ArticleArchives of orthopaedic and trauma surgery2021
Injury patterns following simple elbow dislocation: radiological analysis implies existence of a pure valgus dislocation mechanism.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Combined simple elbow dislocation and forearm joint injuries. A systematic review of the literature with injury patterns and current treatment rationale.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- Drop sign and radial head subluxation in lateral collateral ligament complex injury: computed tomography scan study in a cadaver model.JSES international · 2026Article
- Anatomical considerations, diagnosis, and treatment of medial and posterolateral elbow rotatory instability in athletes: an arthroscopic perspective and literature review.International orthopaedics · 2025Review
- Biomechanical investigation of elbow dislocation: comparative analysis usingFrontiers in bioengineering and biotechnology · 2025Article
- Evaluating the efficacy of hinged elbow braces in reducing passive valgus forces after ulnar collateral ligament injury-A biomechanical study.Journal of experimental orthopaedics · 2025Article
- A single-surgeon experience with the internal joint stabilizer of the elbow across 56 cases.JSES international · 2025Article
- The HuRaA Trial-The Radiocapitellar Line Shows Significant Posterior Translation in Healthy Elbows: A Prospective Analysis of 53 Healthy Individuals.Biomedicines · 2024Article
- A Novel Surgical Treatment Management Algorithm for Elbow Posterolateral Rotatory Instability (PLRI) Based on the Common Extensor Origin Integrity.Journal of clinical medicine · 2024Review
- Posterior Translation of the Radial Head in Magnetic Resonance Imaging of Lateral Epicondylitis.Plastic and reconstructive surgery. Global open · 2024Article
- Variant of the terrible triad of the elbow, a CASE report with a review of the literature.International journal of surgery case reports · 2024Article
- Dual Bracing for Ulnar Collateral Ligament Injuries Restores Native Valgus Laxity and Native Medial Joint Gapping of the Elbow.Orthopaedic journal of sports medicine · 2023Article
- [Augmented primary sutures "internal bracing" following ligamentous elbow dislocation].Operative Orthopadie und Traumatologie · 2023Article
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of the present study was to analyze the injury pattern and thus the dislocation mechanism after simple elbow dislocation using radiographs and magnetic resonance imaging (MRI) data sets. MATERIALS AND
methodsThe MRI data sets of 64 patients with a mean age of 44 years (18-77 years) were analyzed retrospectively. The inclusion criteria for the study were (1) radiograph with confirmed simple elbow dislocation, (2) low-energy trauma, (3) MRI of the affected elbow ≤ 3 weeks after trauma. The dislocation direction was determined using radiographs. The integrity of the lateral collateral ligament complex (LCLC), common extensor origin (CEO), anterior capsule (AC), medial collateral ligament (MCL), and common flexor origin (CFO) as well as the joint congruity were assessed based on MRI.
results34 patients (53%) had a posterolateral, 26 patients (41%) a posterior, and 4 patients (6%) a posteromedial dislocation. LCLC and AC were affected in 64 out of 64 patients (100%). MCL was affected in 58 patients (91%). CEO were affected in 25 patients (39%) and the CFO in 20 patients (31%). In 11 patients (17%) the injury pattern was more pronounced medially than laterally (MCL, CFO, LCLC), with 2 of these patients exhibiting only a partial LCLC tear. All cases with joint incongruency (n = 12, 19%) showed CEO and/or CFO involvement.
conclusionsSimple elbow dislocation leads to a very heterogeneous spectrum of soft tissue injury pattern. A small proportion of patients showed medially pronounced injury patterns. These findings strongly indicate existence of a "reversed Horii circle" with an underlying valgus mechanism (medial force induction) originating and continuing from medial to anterior.
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