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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 3, 272-279.
doi: 10.1302/0301-620X.90B3.19868  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Posterolateral rotatory instability of the elbow

C. P. Charalambous, MBChB, MSc, FRCS(Tr Orth), Orthopaedic Surgeon1; and J. K. Stanley, MCh(Orth), FRCS, FRCSEd, Professor of Upper Limb Surgery1

1 Department of Upper Limb Surgery, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan WN6 9EP, UK.

Correspondence should be sent to Mr C. P. Charalambous at F.204, 159 Hathersage Road, Manchester M13 0HX, UK; e-mail: bcharalambos{at}hotmail.com

Posterolateral rotatory instability is the most common type of symptomatic chronic instability of the elbow. In this condition the forearm complex rotates externally in relation to the humerus, causing posterior subluxation or dislocation of the radial head. The lateral ligament complex, radial head and coronoid process are important constraints to posterolateral rotatory instability, and their disruption is involved in the pathogenesis of this condition. The diagnosis relies on a high index of clinical suspicion, active and passive apprehension tests, and examination under anaesthesia. Surgical treatment has given consistently successful results. Open reconstruction of the lateral ligaments with a tendon graft has been the procedure of choice, with arthroscopic techniques emerging as a potential alternative.




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C. P. Charalambous, J. K. Stanley, I. Siddique, A. Aster, and O. Gagey
Posterolateral rotatory laxity following surgery to the head of the radius: BIOMECHANICAL COMPARISON OF TWO SURGICAL APPROACHES
J Bone Joint Surg Br, January 1, 2009; 91-B(1): 82 - 87.
[Abstract] [Full Text] [PDF]

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Posterolateral rotatory instability of the elbow
Ali Hassan Chamseddine, et al.
J Bone Joint Surg Br Online, 22 Jan 2010 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General