Lateral collateral ligament repair restores the initial varus stability of the elbow: An in vitro biomechanical study

Journal of Orthopaedic Trauma

Volumn 22, Issue 9, 2008, Pages 615-623

  Fraser, Gillian S ^a,b   Pichora, Jamie E ^b   Ferreira, Louis M ^b   Brownhill, Jamie R ^b   Johnson, James A ^b   King, Graham J W ^a,b  

^a ST JOSEPH S HEALTH CENTRE   (Canada)

^b UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

Elbow; Lateral; Ligament; Repair; Stability

Indexed keywords

ARTICLE; BIOMECHANICS; BONE REMODELING; CONTROLLED STUDY; ELBOW; HUMAN; IN VITRO STUDY; JOINT MOBILITY; JOINT STABILITY; LIGAMENT SURGERY; PRIORITY JOURNAL; CADAVER; JOINT CHARACTERISTICS AND FUNCTIONS; JOINT INSTABILITY; LIGAMENT; MALE; METHODOLOGY; MIDDLE AGED; PATHOPHYSIOLOGY; PLASTIC SURGERY; SUTURING METHOD; TREATMENT OUTCOME;

CADAVER; COLLATERAL LIGAMENTS; ELBOW JOINT; HUMANS; JOINT INSTABILITY; MALE; MIDDLE AGED; RANGE OF MOTION, ARTICULAR; RECONSTRUCTIVE SURGICAL PROCEDURES; SUTURE TECHNIQUES; TREATMENT OUTCOME;

EID: 58149384380     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e3181886f37     Document Type: Article

References (50)

