Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Box-loop technique in the management of complex elbow instability: a prospective controlled trial

Original Article, 191 - 198
doi: 10.11138/mltj/2018.8.2.191
Tag this article
Abstract
Full text PDF
Introduction: Chronic elbow instability is a disable complication. This prospective study reports our experience with the box-loop reconstruction technique, compared with traditional Lateral Collateral Ligament (LCL) and eventual Medial Collateral Ligament (MCL) reconstruction, showing its functional outcome at 12-month follow-up.
Methods: From January 2013 to February 2017, 27 patients with complex elbow instability were recruited. Group-A patients were managed using box-loop technique; in Group-B patients LCL reconstruction was performed and MCL lesions were always intraoperatively tested, under fluoroscopy, and eventually treated. Clinical evaluations were performed at baseline (T0) and at 1-month (T1), 6-month (T2) and 12-month (T3) follow-up. X-rays were performed at T0 and T3. Intergroup and intragroup variability was assessed.
Results: In all the patients, an improvement of both the range of movement and the joint stability was observed after surgery. The mean increase in flexion-extension arch was 52° in Group-A patients at 12-month follow-up. A significant improvement (p<0.05) of Mayo Elbow Performance Score, Oxford Elbow Scores and Visual Analogue Scale was observed at 12-month follow-up in both groups.
Conclusion: Box-loop technique revealed safe and effective in the management of multidirectional elbow instability. Level of evidence: IV, Cases Series.

Vol. 8 (No. 2) 2018 April/June

  1. Percutaneous trigger finger release with an MS64 scalpel
    Mifsut-Miedes D., Valverde Navarro A.A., Rivelles J.R.
    doi: 10.11138/mltj/2018.8.2.135
  2. The effect of choice reaction time task on pre-landing muscle timing in athletes with and without chronic ankle instability
    Fereydounnia S., Shadmehr A., Talebian Moghadam S., Olyaei G., Jalaie S.
    doi: 10.11138/mltj/2018.8.2.142
  3. Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy
    Cardoso Leffa T., Galvão Novelli J., Biff dos Santos G., Maciel Bello G., da Silva Santos M., Martins Silveira M., Leindecker R.C., Boff Daitx R., Baptista Dohnert M.
    doi: 10.11138/mltj/2018.8.2.150
  4. The undefined anatomical variations of the deltoid ligament bundles: a cadaveric study
    Zamperetti M., Guelfi M., Biz C., Pantalone A., Salini V., Oliva X.M., Ruggieri P., Mirapeix R.M.
    doi: 10.11138/mltj/2018.8.2.163
  5. The reproducibility of manual and fixed tensioning in anterior cruciate ligament reconstruction
    Stevens R., Chandrasenan J., Ali F., Haslam P., Nicolaou N.
    doi: 10.11138/mltj/2018.8.2.172
  6. Arthroscopic management of anterior inferior iliac spine impingement: a systematic review
    Fioruzzi A., Jannelli E., Ivone A., Perelli S., Fontana A., Giai Via A.
    doi: 10.11138/mltj/2018.8.2.178
  7. Low revision rate and excellent subjective outcome of primary ACL repair with a minimum follow-up of 5 years
    Nau T., Teuschl A., Ebner A., Jung I., Schenk C.
    doi: 10.11138/mltj/2018.8.2.185
  8. Box-loop technique in the management of complex elbow instability: a prospective controlled trial
    Vicenti G., Solarino G., Carrozzo M., Bizzoca D., Marinelli A., Rotini R., Moretti B.
    doi: 10.11138/mltj/2018.8.2.191
  9. Simvastatin does not adversely affect Achilles tendon properties in a diet induced hypercholesterolemia rat model
    Choi D.S., Shetye S.S., Tucker J.J., Huegel J., Soslowsky L.J.
    doi: 10.11138/mltj/2018.8.2.199
  10. Quality assessment of muscle injury classification in sports: a systematic literature review
    SantAnna J.P.C., de Almeida A.M., Pedrinelli A., Hernandez A.J., Fernandes T.L.
    doi: 10.11138/mltj/2018.8.2.206
  11. Laser therapy penetration depth: a near-infrared study on a horse tendon model
    Monici M., Gnerucci A., Falconi T., Bani D., Cialdai F., Fusi F., Romano G.
    doi: 10.11138/mltj/2018.8.2.222
  12. Quantitative elastography of Achilles tendon using Shear Wave Elastography (SWE): correlation with zonal anatomy
    Petitpierre F., Perez J.T., Bise S., Fournier C., Hauger O., Dallaudière B.
    doi: 10.11138/mltj/2018.8.2.229
  13. Regional differences in anterior cruciate ligament imaging biomarkers: T2 and T2* values
    Schmitz R.J., Wang H-M., Kraft R.A., Shultz S.J., Ross S.E., Henson R.A., Perrin D.H.
    doi: 10.11138/mltj/2018.8.2.238
  14. Ligaments vs tendons in joint reconstruction: a review of histology and biomechanics
    Ge S.M., Alnaif N., Azzi A.J., Zadeh T.
    doi: 10.11138/mltj/2018.8.2.246
  15. The immediate effects of whole body vibration on cervical joint position sense in subjects with forward head posture
    Salami A., Roostayi M.M., Sadat Naimi S., Shadmehr A., Baghban A.A.
    doi: 10.11138/mltj/2018.8.2.255
  16. Muscular injuries after tendon rupture in the rotator cuff of animal models. Systematic review
    Terrón V.M., Muiños-López E., Granero-Moltó F., Esteban M.A., Prosper F., Pérez-Ruiz A., Pons-Villanueva J.
    doi: 10.11138/mltj/2018.8.2.261
  17. Complete midsubstance rectus femoris ruptures: a series of 27 athletes treated operatively
    Lempainen L., Kosola J., Niemi P., Orava S., Pruna R.
    doi: 10.11138/mltj/2018.8.2.276
  18. Internal obturator muscle indirect injury in groin pain syndrome: a systematic review of the literature
    Bisciotti G.N., Corsini A., Vuckvovic Z., Cena E., Bisciotti A., Belli A., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.283
  19. Potential MRI findings associated with inguinal hernia and inguinal canal posterior wall weakness in athletes
    Bisciotti G.N., Auci A., Cena E., Corsini A., Bisciotti A., Eirale C., Parra F., Gassaghi G., Di Marzo F., Vuckvovic Z., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.290
Last Viewed articles: la lista degli ultimi x visitati.
  1. Box-loop technique in the management of complex elbow instability: a prospective controlled trial
    Vicenti G., Solarino G., Carrozzo M., Bizzoca D., Marinelli A., Rotini R., Moretti B.
    doi: 10.11138/mltj/2018.8.2.191
credits