The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA; Oslo University Hospital, Division of Orthopaedic Surgery, Kirkeveien 166, Oslo 0450, Norway; Norwegian Armed Forces Joint Medical Services, Forsvarsvegen 75, Sessvollmoen 2058, Norway.
The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA.
Clin Sports Med. 2020 Jul;39(3):623-636. doi: 10.1016/j.csm.2020.03.002.
The elbow joint consists of the humeroulnar, humeroradial, and proximal radioulnar joints. Elbow stability is maintained by a combination of static and dynamic constraints. Elbow fractures are challenging to treat because the articular surfaces must be restored perfectly and associated soft tissue injuries must be recognized and appropriately managed. Most elbow fractures are best treated operatively with restoration of normal bony anatomy and rigid internal fixation and repair and/or reconstruction of the collateral ligaments. Advanced imaging, improved understanding of the complex anatomy of the elbow joint, and improved fixation techniques have contributed to improved elbow fracture outcomes.
肘关节由肱尺、肱桡和近侧桡尺关节组成。肘关节的稳定性是由静态和动态约束的组合来维持的。肘关节骨折的治疗具有挑战性,因为必须完美地恢复关节面,并识别和适当处理相关的软组织损伤。大多数肘关节骨折最好通过手术治疗,恢复正常的骨解剖结构,并采用刚性内固定以及修复和/或重建侧副韧带。先进的影像学、对肘关节复杂解剖结构的深入了解以及改进的固定技术都有助于改善肘关节骨折的预后。