Professional Documents
Culture Documents
Traumatic Elbow Injuries
Traumatic Elbow Injuries
Traumatic Elbow Injuries
ELBOW
INSTABILITY
VALGUS INSTABILITY MOST COMMONLY RESULTS FROM
INJURIES TO THE ANTERIOR BUNDLE OF THE MCL
WHEN THE ANTERIOR MCL IS INJURED, SECONDARY
STABILIZATION IS PROVIDED BY THE FLEXOR-PRONATOR
MUSCLES AND RADIOCAPITELLAR ARTICULATION
NORMAL FUNCTIONAL STRESSES ON THE ANTERIOR MCL
ARE THOUGHT TO BE HIGHEST WHEN VALGUS LOADING
OCCURS WHILE THE FOREARM IS SUPINATED AND
EXTENDED OR FLEXED AT AN ANGLE BETWEEN 0 AND
90
Injury mechanism
involves valgus and pronation stresses
after a fall onto an outstretched hand (FOOSH)
Elbow trauma
Early identification of injuries that can lead to elbow
instability is critical to guide decision making about
appropriate treatment
An understanding of the most common injury
mechanisms will help direct attention toward the
most critical injuries
mildly displaced
medial epicondylar
fracture
MR arthrography demonstrates
disruption of the RCL
and
LUCL
after
reduction
for posterior dislocation
combination of
TERRIBLE TRIAD
comminuted radial
head
fracture (arrow)
coronoid process
fracture fragment
(arrowhead).
fracture of any
the proximal
in association with
ulnar ulna
fracture
anterior
dislocation at the
radial head
with
radiocapitellar
dislocation
Bado type I
Monteggia fracture
Understanding
of the
most common
injury
direct the early imaging
evaluation
as appropriate
mechanisms
to facilitate detection of the most clinically
relevant associated injuries