1. Hall JA, McKee MD. Posterolateral rotatory instability of the elbow following radial head resection. J Bone Joint Surg Am. 2005;87: 1571-1579.
2. Itamura J, Roidis N, Mirzayan R, et al. Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg. 2005;14:421-424.
3. Regan W, Lapner PC. Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow. J Shoulder Elbow Surg. 2006;15:344-346.
4. Regan WD, Korinek SL, Morrey BF, et al. Biomechanical study of ligaments around the elbow joint. Clin Orthop Relat Res. 1991;271:170-179.
5. Hechtman KS, Tjin A, Tsoi EW, et al. Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow. Am J Sports Med. 1998;26:620-624.
6. Morrey BF, An KN. Functional anatomy of the ligaments of the elbow. Clin Orthop Relat Res. 1985;201:84-90.
7. Itoi E, King GJ, Neibur GL, et al. Stabilizers of the capitellocondylar total elbow arthroplasty. J Shoulder Elbow Surg. 1992;1:271-279.
8. Itoi E, King GJ, Neibur GL, et al. Malrotation of the humeral component of the capitellocondylar total elbow replacement is not the sole cause of dislocation. J Orthop Res. 1994;12:665-671.
9. Fuss FK. The ulnar collateral ligament of the human elbow joint. Anatomy, function and biomechanics. J Anat. 1991;175:203-212.
10. Schwab GH, Bennett JB, Woods GW, et al. Biomechanics of elbow instability: the role of the medial collateral ligament. Clin Orthop Relat Res. 1980;146:42-52.
11. Smith GR, Altchek DW, Pagnani MJ, et al. A muscle-splitting approach to the ulnar collateral ligament of the elbow. Neuroanatomy and operative technique. Am J Sports Med. 1996;24:575-580.
12. Sojbjerg JO, Ovesen J, Gundorf CE. The stability of the elbow following excision of the radial head and transection of the annular ligament. An experimental study. Arch Orthop Trauma Surg. 1987;106: 248-250.
13. Conway JE, Jobe FW, Glousman RE, et al. Medial instability of the elbow in throwing athletes. Treatment by repair or reconstruction of the ulnar collateral ligament. J Bone Joint Surg Am. 1992;74:67-83.
14. Nestor BJ, O'Driscoll SW, Morrey BF. Ligamentous reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1992;74:1235-1241.
15. Osborne G, Cotterill P. Recurrent dislocation of the elbow. J Bone Joint Surg Br. 1966;48:340-346.
16. Sojbjerg JO, Ovesen J, Nielsen S. Experimental elbow instability after transection of the medial collateral ligament. Clin Orthop Relat Res. 1987; 218:186-190.
17. Hildebrand KA, Patterson SD, King GJ. Acute elbow dislocations: simple and complex. Orthop Clin North Am. 1999;30:63-79.
18. Mehlhoff TL, Noble PC, Bennett JB, et al. Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am. 1988; 70:244-249.
19. Linscheid RL, Wheeler DK. Elbow dislocations. J Am Med Assoc. 1965; 194:1171-1176.
20. Davidson PA, Moseley JB Jr, Tullos HS. Radial head fracture. A potentially complex injury. Clin Orthop Relat Res. 1993;297:224-230.
21. McAdams TR, Masters GW, Srivastava S. The effect of arthroscopic sectioning of the lateral ligament complex of the elbow on posterolateral rotatory stability. J Shoulder Elbow Surg. 2005;14:298-301.
22. Sotereanos DG, Darlis NA, Wright TW, et al. Unstable fracture- dislocations of the elbow. Instr Course Lect. 2007;56:369-376.
23. Spahn G, Kirschbaum S, Klinger HM, et al. Arthroscopic electrothermal shrinkage of chronic posterolateral elbow instability: good or moderate outcome in 21 patients followed for an average of 2.5 years. Acta Orthop. 2006;77:285-289.
24. van Riet RP, Bain GI, Baird R, et al. Simultaneous reconstruction of medial and lateral elbow ligaments for instability using a circumferential graft. Tech Hand Up Extrem Surg. 2006;10:239-244.
25. McKee MD, Schemitsch EH, Sala MJ, et al. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg. 2003;12:391-396.
26. Dunning CE, Gordon KD, King GJ, et al. Development of a motion-controlled in vitro elbow testing system. J Orthop Res. 2003;21:405-411.
27. Duck TR, Dunning CE, Armstrong AD, et al. Application of screw displacement axes to quantify elbow instability. Clin Biomech (Bristol, Avon). 2003;18:303-310.
28. Duck TR, Ferreira LM, King GJ, et al. Assessment of screw displacement axis accuracy and repeatability for joint kinematic description using an electromagnetic tracking device. J Biomech 2004;37:163-167.
29. Beingessner DM, Dunning CE, Gordon KD, et al. The effect of radial head excision and arthroplasty on elbow kinematics and stability. J Bone Joint Surg Am. 2004;86:1730-1739.
30. King GJ, Morrey BF, An KN. Stabilizers of the elbow. J Shoulder Elbow Surg. 1993;2:165-171.
31. Krackow KA, Thomas SC, Jones LC. Ligament-tendon fixation: analysis of a new stitch and comparison with standard techniques. Orthopedics. 1988;11:909-917.
32. O'Neill OR, Morrey BF, Tanaka S, et al. Compensatory motion in the upper extremity after elbow arthrodesis. Clin Orthop Relat Res. 1992;281:89-96.
33. Olsen BS, Sojbjerg JO, Nielsen KK, et al. Posterolateral elbow joint instability: the basic kinematics. J Shoulder Elbow Surg. 1998;7:19-29.
34. Morrey BF, Tanaka S, An KN. Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res. 1991;265:187-195.
35. Armstrong AD, Dunning CE, Faber KJ, et al. Rehabilitation of the medial collateral ligament-deficient elbow: an in vitro biomechanical study. J Hand Surg [Am]. 2000;25:1051-1057.
36. O'Driscoll SW, Morrey BF, An KN. The pathoanatomy of posterolateral rotatory instability of the elbow. Orthop Trans. 1990;14: 629-630.
37. O'Driscoll SW, Bell DF, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1991;73:440-446.
38. Olsen BS, Sojbjerg JO, Nielsen KK, et al. Elbow joint instability: a kinematic model. J Shoulder Elbow Surg. 1994;3:143-150.
39. Olsen BS, Vaesel MT, Sojbjerg JO, et al. Lateral collateral ligament of the elbow joint: anatomy and kinematics. J Shoulder Elbow Surg. 1996;5: 103-112.
40. Tax AA, Denier van der Gon JJ, Erkelens CJ. Differences in coordination of elbow flexor muscles in force tasks and in movement tasks. Exp Brain Res. 1990;81:567-572.
41. Josefsson PO, Johnell O, Gentz CF. Long-term sequelae of simple dislocation of the elbow. J Bone Joint Surg Am. 1984;66:927-930.
42. Josefsson PO, Gentz CF, Johnell O, et al. Dislocations of the elbow and intraarticular fractures. Clin Orthop Relat Res. 1989;246:126-130.
43. Hassmann GC, Brunn F, Neer CS,2nd. Recurrent dislocation of the elbow. J Bone Joint Surg Am. 1975;57:1080-1084.
44. Ring D, Hannouche D, Jupiter JB. Surgical treatment of persistent dislocation or subluxation of the ulnohumeral joint after fracture-dislocation of the elbow. J Hand Surg [Am]. 2004;293:470-480.
45. Moritomo H, Tada K, Yoshida T, et al. Reconstruction of the coronoid for chronic dislocation of the elbow. Use of a graft from the olecranon in two cases. J Bone Joint Surg Br. 1998;80:490-492.
46. Jensen SL, Olsen BS, Tyrdal S, et al. Elbow joint laxity after experimental radial head excision and lateral collateral ligament rupture: efficacy of prosthetic replacement and ligament repair. J Shoulder Elbow Surg. 2005; 14:78-84.
47. King GJW, Edwards P, Brant RF, et al. Introoperative graft tensioning alters viscoelastic but not failure behaviours of rabbit medial collateral ligament autographs. J Ortho Res. 1995;13:915-922.
48. Pugh DM, Wild LM, Schemitsch EH, et al. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am. 2004;86:1122-1130.
49. Brownhill JR, Furukawa K, Faber KJ, et al. Surgeon accuracy in the selection of the flexion-extension axis of the elbow: an in vitro study. J Shoulder Elbow Surg. 2006;15:451-456.
50. Dunning CE, Zarzour ADS, Patterson SD, et al. Muscle forces and pronation stabilize the lateral ligament deficient elbow. Clin. Orthop & Related Research. 2001;388:118-124.