Download PDF
Sportphysio 2024; 12(01): 7-14
DOI: 10.1055/a-2171-0554
Focus
Einführung

Operative Versorgungsmöglichkeiten für mediale Instabilitäten am Ellenbogen

Pavel Kadantsev
,
Sebastian Siebenlist
,
Stephanie Geyer
› Further Information
Also available at
    Permissions and Reprints

Nach schweren Verletzungen des medialen Bandapparates am Ellenbogen bleibt meist keine andere Wahl, als zu operieren. Dafür gibt es verschiedene Operationsverfahren. Welches davon gewählt wird, hängt von vielen Faktoren ab.



Publication History

Article published online:
02 February 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Andrews JR, Timmerman LA. Outcome of elbow surgery in professional baseball players. Am J Sports Med 1995; 23 (4) 407-13
    CrossrefPubMedSearch in Google Scholar
  • 2 Ardern CL, Webster KE, Taylor NF, Feller JA. Hamstring strength recovery after hamstring tendon harvest for anterior cruciate ligament reconstruction: A comparison between graft types. Arthroscopy 2010; 26 (4) 462-9
    CrossrefPubMedSearch in Google Scholar
  • 3 Argo D, Trenhaile SW, Savoie 3 rd FH, Field LD. Operative treatment of ulnar collateral ligament insufficiency of the elbow in female athletes. Am J Sports Med 2006; 34 (3) 431-7
    CrossrefPubMedSearch in Google Scholar
  • 4 Azar FM, Andrews JR, Wilk KE, Groh D. Operative treatment of ulnar collateral ligament injuries of the elbow in athletes. Am J Sports Med 2000; 28 (1) 16-23
    CrossrefPubMedSearch in Google Scholar
  • 5 Bachmaier S, Wijdicks CA, Verma NN. et al. Biomechanical functional elbow restoration of acute ulnar collateral ligament tears: The role of internal bracing on gap formation and repair stabilization. Am J Sports Med 2020; 48 (8) 1884-92
    CrossrefPubMedSearch in Google Scholar
  • 6 Burks RT, Crim J, Fink BP. et al. The effects of semitendinosus and gracilis harvest in anterior cruciate ligament reconstruction. Arthroscopy 2005; 21 (10) 1177-85
    CrossrefPubMedSearch in Google Scholar
  • 7 Cain jr EL, Andrews JR, Dugas JR. et al. Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: Results in 743 athletes with minimum 2-year follow-up. Am J Sports Med 2010; 38 (12) 2426-34
    CrossrefPubMedSearch in Google Scholar
  • 8 Camp CL, Jahandar H, Sinatro AM. et al. Quantitative anatomic analysis of the medial ulnar collateral ligament complex of the elbow. Orthop J Sports Med 2018; 6 (3) 2325967118762751
    CrossrefPubMedSearch in Google Scholar
  • 9 Camp CL, Bernard C, Benavitz B. et al. Reconstruction of the medial ulnar collateral ligament of the elbow: Biomechanical comparison of a novel anatomic technique to the docking technique. Orthop J Sports Med 2019; 7 (7) 2325967119857592
    CrossrefPubMedSearch in Google Scholar
  • 10 Chen FS, Rokito AS, Jobe FW. Medial elbow problems in the overhead-throwing athlete. J Am Acad Orthop Surg 2001; 9 (2) 99-113
    CrossrefPubMedSearch in Google Scholar
  • 11 Choo J, Wilhelmi BJ, Kasdan ML. Iatrogenic injury to the median nerve during palmaris longus harvest: An overview of safe harvesting techniques. Hand (N Y) 2017; 12 (1) NP6-NP9
    CrossrefPubMedSearch in Google Scholar
  • 12 Dines JS, Jones KJ, Kahlenberg C. et al. Elbow ulnar collateral ligament reconstruction in javelin throwers at a minimum 2-year follow-up. Am J Sports Med 2012; 40 (1) 148-51
    CrossrefPubMedSearch in Google Scholar
