Revised to include the most up-to-date surgical techniques and their outcomes, Morrey's The Elbow and Its Disorders, 5th Edition, is an essential reference for today’s orthopaedic surgeons, appealing both to those in general practice and those with a subspecialty interest in elbow surgery. This edition by Drs. Bernard Morrey, Mark Morrey, and Joaquin Sanchez-Sotelo, provides a practical focus on technique – both in the text and on dozens of high-quality instructional videos produced at the Mayo Clinic. Authoritative guidance from leading experts enables you to provide optimal care to your patients – even those with the most challenging elbow problems.
1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Section Editors - p. ii 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vi 8. Preface - p. xi 9. Acknowledgments - p. xii 10. Videos - p. xvi 11. Part I Fundamentals and General Considerations - p. xvii 12. 1 Phylogeny - p. 2 13. 2 Anatomy of the Elbow Joint - p. 9 14. 3 Biomechanics of the Elbow - p. 33 15. 4 History and Physical Examination of the Elbow - p. 47 16. 5 Functional Evaluation of the Elbow - p. 66 17. 6 Radiography of the Elbow - p. 75 18. 7 Computed Tomography of the Elbow - p. 87 19. 8 Magnetic Resonance Imaging of the Elbow - p. 93 20. 9 Ultrasound Imaging of the Elbow - p. 101 21. 10 Extensile Surgical Exposures - p. 110 22. 11 Surgical Exposures of the Elbow - p. 126 23. 12 Surgical Exposures of the Forearm - p. 151 24. 13 General and Regional Anesthesia and Postoperative Pain Control - p. 157 25. 14 Principles of Elbow Rehabilitation - p. 164 26. 15 Continuous Passive Motion - p. 171 27. 16 Splints and Bracing of the Elbow - p. 173 28. 17 Examination Under Anesthesia - p. 178 29. Part II Elbow Arthroscopy - p. 179 30. 18 General Principles of Elbow Arthroscopy - p. 181 31. 19 Arthroscopic Management of Lateral Epicondylitis - p. 189 32. 20 Arthroscopic Management of Elbow Plica and Loose Bodies - p. 194 33. 21 Arthroscopy for Arthritis of the Elbow - p. 200 34. 22 Arthroscopic Management of Osteochondritis Dissecans of the Capitellum - p. 207 35. 23 Complications of Elbow Arthroscopy - p. 215 36. 24 Advanced and Future Trends in Elbow Arthroscopy - p. 219 37. Part III The Child and Adolescent Elbow - p. 227 38. 25 The Pediatric Elbow - p. 229 39. 26 Congenital Abnormalities of the Elbow - p. 237 40. 27 Supracondylar Fractures of the Elbow in Children - p. 253 41. 28 Complications of Supracondylar Fractures of the Elbow - p. 272 42. 29 Physeal Fractures of the Elbow - p. 286 43. 30 Proximal Radius Fractures in Children - p. 306 44. 31 Olecranon and Monteggia Fractures in Children - p. 315 45. 32 Pediatric Elbow Dislocations - p. 327 46. 33 Osteochondritis Dissecans - p. 341 47. 34 Elbow Stiffness in Children and Adolescents - p. 349 48. Part IV Acute Trauma - p. 355 49. 35 Simple Elbow Dislocation - p. 357 50. 36 Complex Elbow Instability - p. 364 51. 37 Radial Head Fracture - p. 375 52. 38 Radial Head Fracture - p. 388 53. 39 Prosthetic Radial Head Replacement - p. 395 54. 40 Radial Head Fracture - p. 403 55. 41 Essex-Lopresti Injuries - p. 410 56. 42 Olecranon Fractures and Monteggia Fractures - p. 417 57. 43 Coronoid Fractures - p. 428 58. 44 Low Transcondylar Fractures of the Distal Humerus - p. 440 59. 45 Distal Humerus Fractures - p. 450 60. 46 Distal Humerus Fractures - p. 458 61. 47 Distal Humerus Fractures - p. 466 62. 48 Hinged External Fixators of the Elbow - p. 471 63. Part V Complications of Trauma and Elbow Stiffness - p. 480 64. 49 Persistent Elbow Instability - p. 482 65. 50 Nonunion and Malunion of Distal Humerus Fractures - p. 501 66. 51 Nonunion of the Olecranon and Proximal Ulna - p. 510 67. 52 Chronic Unreduced Elbow Dislocation - p. 521 68. 53 Elbow Stiffness - p. 529 69. 54 Extrinsic Contracture - p. 537 70. 55 Elbow Stiffness - p. 547 71. 56 Elbow Stiffness - p. 552 72. 57 Heterotopic Ossification - p. 557 73. 58 Healing and Wound Problems - p. 568 74. Part VI Sports and Soft Tissue Injuries - p. 572 75. 59 Lateral Epicondylitis/Tendinosis - p. 574 76. 60 Percutaneous Ultrasound Tenotomy Treatment of Epicondylitis - p. 582 77. 61 Medial Epicondylitis/Tendinosis - p. 588 78. 