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. 2025 Oct 15;33(20):1123-1129.
doi: 10.5435/JAAOS-D-24-01507. Epub 2025 Aug 27.

Split Anconeus Fascia Transfer for Posterolateral Rotatory Instability of the Elbow

Brett D Haislup  1 , Linda L Zhang, Caroline Chebli, Anand M Murthi
Affiliations

Split Anconeus Fascia Transfer for Posterolateral Rotatory Instability of the Elbow

Brett D Haislup et al. J Am Acad Orthop Surg. .

Abstract

Posterolateral rotatory instability (PLRI) of the elbow occurs from chronic lateral ulnar collateral ligament (LUCL) injury leading to subluxation of the ulnohumeral joint and radial head. Patients with failed or untreated LUCL injury can go on to have chronic elbow instability and difficulty with activities that require an axial load on the elbow. Free grafts such as semitendinosus, Achilles, or palmaris longus require fixation on both the humerus and ulna, or may not represent the native LUCL kinematics as a native tendon such as anconeus. Split anconeus fascia transfer is a surgical treatment option for PLRI that does not require ulnar drilling or graft site morbidity. This surgical technique paper describes evaluation, management, and treatment of PLRI with accompanying video and description of the split anconeus fascia transfer technique.

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References

    1. O'Driscoll SW, Bell DF, Morrey BF: Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 1991;73:440-446.
    1. Sanchez-Sotelo J: Lateral collateral ligament insufficency, in Morrey BF, Sanchez-Sotelo J, eds: The elbow and its disorders. Philadelphia, PA, Elsevier, 2009, pp 669-679. ISBN 978-1416029021.
    1. Jones KJ, Dodson CC, Osbahr DC, et al.: The docking technique for lateral ulnar collateral ligament reconstruction: Surgical technique and clinical outcomes. J Shoulder Elbow Surg 2012;21:389-395, doi.
    1. Camp CL, Smith J, O'Driscoll SW: Posterolateral rotatory instability of the elbow: Part I. Mechanism of injury and the posterolateral rotatory drawer test. Arthrosc Tech 2017;6:e401-e405, Published 2017 Apr 3, doi.
    1. Sanchez-Sotelo J, Morrey BF, O'Driscoll SW: Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Br 2005;87:54-61.

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