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Review
. 2023 Sep;126(9):671-678.
doi: 10.1007/s00113-023-01333-w. Epub 2023 Jun 21.

[Ligamentous elbow injuries-When is surgical treatment still indicated?]

[Article in German]
Nikolaus Zumbansen  1 , Andreas Lenich  2
Affiliations
Review

[Ligamentous elbow injuries-When is surgical treatment still indicated?]

[Article in German]
Nikolaus Zumbansen et al. Unfallchirurgie (Heidelb). 2023 Sep.

Abstract
in English, German

The elbow joint is a hinge-type synovial joint and is the second most frequently dislocated joint in adults and the most frequently dislocated joint in children. To find the right treatment options a precise understanding of the injury pattern, anatomy, biomechanics and pathology (simple vs. complex dislocation) is essential for a good reconstruction of the function and to prevent chronic instability and pain. The differentiation between acute and chronic instability gives another variation in the treatment plan. According to the latest literature there are clear indications for surgery of a complex elbow dislocation, whereas for simple dislocations conservative treatment is preferentially recommended; however, when is the surgical treatment of a ligamentous elbow dislocation (still) indicated?

Das Ellenbogengelenk als Drehscharniergelenk ist beim Erwachsenen das zweithäufigste und beim Kind sogar das häufigste luxierte Gelenk. Ein genaues Verständnis für das Verletzungsmuster (einfache vs. komplexe Luxation) und deren Therapieoptionen ist für eine gute Wiederherstellung der Funktion sowie ein Verhindern chronischer Instabilität und Schmerzen nötig. Laut Literatur bestehen klare Operationsindikationen für eine komplexe Ellenbogenluxation, wohingegen bei einfachen Luxationen vorrangig die konservative Therapie empfohlen wird. Doch wann ist die operative Therapie einer ligamentären Ellenbogenluxation (noch) indiziert?

Keywords: Conservative treatment; Joint dislocations; Pain; Range of motion; Ulnar collateral ligament.

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References

Literatur

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