Klute Lisa, Henssler Leopold, Alt Volker, Kerschbaum Maximilian
Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg (UKR), Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland.
Unfallchirurgie (Heidelb). 2023 May;126(5):405-418. doi: 10.1007/s00113-023-01318-9. Epub 2023 Apr 20.
Dislocations of the elbow joint are among the most prevalent dislocation injuries in the human body after shoulder joint dislocations and represent a challenge in the clinical routine because of the concomitant injuries and complications. They predominantly affect young adults who become injured during athletic or daily activities. A distinction is generally made between a simple elbow dislocation and a dislocation fracture of the elbow; however, a uniform classification or treatment algorithm has not yet been established, especially for simple elbow dislocations with associated ligamentous, muscular and capsular concomitant injuries. Due to this and the complexity of this injury, a standardized approach is needed to initiate the optimal treatment at an early stage and to correctly select the narrow treatment pathway between impending chronic instability and elbow stiffness.
肘关节脱位是继肩关节脱位后人体最常见的脱位损伤之一,由于常伴有其他损伤和并发症,在临床诊疗中颇具挑战。其主要影响在体育活动或日常活动中受伤的年轻人。通常将肘关节脱位分为单纯肘关节脱位和肘关节脱位骨折;然而,尚未建立统一的分类或治疗方案,尤其是对于伴有韧带、肌肉和关节囊合并损伤的单纯肘关节脱位。鉴于此以及该损伤的复杂性,需要一种标准化方法,以便在早期启动最佳治疗,并在即将出现的慢性不稳定和肘关节僵硬之间正确选择狭窄的治疗路径。