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Ulnar collateral ligament reconstruction, colloquially known as Tommy John surgery, is a surgical graft procedure where the ulnar collateral ligament in the medial elbow is replaced with either a tendon from elsewhere in the patient's body, or with one from a deceased donor.
The acute rupture occurs in collisions when the elbow is in flexion such as that in a wrestling match or a tackle in football. The ulnar collateral ligament distributes over fifty percent of the medial support of the elbow. [16] [17] This can result in an UCL injury or a dislocated elbow causing severe damage to the elbow and the radioulnar joints.
Osteosynthesis (open reduction and internal fixation) of the ulnar shaft is considered the standard of care in adults. It promotes stability of the radial head dislocation and allows very early mobilisation to prevent stiffness. [5] The elbow joint is particularly susceptible to loss of motion. [citation needed]
An injury resulting in an outward (valgus) stress on the elbow, such as falling on an outstretched hand causes an avulsion fracture of the medial epicondyle. [citation needed] The medial epicondyle is often the final growth plate (ossification center) to ossify in the elbow. Growth plates are particularly vulnerable to injury compared to bone.
Radial head fractures are a common type of elbow fracture that typically occurs after a fall on an outstretched arm. [1] They account for approximately one third of all elbow fractures and are frequently associated with other injuries of the elbow. [2] [3] Radial head fractures are diagnosed by a clinical assessment and medical imaging.
It is more often occurs in males, accounting of 16% of all pediatric fractures and 60% of all paediatric elbow fractures. The mechanism of injury is most commonly due to fall on an outstretch hand. [3] Extension type of injury (70% of all elbow fractures) is more common than the flexion type of injury (1% to 11% of all elbow injuries). [4]
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Olecranon fracture is a fracture of the bony portion of the elbow. The injury is fairly common and often occurs following a fall or direct trauma to the elbow. The olecranon is the proximal extremity of the ulna which is articulated with the humerus bone and constitutes a part of the elbow articulation. Its location makes it vulnerable to ...