Elbow Injury Treatment Oskaloosa IA

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Michael Jos Parks, MD
(517) 437-5399
610 N 12th St Ste B
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1976

Data Provided By:
Sreedhar Somisetty
(641) 672-3360
410 N 12th St
Oskaloosa, IA
Specialty
Orthopedic Surgery

Data Provided By:
Dr. Kenneth Van Wyk
Van Wyk Chiropractic Center
(641) 628-3511
911 Washington St
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Geriatric care,Leg pain,Lower back pain,Migraine headaches,Neck pain,Neuropathy conditions,Sports injuries,Upper back pain,Whiplash
Treatments
Acupuncture,Chiropractic adjustment,Chiropractic care,DiathermyMyofascialDecompression,Natural healing,Spinal manipulation,Ultrasound
Proffesional Affiliation
Iowa Chiropractic Society (ICS),American Chiropractic Association (ACA)

Reginald Rudyard Cooper, MD
(319) 356-3470
200 Hawkins Dr
Iowa City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1955
Hospital
Hospital: U Of Iowa Hosp & Clinics, Iowa City, Ia
Group Practice: Faculty Practice Plan Univ Of Iowa Hospitals & Clinics

Data Provided By:
Charles Richard Clark, MD
(319) 356-2332
01012 JPPLL/UIHC 200 Hawkins Dr
Iowa City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1976
Hospital
Hospital: U Of Iowa Hosp & Clinics, Iowa City, Ia
Group Practice: Faculty Practice Plan Univ Of Iowa Hospitals & Clinics

Data Provided By:
Sreedhar Somisetty, MD
410 N 12th St
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1990

Data Provided By:
Daniel Wayne Vande Lune, MD
(641) 621-1390
404 Jefferson St Ste L122B
Pella, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1991
Hospital
Hospital: Mahaska County Hosp, Oskaloosa, Ia
Group Practice: Iowa Orthopedics Ctr

Data Provided By:
Dr. Russell VanHemert
Van Hemert Health Partners P.C.
(641) 628-2099
1310 Washington Street
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation

Patrick Michael Sullivan
(515) 224-1414
6001 Westown Parkway
West Des Moines, IA
Specialty
Orthopedic Surgery

Data Provided By:
Matthew D Karam
(319) 356-1616
200 Hawkins Dr
Iowa City, IA
Specialty
Orthopedic Surgery

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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