BibTex RIS Cite

Anatomical Dimensions of Lateral Ulnar Collateral and Annular Ligaments

Year 2007, Volume: 2007 Issue: 2, 137 - 140, 01.02.2007

Hülya Gürbüz Tunç Kutoğlu Recep Mesut Osman Uğur Çalpur Mert Özcan

Abstract

Objectives: Anatomical dimensions of lateral ulnar collateral and annular ligaments were determined in the present study. Patients and Methods: These measurements were performed on 20 elbows from 10 cadavers. Lateral ulnar collateral and annular ligaments were dissected in all elbows and their anatomical lengths and widths were measured. Results: The mean length of the right annular ligament was 55.6 mm and the mean width was 12.6 mm. The mean length of the right lateral ulnar collateral ligament was 23.2 mm and the mean width was 13.6 mm. The mean length of the left annular ligament was 55.4 mm and the mean width was 11.5 mm. The mean length of the left lateral ulnar collateral ligament was 19.3 mm and the mean width was 12.1 mm. Conclusion: Ruptures of lateral ulnar collateral and annular ligaments generally occur during elbow dislocations. The dimensions of these two ligaments are important since they determine the grafts to be chosen for their surgical repair. These dimensions are quite helpful for the surgeon who will perform the reconstruction for estimating the length and thickness of the graft to be used for this purpose. When the mean values obtained in the present study are taken into consideration, grafts of at least 10 cm in length, a value which is five folds greater than the ligaments' lenght, are required for repairing the lateral ulnar collateral and annular ligaments. We believe that more reliable results can be obtained with series comprising higher numbers of cadavers. Turkish Başlık: Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları Anahtar Kelimeler: Dirsek; kadavra; boyut; eklem; ligaman Amaç: Bu çalışmada lateral ulnar kollateral ve anuler ligamanların boyutları araştırıldı. Hastalar ve Yöntemler: Ölçümler 10 kadavranın 20 dirseğinde yapıldı. Lateral ulnar kollateral ve anuler ligaman tüm dirseklerde diseke edildi. Uzunlukları ve genişlikleri ölçüldü. Bulgular: Sağ anuler ligamanın ortalama uzunluğu 55.6 mm, ortalama genişliği 12.6 mm, sağ lateral ulnar kollateral ligamanın ortalama uzunluğu 23.2 mm, ortalama genişliği 13.6 mm bulundu. Sol anuler ligamanın ortalama uzunluğu 55.4 mm, ortalama genişliği 11.5mm, sol lateral ulnar kollateral ligamanın ortalama uzunluğu 19.3 mm, ortalama genişliği 12.1 mm ölçüldü. Sonuç: Genellikle bu ligamanların yırtılması dirsek çıkıklarında meydana gelir. Bu ligamanların greftlenerek yapılan cerrahi onarımı sırasında, ligamanların boyutları greft seçimini belirleyeceği için oldukça önemlidir. Çünkü bu ligamanların boyutları rekonstrüksiyonu yapacak cerrah için oldukça yardımcıdır. Böylece kaç cm uzunlukta ve kalınlıkta grefte ihtiyaç olduğu önceden kestirilebilir. Çalışmamızda bulduğumuz ortalamalarla yola çıkarak lateral ulnar kollateral ligaman ve anular ligaman tamiri için en az beş katı uzunluk olan 10 cm'lik grefte ihtiyaç vardır. İnanıyoruz ki daha büyük olgu sayısındaki çalışmalarla daha yüksek sonuçlar elde edilebilecektir.