62 Managing Surgical Failure in Tennis Elbow - p. 595 79. 63 Elbow Tendinopathies - p. 602 80. 64 Elbow Tendinopathies - p. 615 81. 65 Elbow Tendinopathies - p. 621 82. 66 The Thrower's Elbow - p. 630 83. 67 Articular Injuries in the Athlete - p. 637 84. 68 Medial Collateral Ligament Reconstruction - p. 651 85. 69 Ulnar Collateral Ligament Reconstruction - p. 663 86. 70 Medial Collateral Ligament Reconstruction - p. 668 87. 71 Lateral Collateral Ligament Insufficiency - p. 670 88. 72 Nerve Entrapment Syndromes - p. 679 89. 73 Atypical Pain Presentation in the Elbow - p. 702 90. 74 Bursitis - p. 705 91. Part VII Pathologic Conditions of the Elbow - p. 712 92. 75 Posttraumatic Elbow Osteoarthritis - p. 714 93. 76 Primary Osteoarthritis of the Elbow - p. 722 94. 77 Rheumatoid Arthritis - p. 731 95. 78 Seronegative Inflammatory Arthritis - p. 742 96. 79 Hematologic Arthritis - p. 747 97. 80 Septic Arthritis - p. 756 98. 81 Neoplasms of the Elbow - p. 760 99. 82 Neuropathic Arthropathy - p. 779 100. 83 Elbow Pathology From Metabolic Disease - p. 788 101. 84 Loose Bodies and Ossification Centers About the Elbow - p. 795 102. Part VIII Joint Replacement Arthroplasty - p. 804 103. Section A Fundamentals - p. 804 104. 85 Elbow Arthroplasty - p. 807 105. 86 Biomechanics of Joint Reconstruction - p. 819 106. 87 Radiocapitellar Prosthetic Arthroplasty for Isolated Radiocapitellar Arthritis - p. 826 107. 88 Distal Humeral Hemiarthroplasty - p. 834 108. 89 Unlinked and Convertible Arthroplasty - p. 842 109. 90 Linked Elbow Arthroplasty - p. 855 110. Section B Technique and Outcome by Indication and Diagnosis - p. 868 111. 91 Elbow Arthroplasty in Inflammatory Arthritis - p. 870 112. 92 Distal Humeral Fractures - p. 878 113. 93 Total Elbow Arthroplasty for Distal Humeral Nonunion - p. 888 114. 94 Posttraumatic Arthrosis - p. 894 115. 95 Total Elbow Arthroplasty for Primary Osteoarthritis - p. 902 116. 96 Failed Interposition Arthroplasty of the Elbow - p. 907 117. 97 Dysfunctional Instability - p. 912 118. 98 The Fused Elbow - p. 920 119. Part IX Complications and Salvage of Failed Arthroplasty - p. 924 120. 99 Complications of Elbow Replacement Arthroplasty - p. 926 121. 100 Diagnosis of Deep Infection After Elbow Arthroplasty - p. 937 122. 101 Treatment of the Infected Total Elbow Arthroplasty - p. 942 123. 102 Triceps Insufficiency Following Total Elbow Arthroplasty - p. 951 124. 103 Periprosthetic Elbow Fractures - p. 955 125. 104 Isolated Polyethylene Wear and Elbow Replacement - p. 967 126. 105 Instability After Unlinked Total Elbow Arthroplasty - p. 972 127. 106 Revision of Nonseptic Failed Total Elbow Arthroplasty With Osseous Integrity - p. 978 128. 107 Revision Total Elbow Arthroplasty With Strut Augmentation - p. 990 129. 108 Revision of Failed Total Elbow Arthroplasty With Osseous Deficiency - p. 995 130. 109 Revision of Failed Total Elbow Arthroplasty With Osseous Deficiency - p. 1001 131. Part X Nonprosthetic Alternatives and Salvage Procedures - p. 1008 132. 110 Synovectomy of the Elbow - p. 1010 133. 111 Ulnohumeral Arthroplasty - p. 1018 134. 112 Osteochondral Allograft Reconstruction - p. 1028 135. 113 Anconeus Interposition Arthroplasty - p. 1035 136. 114 Interposition Arthroplasty of the Elbow - p. 1043 137. 115 Elbow Arthrodesis - p. 1054 138. 116 Soft Tissue Coverage of the Elbow - p. 1062 139. 117 Flaccid Dysfunction - p. 1078 140. 118 Spastic Dysfunction of the Elbow - p. 1099 141. 119 Elbow Resection Arthroplasty - p. 1109 142. 120 Elbow Disarticulation Amputation - p. 1116 143. Index - p. 1122
Revised to include the most up-to-date surgical techniques and their outcomes, Morrey's The Elbow and Its Disorders, 5th Edition, is an essential reference for today’s orthopaedic surgeons, appealing both to those in general practice and those with a subspecialty interest in elbow surgery. This edition by Drs. Bernard Morrey, Mark Morrey, and Joaquin Sanchez-Sotelo, provides a practical focus on technique – both in the text and on dozens of high-quality instructional videos produced at the Mayo Clinic. Authoritative guidance from leading experts enables you to provide optimal care to your patients – even those with the most challenging elbow problems.
