Elbow Injury Treatment Las Vegas NV

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G. Michael Elkanich, M.D.
(702) 474-7200
2020 Palomino Lane
Las Vegas, NV
Business
Bone & Joint Specialists
Specialties
Orthopedics, Degenerative Spinal Conditions
Cervical, Thoracic, and Lumbar Fusion
Cervical, Thoracic, and Lumbar Diskectomy
Cervical, Thoracic, and Lumbar Decompression
Total Disk Replacement - Cervical & Lumbar
Endoscopic Spinal Fusion
M
Insurance
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: Yes

Doctor Information
Primary Hospital: Valley Medical Center
Residency Training: Stanford University Hosptial & Clinics
Medical School: University Of Arizona College of Medicine, 1997
Additional Information
Member Organizations: North American Spine Society
American Academy of Orthopaedic Surgeons
American Medical Association
State Medical Society
State Orthopaedic Society

Awards: American Board of Orthopaedic Surgeons - Board Certified
Languages Spoken: English,Spanish,Chinese

Data Provided By:
Ascar Eghtedar, MD
(702) 878-9444
2601 W Charleston Blvd
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Teheran Univ, Fac Of Med, Teheran, Iran
Graduation Year: 1959

Data Provided By:
Mark Jesse Saylor, DDS
(702) 870-1350
1350 S Decatur Blvd
Las Vegas, NV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Himansu R Shah
(702) 671-5110
1707 W Charleston Blvd
Las Vegas, NV
Specialty
Hand Surgery

Data Provided By:
Gerald Mark Sylvain, MD
(702) 388-1008
3100 W Charleston Blvd
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1991

Data Provided By:
Archie C Perry, MD
(701) 731-1616
2800 E Desert Inn Rd
Las Vegas, NV
Business
Desert Orthopaedic Center
Specialties
Orthopedics

Data Provided By:
Ascar Egtedar, MD
(702) 878-9444
2601 W Charleston Blvd Ste A
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Chester W Eskey, MD FACS
(702) 387-7807
1650 Waldman Ave
Las Vegas, NV
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1949

Data Provided By:
Kayvan Taghipour-Khiabani
(702) 671-5110
1707 W Charleston Blvd
Las Vegas, NV
Specialty
Hand Surgery

Data Provided By:
Chester W Eskey, MD
(702) 731-1616
1650 Waldman Ave
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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 ...

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