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The Recurrent Unstable Elbow: Diagnosis and Treatment by Anand M. Murthi, Jay D. Keener, April D. Armstrong, and Charles L. Getz J Bone Joint Surg Am Volume.

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Presentation on theme: "The Recurrent Unstable Elbow: Diagnosis and Treatment by Anand M. Murthi, Jay D. Keener, April D. Armstrong, and Charles L. Getz J Bone Joint Surg Am Volume."— Presentation transcript:

1 The Recurrent Unstable Elbow: Diagnosis and Treatment by Anand M. Murthi, Jay D. Keener, April D. Armstrong, and Charles L. Getz J Bone Joint Surg Am Volume 92(8):1794-1804 July 21, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

2 The medial collateral ligament of the elbow. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.

3 The moving valgus stress test (Reprinted, with permission, from: O'Driscoll SW, Lawton RL, Smith AM. The “moving valgus stress test” for medial collateral ligament tears of the elbow. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.

4 Sequential sectioning of the medial elbow valgus stabilizers does not result in valgus instability until the 3-mm central band of the anterior bundle of the medial collateral ligament has been cut. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.

5 Docking reconstruction technique for treatment of medial collateral ligament insufficiency. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.

6 Tunnels (arrows) are placed in the ulna to recreate the broad insertion of the lateral collateral ligament. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.

7 The most isometric point of the lateral epicondyle of the humerus is identified with use of a suture placed through the ulnar drill holes and by moving the elbow through an arc of motion. Anand M. Murthi et al. J Bone Joint Surg Am 2010;92:1794- 1804 ©2010 by The Journal of Bone and Joint Surgery, Inc.


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