scholarly journals Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report

2020 ◽  
Vol 23 (1) ◽  
pp. 27-30
Author(s):  
Daniel Gaitán Vargas ◽  
Santiago Woodcock ◽  
Guido Fierro Porto ◽  
Juan Carlos Gonzalez
Keyword(s):  
Radial Head ◽  
Elbow Dislocation ◽  
Ulnar Collateral Ligament ◽  
Osteochondral Fracture ◽  
Left Elbow ◽  
Pathological Conditions ◽  
Lateral Ulnar Collateral Ligament ◽  
Bony Lesion ◽  
Work Up ◽  
Posterolateral Margin

Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. The patient subsequently presented episodes of instability, and additional work-up studies diagnosed the occurrence of Osborne-Cotterill lesion. An open reduction and internal fixation of the bony lesion was performed, with reinsertion of the lateral ligamentous complex. Three months after surgery, the patient was asymptomatic, having a flexion of 130º and extension of 0º, and resumed his daily activities without any limitation. Currently, the patient remains asymptomatic 2 years after the procedure. Elbow instability includes a large spectrum of pathological conditions that affect the biomechanics of the joint. The Osborne-Cotterill lesion is one among these conditions. It is a pathology that is often forgotten and easily overlooked. Undoubtedly, this lesion requires surgical intervention.

scholarly journals Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Juan M. Patiño ◽  
Juan M. Torres Moirano
Keyword(s):  
Bone Defect ◽  
Pivot Shift ◽  
Treatment Plan ◽  
Elbow Dislocation ◽  
Ulnar Collateral Ligament ◽  
Pivot Shift Test ◽  
Dash Score ◽  
Left Elbow ◽  
Mayo Score ◽  
Lateral Ulnar Collateral Ligament

Case. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. However, a bone graft was not performed. After 2 years of follow-up, the DASH score was 3.3. The Mayo Score was 90. Conclusion. Posterolateral instability associated with an engaging bone defect, in every elbow extension and pivot shift test, was not found in the literature. The capitellum defects are associated with PLRI and make it worse. Bone reconstruction may not be indicated.

scholarly journals Bilateral Elbow Dislocation with Radial Head Fractures in a 33 Year Male – A Rare Case Report

2020 ◽  
pp. 100-106
Author(s):  
A. Raviraj ◽  
Vidyasagar Maalepati ◽  
K. Abhishek Sugumar ◽  
Vivek Kumar N. Savsani ◽  
Viresh B. Murgodi ◽  
...  
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Road Traffic ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Radial Head Fractures ◽  
Left Elbow ◽  
Radial Neck Fracture ◽  
Neck Fracture ◽  
The Right

The authors report a rare case of bilateral elbow dislocation with associated radial head fractures in a 33 year male who presented to our hospital following a road traffic accident. The elbow dislocations were reduced in the emergency room, the left radial head fracture was treated conservatively in an above elbow slab for four weeks and the right radial head and neck fracture was treated operatively with Herbert screw fixation for the radial head fracture and buttress plating for the radial neck fracture. At six months follow-up, the patient was pain free and had functional range of flexion and extension of both elbows with pronation and supination of the right elbow up to 50° and 40° and that of the left elbow up to 60° and 45° respectively.

Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow: A Systematic Review

Hand ◽  
2020 ◽  
pp. 155894472091776
Author(s):  
Austin Fares ◽  
Nicholas Kusnezov ◽  
John C. Dunn
Keyword(s):  
Systematic Review ◽  
Elbow Dislocation ◽  
Ulnar Collateral Ligament ◽  
Tendon Graft ◽  
Common Mechanism ◽  
Collateral Ligament ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Additional Surgery ◽  
Lateral Ulnar Collateral Ligament

Background: Posterolateral rotatory instability (PLRI) is a common form of recurrent elbow instability. The aim of this systematic review is to present the outcomes and complications of lateral ulnar collateral ligament (LUCL) reconstruction surgery for PLRI. Methods: A literature search of LUCL reconstructions was performed, identifying 99 potential papers; 11 of which met inclusion/exclusion criteria, accounting for 148 patients. Papers were included if they reviewed cases of PLRI from 1976 to 2016 with reported outcome measures. Data were pooled and analyzed focusing on patient demographics as well as subjective and objective patient outcomes and complications. Results: The average age of patients was 34 years with a mean follow-up time of 49.8 months. The most common mechanism of injury was a traumatic elbow dislocation (66%), followed by cubitus varus deformity (7%), and unknown mechanisms (7%). Overall, 90% of patients achieved elbow stability and 2.7% experienced a failed reconstruction that necessitated an additional surgery. Furthermore, 93% were satisfied with the outcome of the reconstruction, and 83% reported good to excellent outcomes with 11% reporting moderate to severe persistent pain. Nearly half (45%) of reconstructions were done using a palmaris longus tendon graft, 24% with a triceps tendon graft, and 7% with a synthetic graft. Conclusions: Outcomes following LUCL reconstruction for PLRI are excellent and revision rates are low. LUCL reconstruction is a safe and reliable procedure. Level of Evidence: IV Therapeutic

scholarly journals Management of Terrible Triad Injuries of the Elbow

2015 ◽  
Vol 5 (1) ◽  
pp. 28-34
Author(s):  
Tyler Vovos ◽  
Daniel J Blizzard ◽  
Grant Garrigues
Keyword(s):  
Radial Head ◽  
Functional Outcomes ◽  
Radial Head Fracture ◽  
Ulnar Collateral Ligament ◽  
Injury Patterns ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Lateral Ulnar Collateral Ligament ◽  
Fracture Dislocations

