PubMed · 13638617
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B W BROADHURST, A J BUHR. 1959-04-18. The pulled elbow.. https://doi.org/10.1136/bmj.1.5128.1018
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It is well known that the elbow is one of the most difficult joints to be examined in MR, because of its position in relation to the body during the examination. Moreover, there is relatively little information about the elbow, even less in its soft tissues abnormalities, in the literature in comparison to other joints. This article describes the spectrum of MR findings soft tissues abnormalities of the elbow, giving an analysis of injuries to the elbow ranging from inflammation to rupture to masses, and the role of MR in post-surgical follow-up. It is demonstrated that MR provides an excellent alternative to other imaging techniques that would be of interest to orthopedic surgeons. The value of MRI to accurately determine the nature and extent of the pathologic changes in ligaments, tendons and muscles structures of the elbow joint is presented in the following discussion.
In recent years significant progress has been made in the diagnosis and treatment of elbow instability. Elbow instability represents a spectrum from the acute traumatic dislocation to chronic laxity resulting in transient joint subluxation. In general, acute elbow dislocations represent the second most common joint dislocation in the adult population and the most common joint dislocation in the pediatric age group. This manuscript reviews the anatomy of the elbow joint as it relates to elbow instability. It then discusses the mechanism and classification of elbow instability and outlines treatment options available for acute and chronic elbow instability.
Traumatic injury of the elbow, both in the acute setting as well as in the setting of chronic repetitive microtrauma, is quite common. Specifically, the frequency of elbow dislocation is second only to that of the shoulder. Unlike the shoulder, however, the elbow is an inherently stable articulation, considered one of the most congruous joints in the body. This manuscript discussed imaging techniques for elbow evaluation in the setting of instability and reviews the osseous anatomy, as well as the anatomy of the soft tissue stabilizers of the elbow. Anatomic variants, potential pitfalls in imaging diagnosis, and the imaging findings associated with various types of elbow instability are considered.