Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations.
Purpose: Acute elbow dislocations are complex injuries that predispose to chronic instability and pain. The ideal treatment strategy is part of controversial discussion and evidence-based recommendations for the treatment could not be concluded from the literature. The purpose of the present study w...
| Published in: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 1; pp. 629 - 637 |
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| Main Authors: | , , , , |
| Format: | diagnostic images research tables/charts Journal Article |
| Published: |
Springer Nature
Feb2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155125291&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155125291 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Feb2022 vid: 48 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 155125291 146356956 155125291 155125291 10.1007/s00068-020-01512-z 155125291 ppf: 629 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Epidemiology and treatment of acute elbow dislocations: current concept based on primary surgical ligament repair of unstable simple elbow dislocations. aug: au: Mühlenfeld, Nils Frank, Johannes Lustenberger, Thomas Marzi, Ingo Sander, Anna Lena affil: Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany sug: subj: Elbow Dislocation Surgery Elbow Joint Surgery Elbow Dislocation Epidemiology Injury Pattern Evaluation Joint Instability Surgery Outcome Assessment Trends Treatment Outcomes Evaluation Human Epidemiological Research Retrospective Design Young Adult Adult Middle Age Aged Aged, 80 and Over Trauma Centers Acute Disease Elbow Dislocation Radiography Male Female Accidental Falls Arm Physiopathology Age Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: Acute elbow dislocations are complex injuries that predispose to chronic instability and pain. The ideal treatment strategy is part of controversial discussion and evidence-based recommendations for the treatment could not be concluded from the literature. The purpose of the present study was to assess current epidemiological data, injury pattern, and the changing trend for treatment. Methods: This study presents a retrospective review of 72 patients ≥ 18 years of age who were treated in our level I trauma centre with acute elbow dislocations from 2014 to 2018. The data were acquired by analysis of the institution's database, and radiological examinations. Results: The average age of the patients was 48.5 years (range 18–86). The ratio of male to female patients was 1.9:1. A fall onto the outstretched arm (42%) was the most common injury mechanism. By classification, 42% of the elbow dislocations were simple, and 58% complex. A total of 85% of patients underwent surgery including 73% of the simple elbow dislocations due to remaining instability or non-congruency of the reduced elbow. The indication for surgical treatment correlated merely with the grade of instability and displacement, but not with age. Conclusion: Acute elbow dislocations need identification of the precise injury pattern and instability after reduction of the elbow joint. To achieve a congruent and stable joint, we recommend primary surgical repair as first-line treatment for patients with unstable simple and complex elbow dislocation independent of age. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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