Walter E, Holz U, Köhle H
Abteilung für Unfall- und Wiederherstellungschirurgie, Katharinenhospital, Stuttgart.
Orthopade. 1988 Jun;17(3):306-12.
This paper briefly presents the anatomy of the elbow joint, its pathophysiology, the various types of dislocation of the elbow joint and concomitant injuries, the appropriate diagnostic procedures and the indications for surgery and the operative technique applied for correction of dislocation. The only urgent indications for operative treatment are elbow joint dislocation with concomitant bone injuries, persistent instability or luxation position, open injuries and vessel and/or nerve injuries. For purely ligamentous lesions combined with relative loss of stability an operative procedure does not seem necessary. The operative technique applied for the treatment of habitual or recurrent dislocation is also described.
本文简要介绍了肘关节的解剖结构、病理生理学、肘关节脱位的各种类型及合并损伤、合适的诊断程序、手术指征以及用于矫正脱位的手术技术。手术治疗的唯一紧急指征是伴有骨损伤、持续不稳定或脱位姿势、开放性损伤以及血管和/或神经损伤的肘关节脱位。对于单纯韧带损伤合并相对稳定性丧失,似乎没有必要进行手术。本文还描述了用于治疗习惯性或复发性脱位的手术技术。