  • 13 Dodson CC, Thomas A, Dines JS. et al. Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes. Am J Sports Med 2006; 34 (12) 1926-32
    CrossrefPubMedSearch in Google Scholar
  • 14 Dugas JR, Walters BL, Beason DP. et al. Biomechanical comparison of ulnar collateral ligament repair with internal bracing versus modified Jobe reconstruction. Am J Sports Med 2016; 44 (3) 735-41
    CrossrefPubMedSearch in Google Scholar
  • 15 Dugas JR, Looze CA, Capogna B. et al. Ulnar collateral ligament repair with collagen-dipped FiberTape augmentation in overhead-throwing athletes. Am J Sports Med 2019; 47 (5) 1096-102
    CrossrefPubMedSearch in Google Scholar
  • 16 Erickson BJ, Chalmers PN, Bush-Joseph CA. et al. Ulnar collateral ligament reconstruction of the elbow: A systematic review of the literature. Orthop J Sports Med 2015; 3 (12) 2325967115618914
    CrossrefPubMedSearch in Google Scholar
  • 17 Erickson BJ, Harris JD, Chalmers PN. et al. Ulnar collateral ligament reconstruction: Anatomy, indications, techniques, and outcomes. Sports Health 2015; 7 (6) 511-7
    CrossrefPubMedSearch in Google Scholar
  • 18 Erickson BJ, Chalmers PN, D’Angelo J. et al. Side of hamstring harvest does not affect performance, Return-to-Sport Rate, or future hamstring injuries after ulnar collateral ligament reconstruction among professional baseball pitchers. Am J Sports Med 2019; 47 (5) 1111-6
    CrossrefPubMedSearch in Google Scholar
  • 19 Erickson BJ, Bach Jr. BR, Cohen MS. et al. Ulnar collateral ligament reconstruction: The rush experience. Orthop J Sports Med 2016; 4 (1) 2325967115626876
    CrossrefPubMedSearch in Google Scholar
  • 20 Erickson BJ, Cvetanovich GL, Frank RM. et al. Do clinical results and Return-to-Sport rates after ulnar collateral ligament reconstruction differ based on graft choice and sSurgical technique?. Orthop J Sports Med 2016; 4 (11) 2325967116670142
    CrossrefPubMedSearch in Google Scholar
  • 21 Ford GM, Genuario J, Kinkartz J. et al. Return-to-Play outcomes in professional baseball players after medial ulnar collateral ligament injuries: Comparison of operative versus nonoperative treatment based on magnetic resonance imaging findings. Am J Sports Med 2016; 44 (3) 723-8
    CrossrefPubMedSearch in Google Scholar
  • 22 Furukawa K, Pichora J, Steinmann S. et al. Efficacy of interference screw and double-docking methods using palmaris longus and GraftJacket for medial collateral ligament reconstruction of the elbow. J Shoulder Elbow Surg 2007; 16 (4) 449-53
    CrossrefPubMedSearch in Google Scholar
  • 23 Garrison JC, Arnold A, Macko MJ, Conway JE. Baseball players diagnosed with ulnar collateral ligament tears demonstrate decreased balance compared to healthy controls. J Orthop Sports Phys Ther 2013; 43 (10) 752-8
    CrossrefPubMedSearch in Google Scholar
  • 24 Greiner S, Koch M, Kerschbaum M, Bhide PP. Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation. Knee Surg Sports Traumatol Arthrosc 2019; 27 (10) 3269-75
    CrossrefPubMedSearch in Google Scholar
  • 25 Griffith TB, Ahmad CS, Gorroochurn P. et al. Comparison of outcomes based on graft type and tunnel configuration for primary ulnar collateral ligament reconstruction in professional baseball pitchers. Am J Sports Med 2019; 47 (5) 1103-10
    CrossrefPubMedSearch in Google Scholar
  • 26 Hechtman KS, Tjin ATEW, Zvijac JE. et al. Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow. Am J Sports Med 1998; 26 (5) 620-4
