Chronic medial elbow instability-status quo

被引:0
|
作者
Burkhart, K. J. [1 ,2 ]
Schneider, M. M. [1 ,3 ]
Hackl, M. [4 ]
Nietschke, R. [1 ]
Mueller, L. P. [4 ]
Hollinger, B. [1 ]
机构
[1] ARCUS Kliniken, Arcus Sportklin, Rastatter Str 17-19, D-75179 Pforzheim, Germany
[2] Univ Cologne, Cologne, Germany
[3] Univ Witten Herdecke, Witten, Germany
[4] Univ Klinikum Koln, Unfall Hand & Ellenbogenchirurg, Klin Orthopadie & Unfallchirurg, Cologne, Germany
关键词
Collateral ligament; medial; Valgus; Osteophytes; Oecranon; Ligament reconstruction; ULNAR COLLATERAL LIGAMENT; BASEBALL PLAYERS; VALGUS INSTABILITY; NONOPERATIVE TREATMENT; LUMBOPELVIC CONTROL; THROWING ATHLETE; RECONSTRUCTION; INJURIES; ARTHROGRAPHY; RADIOGRAPHY;
D O I
10.1007/s11678-019-0504-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Chronic valgus instability can result from acute trauma, iatrogenic injury or overuse. Especially the overhead athlete's and thrower's elbow experience high valgus loads. Repetitive microtraumata weaken the medial collateral ligament. Increasing valgus instability leads to increasing compressing forces in the radial column which may lead to severe cartilage damage. Contact stress of the olecranon and medial fossa cause typical osteophyte formations and loose bodies. This article reviews the fundamentals and diagnostics of chronic valgus instability. Nonoperative and operative therapy options are discussed in the light of the current literature.
引用
收藏
页码:33 / 38
页数:6
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