Habernek H, Orthner E
Universitätsklinik für Unfallchirurgie, LKH Bad Ischl.
Unfallchirurgie. 1991 Feb;17(1):19-23. doi: 10.1007/BF02588172.
Thorough knowledge of the anatomy and biomechanics in the elbow joint together with an special reference to constitutional variations is an important factor in understanding the pathomechanisms of its dislocation. We are presenting 27 case-reports of elbow-dislocations treated at the I. University Clinic for Traumatology in Vienna between 1979 and 1983. The so-called carrying angle showed no pathological deviation besides a tendency to cubitus valgus and hence elbow-joint to dislocation. Our results showed clearly that conservative treatment is possible and advisable in most cases. Only dislocation with osseous lesions and/or a tendency to redislocation after reduction should be operated on.
全面了解肘关节的解剖学和生物力学,并特别关注其结构变异,是理解肘关节脱位发病机制的重要因素。我们报告了1979年至1983年期间在维也纳第一大学创伤诊所治疗的27例肘关节脱位病例。除了有肘外翻倾向以及肘关节脱位倾向外,所谓的提携角未显示出病理性偏差。我们的结果清楚地表明,在大多数情况下,保守治疗是可行且可取的。只有伴有骨质损伤和/或复位后有再脱位倾向的脱位才应进行手术治疗。