Abstract
References
- 1. Goldfarb CA, Patterson JMM, Sutter M, et al. Elbow radiographic anatomy: measurement techniques and normative data. J shoulder Elb Surg. 2012; 21:1236–46.
- 2. Grayson DE. The elbow: radiographic imaging pearls and pitfalls. Semin Roentgenol. 2005; 40:223–47.
- 3. de Haan J, Schep NWL, Tuinebreijer WE, et al. Simple elbow dislocations: a systematic review of the literature. Arch Orthop Trauma Surg. 2010; 130:241–9.
- 4. Josefsson PO, Gentz CF, Johnell O, et al. Dislocations of the elbow and intraarticular fractures. Clin Orthop Relat Res. 1989; 126–30.
- 5. Kao H-K, Lee W-C, Yang W-E, et al. Clinical significance of anterior humeral line in supracondylar humeral fractures in children. Injury. 2016; 47:2252–7.
- 6. Kesmezacar H, Sarikaya IA. The results of conservatively treated simple elbow dislocations. Acta Orthop Traumatol Turc. 2010; 44:199–205.
- 7. Kim BS, Park KH, Song HS, et al. Ligamentous repair of acute lateral collateral ligament rupture of the elbow. J shoulder Elb Surg. 2013; 22:1469–73.
- 8. Kuhn MA, Ross G. Acute elbow dislocations. Orthop Clin North Am. 2008; 39:155–61.
- 9. Maripuri SN, Debnath UK, Rao P, et al. Simple elbow dislocation among adults: a comparative study of two different methods of treatment. Injury. 2007; 38:1254–8.
- 10. McCann F, Canet F, Sandman E, et al. Does radiographic beam angle affect the radiocapitellar ratio measurement of subluxation in the elbow? Clin Orthop Relat Res. 2013; 471:2556–62.
- 11. Micic I, Kim S-Y, Park I-H, et al. Surgical management of unstable elbow dislocation without intra-articular fracture. Int Orthop. 2009; 33:1141–7.
- 12. Ozdemir G, Deveci A, Bingol O, et al. A Blocking Barrier During Reduction of the Elbow Dislocation in Children: Incarcerated Medial Epicondyle Fracture. ULUTAS Med J 2018; 4:103–7.
- 13. Schnetzke M, Aytac S, Keil H, et al. Unstable simple elbow dislocations: medium-term results after non-surgical and surgical treatment. Knee Surg Sports Traumatol Arthrosc. 2017; 25:2271–9. 14. Schnetzke M, Aytac S, Studier-Fischer S, et al. Initial joint stability affects the outcome after conservative treatment of simple elbow dislocations: a retrospective study. J Orthop Surg Res. 2015; 10:128.
- 15. Shimizu T, Yoshida A, Omokawa S, et al. Importance of anterior humeral line for successful anatomical reduction in the surgical treatment of pediatric supracondylar humeral fractures. J Orthop. 2017; 14:358–62.
- 16. Stoneback JW, Owens BD, Sykes J, et al. Incidence of elbow dislocations in the United States population. J Bone Joint Surg Am. 2012; 94:240–5.
Abstract
Purpose: The elbow is the second most dislocated major joint in adults. This study aimed to evaluate the reliability of the use of ‘sea wave-like sign’ in adult simple elbow dislocation.
Methods: The study included 12 randomly selected adults with simple elbow dislocation cases. All patients were evaluated with pre-reduction and post-reduction radiographs. The definitive diagnosis of reduction was made with post-reduction CT. Evaluations were performed by five orthopedic residents (Group I), five orthopedic specialists with less than 10 years of professional experience (Group II), and five orthopedic specialists with more than 10 years of professional experience (Group III). They were requested to fill out a questionnaire including the reduction and ‘sea wave-like sign’.
Results: The specificity of the sea wave-like sign on radiography was 96.6% and the positive predictive value of this evaluation was 99.1%. There were statistically significant differences between the groups in terms of evaluation of the reduction of the elbow joint. The correct response rates in young specialists were significantly lower than the other two groups (p<0.05). There were no statistically significant differences between the groups in terms of evaluation of the presence of ‘sea wave-like sign’ (p=0.266).
Conclusion: Sea wave-like sign could be used for adult simple elbow dislocation. The ‘sea wave-like sign’ could reduce the need for CT in a simple elbow dislocation.
References
- 1. Goldfarb CA, Patterson JMM, Sutter M, et al. Elbow radiographic anatomy: measurement techniques and normative data. J shoulder Elb Surg. 2012; 21:1236–46.
- 2. Grayson DE. The elbow: radiographic imaging pearls and pitfalls. Semin Roentgenol. 2005; 40:223–47.
- 3. de Haan J, Schep NWL, Tuinebreijer WE, et al. Simple elbow dislocations: a systematic review of the literature. Arch Orthop Trauma Surg. 2010; 130:241–9.
- 4. Josefsson PO, Gentz CF, Johnell O, et al. Dislocations of the elbow and intraarticular fractures. Clin Orthop Relat Res. 1989; 126–30.
- 5. Kao H-K, Lee W-C, Yang W-E, et al. Clinical significance of anterior humeral line in supracondylar humeral fractures in children. Injury. 2016; 47:2252–7.
- 6. Kesmezacar H, Sarikaya IA. The results of conservatively treated simple elbow dislocations. Acta Orthop Traumatol Turc. 2010; 44:199–205.
- 7. Kim BS, Park KH, Song HS, et al. Ligamentous repair of acute lateral collateral ligament rupture of the elbow. J shoulder Elb Surg. 2013; 22:1469–73.
- 8. Kuhn MA, Ross G. Acute elbow dislocations. Orthop Clin North Am. 2008; 39:155–61.
- 9. Maripuri SN, Debnath UK, Rao P, et al. Simple elbow dislocation among adults: a comparative study of two different methods of treatment. Injury. 2007; 38:1254–8.
- 10. McCann F, Canet F, Sandman E, et al. Does radiographic beam angle affect the radiocapitellar ratio measurement of subluxation in the elbow? Clin Orthop Relat Res. 2013; 471:2556–62.
- 11. Micic I, Kim S-Y, Park I-H, et al. Surgical management of unstable elbow dislocation without intra-articular fracture. Int Orthop. 2009; 33:1141–7.
- 12. Ozdemir G, Deveci A, Bingol O, et al. A Blocking Barrier During Reduction of the Elbow Dislocation in Children: Incarcerated Medial Epicondyle Fracture. ULUTAS Med J 2018; 4:103–7.
- 13. Schnetzke M, Aytac S, Keil H, et al. Unstable simple elbow dislocations: medium-term results after non-surgical and surgical treatment. Knee Surg Sports Traumatol Arthrosc. 2017; 25:2271–9. 14. Schnetzke M, Aytac S, Studier-Fischer S, et al. Initial joint stability affects the outcome after conservative treatment of simple elbow dislocations: a retrospective study. J Orthop Surg Res. 2015; 10:128.
- 15. Shimizu T, Yoshida A, Omokawa S, et al. Importance of anterior humeral line for successful anatomical reduction in the surgical treatment of pediatric supracondylar humeral fractures. J Orthop. 2017; 14:358–62.
- 16. Stoneback JW, Owens BD, Sykes J, et al. Incidence of elbow dislocations in the United States population. J Bone Joint Surg Am. 2012; 94:240–5.
Details
| Primary Language | English |
|---|---|
| Subjects | Orthopaedics |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | March 15, 2022 |
| Submission Date | August 10, 2021 |
| Published in Issue | Year 2022 |