Abstract
As opposed to lateral ulnar collateral ligament tear which is routinely repaired in complex elbow dislocation, acute repair of the medial ulnar collateral ligament is more rarely indicated and reserved for selected cases of persistent joint instability after surgical address of any radial head and/or coronoid fractures and repair of the lateral ulnar collateral ligament. Commonly, the medial ulnar collateral ligament is repaired by reattaching the avulsed ligament back to its origin using suture anchors or sutures through bone tunnels.
This chapter will describe both surgical techniques.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mathew PK, Athwal GS, King GJ. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg. 2009;17(3):137–51.
McKee MD, Schemitsch EH, Sala MJ, O’driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg. 2003;12(4):391–6.
Forthman C, Henket M, Ring DC. Elbow dislocation with intra-articular fracture: the results of operative treatment without repair of the medial collateral ligament. J Hand Surg Am. 2007;32(8):1200–9.
Hatta T, Nobuta S, Aizawa T, Sasajima K, Nakajima S, Honda M, Oki G, Yamanaka Y, Itoi E. Comparative analysis of surgical options for medial collateral ligament repair in terrible triad injury of the elbow. Orthop Rev (Pavia). 2016;8(3):6666. eCollection 2016
McKee MD, Pugh DM, Wild LM, Schemitsch EH, King GJ. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. Surgical technique. J Bone Joint Surg Am. 2005;87(Suppl 1(Pt 1)):22–32.
Pichora JE, Furukawa K, Ferreira LM, Faber KJ, Johnson JA, King GJ. Initial repair strengths of two methods for acute medial collateral ligament injuries of the elbow. J Orthop Res. 2007;25(5):612–6.
Pichora JE, Fraser GS, Ferreira LF, Brownhill JR, Johnson JA, King GJ. The effect of medial collateral ligament repair tension on elbow joint kinematics and stability. J Hand Surg Am. 2007;32(8):1210–7.
Jeon IH, Kim SY, Kim PT. Primary ligament repair for elbow dislocation. Keio J Med. 2008;57(2):99–104.
Acknowledgments
Neither of the authors mentioned has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this chapter.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 ISAKOS
About this chapter
Cite this chapter
Rosenthal, Y., Loebenberg, M.I. (2020). Acute Medial Ulnar Collateral Ligament Repair. In: Bain, G., Eygendaal, D., van Riet, R. (eds) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_29
Download citation
DOI: https://doi.org/10.1007/978-3-662-58931-1_29
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-58930-4
Online ISBN: 978-3-662-58931-1
eBook Packages: MedicineMedicine (R0)