An elongation or partial articular-sided tear of the radial lateral collateral ligament (R-LCL) is a rare injury causing disability and instability of the elbow. In our experience this condition is often associated with a pathologic sign of the annular ligament named the "annular drive through" caused by a redundancy of the ligament. The benefits of performing an arthroscopic procedure for surgical stabilization of the R-LCL include smaller incisions with less soft-tissue dissection, better visualization of the joint, better repair accessibility, and elimination of the annular drive-through sign. The main steps of the operation are as follows: evaluation of annular drive through, inspection of the radial side of the joint, anterior capsulotomy, insertion of a suture anchor through the anterolateral portal, shuttling of the suture anchor through the ligament, and elimination of the annular drive-through sign. By use of this technique, it is possible to repair a lesion of the R-LCL with a suture anchor that ensures an anatomic repair and, at the same time, returns the annular ligament to its physiological tension.
Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow / P. Arrigoni, R. D'Ambrosi, P. Randelli. - In: ARTHROSCOPY TECHNIQUES. - ISSN 2212-6287. - 4:6(2015 Nov 02), pp. e647-e650.
|Titolo:||Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow|
ARRIGONI, PAOLO ANGELO (Primo)
D'AMBROSI, RICCARDO (Secondo)
RANDELLI, PIETRO SIMONE (Ultimo)
|Parole Chiave:||Orthopedics and Sports Medicine|
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||2-nov-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.eats.2015.07.001|
|Appare nelle tipologie:||01 - Articolo su periodico|