Complex Elbow Fracture-Dislocations: An Algorithmic Approach to Treatment.

J Am Acad Orthop Surg

From the Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO(Dr. Meyer, Dr. Leversedge, Dr. Catalano, and Dr. Lauder), Department of Orthopedic Surgery, Denver Health Medical Center, Denver, CO (Dr. Lauder).

Published: August 2024


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Article Abstract

Elbow stability arises from a combination of bony congruity, static ligamentous and capsular restraints, and dynamic muscular activation. Elbow trauma can disrupt these static and dynamic stabilizers leading to predictable patterns of instability; these patterns are dependent on the mechanism of injury and a progressive failure of anatomic structures. An algorithmic approach to the diagnosis and treatment of complex elbow fracture-dislocation injuries can improve the diagnostic assessment and reconstruction of the bony and ligamentous restraints to restore a stable and functional elbow. Achieving optimal outcomes requires a comprehensive understanding of pertinent local and regional anatomy, the altered mechanics associated with elbow injury, versatility in surgical approaches and fixation methods, and a strategic rehabilitation plan.

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http://dx.doi.org/10.5435/JAAOS-D-23-00460DOI Listing

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