Elbow Injury Treatment Big Rapids MI

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Sudhir Balkrishna Rao
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Aleksandar Tosic
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Jerome Arthur Conrad, MD
(231) 796-6721
650 Linden St Ste 2
Big Rapids, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1964
Hospital
Hospital: Mecosta County Gen Hospital, Big Rapids, Mi
Group Practice: Big Rapids Orthopaedics

Data Provided By:
Thomas G Ryan, MD
(269) 343-1535
2490 S 11th St
Kalamazoo, MI
Business
Kalamazoo Orthopaedic Clinic
Specialties
Orthopedics

Data Provided By:
Matthew James Siskosky, MD
(310) 665-7129
3601 W 13 Mile Rd
Royal Oak, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 2000

Data Provided By:
Jerome Arthur Conrad
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Aleksandar Tosic, MD
650 Linden St Ste 2
Big Rapids, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Edvarda Kardelja V Ljubljani, Med Fak, Ljubljana, Slovenia
Graduation Year: 1985

Data Provided By:
Paul E Roose
(231) 832-7000
225 N State St
Reed City, MI
Specialty
Orthopedic Surgery

Data Provided By:
Donald Frederick Garver, MD
(586) 779-9100
22050 Greater Mack Ave
Saint Clair Shores, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1972
Hospital
Hospital: St John Hosp And Med Ctr, Detroit, Mi
Group Practice: Metropolitan Orthopedic Associates

Data Provided By:
Kimber Dewitt, DDS
(989) 772-3939
711 N Brown St
Mount Pleasant, MI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Data Provided By:

Treating Unstable Elbow Injuries

The elbow is normally a very stable, solid joint. It doesn't dislocate easily. But when a traumatic injury occurs and enough force is placed on it, fracture and dislocation can be the result. In this continuing medical education (CME) article, orthopedic surgeons from the Hand and Upper Extremity Service at Massachusetts General Hospital in Boston present an update on the surgical repair of traumatic elbow instability.

The key anatomical feature of elbow dislocations is the lateral collateral ligament (LCL). When this important stabilizing structure is torn or damaged as a result of injury, elbow instability is often the result. Instability means the joint keeps slipping out of place. There can be a partial dislocation called subluxation or a full, recurrent (repeated) dislocation.

Other important anatomical features of the elbow needed for joint stability include the capsule and surrounding ligaments, tendons, and muscles. The joint capsule is a fibrous covering much like the gristle at the end of a chicken bone. Injuries from a sudden fall that result in a simple dislocation can damage any of these soft tissue structure. "Simple" means there is no bone fracture.

More complex elbow dislocations involve fractures of any of the bones that make up the joint. This can include either of the bones in the forearm (radius, ulna) or the bottom of the humerus (upper arm bone) where it joins the forearm bones to form the elbow. The exact type of elbow dislocation and which soft tissues or bones are affected depends on the force(s) placed on the elbow at the time of the injury.

Simple elbow dislocations can often be reduced (put back in place) without surgery. More complex dislocations require a surgical procedure to reduce the joint and repair the damage. Nonsurgical relocation is followed by wearing a splint for a few weeks (two to three weeks) while the soft tissues are healing. Patients are advised to avoid moving the arm away from the body as this puts too much force on the healing elbow.

Dislocations that involve fracture of the radius where it connects to the elbow and the coronoid process are called the terrible triad. The coronoid process is the bottom lip of the ulna at the elbow. The "triad" (meaning three) refers to the dislocation itself plus fractures of the two forearm bones.

Modern treatment of this injury involves repairing (or replacing) the broken radial head, wiring the broken pieces of the coronoid together, and reattaching the torn lateral collateral ligament (LCL). Sometimes a long plate is attached (with screws) to the broken bones to hold them together until bone union takes place. The authors provide specific details about the type and location of the surgical incision and sutures for this procedure.

The decision about just what type of surgery to do depends on the extent of the damage. The surgeon may not know in advance what will be done exactly. Once the arm is opened up and the area ...

Click here to read the rest of this article from eOrthopod.com