Diagnostik und Therapie der posttraumatischen Ellenbogeninstabilität

Instabilitäten des Ellenbogens sind am häufigsten die Folge von akuten Verletzungen der knöchernen und weichteiligen stabilisierenden Strukturen. Rezidivierende Mikrotraumata oder Überlastungen, z. B. bei Wurfsportarten, können zu chronischen Instabilitäten mit hieraus resultierenden Beschwerden am Ellenbogengelenk führen. Das primäre Ziel bei der Behandlung von Instabilitäten des Ellenbogengelenks ist die Wiederherstellung eines kongruenten und stabilen Gelenks.

• Literatur

• 1 O'Driscoll SW, Jupiter JB, King GJ. et al. The unstable elbow. Instructional course lectures. Instr Course Lect 2001; 50: 89-102
• 2 Kuhn MA, Ross G. Acute elbow dislocations. Orthop Clin North Am 2008; 39: 155-161
• 3 O'Driscoll SW. Elbow instability. Hand Clin 1994; 10: 405-415
• 4 O'Driscoll SW. Elbow instability. Acta Orthop Belg 1999; 65: 404-415
• 5 Schreiber JJ, Warren RF, Hotchkiss RN. et al. An online video investigation into the mechanism of elbow dislocation. J Hand Surg Am 2013; 38: 488-494
• 6 Saltzman BM, Chalmers PN, Mascarenhas R. et al. Upper extremity physeal injury in young baseball pitchers. Phys Sportsmed 2014; 42: 100-111
• 7 Hildebrand KA, Patterson SD, King GJ. Acute elbow dislocations: simple and complex. Orthop Clin North Am 30: 63-79
• 8 Hackl M, Beyer F, Wegmann K. et al. The treatment of simple elbow dislocation in adults. Dtsch Arztebl Int 2015; 112: 311-319
• 9 Duckworth AD, Ring D, Kulijdian A. et al. Unstable elbow dislocations. J Shoulder Elbw Surg 2008; 17: 281-286
• 10 Schnetzke M, Aytac S, Studier-Fischer S. et al. Initial joint stability affects the outcome after conservative treatment of simple elbow dislocations: a retrospective study. J Orthop Surg Res 2015; 10: 128
• 11 Morrey BF. Current concepts in the management of complex elbow trauma. Surgeon 2009; 7: 151-161 1016/s1479-666x(09)80039-5
• 12 O'Driscoll SW. Classification and evaluation of recurrent instability of the elbow. Clin Orthop Relat Res 2000; 370: 34-43
• 13 O'Driscoll SW, Bell DF, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 1991; 73: 440-446
• 14 Hollinger B, Dehlinger F, Franke S. Diagnostik und Therapie der ligamentären Ellenbogeninstabilitäten. Obere Extremität 2014; 9: 147-155
• 15 Ho CP. Sports and occupational injuries of the elbow: MR imaging findings. AJR Am J Roentgenol 1995; 164: 1465-1471
• 16 Hauptfleisch J, English C, Murphy D. Elbow magnetic resonance imaging: imaging anatomy and evaluation. Top Magn Reson Imaging 2015; 24: 93-107
• 17 Singer AD, Hanna T, Jose J. et al. A systematic, multimodality approach to emergency elbow imaging. Clin Imaging 2016; 40: 13-22
• 18 Coonrad RW, Roush TF, Major NM. et al. The drop sign, a radiographic warning sign of elbow instability. J Shoulder Elbow Surg 2005; 14: 312-317
• 19 Mehlhoff TL, Noble PC, Bennett JB. et al. Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am 1988; 70: 244-249
• 20 Morrey BF. Ligament injury and the use of hinged external fixators at the elbow. Instr Course Lect 2012; 61: 215-225
• 21 Hopf JC, Berger V, Krieglstein CF. et al. Treatment of unstable elbow dislocations with hinged elbow fixation-subjective and objective results. J Shoulder Elbow Surg 2015; 24: 250-257 1016/j.jse.2014.09.034
• 22 Tarassoli P, Mccann P, Amirfeyz R. Complex instability of the elbow. Injury 2017; 48: 568-577
• 23 Dehlinger FI, Ries C, Hollinger B. [LUCL reconstruction using a triceps tendon graft to treat posterolateral rotatory instability of the elbow]. Oper Orthop Traumatol 2014; 26: 414-427, 429