Luxación e inestabilidad aguda de codo

• Juan Martín Patiño ^[1]
  1. [1] Servicio de Miembro Superior, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 90, Nº. 4, 2025 (Ejemplar dedicado a: Hombro y Codo), págs. 377-387
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2025.90.4.2173
• Títulos paralelos:
  • Acute elbow Dislocation and Instability: update on Diagnosis and management
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    El tratamiento incruento es el más frecuente para la luxación simple de codo. Luego de la reducción de una luxación de codo, es importante la evaluación clínica y el diagnóstico de los estabilizadores lesionados. En algunos casos, se impone la cirugía de reparación o reconstrucción ligamentaria. Los resultados suelen ser previsibles, se logra un codo funcional y la tasa de complicaciones es baja. El objetivo de este artículo es presentar una puesta al día del manejo diagnóstico y terapéutico de las luxaciones agudas de codo.

  • English

    Nonsurgical treatment is the most common approach for simple elbow dislocations. After reduction, careful clinical evaluation to identify injured stabilizers is essential. In selected cases, ligament repair or reconstruction is indicated. Outcomes are generally predictable, with restoration of a functional elbow and a low complication rate. The objective of this article is to provide an update on the diagnostic and therapeutic management of acute elbow dislocations.

• Referencias bibliográficas
  • Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am 1981;63(6):872-7. PMID: 7240327
  • O’Driscoll SW, Horii E, Morrey BF, Carmichael SW. Anatomy of the ulnar part of the lateral collateral ligament of the elbow. Clin Anat 1992;5(4):296-303....
  • O’Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect 2001;50:89-102. PMID: 11372363
  • Gallucci GL, Rellán I, Boretto JG, Alfie VA, Donndorff A, De Carli P. Inestabilidad posterolateral crónica de codo. Reconstrucción ligamentaria....
  • Jobe FW, Stark H, Lombardo SJ. Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am 1986;68(8):1158-63. PMID:...
  • Morrey BF, Tanaka S, An KN. Valgus stability of the elbow: A definition of primary and secondary constraints. Clin Orthop Relat Res 1991;(265):187-95....
  • Patiño JM, Rullan Corona A, Michelini A, Abdón I. Inestabilidad posterolateral tardía del codo como secuela de fracturas de la infancia. Rev...
  • Patiño JM, Torres Moirano JM. Engaging posterior capitellum fracture and elbow posterolateral rotatory instability: is it always necessary...
  • Coonrad RW, Roush TF, Major NM, Basamania CJ. The drop sign, a radiographic warning sign of elbow instability. J Shoulder Elbow Surg 2005;14(3):312-7....
  • Rhyou IH, Lim KS, Kim KC, Lee J-H, Ahn K-B, Moon SC. Drop sign of the elbow joint after surgical stabilization of an unstable simple posterolateral...
  • O’Driscoll SW, Horii E, Morrey BF. Anatomy of the attachment of the medial ulnar colateral ligament. J Hand Surg 1992;17(1):164-8. https://doi.org/10.1016/0363-5023(92)90135-c
  • Maripuri SN, Debnath UK, Rao P, Mohanty K. Simple elbow dislocation among adults: a comparative study of two different methods of treatment....
  • Rafai M, Largab A, Cohen D, Trafeh M. [Pure posterior luxation of the elbow in adults: immobilization or early mobilization. A randomized...
  • Mayne IP, Wasserstein D, Modi CS, Henry PDG, Mahomed N, Veillette C. The epidemiology of closed reduction for simple elbow dislocations and...
  • Modi CS, Wasserstein D, Mayne IP, Henry PDG, Mahomed N, Veillette CJH. The frequency and risk factors for subsequent surgery after a simple...
  • Raghuwanshi JS, Hassebrock JD, Kozusko S, Dacus AR. The docking technique for medial ulnar collateral ligament reconstruction. J Hand Surg...
  • Jeon IH, Kim SY, Kim PT. Primary ligament repair for elbow dislocation. Keio J Med 2008;57:99-104. https://doi.org/10.2302/kjm.57.99
  • Nestor BJ, O’Driscoll SW, Morrey BF. Ligamentous reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Am...
  • O’Brien MJ, Lee Murphy R, Savoie FH 3rd. A preliminary report of acute and subacute arthroscopic repair of the radial ulnohumeral ligament...
  • Ott N, Harland A, Lanzerath F, Leschinger T, Hackl M, Wegmann K, et al. Locking suture repair versus ligament augmentation-a biomechanical...
  • Ring D, Bruinsma WE, Jupiter JB. Complications of hinged external fixation compared with cross-pinning of the elbow for acute and subacute...
  • Schreiber JJ, Warren RF, Hotchkiss RN, Daluiski A. An online video investigation into the mechanism of elbow dislocation. J Hand Surg Am 2013;38(3):488-94....