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Factors influencing elbow instability

H S Tullos, G Schwab, J B Bennett

    Instructional Course Lectures
    |January 1, 1981
    PubMed
    Summary
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    Elbow stability depends on radiocapitellar continuity, coronoid integrity, and the medial collateral ligament. The anterior oblique ligament is the most critical factor for predictable elbow reconstruction results.

    Area of Science:

    • Orthopedic Surgery
    • Biomechanics
    • Anatomy

    Background:

    • Elbow instability is a complex condition affecting joint function.
    • Multiple anatomical structures contribute to elbow stability.

    Purpose of the Study:

    • To identify the most critical factor for elbow stability.
    • To guide reconstruction strategies for unstable elbows.

    Main Methods:

    • Anatomical experimentation.
    • Clinical case review.

    Main Results:

    • Radiocapitellar articular continuity and coronoid process integrity are important.
    • Medial collateral ligament competency, specifically the anterior oblique ligament, is the most critical factor in elbow stability.

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    Conclusions:

    • Reconstruction of the unstable elbow should prioritize the medial supporting ligament, particularly the anterior oblique ligament.
    • Focusing on the anterior oblique ligament ensures predictable outcomes in elbow reconstruction.