Reliability of dynamic fluoroscopy for medial elbow stability in the presence of radial head resection View Full Text


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Article Info

DATE

2020-05-07

AUTHORS

Moritz Bergmann, Jan El-Barbari, Felix Porschke, Paul A. Grützner, Thorsten Guehring, Marc Schnetzke

ABSTRACT

BackgroundThe aim of this study was to examine whether dynamic fluoroscopy is reliable for assessment of medial elbow stability in the presence of radial head resection and different stages of medial collateral ligament (MCL) dissection in a cadaveric elbow model.Materials and methodsSix intact elbow specimens were measured for joint angulation while applying valgus stress in four examination conditions (Examiner 1, Examiner 2, 1 Nm, 2 Nm) in four different elbow positions (fully pronated or supinated at 0° of elbow extension and 30° of elbow flexion). The elbow specimens were examined for valgus stress in three stages: (1) intact, (2) after radial head resection, and (3) after subsequent dissection of the complete MCL. Anteroposterior radiographs of the elbow were made at each stage to determine joint angulation. Intraclass correlation coefficients (ICCs) were calculated.ResultsIn intact elbows, mean joint angulation ranged from 2.2° ± 2.0 (1 Nm) to 5.2° ± 2.3 (Examiner 1). Radial head resection did not increase joint angulation during valgus stress, regardless of joint position and examination condition (Examiner 1: 5.5°; Examiner 2: 5.0°; 1 Nm: 2.6°, 2 Nm: 3.9°). Additional dissection of the MCL led to significantly higher joint angulation during measurements with the standardized torques (1 Nm: 12.4°; 2 Nm: 23.3°). Very good to excellent ICCs for joint angulation between Examiner 1 and Examiner 2 (0.861 to 0.959) were found.ConclusionDynamic fluoroscopy is a reliable diagnostic tool for determining medial elbow stability in the presence of radial head resection and different stages of MCL dissection. More... »

PAGES

130-136

References to SciGraph publications

  • 2008-06-06. Elbow medial collateral ligament injuries in CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
  • 2018-06-11. Functional outcomes and complications of open elbow dislocations in OBERE EXTREMITÄT
  • 2015-07-28. Mason type II and III radial head fracture in patients older than 65: is there still a place for radial head resection? in AGING CLINICAL AND EXPERIMENTAL RESEARCH
  • 2010-04-10. Management of complex elbow instability in MUSCULOSKELETAL SURGERY
  • 2018-08-10. Radial head arthroplasty: a historical perspective in INTERNATIONAL ORTHOPAEDICS
  • 2015-08-20. Initial joint stability affects the outcome after conservative treatment of simple elbow dislocations: a retrospective study in JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
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    http://scigraph.springernature.com/pub.10.1007/s11678-020-00572-2

    DOI

    http://dx.doi.org/10.1007/s11678-020-00572-2

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