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Stability of the elbow joint: relevant anatomy and clinical implications of in vitro biomechanical studies.

de Haan J, Schep NW, Eygendaal D, Kleinrensink GJ, Tuinebreijer WE, den Hartog D - Open Orthop J (2011)

Bottom Line: The aim of this literature review is to describe the clinical anatomy of the elbow joint based on information from in vitro biomechanical studies.The clinical consequences of this literature review are described and recommendations are given for the treatment of elbow joint dislocation.The PubMed and EMBASE electronic databases and the Cochrane Central Register of Controlled Trials were searched.Studies were eligible for inclusion if they included observations of the anatomy and biomechanics of the elbow joint in human anatomic specimens.Numerous studies of the kinematics, kinesiology and anatomy of the elbow joint in human anatomic specimens yielded important and interesting implications for trauma and orthopaedic surgeons.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery-Traumatology, Westfriesgasthuis, P.O. Box 600, 1620 AR Hoorn, The Netherlands.

ABSTRACT
The aim of this literature review is to describe the clinical anatomy of the elbow joint based on information from in vitro biomechanical studies. The clinical consequences of this literature review are described and recommendations are given for the treatment of elbow joint dislocation.The PubMed and EMBASE electronic databases and the Cochrane Central Register of Controlled Trials were searched. Studies were eligible for inclusion if they included observations of the anatomy and biomechanics of the elbow joint in human anatomic specimens.Numerous studies of the kinematics, kinesiology and anatomy of the elbow joint in human anatomic specimens yielded important and interesting implications for trauma and orthopaedic surgeons.

No MeSH data available.


Related in: MedlinePlus

Primary and secondary constraints to elbow joint stability.
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Figure 2: Primary and secondary constraints to elbow joint stability.

Mentions: The stability and biomechanics of the elbow joint have been examined in numerous studies of human anatomic specimens [13, 14]. Joint stability can be functionally divided in static and dynamic aspects. Static stability is controlled by the osteoarticular architecture and the capsule and ligamentous parts. Dynamic stability is determined by neuromuscular factors. In the elbow joint, this specifically means that the static part is mainly provided by the congruency between the articulating surfaces at the elbow joint. The other static stabilisers are the anterior joint capsule, the medial and lateral collateral ligaments and the interosseous membrane. The dynamic part includes the muscles that cross the elbow joint. The stabilisers of the elbow joint are divided into primary and secondary constraints (Fig. 2). A primary constraint is defined as a constraint where release causes laxity, and a secondary constraint is a constraint where release alone is insufficient to cause laxity, but where release after division of the fist constraint increases the laxity of the joint. The primary constraints are the anterior medial collateral ligament (AMCL), the lateral collateral ligament complex (LCLC) and the ulnohumeral articulation. The secondary constraints are the radiohumeral articulation, the common flexor-pronator tendon, the common extensor tendon and the capsule.


Stability of the elbow joint: relevant anatomy and clinical implications of in vitro biomechanical studies.

de Haan J, Schep NW, Eygendaal D, Kleinrensink GJ, Tuinebreijer WE, den Hartog D - Open Orthop J (2011)

Primary and secondary constraints to elbow joint stability.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104563&req=5

Figure 2: Primary and secondary constraints to elbow joint stability.
Mentions: The stability and biomechanics of the elbow joint have been examined in numerous studies of human anatomic specimens [13, 14]. Joint stability can be functionally divided in static and dynamic aspects. Static stability is controlled by the osteoarticular architecture and the capsule and ligamentous parts. Dynamic stability is determined by neuromuscular factors. In the elbow joint, this specifically means that the static part is mainly provided by the congruency between the articulating surfaces at the elbow joint. The other static stabilisers are the anterior joint capsule, the medial and lateral collateral ligaments and the interosseous membrane. The dynamic part includes the muscles that cross the elbow joint. The stabilisers of the elbow joint are divided into primary and secondary constraints (Fig. 2). A primary constraint is defined as a constraint where release causes laxity, and a secondary constraint is a constraint where release alone is insufficient to cause laxity, but where release after division of the fist constraint increases the laxity of the joint. The primary constraints are the anterior medial collateral ligament (AMCL), the lateral collateral ligament complex (LCLC) and the ulnohumeral articulation. The secondary constraints are the radiohumeral articulation, the common flexor-pronator tendon, the common extensor tendon and the capsule.

Bottom Line: The aim of this literature review is to describe the clinical anatomy of the elbow joint based on information from in vitro biomechanical studies.The clinical consequences of this literature review are described and recommendations are given for the treatment of elbow joint dislocation.The PubMed and EMBASE electronic databases and the Cochrane Central Register of Controlled Trials were searched.Studies were eligible for inclusion if they included observations of the anatomy and biomechanics of the elbow joint in human anatomic specimens.Numerous studies of the kinematics, kinesiology and anatomy of the elbow joint in human anatomic specimens yielded important and interesting implications for trauma and orthopaedic surgeons.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery-Traumatology, Westfriesgasthuis, P.O. Box 600, 1620 AR Hoorn, The Netherlands.

ABSTRACT
The aim of this literature review is to describe the clinical anatomy of the elbow joint based on information from in vitro biomechanical studies. The clinical consequences of this literature review are described and recommendations are given for the treatment of elbow joint dislocation.The PubMed and EMBASE electronic databases and the Cochrane Central Register of Controlled Trials were searched. Studies were eligible for inclusion if they included observations of the anatomy and biomechanics of the elbow joint in human anatomic specimens.Numerous studies of the kinematics, kinesiology and anatomy of the elbow joint in human anatomic specimens yielded important and interesting implications for trauma and orthopaedic surgeons.

No MeSH data available.


Related in: MedlinePlus