Chronic medial instability of the elbow

EFORT Open Reviews

article

Felix H. Savoie¹  Michael O’Brien¹ 

[1] Tulane University

关键词: elbow;    instability;    medial ulnar collateral ligament;   

DOI  :  10.1302/2058-5241.2.160037

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Valgus instability of the elbow is common in United States baseball pitchers and is not infrequent in gymnasts, javelin throwers, other overhead athletes and wrestlers. Although trauma more commonly affects the lateral side, valgus instability may also occur after traumatic dislocations with fracture. Overall, however, injury to the medial ulnar collateral ligament (MUCL) has become increasingly common.1 Waris2 first described injuries to the MUCL of the elbow in 1946. Over the following years, our understanding of MUCL anatomy and function has increased dramatically. In 1974, Jobe, Stark and Lombardo3 adapted an old method used for polio patients and performed the first successful MUCL reconstruction, changing what was then a career-ending injury into one that could potentially be overcome and allow for a return to play. In 1986, Jobe et al3 described their technique of reconstructing the ligament using an ipsilateral palmaris longus tendon autograft in a figureof-eight pattern via a flexor pronator mass detachment approach with sub-muscular transposition of the ulnar nerve. Since Jobe’s original description, numerous modifications of surgical technique have been designed to improve athletic performance and decrease patient morbidity.4-9 Erickson et al10 and Vitale and Ahmad8 recently published systematic reviews of all published reports of MUCL reconstruction in overhead athletes.

【 授权许可】

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