Elbow Injury Treatment Maryland Heights MO

This page provides relevant content and local businesses that can help with your search for information on Elbow Injury Treatment. You will find informative articles about Elbow Injury Treatment, including "Treating Unstable Elbow Injuries". Below you will also find local businesses that may provide the products or services you are looking for. Please scroll down to find the local resources in Maryland Heights, MO that can help answer your questions about Elbow Injury Treatment.

Robert A Shively, MD
(314) 652-4100
915 N Grand Ave
Saint Louis, MO
Business
Washington University Orthopedics
Specialties
Orthopedics

Data Provided By:
Tony Heng-Chi Hsu, DDS
(314) 344-1121
2388 Schuetz Rd Ste 3A-55
Saint Louis, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gary Farley, DO
(314) 837-5555
12277 de Paul Dr Ste 100
Bridgeton, MO
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1977
Hospital
Hospital: Depaul Health Center, Bridgeton, Mo
Group Practice: Mid America Orthopedic Surgery

Data Provided By:
Jacques Simon Van Ryn, MD
(314) 291-3399
12277 de Paul Dr Ste 305
Bridgeton, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1979

Data Provided By:
Dennis J Brady, DDS
(314) 739-3163
12139 Natural Bridge Rd
Bridgeton, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Osmond G Jones, DDS
(314) 344-1121
2388 Schuetz Rd
Saint Louis, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
E Glenn Glassman, DDS
(314) 739-8888
2388 Schuetz Rd Ste A55
Saint Louis, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Katherine Anne Burns, MD
(314) 291-3399
12277 de Paul Dr Ste 305
Bridgeton, MO
Specialties
Orthopedics
Gender
Female
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1995

Data Provided By:
S Vic Glogovac
(314) 291-7510
12255 De Paul Dr
Bridgeton, MO
Specialty
Hand Surgery

Data Provided By:
Gary Lester Singer, MD
12277 de Paul Dr
Bridgeton, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1970

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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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