Sportorthopädie

Background: Instabilities of the elbow joint can occur acutely in the context of elbow dislocation as well as chronically after inadequate healing of atraumatic ligament tear or due to repetitive microtraumata, especially in throwers. Method: Comparative review using PubMed. Inductive reasoning.Resu...

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Autores principales:	Nietschke R, Schneider MM, Dehlinger F, Burkhart KJ, Hollinger B
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2017
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/1466ed2072414a3e8b3003aa9099d8b8
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id	oai:doaj.org-article:1466ed2072414a3e8b3003aa9099d8b8
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spelling	oai:doaj.org-article:1466ed2072414a3e8b3003aa9099d8b82021-11-16T19:01:41ZSportorthopädie0344-59252510-526410.5960/dzsm.2017.299https://doaj.org/article/1466ed2072414a3e8b3003aa9099d8b82017-10-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2017/issue-10/akute-und-chronische-ellenbogeninstabilitaeten/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Background: Instabilities of the elbow joint can occur acutely in the context of elbow dislocation as well as chronically after inadequate healing of atraumatic ligament tear or due to repetitive microtraumata, especially in throwers. Method: Comparative review using PubMed. Inductive reasoning.Results: The diverse reasons for elbow instability cant always be reliably detected in individual cases,. The basis for specific diagnostics may often be found in the anamnesis. The duration of trauma or alternatively in case of non-traumatic complaints the beginning of symptomatology should be determined. A variety of known clinical tests can assist in searching for instability. But an established objective diagnostic is not yet known. In general, this might be the greatest diagnostic and therapeutic difficulty of elbow instability.Discussion: Decisive in the therapeutic procedure is the correct detection of the prevailing instability and the observation of the therapeutic time window for the refixation of the ligament complex in acute traumatic cases. In case of chronic microinstability, the patients personal level of suffering at the maximum load of the affected extremity in terms of occupation, everyday life and sports must also be taken into account in order to make recommendations for surgery. Correspondingly, the anatomically correct reconstruction of the injured structures must be achieved in order to meet biomechanical requirements and to avoid secondary degenerative sequelae.KEY WORDS: Instability, Elbow Luxation, Thrower Elbow, Posterolateral Rotation Instability, Lucl Ligament RepairNietschke RSchneider MMDehlinger FBurkhart KJHollinger BDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 68, Iss 10 (2017)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Nietschke R Schneider MM Dehlinger F Burkhart KJ Hollinger B Sportorthopädie
description	Background: Instabilities of the elbow joint can occur acutely in the context of elbow dislocation as well as chronically after inadequate healing of atraumatic ligament tear or due to repetitive microtraumata, especially in throwers. Method: Comparative review using PubMed. Inductive reasoning.Results: The diverse reasons for elbow instability cant always be reliably detected in individual cases,. The basis for specific diagnostics may often be found in the anamnesis. The duration of trauma or alternatively in case of non-traumatic complaints the beginning of symptomatology should be determined. A variety of known clinical tests can assist in searching for instability. But an established objective diagnostic is not yet known. In general, this might be the greatest diagnostic and therapeutic difficulty of elbow instability.Discussion: Decisive in the therapeutic procedure is the correct detection of the prevailing instability and the observation of the therapeutic time window for the refixation of the ligament complex in acute traumatic cases. In case of chronic microinstability, the patients personal level of suffering at the maximum load of the affected extremity in terms of occupation, everyday life and sports must also be taken into account in order to make recommendations for surgery. Correspondingly, the anatomically correct reconstruction of the injured structures must be achieved in order to meet biomechanical requirements and to avoid secondary degenerative sequelae.KEY WORDS: Instability, Elbow Luxation, Thrower Elbow, Posterolateral Rotation Instability, Lucl Ligament Repair
format	article
author	Nietschke R Schneider MM Dehlinger F Burkhart KJ Hollinger B
author_facet	Nietschke R Schneider MM Dehlinger F Burkhart KJ Hollinger B
author_sort	Nietschke R
title	Sportorthopädie
title_short	Sportorthopädie
title_full	Sportorthopädie
title_fullStr	Sportorthopädie
title_full_unstemmed	Sportorthopädie
title_sort	sportorthopädie
publisher	Dynamic Media Sales Verlag
publishDate	2017
url	https://doaj.org/article/1466ed2072414a3e8b3003aa9099d8b8
work_keys_str_mv	AT nietschker sportorthopadie AT schneidermm sportorthopadie AT dehlingerf sportorthopadie AT burkhartkj sportorthopadie AT hollingerb sportorthopadie
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Sportorthopädie

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