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Waterworth R, Finlayson G, Franklin M, Jabbal M, Faulkner A, Gallagher B. Current concepts in the management of "Terrible Triad" injuries of the elbow. Injury 2023:110889. [PMID: 37353449 DOI: 10.1016/j.injury.2023.110889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 06/07/2023] [Accepted: 06/12/2023] [Indexed: 06/25/2023]
Abstract
Terrible triad injuries of the elbow are complex injuries which can result in long term complications and significant disability. They must be identified correctly, and managed appropriately in order to maximise functional outcomes. A clear understanding of the bony and ligamentous anatomy is essential to plan appropriate surgical reconstruction to provide elbow stability. Urgent reduction of the elbow, followed by 3-dimensional imaging and surgical repair or replacement of the injured structures is the mainstay of treatment in the majority of cases. This review presents a summary of the relevant anatomy and the evidence for the management of these complex injuries.
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Affiliation(s)
- Rebecca Waterworth
- Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, United Kingdom.
| | - Graham Finlayson
- Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, United Kingdom
| | - Marieta Franklin
- Department of Trauma and Orthopaedic Surgery, Whiston Hospital, Warrington Rd, Rainhill, Prescot, L35 5DR, United Kingdom
| | - Monu Jabbal
- Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh, EH16 4SA, United Kingdom
| | - Alastair Faulkner
- Department of Trauma and Orthopaedics Surgery, Ninewells Hospital, Dundee, DD1 9SY, United Kingdom
| | - Brendan Gallagher
- Department of Trauma & Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, United Kingdom
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Arcos Rosero JD, Bolaños Rosero DC, Alape Realpe LF, Solis Pino AF, Roldán González E. Mechatronic Design of a Prototype Orthosis to Support Elbow Joint Rehabilitation. Bioengineering (Basel) 2022; 9:bioengineering9070287. [PMID: 35877338 PMCID: PMC9311914 DOI: 10.3390/bioengineering9070287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 05/18/2022] [Accepted: 05/25/2022] [Indexed: 11/16/2022] Open
Abstract
Injuries in the elbow area, such as lateral and medial epicondylitis, are the leading causes of consultation with health specialists. Therefore, this research proposes the mechatronic design of an orthosis with a graphic interface that supports professionals in the rehabilitation of the elbow joint through the execution of flexion–extension and pronation–supination movements. For the development of the rehabilitation prototype, mechatronic design, co-design, and IDEF0 methodologies are used, performing activities such as actuator characterization, simulations, and modeling, among others. Through the execution of a case study in a real environment, the device was validated, where the results suggest a functional and workable prototype that supports the treatment of pathologies in the elbow area through the execution of the mentioned movements, supposing that this is a low-cost alternative with elements to improve, such as the industrial design and new functionalities. The developed proposal shows potential as an economical product that health professionals can use. However, some limitations related to the design and functionalities in the application domain were identified.
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Affiliation(s)
- Jhoan Danilo Arcos Rosero
- Facultad de Ingeniería, Corporación Universitaria Comfacauca—Unicomfacauca, Popayán 190001, Cauca, Colombia; (J.D.A.R.); (D.C.B.R.); (L.F.A.R.)
| | - Daniel Camilo Bolaños Rosero
- Facultad de Ingeniería, Corporación Universitaria Comfacauca—Unicomfacauca, Popayán 190001, Cauca, Colombia; (J.D.A.R.); (D.C.B.R.); (L.F.A.R.)
| | - Luis Fernando Alape Realpe
- Facultad de Ingeniería, Corporación Universitaria Comfacauca—Unicomfacauca, Popayán 190001, Cauca, Colombia; (J.D.A.R.); (D.C.B.R.); (L.F.A.R.)
| | - Andrés Felipe Solis Pino
- Facultad de Ingeniería, Corporación Universitaria Comfacauca—Unicomfacauca, Popayán 190001, Cauca, Colombia; (J.D.A.R.); (D.C.B.R.); (L.F.A.R.)
- Facultad de Ingeniería Electronica y Telecomunicaciones, Universidad del Cauca, Popayán 190003, Cauca, Colombia
- Correspondence:
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Alidina S, Alidina J, Souza F, Kalandiak S, Subhawong TK. Radiographic Evaluation of Elbow Fractures. Semin Musculoskelet Radiol 2021; 25:529-537. [PMID: 34706382 DOI: 10.1055/s-0041-1731083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Fractures and dislocations of the elbow are a common cause of emergency department visits each year. Radiography remains the bedrock of an initial injury assessment, and recognition of distinctive injury patterns based on fracture location, morphology, and severity, guides optimal clinical decision-making. This article reviews basic elbow anatomy, frequently seen fractures and injury patterns, and highlights how these findings influence surgical planning and patient management.
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Affiliation(s)
- Sameer Alidina
- University of Vermont Larner College of Medicine, Burlington, Vermont
| | - Jasim Alidina
- Department of Radiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida
| | - Felipe Souza
- Department of Radiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida
| | - Steven Kalandiak
- Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida
| | - Ty K Subhawong
- Department of Radiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida
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Stratchko L, Rosas H. Imaging of Elbow Injuries. Clin Sports Med 2021; 40:601-623. [PMID: 34509201 DOI: 10.1016/j.csm.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Familiarity with throwing mechanics during elbow range of motion allows accurate diagnosis of sports-related elbow injuries, which occur in predictable patterns. In addition, repetitive stress-related injuries are often clinically apparent; however, imaging plays an important role in determining severity as well as associated injuries that may affect clinical management. A detailed understanding of elbow imaging regarding anatomy and mechanism of injury results in prompt and precise treatment.
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Affiliation(s)
- Lindsay Stratchko
- University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA.
| | - Humberto Rosas
- University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA
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Díaz Suárez R, Luengo Alonso G, Porras Moreno MÁ, Jiménez Díaz V, García Lamas L, Cecilia López N. Unusual case of complex fracture dislocation of the elbow. Strategies Trauma Limb Reconstr 2018:10.1007/s11751-018-0322-1. [PMID: 30421352 DOI: 10.1007/s11751-018-0322-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 11/01/2018] [Indexed: 11/30/2022] Open
Affiliation(s)
- Rebeca Díaz Suárez
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain.
| | - Gonzalo Luengo Alonso
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
| | - Miguel Ángel Porras Moreno
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
| | - Verónica Jiménez Díaz
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
- Departamento de Cirugía, Universidad Complutense, Madrid, Spain
| | - Lorena García Lamas
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
| | - Navidad Cecilia López
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
- Departamento de Cirugía, Universidad Complutense, Madrid, Spain
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