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Evidenzbasierte Behandlung der ligamentären Ellenbogenluxation

Evidence-based treatment of ligamentous elbow dislocation

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Obere Extremität Aims and scope Submit manuscript

Zusammenfassung

Die Behandlung der ligamentären Ellenbogenluxation erfolgt in den meisten Fällen konservativ. Dabei stellt die frühfunktionelle Rehabilitation den evidenzbasierten Behandlungsstandard dar. Eine Ruhigstellung sollte allenfalls für wenige Tage erfolgen. Die Indikationsstellung zur operativen Behandlung wird weiterhin diskutiert. Während die operative Therapie dem konservativen Vorgehen nicht grundsätzlich überlegen ist, hat sie bei höhergradiger Instabilität durchaus ihre Daseinsberechtigung. Die Grenzen sind dabei fließend und in der aktuellen Literatur nur unvollständig abgebildet, was die Behandlung der ligamentären Ellenbogenluxation im klinischen Alltag erschwert.

Abstract

Ligamentous elbow dislocation is treated conservatively in the majority of cases. Early functional rehabilitation represents the evidence-based standard of care. Immobilization should only be performed for a few days. The indications for surgical treatment remain the subject of discussion. While surgical treatment does not necessarily provide superior results when compared to conservative treatment, it is warranted in cases of pronounced instability. The transitions from one to another are fluent and only incompletely depicted in the current literature, making it difficult to treat ligamentous elbow dislocations in everyday clinical practice.

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Authors and Affiliations

  1. Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Universitätsklinik zu Köln, Kerpener Straße 62, 50937, Köln, Deutschland

    Michael Hackl, Tim Leschinger, Lars Peter Müller & Kilian Wegmann

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  1. Michael Hackl
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  2. Tim Leschinger
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  3. Lars Peter Müller
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  4. Kilian Wegmann
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Correspondence to Michael Hackl.

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Interessenkonflikt

Beratertätigkeit für die Firma Medartis, die Firma Wright/Tornier und die Firma Arthrex (L. P. Müller, K. Wegmann). Beratertätigkeit für die Firma Arthrex (M. Hackl). Unterstützung von Forschungsprojekten durch die Firma Medartis und die Firma Arthrex (M. Hackl, T. Leschinger, L. P. Müller, K. Wegmann). Finanzierung eines Forschungsstipendiums durch die Firma Arthrex (M. Hackl). Finanzierung eines Reisestipendiums durch die Firma Wright/Tornier (M. Hackl). Finanzierung eines Reisestipendiums durch die Firma medi (T. Leschinger).

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Hackl, M., Leschinger, T., Müller, L.P. et al. Evidenzbasierte Behandlung der ligamentären Ellenbogenluxation. Obere Extremität 14, 27–32 (2019). https://doi.org/10.1007/s11678-018-0493-x

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