Elbow Injury Treatment Ville Platte LA

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Steven S Nason
(337) 506-3550
4940 Vidrine Rd
Ville Platte, LA
Specialty
Orthopedic Surgery

Data Provided By:
Elemer Raffai, MD
281 Moosa Blvd
Eunice, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ De Montreal, Fac De Med, Montreal, Que, Canada
Graduation Year: 1993

Data Provided By:
Frederick Lionel Mayer, MD
(337) 942-8677
821 N Union St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1963

Data Provided By:
Hal David Macmurdo, MD
(337) 948-1444
879 N Union St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1991

Data Provided By:
Joseph Frazer Gaar
(337) 942-6503
4015 Hwy I 49 South Service Rd
Opelousas, LA
Specialty
Orthopedic Surgery

Data Provided By:
Stephen Sanborn Nason, MD
P O Drawer 960
Ville Platte, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1967

Data Provided By:
Joseph Frazer Gaar, MD
(337) 942-6503
4015 I 49 S Service Rd
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1966

Data Provided By:
Dr.Gary Porubsky
(337) 942-6503
4015 I 49 S Service Rd
Opelousas, LA
Gender
M
Education
Medical School: Univ Of Ks Sch Of Med
Year of Graduation: 1978
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
R Luke Bordelon, MD
(337) 942-5545
1212 E Prudhomme St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Vikram Singh Parmar, MD
(650) 280-3415
703 E Prudhomme St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1995

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 ...

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