Imaging the Postoperative Elbow

Abstract

Evaluation of postoperative images of any joint can be a daunting task, and the elbow is no exception. Patients may be imaged with a complication of the repair, or the postoperative changes may be incidentally observed as the patient is imaged for other reasons. We divide the postoperative elbow into soft tissue procedures (covering ligament and tendon repairs, as well as compartmental release and nerve transposition), joint-related procedures (osteochondral lesion treatment, ostectomy, and joint replacement), and bone procedures (fracture fixation). We summarize the procedures and their indications, show normal imaging appearances, and finally cover common complications.

Keywords

elbow - postoperative - repair - surgical - magnetic resonance imaging

Publikationsverlauf

Artikel online veröffentlicht:
27. Oktober 2021

• References

• 1 Meyers A, Palmer B, Baratz ME. Ulnar collateral ligament reconstruction. Hand Clin 2008; 24 (01) 53-67
• 2 Safran MR. Ulnar collateral ligament injury in the overhead athlete: diagnosis and treatment. Clin Sports Med 2004; 23 (04) 643-663 , x
• 3 Cain Jr EL, Ochsner III MG. Ulnar collateral ligament reconstruction. Clin Sports Med 2020; 39 (03) 523-536
• 4 Carr II JB, Camp CL, Dines JS. Elbow ulnar collateral ligament injuries: indications, management, and outcomes. Arthroscopy 2020; 36 (05) 1221-1222
• 5 Daniels SP, Mintz DN, Endo Y, Dines JS, Sneag DB. Imaging of the post-operative medial elbow in the overhead thrower: common and abnormal findings after ulnar collateral ligament reconstruction and ulnar nerve transposition. Skeletal Radiol 2019; 48 (12) 1843-1860
• 6 O'Brien MJ, Savoie III FH. Arthroscopic and open management of posterolateral rotatory instability of the elbow. Sports Med Arthrosc Rev 2014; 22 (03) 194-200
• 7 Singleton SB, Conway JE. PLRI: posterolateral rotatory instability of the elbow. Clin Sports Med 2004; 23 (04) 629-642 , ix–x
• 8 Alrabaa RG, Sonnenfeld J, Trofa D, Ahmad C. Elbow common flexor tendon repair technique. Arthrosc Tech 2019; 8 (11) e1367-e1371
• 9 Kim GM, Yoo SJ, Choi S, Park YG. Current trends for treating lateral epicondylitis. Clin Shoulder Elbow 2019; 22 (04) 227-234
• 10 Jeon JY, Lee MH, Jeon IH, Chung HW, Lee SH, Shin MJ. Lateral epicondylitis: associations of MR imaging and clinical assessments with treatment options in patients receiving conservative and arthroscopic managements. Eur Radiol 2018; 28 (03) 972-981
• 11 Keener JD, Sethi PM. Distal triceps tendon injuries. Hand Clin 2015; 31 (04) 641-650
• 12 Quach T, Jazayeri R, Sherman OH, Rosen JE. Distal biceps tendon injuries—current treatment options. Bull NYU Hosp Jt Dis 2010; 68 (02) 103-111
• 13 Silva J, Eskander MS, Lareau C, DeAngelis NA. Treatment of distal biceps tendon ruptures using a single-incision technique and a Bio-Tenodesis screw. Orthopedics 2010; 33 (07) 477
• 14 Heinzelmann AD, Savoie III FH, Ramsey JR, Field LD, Mazzocca AD. A combined technique for distal biceps repair using a soft tissue button and Bio-Tenodesis interference screw. Am J Sports Med 2009; 37 (05) 989-994
• 15 Nguyen ML, Rosenthal J, Karas S. et al. A comprehensive review of the normal, abnormal, and post-operative MRI appearance of the distal biceps brachii. Skeletal Radiol 2020; 49 (11) 1695-1707
• 16 Dekelver I, Van Glabbeek F, Dijs H, Stassijns G. Bilateral ulnar nerve entrapment by the M. anconeus epitrochlearis. A case report and literature review. Clin Rheumatol 2012; 31 (07) 1139-1142
• 17 Rhodes NG, Howe BM, Frick MA, Moran SL. MR imaging of the postsurgical cubital tunnel: an imaging review of the cubital tunnel, cubital tunnel syndrome, and associated surgical techniques. Skeletal Radiol 2019; 48 (10) 1541-1554
• 18 Chadwick N, Morag Y, Smith BW, Yablon C, Kim SM, Yang LJ. Imaging appearance following surgical decompression of the ulnar nerve. Br J Radiol 2019; 92 (1094): 20180757
• 19 Dinh PT, Gupta R. Subtotal medial epicondylectomy as a surgical option for treatment of cubital tunnel syndrome. Tech Hand Up Extrem Surg 2005; 9 (01) 52-59
• 20 Andrews K, Rowland A, Pranjal A, Ebraheim N. Cubital tunnel syndrome: anatomy, clinical presentation, and management. J Orthop 2018; 15 (03) 832-836
• 21 Yahya A, Malarkey AR, Eschbaugh RL, Bamberger HB. Trends in the surgical treatment for cubital tunnel syndrome: a survey of members of the American Society for Surgery of the Hand. Hand (N Y) 2018; 13 (05) 516-521
• 22 Naam NH, Nemani S. Radial tunnel syndrome. Orthop Clin North Am 2012; 43 (04) 529-536
• 23 Zbojniewicz AM, Laor T. Imaging of osteochondritis dissecans. Clin Sports Med 2014; 33 (02) 221-250
• 24 Smith MV, Bedi A, Chen NC. Surgical treatment for osteochondritis dissecans of the capitellum. Sports Health 2012; 4 (05) 425-432
• 25 Allahabadi S, Bryant JK, Mittal A, Pandya NK. Outcomes of arthroscopic surgical treatment of osteochondral lesions of the elbow in pediatric and adolescent athletes. Orthop J Sports Med 2020; 8 (11) 2325967120963054
• 26 Bae DS, Ingall EM, Miller PE, Eisenberg K. Early results of single-plug autologous osteochondral grafting for osteochondritis dissecans of the capitellum in adolescents. J Pediatr Orthop 2020; 40 (02) 78-85
• 27 Chaijenkij K, Arirachakaran A, Kongtharvonskul J. Clinical outcomes after internal fixation, arthroplasty and resection for treatment of comminuted radial head fractures: a systematic review and network meta-analysis. Musculoskelet Surg 2021; 105 (01) 17-29
• 28 Hildebrand AH, Zhang B, Horner NS, King G, Khan M, Alolabi B. Indications and outcomes of radial head excision: A systematic review. Shoulder Elbow 2020; 12 (03) 193-202
• 29 van Riet RP, van den Bekerom M, Van Tongel A, Spross C, Barco R, Watts AC. Radial head fractures. Shoulder Elbow 2020; 12 (03) 212-223
• 30 Davey MS, Hurley ET, Gaafar M, Molony D, Mullett H, Pauzenberger L. Long-term outcomes of total elbow arthroplasty: a systematic review of studies at 10-year follow-up. J Shoulder Elbow Surg 2021; 30 (06) 1423-1430