Keywords

Elbow; cadaver; dimensions; joint; ligament

References

  • Morrey BF. Anatomy of the elbow joint. In: Morrey BF, editor. The elbow and its disorders. Chapter 3. 3rd ed. Philadelphia: W. B. Saunders Company; 1993. p. 16-52.
  • Johnson D, Ellis H. Pectoral girdle and upper limb. In: Standring S, editor. Gray’s anatomy. 39th ed. Chapter 50. Philadelphia: Churchill Livingstone; 2005. p. 862-3.
  • An KN, Morrey BF. Biomechanics of the elbow. In: Morrey BF, editor. The elbow and its disorders. Chapter 4. 3rd ed. Philadelphia: W. B. Saunders Company; 1993. p. 53-72.
  • Cohen MS, Hastings H 2nd. Rotatory instability of the elbow. The anatomy and role of the lateral stabilizers. J Bone Joint Surg [Am] 1997;79:225-33.
  • Safran MR, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg 2005;14(1 Suppl S):179S-185S.
  • McKee MD, Schemitsch EH, Sala MJ, O’driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg 2003;12:391-6.
  • King GJ, Dunning CE, Zarzour ZD, Patterson SD, Johnson JA. Single-strand reconstruction of the lateral ulnar collateral ligament restores varus and posterolateral rotatory stability of the elbow. J Shoulder Elbow Surg 2002;11:60-4.
  • Lee BP, Teo LH. Surgical reconstruction for posterolateral rotatory instability of the elbow. J Shoulder Elbow Surg 2003;12:476-9.
  • Bozkurt M, Acar HI, Apaydin N, Leblebicioglu G, Elhan A, Tekdemir I, et al. The annular ligament: an anatomical study. Am J Sports Med 2005;33:114-8.
  • Ball CM, Galatz LM, Yamaguchi K. Elbow instability: treatment strategies and emerging concepts. Instr Course Lect 2002;51:53-61.
  • Olsen BS, Sojbjerg JO, Dalstra M, Sneppen O. Kinematics of the lateral ligamentous constraints of the elbow joint. J Shoulder Elbow Surg 1996;5:333-41.
  • Takigawa N, Ryu J, Kish VL, Kinoshita M, Abe M. Functional anatomy of the lateral collateral ligament complex of the elbow: morphology and strain. J Hand Surg [Br] 2005;30:143-7.
  • Gurbuz H, Kutoglu T, Mesut R, Gurbuz H. Anatomical dimensions of anterior bundle of ulnar collateral ligament and its role in elbow stability. Folia Med (Plovdiv) 2005;47:47-52.
  • Imatani J, Ogura T, Morito Y, Hashizume H, Inoue H. Anatomic and histologic studies of lateral collateral ligament complex of the elbow joint. J Shoulder Elbow Surg 1999;8:625-7.

Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları

Year 2007, Volume: 2007 Issue: 2, 137 - 140, 01.02.2007

Hülya Gürbüz Tunç Kutoğlu Recep Mesut Osman Uğur Çalpur Mert Özcan

Abstract

Keywords

Dirsek kadavra boyut eklem ligaman

References

  • Morrey BF. Anatomy of the elbow joint. In: Morrey BF, editor. The elbow and its disorders. Chapter 3. 3rd ed. Philadelphia: W. B. Saunders Company; 1993. p. 16-52.
  • Johnson D, Ellis H. Pectoral girdle and upper limb. In: Standring S, editor. Gray’s anatomy. 39th ed. Chapter 50. Philadelphia: Churchill Livingstone; 2005. p. 862-3.
  • An KN, Morrey BF. Biomechanics of the elbow. In: Morrey BF, editor. The elbow and its disorders. Chapter 4. 3rd ed. Philadelphia: W. B. Saunders Company; 1993. p. 53-72.
  • Cohen MS, Hastings H 2nd. Rotatory instability of the elbow. The anatomy and role of the lateral stabilizers. J Bone Joint Surg [Am] 1997;79:225-33.
  • Safran MR, Baillargeon D. Soft-tissue stabilizers of the elbow. J Shoulder Elbow Surg 2005;14(1 Suppl S):179S-185S.
  • McKee MD, Schemitsch EH, Sala MJ, O’driscoll SW. The pathoanatomy of lateral ligamentous disruption in complex elbow instability. J Shoulder Elbow Surg 2003;12:391-6.
  • King GJ, Dunning CE, Zarzour ZD, Patterson SD, Johnson JA. Single-strand reconstruction of the lateral ulnar collateral ligament restores varus and posterolateral rotatory stability of the elbow. J Shoulder Elbow Surg 2002;11:60-4.
  • Lee BP, Teo LH. Surgical reconstruction for posterolateral rotatory instability of the elbow. J Shoulder Elbow Surg 2003;12:476-9.
  • Bozkurt M, Acar HI, Apaydin N, Leblebicioglu G, Elhan A, Tekdemir I, et al. The annular ligament: an anatomical study. Am J Sports Med 2005;33:114-8.
  • Ball CM, Galatz LM, Yamaguchi K. Elbow instability: treatment strategies and emerging concepts. Instr Course Lect 2002;51:53-61.
  • Olsen BS, Sojbjerg JO, Dalstra M, Sneppen O. Kinematics of the lateral ligamentous constraints of the elbow joint. J Shoulder Elbow Surg 1996;5:333-41.
  • Takigawa N, Ryu J, Kish VL, Kinoshita M, Abe M. Functional anatomy of the lateral collateral ligament complex of the elbow: morphology and strain. J Hand Surg [Br] 2005;30:143-7.
  • Gurbuz H, Kutoglu T, Mesut R, Gurbuz H. Anatomical dimensions of anterior bundle of ulnar collateral ligament and its role in elbow stability. Folia Med (Plovdiv) 2005;47:47-52.
  • Imatani J, Ogura T, Morito Y, Hashizume H, Inoue H. Anatomic and histologic studies of lateral collateral ligament complex of the elbow joint. J Shoulder Elbow Surg 1999;8:625-7.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Hülya Gürbüz This is me

Tunç Kutoğlu This is me

Recep Mesut This is me

Osman Uğur Çalpur This is me

Mert Özcan This is me

Publication Date February 1, 2007
Published in Issue Year 2007 Volume: 2007 Issue: 2

Cite

APA Gürbüz, H., Kutoğlu, T., Mesut, R., Çalpur, O. U., et al. (2007). Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları. Balkan Medical Journal, 2007(2), 137-140.
AMA Gürbüz H, Kutoğlu T, Mesut R, Çalpur OU, Özcan M. Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları. Balkan Medical Journal. February 2007;2007(2):137-140.
Chicago Gürbüz, Hülya, Tunç Kutoğlu, Recep Mesut, Osman Uğur Çalpur, and Mert Özcan. “Lateral Ulnar Kollateral Ve Anuler Ligamanların Anatomik Boyutları”. Balkan Medical Journal 2007, no. 2 (February 2007): 137-40.
EndNote Gürbüz H, Kutoğlu T, Mesut R, Çalpur OU, Özcan M (February 1, 2007) Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları. Balkan Medical Journal 2007 2 137–140.
IEEE H. Gürbüz, T. Kutoğlu, R. Mesut, O. U. Çalpur, and M. Özcan, “Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları”, Balkan Medical Journal, vol. 2007, no. 2, pp. 137–140, 2007.
ISNAD Gürbüz, Hülya et al. “Lateral Ulnar Kollateral Ve Anuler Ligamanların Anatomik Boyutları”. Balkan Medical Journal 2007/2 (February 2007), 137-140.
JAMA Gürbüz H, Kutoğlu T, Mesut R, Çalpur OU, Özcan M. Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları. Balkan Medical Journal. 2007;2007:137–140.
MLA Gürbüz, Hülya et al. “Lateral Ulnar Kollateral Ve Anuler Ligamanların Anatomik Boyutları”. Balkan Medical Journal, vol. 2007, no. 2, 2007, pp. 137-40.
Vancouver Gürbüz H, Kutoğlu T, Mesut R, Çalpur OU, Özcan M. Lateral Ulnar Kollateral ve Anuler Ligamanların Anatomik Boyutları. Balkan Medical Journal. 2007;2007(2):137-40.