Literature DB >> 28160902

Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing.

Lauren E Karbach1, John Elfar2.   

Abstract

The elbow comprises a complex of bony and ligamentous stabilizers that provide both primary and secondary constraints to elbow instability. Through trauma and overuse, classic instability patterns arise by loss of these important stabilizers. The diagnosis of elbow instability can made using specific examination maneuvers and testing to diagnose the clinical pattern. This article reviews the elbow's unique anatomy and biomechanical characteristics and these are applied when reviewing the maneuvers and testing used to diagnose elbow instability.
Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Valgus instability; elbow biomechanics; posterolateral rotatory instability; varus posteromedial rotatory instability

Mesh:

Year:  2017        PMID: 28160902      PMCID: PMC5821063          DOI: 10.1016/j.jhsa.2016.11.025

Source DB:  PubMed          Journal:  J Hand Surg Am        ISSN: 0363-5023            Impact factor:   2.230


  24 in total

Review 1.  The unstable elbow.

Authors:  S W O'Driscoll; J B Jupiter; G J King; R N Hotchkiss; B F Morrey
Journal:  Instr Course Lect       Date:  2001

Review 2.  Traumatic elbow instability.

Authors:  Mohamed H Ebrahimzadeh; Husain Amadzadeh-Chabock; David Ring
Journal:  J Hand Surg Am       Date:  2010-07       Impact factor: 2.230

Review 3.  Ulnar collateral ligament injury in the overhead athlete.

Authors:  Sanaz Hariri; Marc R Safran
Journal:  Clin Sports Med       Date:  2010-10       Impact factor: 2.182

4.  Table top relocation test--New clinical test for posterolateral rotatory instability of the elbow.

Authors:  Chinnakonda H V Arvind; David G Hargreaves
Journal:  J Shoulder Elbow Surg       Date:  2006 Jul-Aug       Impact factor: 3.019

5.  Posterolateral rotatory instability of the elbow.

Authors:  C P Charalambous; J K Stanley
Journal:  J Bone Joint Surg Br       Date:  2008-03

Review 6.  Elbow US: Anatomy, Variants, and Scanning Technique.

Authors:  Alberto S Tagliafico; Bianca Bignotti; Carlo Martinoli
Journal:  Radiology       Date:  2015-06       Impact factor: 11.105

7.  Preoperative evaluation of the ulnar collateral ligament by magnetic resonance imaging and computed tomography arthrography. Evaluation in 25 baseball players with surgical confirmation.

Authors:  L A Timmerman; M L Schwartz; J R Andrews
Journal:  Am J Sports Med       Date:  1994 Jan-Feb       Impact factor: 6.202

8.  Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow.

Authors:  William Regan; Peter C Lapner
Journal:  J Shoulder Elbow Surg       Date:  2006 May-Jun       Impact factor: 3.019

9.  The effect of anteromedial facet fractures of the coronoid and lateral collateral ligament injury on elbow stability and kinematics.

Authors:  J Whitcomb Pollock; Jamie Brownhill; Louis Ferreira; Colin P McDonald; James Johnson; Graham King
Journal:  J Bone Joint Surg Am       Date:  2009-06       Impact factor: 5.284

Review 10.  Ligament and tendon injury to the elbow: clinical, surgical, and imaging features.

Authors:  Justin D Saliman; Christopher F Beaulieu; Timothy R McAdams
Journal:  Top Magn Reson Imaging       Date:  2006-10
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  16 in total

1.  Greater sigmoid notch dysplasia causing elbow instability: Lateral ligament reconstruction and Stamp osteotomy.

Authors:  Aparna Viswanath; Jill L Thomas; Adam C Watts
Journal:  Shoulder Elbow       Date:  2021-01-18

Review 2.  Excision Versus Replacement in Unrepairable Comminuted Fractures of the Radial Head: A Systematic Review of Outcomes and Complications.

Authors:  Prasoon Kumar; Karan Jindal; Rajesh Kumar Rajnish; Sandeep Patel; Siddhartha Sharma; Vishal Kumar; Sameer Aggarwal
Journal:  Indian J Orthop       Date:  2022-06-20       Impact factor: 1.033

3.  Reliability, validity and critical appraisal of the cross-cultural adapted German version of the Mayo Elbow Performance Score (MEPS-G).

Authors:  A Papen; T Schöttker-Königer; A Schäfer; F Morrison; B Hollinger; K J Burkhart; R Nietschke; A Zimmerer; N Maffulli; F Migliorini; Marco M Schneider
Journal:  J Orthop Surg Res       Date:  2022-06-25       Impact factor: 2.677

4.  Arthroscopic Lateral Collateral Ligament Repair for the Acute Elbow Dislocation in Primary Lateral Sclerosis Patient: A Case Report.

Authors:  Nattakorn Mahasupachai; Arnakorn Premsiri; Cholawish Chanlalit
Journal:  Orthop Rev (Pavia)       Date:  2022-03-06

Review 5.  Multibody modelling of ligamentous and bony stabilizers in the human elbow.

Authors:  Mara Terzini; Elisabetta Maria Zanetti; Alberto Luigi Audenino; Giovanni Putame; Laura Gastaldi; Stefano Pastorelli; Elisa Panero; Arman Sard; Cristina Bignardi
Journal:  Muscles Ligaments Tendons J       Date:  2018-04-16

6.  Dislocations of the elbow - An instructional review.

Authors:  Ines Lh Reichert; Santhosh Ganeshamoorthy; Saurabh Aggarwal; Anand Arya; Joydeep Sinha
Journal:  J Clin Orthop Trauma       Date:  2021-07-13

7.  Prediction and Potential Preventions for the Development of Posttraumatic Osteoarthritis after the Terrible Triad Injury: A Multicenter Risk Factors Study.

Authors:  Jingjing Li; Di Lu; Wenxiao Lin; Qinglong Li; Jing Hu; Ding Xu; Youming Zhao; Weijun Guo
Journal:  Biomed Res Int       Date:  2020-06-21       Impact factor: 3.411

8.  Biomechanical Role and Motion Contribution of Ligaments and Bony Constraints in the Elbow Stability: A Preliminary Study.

Authors:  Elisa Panero; Laura Gastaldi; Mara Terzini; Cristina Bignardi; Arman Sard; Stefano Pastorelli
Journal:  Bioengineering (Basel)       Date:  2019-08-07

9.  Role of the transverse ligament of the ulnar collateral ligament of the elbow: a biomechanical study.

Authors:  Giovanni F Solitro; Roberto Fattori; Kevin Smidt; Christian Nguyen; Massimo Max Morandi; R Shane Barton
Journal:  JSES Int       Date:  2021-03-23

10.  Novel Radiographic Indexes for Elbow Stability Assessment: Part A-Cadaveric Validation.

Authors:  Francesco Luceri; Davide Cucchi; Paolo Angelo Arrigoni; Pietro Simone Randelli; Enrico Rosagrata; Carlo Eugenio Zaolino; Marco Viganò; Laura de Girolamo; Andrea Zagarella; Michele Catapano; Mauro Battista Gallazzi
Journal:  Indian J Orthop       Date:  2021-05-09       Impact factor: 1.251

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