    CrossrefPubMedSearch in Google Scholar
  • 27 Hodgins JL, Vitale M, Arons RR, Ahmad CS. Epidemiology of medial ulnar collateral ligament reconstruction: A 10-year study in New York State. Am J Sports Med 2016; 44 (3) 729-34
    CrossrefPubMedSearch in Google Scholar
  • 28 Jensen AR, LaPrade MD, Turner TW. et al. The history and evolution of elbow medial ulnar collateral ligament reconstruction: From Tommy John to 2020. Curr Rev Musculoskelet Med 2020; 13 (3) 349-60
    CrossrefPubMedSearch in Google Scholar
  • 29 Jobe FW, Stark H, Lombardo SJ. Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am 1986; 68 (8) 1158-63
    CrossrefPubMedSearch in Google Scholar
  • 30 Jones CM, Beason DP, Dugas JR. Ulnar collateral ligament reconstruction versus repair with internal bracing: Comparison of cyclic fatigue mechanics. Orthop J Sports Med 2018; 6 (2) 2325967118755991
    CrossrefPubMedSearch in Google Scholar
  • 31 Jones KJ, Dines JS, Rebolledo BJ. et al. Operative management of ulnar collateral ligament insufficiency in adolescent athletes. Am J Sports Med 2014; 42 (1) 117-21
    CrossrefPubMedSearch in Google Scholar
  • 32 Kennon JC, Marigi EM, Songy CE. et al. Is allograft reconstruction of the medial ulnar collateral ligament of the elbow a viable option for nonelite athletes? Outcomes at a mean of 8 years. Orthop J Sports Med 2020; 8 (10) 2325967120959141
    CrossrefPubMedSearch in Google Scholar
  • 33 Kimata K, Yasui M, Yokota H. et al. Transverse ligament of the elbow joint: An anatomic study of cadavers. J Shoulder Elbow Surg 2019; 28 (11) 2253-8
    CrossrefPubMedSearch in Google Scholar
  • 34 Kouk SN, Beason DP, Rothermich MA. et al. Intersurgeon consistency of ulnar collateral ligament repair with internal brace: A biomechanical analysis. Orthop J Sports Med 2022; 10 (11) 23259671221134829
    CrossrefPubMedSearch in Google Scholar
  • 35 Labott JR, Aibinder WR, Dines JS, Camp CL. Understanding the medial ulnar collateral ligament of the elbow: Review of native ligament anatomy and function. World J Orthop 2018; 9 (6) 78-84
    CrossrefPubMedSearch in Google Scholar
  • 36 Lee AT, Schrumpf MA, Choi D. et al. The influence of gravity on the unstable elbow. J Shoulder Elbow Surg 2013; 22 (1) 81-7
    CrossrefPubMedSearch in Google Scholar
  • 37 Leslie BM, Osterman AL, Wolfe SW. Inadvertent harvest of the median nerve instead of the palmaris longus tendon. J Bone Joint Surg Am 2017; 99 (14) 1173-82
    CrossrefPubMedSearch in Google Scholar
  • 38 Looze CA, Strauss EJ, Jazrawi LM. Ulnar collateral ligament reconstruction past, present, and future. Bull Hosp Jt Dis (2013) 2018; 76 (1) 22-6
    PubMedSearch in Google Scholar
  • 39 Lynch JL, Pifer MA, Maerz T. et al. The GraftLink ulnar collateral ligament reconstruction: Biomechanical comparison with the docking technique in both kinematics and failure tests. Am J Sports Med 2013; 41 (10) 2278-87
    CrossrefPubMedSearch in Google Scholar
  • 40 McAdams TR, Lee AT, Centeno J. et al. Two ulnar collateral ligament reconstruction methods: The docking technique versus bioabsorbable interference screw fixation – a biomechanical evaluation with cyclic loading. J Shoulder Elbow Surg 2007; 16 (2) 224-8
    CrossrefPubMedSearch in Google Scholar
  • 41 McGraw MA, Kremchek TE, Hooks TR, Papangelou C. Biomechanical evaluation of the docking plus ulnar collateral ligament reconstruction technique compared with the docking technique. Am J Sports Med 2013; 41 (2) 313-20
