1. Ultrasound assessment of the posterolateral elbow ulnohumeral gap in normal subjects with and without posterolateral drawer testing
- Author
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Anesh Chavda, MBBS, MRCP, Nicola Robertson, MBChB, MRCS, Charis McNabney, MB, BCh, BAO, Dyan Flores, MD, FRCR, Kevin Murphy, MD, MB, BAO, BCh, Yaron J. Berkowitz, MB, BChir, MRCS, David Roberts, MBChB, MRCS, Kenneth R. Holmes, MD, MSc, Mark Cresswell, MB, BCh, Thomas J. Goetz, MD, Mathilde Hupin-Debeurme, MD, Stephanie L. Sellers, MSc, PhD, and Darra T. Murphy, MB, BCh, BAO, FRCPC
- Subjects
Posterolateral rotator instability ,PRLI ,Ulnohumeral gap ,Ultrasound ,Posterolateral drawer testing ,Diagnosis ,Orthopedic surgery ,RD701-811 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Background: Posterolateral rotator instability (PLRI) is the most common pattern of recurrent elbow instability, and current imaging to aid PLRI diagnosis is limited. Thus, we sought to define use of ultrasound (US) to determine normal lateral ulnohumeral joint measurements, with and without posterolateral drawer testing to provide an insight into how US may aid diagnosis. Methods: Sixty elbows were evaluated in thirty healthy volunteers. The lateral ulnohumeral gap (LUHG) was measured with US in the resting position while the posterolateral drawer stress test maneuver was applied. Joint laxity was calculated as the difference between maximum stress and average rest measurements. Two independent readers assessed each elbow with comparison performed between stress and rest positions. Results: Differences in the LUHG were evident between stress and rest conditions (reader 1: P
- Published
- 2023
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