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KMID : 1143020180230020069
Archives of Hand and Microsurgery
2018 Volume.23 No. 2 p.69 ~ p.77
Posterolateral Rotatory Instability of the Elbow Joint
Rhyou In-Hyeok

Abstract
Posterolateral rotatory instability (PLRI) of the elbow joint is not rare and has been known to be caused by the insufficiency of the lateral ulnar collateral ligament (LUCL), since the first description by O¡¯Driscoll et al. However, many anatomical, clinical, and experimental studies cast doubts on the main role of the LUCL and highlight the lateral collateral ligament complex consisting of radial collateral ligament, LUCL, annular ligament, and accessory collateral ligament all work together to prevent PLRI. Because the original LUCL reconstruction technique does not uniformly lead to good clinical results, new techniques based on biomechanical background have been developed and attempted to obtain better results. Here, review of the anatomical and biomechanical knowledge about the PLRI including the basic concept till now is presented to provide better understanding and management of PLRI.
KEYWORD
Posterolateral, Rotatory, Instability, Elbow
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