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Posterolateral rotatory instability of elbow: an uncommon entity
M Quamar Azam1, A A Iraqi, Anjum Syed
1Department of Orthopedic Surgery, JN Medical College, Aligarh Muslim University, Aligarh - 202 002, Uttar Pradesh, India. qazam47@rediffmail.com
Indian Journal of Orthopaedics
|September 16, 2009
Summary
Posterolateral rotatory instability of the elbow, a rare condition from lateral ligament injury, may require surgical repair. This case highlights a 12-year-old boy needing lateral ulnar collateral ligament repair after initial misdiagnosis.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Pediatric orthopedics
Background:
- Posterolateral rotatory instability (PLRI) of the elbow is a rare condition.
- It typically results from injury to the lateral ligamentous complex, particularly the lateral collateral ligament (LCL).
- Inadequate healing of these ligaments can lead to persistent elbow instability.
Purpose of the Study:
- To describe a case of a pediatric patient with elbow PLRI.
- To emphasize the importance of accurate diagnosis and timely intervention for LCL injuries.
- To highlight the surgical management of elbow PLRI in a young patient.
Main Methods:
- Case report of a 12-year-old male with elbow instability.
- Initial treatment for presumed soft tissue injury.
- Subsequent diagnosis and surgical repair of the lateral ulnar collateral ligament (LUCL).
Main Results:
- The patient initially presented with symptoms suggestive of a soft tissue injury.
- Delayed presentation of significant elbow instability was observed.
- Successful surgical repair of the lateral ulnar collateral ligament was performed.
Conclusions:
- Early and accurate diagnosis of lateral collateral ligament injuries is crucial for preventing chronic elbow instability.
- Surgical repair of the lateral ulnar collateral ligament can be effective in restoring stability in pediatric patients.
- This case underscores the potential for subtle ligamentous injuries to result in significant functional deficits if not properly managed.
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