Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow

Paolo Arrigoni, Riccardo D'Ambrosi, Pietro Randelli

Research output: Contribution to journalArticle

Abstract

An elongation or partial articular-sided tear of the radial lateral collateral ligament (R-LCL) is a rare injury causing disability and instability of the elbow. In our experience this condition is often associated with a pathologic sign of the annular ligament named the "annular drive through" caused by a redundancy of the ligament. The benefits of performing an arthroscopic procedure for surgical stabilization of the R-LCL include smaller incisions with less soft-tissue dissection, better visualization of the joint, better repair accessibility, and elimination of the annular drive-through sign. The main steps of the operation are as follows: evaluation of annular drive through, inspection of the radial side of the joint, anterior capsulotomy, insertion of a suture anchor through the anterolateral portal, shuttling of the suture anchor through the ligament, and elimination of the annular drive-through sign. By use of this technique, it is possible to repair a lesion of the R-LCL with a suture anchor that ensures an anatomic repair and, at the same time, returns the annular ligament to its physiological tension.

Original languageEnglish
Pages (from-to)e647-e650
JournalArthroscopy Techniques
Volume4
Issue number6
DOIs
Publication statusPublished - Dec 1 2015

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Ankle Lateral Ligament
Suture Anchors
Elbow
Tears
Ligaments
Joints
Arthroscopy
Therapeutics
Dissection
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow. / Arrigoni, Paolo; D'Ambrosi, Riccardo; Randelli, Pietro.

In: Arthroscopy Techniques, Vol. 4, No. 6, 01.12.2015, p. e647-e650.

Research output: Contribution to journalArticle

Arrigoni, Paolo ; D'Ambrosi, Riccardo ; Randelli, Pietro. / Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow. In: Arthroscopy Techniques. 2015 ; Vol. 4, No. 6. pp. e647-e650.
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