Cargando…
Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data
OBJECTIVE: The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of pat...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Bentham Open
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847208/ https://www.ncbi.nlm.nih.gov/pubmed/20361035 http://dx.doi.org/10.2174/1874325001004020080 |
_version_ | 1782179548642672640 |
---|---|
author | de Haan, Jeroen Schep, Niels Tuinebreijer, Wim den Hartog, Dennis |
author_facet | de Haan, Jeroen Schep, Niels Tuinebreijer, Wim den Hartog, Dennis |
author_sort | de Haan, Jeroen |
collection | PubMed |
description | OBJECTIVE: The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of patients with complex elbow dislocations and unstable elbow joints after repositioning of simple elbow dislocations, which were treated with an external fixator versus without an external fixator. SEARCH STRATEGY: Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials. SELECTION CRITERIA: Studies were eligible for inclusion if they included individual patient data of patients with complex elbow dislocations and unstable simple elbow dislocations. DATA ANALYSIS: The different outcome measures (MEPI, Broberg and Morrey, ASES, DASH, ROM, arthritis grading) are presented with mean and confidence intervals. MAIN RESULTS: The outcome measures show an acceptable range of motion with good functional scores of the different questionnaires and a low mean arthritis score. Thus, treatment of complex elbow dislocations with ORIF led to a moderate to good result. Treatment of unstable simple elbow dislocations with repair of the collateral ligaments with or without the combination of an external fixator is also a good option. The physician-rated (MEPI, Broberg and Morrey), patient-rated (DASH) and physician- and patient-rated (ASES) questionnaires showed good intercorrelations. Arthritis classification by x-ray is only fairly correlated with range of motion. Elbow dislocations are mainly on the non-dominant side. |
format | Text |
id | pubmed-2847208 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Bentham Open |
record_format | MEDLINE/PubMed |
spelling | pubmed-28472082010-04-01 Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data de Haan, Jeroen Schep, Niels Tuinebreijer, Wim den Hartog, Dennis Open Orthop J Article OBJECTIVE: The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of patients with complex elbow dislocations and unstable elbow joints after repositioning of simple elbow dislocations, which were treated with an external fixator versus without an external fixator. SEARCH STRATEGY: Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials. SELECTION CRITERIA: Studies were eligible for inclusion if they included individual patient data of patients with complex elbow dislocations and unstable simple elbow dislocations. DATA ANALYSIS: The different outcome measures (MEPI, Broberg and Morrey, ASES, DASH, ROM, arthritis grading) are presented with mean and confidence intervals. MAIN RESULTS: The outcome measures show an acceptable range of motion with good functional scores of the different questionnaires and a low mean arthritis score. Thus, treatment of complex elbow dislocations with ORIF led to a moderate to good result. Treatment of unstable simple elbow dislocations with repair of the collateral ligaments with or without the combination of an external fixator is also a good option. The physician-rated (MEPI, Broberg and Morrey), patient-rated (DASH) and physician- and patient-rated (ASES) questionnaires showed good intercorrelations. Arthritis classification by x-ray is only fairly correlated with range of motion. Elbow dislocations are mainly on the non-dominant side. Bentham Open 2010-02-17 /pmc/articles/PMC2847208/ /pubmed/20361035 http://dx.doi.org/10.2174/1874325001004020080 Text en © de Haan et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited. |
spellingShingle | Article de Haan, Jeroen Schep, Niels Tuinebreijer, Wim den Hartog, Dennis Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title | Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title_full | Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title_fullStr | Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title_full_unstemmed | Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title_short | Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data |
title_sort | complex and unstable simple elbow dislocations: a review and quantitative analysis of individual patient data |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847208/ https://www.ncbi.nlm.nih.gov/pubmed/20361035 http://dx.doi.org/10.2174/1874325001004020080 |
work_keys_str_mv | AT dehaanjeroen complexandunstablesimpleelbowdislocationsareviewandquantitativeanalysisofindividualpatientdata AT schepniels complexandunstablesimpleelbowdislocationsareviewandquantitativeanalysisofindividualpatientdata AT tuinebreijerwim complexandunstablesimpleelbowdislocationsareviewandquantitativeanalysisofindividualpatientdata AT denhartogdennis complexandunstablesimpleelbowdislocationsareviewandquantitativeanalysisofindividualpatientdata |