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Review
. 2024 Aug 1;32(15):669-680.
doi: 10.5435/JAAOS-D-23-00460. Epub 2024 Apr 30.

Complex Elbow Fracture-Dislocations: An Algorithmic Approach to Treatment

Maximilian A Meyer  1 , Fraser J Leversedge, Louis W Catalano 3rd, Alexander Lauder
Affiliations
Review

Complex Elbow Fracture-Dislocations: An Algorithmic Approach to Treatment

Maximilian A Meyer et al. J Am Acad Orthop Surg. .

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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References

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