1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Section Editors - p. ii 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vi 8. Preface - p. xi 9. Acknowledgments - p. xii 10. Videos - p. xvi 11. Part I Fundamentals and General Considerations - p. xvii 12. 1 Phylogeny - p. 2 13. 2 Anatomy of the Elbow Joint - p. 9 14. 3 Biomechanics of the Elbow - p. 33 15. 4 History and Physical Examination of the Elbow - p. 47 16. 5 Functional Evaluation of the Elbow - p. 66 17. 6 Radiography of the Elbow - p. 75 18. 7 Computed Tomography of the Elbow - p. 87 19. 8 Magnetic Resonance Imaging of the Elbow - p. 93 20. 9 Ultrasound Imaging of the Elbow - p. 101 21. 10 Extensile Surgical Exposures - p. 110 22. 11 Surgical Exposures of the Elbow - p. 126 23. 12 Surgical Exposures of the Forearm - p. 151 24. 13 General and Regional Anesthesia and Postoperative Pain Control - p. 157 25. 14 Principles of Elbow Rehabilitation - p. 164 26. 15 Continuous Passive Motion - p. 171 27. 16 Splints and Bracing of the Elbow - p. 173 28. 17 Examination Under Anesthesia - p. 178 29. Part II Elbow Arthroscopy - p. 179 30. 18 General Principles of Elbow Arthroscopy - p. 181 31. 19 Arthroscopic Management of Lateral Epicondylitis - p. 189 32. 20 Arthroscopic Management of Elbow Plica and Loose Bodies - p. 194 33. 21 Arthroscopy for Arthritis of the Elbow - p. 200 34. 22 Arthroscopic Management of Osteochondritis Dissecans of the Capitellum - p. 207 35. 23 Complications of Elbow Arthroscopy - p. 215 36. 24 Advanced and Future Trends in Elbow Arthroscopy - p. 219 37. Part III The Child and Adolescent Elbow - p. 227 38. 25 The Pediatric Elbow - p. 229 39. 26 Congenital Abnormalities of the Elbow - p. 237 40. 27 Supracondylar Fractures of the Elbow in Children - p. 253 41. 28 Complications of Supracondylar Fractures of the Elbow - p. 272 42. 29 Physeal Fractures of the Elbow - p. 286 43. 30 Proximal Radius Fractures in Children - p. 306 44. 31 Olecranon and Monteggia Fractures in Children - p. 315 45. 32 Pediatric Elbow Dislocations - p. 327 46. 33 Osteochondritis Dissecans - p. 341 47. 34 Elbow Stiffness in Children and Adolescents - p. 349 48. Part IV Acute Trauma - p. 355 49. 35 Simple Elbow Dislocation - p. 357 50. 36 Complex Elbow Instability - p. 364 51. 37 Radial Head Fracture - p. 375 52. 38 Radial Head Fracture - p. 388 53. 39 Prosthetic Radial Head Replacement - p. 395 54. 40 Radial Head Fracture - p. 403 55. 41 Essex-Lopresti Injuries - p. 410 56. 42 Olecranon Fractures and Monteggia Fractures - p. 417 57. 43 Coronoid Fractures - p. 428 58. 44 Low Transcondylar Fractures of the Distal Humerus - p. 440 59. 45 Distal Humerus Fractures - p. 450 60. 46 Distal Humerus Fractures - p. 458 61. 47 Distal Humerus Fractures - p. 466 62. 48 Hinged External Fixators of the Elbow - p. 471 63. Part V Complications of Trauma and Elbow Stiffness - p. 480 64. 49 Persistent Elbow Instability - p. 482 65. 50 Nonunion and Malunion of Distal Humerus Fractures - p. 501 66. 51 Nonunion of the Olecranon and Proximal Ulna - p. 510 67. 52 Chronic Unreduced Elbow Dislocation - p. 521 68. 