ABSTRACT The term ‘Terrible Triad’ was initially coined by Hotchkiss et al to describe fracture-dislocations of the elbow involving three specific injuries: a posterolateral dislocation, coronoid fracture and radial head fracture.1 Fracture-dislocations of this type are notoriously unstable secondary to loss of the anterior buttress support from the coronoid, valgus support from the radial head, and the posterolateral stabilization of the lateral ulnar collateral ligament (LUCL).2,3 Furthermore, these injury patterns are particularly difficult to treat and have resulted in poor functional outcomes including the need for multiple reoperations.4-6 Herein, the pathoanatomy, classification, diagnosis and management of these challenging injuries will be discussed. Vovos T, Blizzard DJ, Garrigues G. Management of Terrible Triad Injuries of the Elbow. The Duke Orthop J 2015;5(1): 2834.

RADIAL HEAD FRACTURE ASSOCIATED WITH ELBOW DISLOCATION

Orthopedics ◽  
1992 ◽  
Vol 15 (7) ◽  
pp. 874-877
Author(s):  
William B Geissler ◽  
Alan E Freeland
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Elbow Dislocation

scholarly journals Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

2017 ◽  
Vol 11 (5) ◽  
pp. 378-383 ◽  
Author(s):  
Abbas Rashid ◽  
David Copas ◽  
Jeremy Granville-Chapman ◽  
Adam Watts
Keyword(s):  
Articular Surface ◽  
Ulnar Collateral Ligament ◽  
Fracture Dislocation ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Elbow Arthroscopy ◽  
Lateral Ulnar Collateral Ligament ◽  
Arthroscopically Assisted ◽  
Facet Fracture

If left untreated, varus posteromedial rotatory injuries of the elbow result in poor functional outcomes. Surgical treatment allows restoration of elbow kinematics, minimizing the chances of chronic varus instability and early onset osteoarthritis. However, large exposures are associated with extensive soft tissue stripping, a high risk of infection, nerve injury, poor visualization of the articular surface and longer recovery. Consequently, there has been renewed interest in the use of elbow arthroscopy to circumvent these problems. Arthroscopic treatment offers the potential advantage of a swift recovery, with instant rehabilitation, less stiffness and swelling than might be expected after open repair. We present the first combined arthroscopic-assisted anteromedial facet coronoid fracture fixation and lateral ulna collateral ligament repair in a varus posteromedial rotatory injury of the elbow.

scholarly journals Inveterate elbow dislocation: surgical reduction with triceps lengthening

2021 ◽  
Vol 8 (9) ◽  
Keyword(s):  
Mayo Clinic ◽  
Physical Therapist ◽  
Elbow Dislocation ◽  
Elbow Flexion ◽  
Plaster Cast ◽  
Lateral Approach ◽  
Surgical Reduction ◽  
Left Elbow ◽  
Triceps Muscle ◽  
K Wires

Inveterate elbow dislocations remain common in developing countries. We report the case of a 17-year-old child who consulted us after six months of trauma to the left elbow. Clinical examination revealed a deformed elbow, locked in extension with a mobility sector of 5°. The Mayo Clinic Elbow performance score was sixty-six; the downstream vasculo-nervous examination was normal. The face and profile X-ray of the elbow showed a pure posterolateral elbow dislocation. We used the posterior medial para-tricipital and lateral approach, a first stage of arthrolysis was performed. A complete reduction was achieved by progressive and non-traumatic gentle maneuvers. Intraoperative elbow flexion was less than 80°, indicating a retraction of the triceps muscle, so a Z-lengthening plasty was necessary. This reduction was then fixed with two olecranon-humeral K-wires. At the third week, the plaster cast and K-wires were removed. The patient was subsequently referred to a physical therapist. After a ten-month follow-up, an undistorted and functional elbow with a gain of twenty-one points according to the Mayo Clinic score was obtained. Surgical reduction of a neglected elbow dislocation with triceps lengthening plasty, followed by a codified physical therapy program, results in a remarkable restoration of elbow function and stability. Keyword : elbow, dislocation, inveterate, reduction, triceps.

Treatment of Mason Type II Radial Head Fractures Without Associated Fractures or Elbow Dislocation: A Systematic Review

2012 ◽  
Vol 37 (7) ◽  
pp. 1416-1421 ◽  
Author(s):  
Laurens Kaas ◽  
Peter A.A. Struijs ◽  
David Ring ◽  
C. Niek van Dijk ◽  
Denise Eygendaal
Keyword(s):  
Systematic Review ◽  
Radial Head ◽  
Elbow Dislocation ◽  
Type Ii ◽  
Radial Head Fractures
Sign in / Sign up

Export Citation Format

Share Document