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Clin Shoulder Elbow > Volume 14(2); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(2):193-198.
DOI: https://doi.org/10.5397/CiSE.2011.14.2.193    Published online December 31, 2011.
The Ulnar Collateral Ligament is Always Torn in the Posterolateral Elbow Dislocation: A Suggestion on the new Mechanism of Dislocation Using MRI Findings
In Hyeok Rhyou, Ji Ho Lee, Kyung Jun Park, Hyun Suk Kang, Kang Wook Kim
Department of Orthopaedic Surgery, Upper Extremity and Microsurgery Center, Semyeng Christianity Hospital, Pohang, Korea. inhyeok_r@yahoo.co.kr
후외측방 주관절 탈구에 대한 자기 공명 영상을 이용한 손상 기전의 새로운 가설 제시
류인혁·이지호·박경준·강현석·김강욱
포항세명기독병원 정형?성형센터
Abstract
PURPOSE
From the status of ulnar collateral ligament of elbow with magnetic resonance image which suffered with posterolateral dislocation. We would propose the novel mechanism of posterolateral elbow dislocation. MATERIALS AND METHODS: Between November 2005 and October 2009, we prospectively collected 12 cases of simple posterolateral elbow dislocation. The location of bone contusion and the status of collateral ligament were evaluated with MRI. Collateral ligament was divided in 2 subgroups (distraction type, stripping type). We also defined the disengagement as escaping of conoid process from trochlear notch totally.
RESULTS
From 12 cases, we could found 11 cases of bone contusion in radial head or capitellum. Trochlea and conoid process were always intact without bone contusion. All ulnar collateral ligament ruptures were distraction type instead of all lateral collateral ligament ruptures were stripping type. Translations of all cases were shown those of the ulnar collateral ligament were longer than those of lateral collateral ligament (p<0.05).
CONCLUSION
We carefully conclude that UCL and surrounding soft tissue has responsibility for the initiation of simple posterolateral elbow dislocation.
Key Words: Elbow; Posterolateral dislocation; Ligamentous injury mechanism
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