    CrossrefPubMedSearch in Google Scholar
  • 42 Merolla G, Del Sordo S, Paladini P, Porcellini G. Elbow ulnar collateral ligament reconstruction: Clinical, radiographic, and ultrasound outcomes at a mean 3-year follow-up. Musculoskelet Surg 2014; 98 (Suppl. 1) 87-93
    CrossrefPubMedSearch in Google Scholar
  • 43 Morrey BF, An KN. Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 1983; 11 (5) 315-9
    CrossrefPubMedSearch in Google Scholar
  • 44 Nassab PF, Schickendantz MS. Evaluation and treatment of medial ulnar collateral ligament injuries in the throwing athlete. Sports Med Arthrosc Rev 2006; 14 (4) 221-31
    CrossrefPubMedSearch in Google Scholar
  • 45 O‘Brien DF, O‘Hagan T, Stewart R. et al. Outcomes for ulnar collateral ligament reconstruction: A retrospective review using the KJOC assessment score with two-year follow-up in an overhead throwing population. J Shoulder Elbow Surg 2015; 24 (6) 934-40
    CrossrefPubMedSearch in Google Scholar
  • 46 O’Driscoll SW, Bell DF, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 1991; 73 (3) 440-6
    CrossrefPubMedSearch in Google Scholar
  • 47 Otto A, Muench LN, Mehl J. et al. Dual bracing for ulnar collateral ligament injuries restores native valgus laxity and native medial joint gapping of the elbow. Orthop J Sports Med 2023; 11 (6) 23259671231179179
    CrossrefPubMedSearch in Google Scholar
  • 48 Oyama S, Yu B, Blackburn JT. et al. Improper trunk rotation sequence is associated with increased maximal shoulder external rotation angle and shoulder joint force in high school baseball pitchers. Am J Sports Med 2014; 42 (9) 2089-94
    CrossrefPubMedSearch in Google Scholar
  • 49 Rettig AC, Sherrill C, Snead DS. et al. Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes. Am J Sports Med 2001; 29 (1) 15-7
    CrossrefPubMedSearch in Google Scholar
  • 50 Richard MJ, Aldridge 3 rd JM, Wiesler ER, Ruch DS. Traumatic valgus instability of the elbow: Pathoanatomy and results of direct repair. Surgical technique. J Bone Joint Surg Am 2009; 91 (Suppl. 2) 191-9
    CrossrefPubMedSearch in Google Scholar
  • 51 Rohrbough JT, Altchek DW, Hyman J. et al. Medial collateral ligament reconstruction of the elbow using the docking technique. Am J Sports Med 2002; 30 (4) 541-8
    CrossrefPubMedSearch in Google Scholar
  • 52 Rothermich MA, Fleisig GS, Conte SA. et al. Short-term trends in elbow ulnar collateral ligament surgery in collegiate baseball players: An analysis of 25587 player-years. Orthop J Sports Med 2021; 9 (7) 23259671211016846
    CrossrefPubMedSearch in Google Scholar
  • 53 Rothermich MA, Fleisig GS, Lucas HE. et al. Early complications of ulnar collateral ligament repair with collagen-coated Suture Tape augmentation. Orthop J Sports Med 2021; 9 (10) 23259671211038320
    CrossrefPubMedSearch in Google Scholar
  • 54 Rothermich MA, Pharr ZK, Mundy AC. et al. Clinical outcomes of ulnar collateral ligament surgery in nonthrowing athletes. Am J Sports Med 2022; 50 (12) 3368-73
    CrossrefPubMedSearch in Google Scholar
  • 55 Safran M, Ahmad CS, Elattrache NS. Ulnar collateral ligament of the elbow. Arthroscopy 2005; 21 (11) 1381-95
    CrossrefPubMedSearch in Google Scholar
  • 56 Safran MR. Ulnar collateral ligament injury in the overhead athlete: Diagnosis and treatment. Clin Sports Med 2004; 23 (4) 643-63 x.
