ReviewCureus2025
Posterolateral Rotatory Instability of the Elbow: A Practice-Focused Narrative Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Posterolateral rotatory instability (PLRI) is the most common pattern of elbow instability and an underdiagnosed cause of persistent lateral elbow pain. Under-recognition is common because radiographs may be normal, and the instability is dynamic. This narrative review synthesises contemporary evidence on the lateral collateral ligament (LCL) complex, with emphasis on the lateral ulnar collateral ligament (LUCL), and integrates applied anatomy, pathomechanics, clinical presentation, examination, imaging choices, and management. Diagnosis is primarily clinical, led by history and provocative testing and supported by targeted static imaging (plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI)) and by dynamic modalities (fluoroscopy or ultrasound) when static studies are equivocal. Conservative non-operative care comprises activity modification, targeted physiotherapy, and time-limited bracing for low-grade, low-demand, and improving cases. Symptomatic or chronic instability is treated with anatomic LUCL reconstruction (autograft or allograft) with attention to surgical technique and early protected motion. Early recognition and intervention improve functional recovery and reduce recurrent instability. Contemporary series report good-to-excellent outcomes in approximately 85 to 90% with a high return to activity when rehabilitation is structured. Special considerations are required in deformity-driven cases such as cubitus varus, where corrective osteotomy may be required in addition to ligament reconstruction. Practical pathways for diagnosis and treatment are presented to reduce missed diagnoses and improve outcomes through timely recognition and appropriate intervention. A comprehensive literature search of peer-reviewed articles was performed using PubMed and Medical Literature Analysis and Retrieval System Online (MEDLINE) without date limits, focusing on seminal and contemporary literature and supplemented by manual reference screening.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.