Risk factors associated with atraumatic posterolateral rotatory instability

© 2021 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 5(2021), 4 vom: 11. Juli, Seite 827-833
1. Verfasser: Gilotra, Mohit N (VerfasserIn)
Weitere Verfasser: Fridman, Jake, Enobun, Blessing, Kuntz, Andrew F, Glaser, David L, Huffman, G Russell
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Atraumatic Corticosteroid injections Joint instability Lateral epicondylitis Posterolateral rotary instability Risk factors
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520 |a BACKGROUND: Traumatic posterolateral rotatory instability after elbow dislocation or fracture dislocation has been well described. However, few reports cover atraumatic posterolateral rotatory instability as a cause of lateral-sided elbow pain. We assessed the risk factors and epidemiology of atraumatic posterolateral rotatory instability in a case-control study 
520 |a METHODS: A retrospective review of all patients treated operatively for atraumatic posterolateral rotatory instability during a 6-year period was compared with a group of patients with extensor carpi radialis brevis tendinopathy without instability treated during the same time period. Bivariate and multiple logistic regression statistical analyses were used to investigate the following risk factors: gender, age, hand dominance, diabetes, smoking, body mass index, corticosteroid injection history, and duration of symptoms. Disabilities of the Arm, Shoulder, and Hand and pain scores were obtained preoperatively and postoperatively 
520 |a RESULTS: Thirteen patients with atraumatic posterolateral rotatory instability were compared with 12 patients with extensor carpi radialis brevis tendinopathy. Multivariate analysis revealed patients with atraumatic posterolateral rotatory instability were more likely to have multiple corticosteroid injections (P = .05) and present with a longer duration of symptoms (P = .03). Postoperative pain scores improved in both groups 
520 |a CONCLUSIONS: Atraumatic posterolateral rotatory instability should be considered in the differential diagnosis of lateral elbow when patients present with a protracted clinical course. Statistically, posterolateral rotatory instability patients more often present with a history of multiple corticosteroid injections 
650 4 |a Journal Article 
650 4 |a Atraumatic 
650 4 |a Corticosteroid injections 
650 4 |a Joint instability 
650 4 |a Lateral epicondylitis 
650 4 |a Posterolateral rotary instability 
650 4 |a Risk factors 
700 1 |a Fridman, Jake  |e verfasserin  |4 aut 
700 1 |a Enobun, Blessing  |e verfasserin  |4 aut 
700 1 |a Kuntz, Andrew F  |e verfasserin  |4 aut 
700 1 |a Glaser, David L  |e verfasserin  |4 aut 
700 1 |a Huffman, G Russell  |e verfasserin  |4 aut 
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773 1 8 |g volume:5  |g year:2021  |g number:4  |g day:11  |g month:07  |g pages:827-833 
856 4 0 |u http://dx.doi.org/10.1016/j.jseint.2021.02.008  |3 Volltext 
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