复杂肘关节不稳：桡骨头与冠突
Complex Elbow Instability: Radial Head and Coronoid.
作者信息
Kovacevic David, Vogel Laura A, Levine William N
机构信息
Department of Orthopaedic Surgery, The Center for Shoulder, Elbow, and Sports Medicine, New York Presbyterian/Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.
Department of Orthopaedic Surgery, The Center for Shoulder, Elbow, and Sports Medicine, New York Presbyterian/Columbia University Medical Center, 622 West 168th Street, PH-1130, New York, NY 10032, USA.
出版信息
Hand Clin. 2015 Nov;31(4):547-56. doi: 10.1016/j.hcl.2015.06.004. Epub 2015 Jul 26.
A standardized and systematic approach for the management of an acute complex elbow dislocation involving the radial head and coronoid will maximize clinical outcomes. The cornerstones of surgical management include primary restoration of the ulnohumeral joint by reduction of the intact joint or coronoid fracture fixation, followed by radial head fixation or replacement. The lateral ulnar collateral ligament complex is then repaired before assessing elbow stability within a functional sagittal arc of motion.
一种用于管理涉及桡骨头和冠突的急性复杂肘关节脱位的标准化和系统化方法将使临床结果最大化。手术治疗的基石包括通过整复完整关节或固定冠突骨折来初步恢复尺肱关节，随后进行桡骨头固定或置换。然后在功能矢状运动弧内评估肘关节稳定性之前修复尺侧副韧带复合体。
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