    CrossrefPubMedSearch in Google Scholar
  • 57 Savoie 3 rd FH, Trenhaile SW, Roberts J, Field LD, Ramsey JR. Primary repair of ulnar collateral ligament injuries of the elbow in young athletes: A case series of injuries to the proximal and distal ends of the ligament. Am J Sports Med 2008; 36 (6) 1066-72
    CrossrefPubMedSearch in Google Scholar
  • 58 Savoie 3rd FH, Morgan C, Yaste J. et al. Medial ulnar collateral ligament reconstruction using hamstring allograft in overhead throwing athletes. J Bone Joint Surg Am 2013; 95 (12) 1062-6
    CrossrefPubMedSearch in Google Scholar
  • 59 Schreiber JJ, Warren RF, Hotchkiss RN, Daluiski A. An online video investigation into the mechanism of elbow dislocation. J Hand Surg Am 2013; 38 (3) 488-94
    CrossrefPubMedSearch in Google Scholar
  • 60 Schreiber JJ, Paul S, Hotchkiss RN, Daluiski A. Conservative management of elbow dislocations with an overhead motion protocol. J Hand Surg Am 2015; 40 (3) 515-9
    CrossrefPubMedSearch in Google Scholar
  • 61 Solitro GF, Fattori R, Smidt K. et al. Role of the transverse ligament of the ulnar collateral ligament of the elbow: A biomechanical study. JSES Int 2021; 5 (3) 549-53
    CrossrefPubMedSearch in Google Scholar
  • 62 Szekeres M, Chinchalkar SJ, King GJ. Optimizing elbow rehabilitation after instability. Hand Clin 2008; 24 (1) 27-38
    CrossrefPubMedSearch in Google Scholar
  • 63 Thompson WH, Jobe FW, Yocum LA, Pink MM. Ulnar collateral ligament reconstruction in athletes: Muscle-splitting approach without transposition of the ulnar nerve. J Shoulder Elbow Surg 2001; 10 (2) 152-7
    CrossrefPubMedSearch in Google Scholar
  • 64 Vitale MA, Ahmad CS. The outcome of elbow ulnar collateral ligament reconstruction in overhead athletes: A systematic review. Am J Sports Med 2008; 36 (6) 1193-205
    CrossrefPubMedSearch in Google Scholar
  • 65 Weber RV, Mackinnon SE. Median nerve mistaken for palmaris longus tendon: Restoration of function with sensory nerve transfers. Hand (N Y) 2007; 2 (1) 1-4
    CrossrefPubMedSearch in Google Scholar
  • 66 Wilk KE, Macrina LC, Cain EL. et al. Rehabilitation of the overhead athlete’s elbow. Sports Health 2012; 4 (5) 404-14
    CrossrefPubMedSearch in Google Scholar
  • 67 Wilk KE, Arrigo CA, Bagwell MS. et al. Repair of the ulnar collateral ligament of the elbow: Rehabilitation following internal brace surgery. J Orthop Sports Phys Ther 2019; 49 (4) 253-61
    CrossrefPubMedSearch in Google Scholar
  • 68 Wolff AL, Hotchkiss RN. Lateral elbow instability: Nonoperative, operative, and postoperative management. J Hand Ther 2006; 19 (2) 238-43
    CrossrefPubMedSearch in Google Scholar