Elbow Injury Treatment Sterling CO

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Darrel Thomas Fenton
(970) 522-2264
1405 S 8th Ave
Sterling, CO
Specialty
Orthopedic Surgery

Data Provided By:
Floyd Homer Pohlman, MD
(970) 522-2264
1405 S 8th Ave # 1191
Sterling, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1971

Data Provided By:
Richard D Lazar, MD
(719) 471-2980
3010 N Circle Dr
Colorado Springs, CO
Business
Colorado Springs Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Bess E Brackett, MD
(970) 330-5400
7251 W 20th St Unit N
Greeley, CO
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1988

Data Provided By:
Michael Henry Tramutt, MD
(303) 430-8367
Westminster, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1969

Data Provided By:
Darrel Thomas Fenton, DO
(970) 522-2264
1405 S 8th Ave Ste 101
Sterling, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1980
Hospital
Hospital: St Anthony Hosp Central, Denver, Co; East Morgan County Hosp, Brush, Co; Melissa Mem Hosp, Holyoke, Co; Sedgwick County Mem Hosp, Julesburg, Co; Sterling Regional Medcenter, Sterling, Co; Memorial Health Center, Sidney, Ne
Group Practice: Nor

Data Provided By:
Dr. Michael Johnson
Johnson Chiropractic P.C.
(970) 522-3260
501 West Main Street
Sterling, CO
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Foot pain,Leg pain,Lower back pain,Migraine headaches,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation
Proffesional Affiliation
American Chiropractic Association,Colorado Chiropractic Association

James D Ferrari
(303) 344-9090
8101 E Lowry Blvd
Denver, CO
Specialty
Orthopedic Surgery

Data Provided By:
James M Bee
(719) 471-2980
3010 N Circle Dr
Colorado Springs, CO
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
David L Crosson, MD
(719) 564-2445
1405 Rancho del Sol
Pueblo, CO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
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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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