done at the Department of Hand Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India.
Publication History
Received: 30 March 2020
Accepted: 01 June 2020
Article published online:
25 September 2020
© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
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Referências
- 1 van Riet RP, Bain GI, Baird R, Lim YW. Simultaneous reconstruction of medial and lateral elbow ligaments for instability using a circumferential graft. Tech Hand Up Extrem Surg 2006; 10 (04) 239-244
- 2 Morrey BF. Chronic Unreduced Elbow Dislocation. Elb Its Disord. 4th ed. Philadelphia, PA: Saunders WB; 2008: 463-471
- 3 Morrey BF. Functional evaluation of elbow. Elb Its Disord. 4th ed. Philadelphia, PA: Saunders WB; 2008: 88
- 4 Morrey BF, Tanaka S, An KN. Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res 1991; (265) 187-195
- 5 van der Ley J, van Niekerk JL, Binnendijk B. Conservative treatment of elbow dislocations in adults. Neth J Surg 1987; 39 (06) 167-169
- 6 Lyons RP, Armstrong A. Chronically unreduced elbow dislocations. Hand Clin 2008; 24 (01) 91-103
- 7 di Schino M, Breda Y, Grimaldi FM, Lorthioir JM, Merrien Y. [Surgical treatment of neglected elbow dislocations. Report of 81 cases]. Rev Chir Orthop Repar Appar Mot 1990; 76 (05) 303-310
- 8 Silva JF. Old dislocations of the elbow. Ann R Coll Surg Engl 1958; 22 (06) 363-381
- 9 Nestor BJ, O'Driscoll SW, Morrey BF. Ligamentous reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 1992; 74 (08) 1235-1241
- 10 Sanchez-Sotelo J, Morrey BF, O'Driscoll SW. Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Br 2005; 87 (01) 54-61
- 11 Eygendaal D. Ligamentous reconstruction around the elbow using triceps tendon. Acta Orthop Scand 2004; 75 (05) 516-523
- 12 Finkbone PR, O'Driscoll SW. Box-loop ligament reconstruction of the elbow for medial and lateral instability. J Shoulder Elbow Surg 2015; 24 (04) 647-654
- 13 Hackl M, Leschinger T, Müller LP, Wegmann K. [Chronic ligamentous instability of the elbow]. Orthopade 2016; 45 (10) 809-821