Affiliation:
1. Pirogov Russian National Research Medical University
Abstract
Simple chronic instability of the elbow joint is one of the urgent problems in modern traumatology due to the fact that the standard tactics of managing patients with traumatic injuries of the elbow joint due to dislocation, which amounts to its elimination, immobilization of the upper limb and subsequent development of movements in the joint, most often does not take into account damage to specific soft tissue structures. With untimely treatment for qualified help, with late or unsuccessful attempts to eliminate dislocation of the bones of the forearm, less often with chronic traumatization of the ligamentous apparatus of the elbow joint during some types of occupation, one of the most unpleasant complications may form, namely, chronic instability. This article discusses the main types of chronic instability of the elbow joint, analyzes approaches to the management of patients with simple chronic instability. Despite the not very high occurrence of this pathology, the effectiveness of modern surgical treatment options aimed at reconstruction of the ligamentous apparatus of the elbow joint, the percentage of unsatisfactory results of treatment of simple chronic recurrent and persistent instability of the elbow joint remains high.
Publisher
Center of Endourology Endocenter
Reference52 articles.
1. Sochol KM, Andelman SM, Koehler SM, Hausman MR. Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer. J Hand Surg Am. 2019;44(2):161.e1-161.e7. https://doi.org/10.1016/j.jhsa.2018.05.031
2. Chanlalit C, Dilokhuttakarn T. Lateral collateral ligament reconstruction in atraumatic posterolateral rotatory instability. JSES open access. 2018;2(2):121-125. https://doi.org/10.1016/j.jses.2018.02.004
3. Adams JE. Elbow Instability: Evaluation and Treatment. Hand Clin. 2020;36(4):485-494. https://doi.org/10.1016/j.hcl.2020.07.013
4. Локтевой сустав. Под ред. Егиазаряна К.А., Ратьева А.П. М.: Медицинское информационное агентство; 2019. [The elbow joint. Egiazaryan KA, Rat'ev AP M.: Medicinskoe informacionnoe agentstvo; 2019. (in Russ.).]
5. Rat'ev AP, Egiazarjan KA, Zhavoronkov EA, Mel'nikov VS, Obydennyj DA. Long-term results of treatment of patients with the "terrible triad" of the elbow joint. Moskovskij hirurgicheskij zhurnal. 2015;1:44-51. (in Russ.)