title: Nonacute Treatment of Elbow Fracture with Persistent Ulnohumeral Dislocation or Subluxation.
abstract: ➤ There are patterns of traumatic elbow instability that help a surgeon to anticipate which structures are injured.➤ Patients treated for persistent subluxation or dislocation of the elbow more than two weeks after injury regain less motion and experience more adverse events.➤ The primary goal of treatment is stable reduction of the ulnohumeral joint and functional elbow motion.➤ Motion and pain are affected by contracture and scarring of the soft tissues, malalignment of the joint, fracture malunion, damage to the articular surface, and ulnar neuropathy.➤ Biomechanical and clinical studies support treatment with radial head arthroplasty and/or coronoid reconstruction for patients who have osseous insufficiency.
authors.affiliation: Philadelphia Hand Center, P.C., 834 Chestnut Street, G114, Philadelphia, PA 19107. E-mail address: ncchen@handcenters.com.
authors.forename: Neal C
authors.initials: NC
authors.lastname: Chen
authors.affiliation: Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey 2100, 55 Fruit Street, Boston, MA 02114.
authors.forename: Jesse B
authors.initials: JB
authors.lastname: Jupiter
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905.
authors.forename: Scott P
authors.initials: SP
authors.lastname: Steinmann
authors.affiliation: Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey 2100, 55 Fruit Street, Boston, MA 02114.
authors.forename: David
authors.initials: D
authors.lastname: Ring
mesh_terms: D004551:Elbow Joint / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D006811:Humerus; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D019637:Orthopedic Procedures; D014457:Ulna; D000092464:Elbow Injuries