53 Elbow Stiffness - p. 529 69. 54 Extrinsic Contracture - p. 537 70. 55 Elbow Stiffness - p. 547 71. 56 Elbow Stiffness - p. 552 72. 57 Heterotopic Ossification - p. 557 73. 58 Healing and Wound Problems - p. 568 74. Part VI Sports and Soft Tissue Injuries - p. 572 75. 59 Lateral Epicondylitis/Tendinosis - p. 574 76. 60 Percutaneous Ultrasound Tenotomy Treatment of Epicondylitis - p. 582 77. 61 Medial Epicondylitis/Tendinosis - p. 588 78. 62 Managing Surgical Failure in Tennis Elbow - p. 595 79. 63 Elbow Tendinopathies - p. 602 80. 64 Elbow Tendinopathies - p. 615 81. 65 Elbow Tendinopathies - p. 621 82. 66 The Thrower's Elbow - p. 630 83. 67 Articular Injuries in the Athlete - p. 637 84. 68 Medial Collateral Ligament Reconstruction - p. 651 85. 69 Ulnar Collateral Ligament Reconstruction - p. 663 86. 70 Medial Collateral Ligament Reconstruction - p. 668 87. 71 Lateral Collateral Ligament Insufficiency - p. 670 88. 72 Nerve Entrapment Syndromes - p. 679 89. 73 Atypical Pain Presentation in the Elbow - p. 702 90. 74 Bursitis - p. 705 91. Part VII Pathologic Conditions of the Elbow - p. 712 92. 75 Posttraumatic Elbow Osteoarthritis - p. 714 93. 76 Primary Osteoarthritis of the Elbow - p. 722 94. 77 Rheumatoid Arthritis - p. 731 95. 78 Seronegative Inflammatory Arthritis - p. 742 96. 79 Hematologic Arthritis - p. 747 97. 80 Septic Arthritis - p. 756 98. 81 Neoplasms of the Elbow - p. 760 99. 82 Neuropathic Arthropathy - p. 779 100. 83 Elbow Pathology From Metabolic Disease - p. 788 101. 84 Loose Bodies and Ossification Centers About the Elbow - p. 795 102. Part VIII Joint Replacement Arthroplasty - p. 804 103. Section A Fundamentals - p. 804 104. 85 Elbow Arthroplasty - p. 807 105. 86 Biomechanics of Joint Reconstruction - p. 819 106. 87 Radiocapitellar Prosthetic Arthroplasty for Isolated Radiocapitellar Arthritis - p. 826 107. 88 Distal Humeral Hemiarthroplasty - p. 834 108. 89 Unlinked and Convertible Arthroplasty - p. 842 109. 90 Linked Elbow Arthroplasty - p. 855 110. Section B Technique and Outcome by Indication and Diagnosis - p. 868 111. 91 Elbow Arthroplasty in Inflammatory Arthritis - p. 870 112. 92 Distal Humeral Fractures - p. 878 113. 93 Total Elbow Arthroplasty for Distal Humeral Nonunion - p. 888 114. 94 Posttraumatic Arthrosis - p. 894 115. 95 Total Elbow Arthroplasty for Primary Osteoarthritis - p. 902 116. 96 Failed Interposition Arthroplasty of the Elbow - p. 907 117. 97 Dysfunctional Instability - p. 912 118. 98 The Fused Elbow - p. 920 119. Part IX Complications and Salvage of Failed Arthroplasty - p. 924 120. 99 Complications of Elbow Replacement Arthroplasty - p. 926 121. 100 Diagnosis of Deep Infection After Elbow Arthroplasty - p. 937 122. 101 Treatment of the Infected Total Elbow Arthroplasty - p. 942 123. 102 Triceps Insufficiency Following Total Elbow Arthroplasty - p. 951 124. 103 Periprosthetic Elbow Fractures - p. 955 125. 104 Isolated Polyethylene Wear and Elbow Replacement - p. 967 126. 105 Instability After Unlinked Total Elbow Arthroplasty - p. 972 127. 106 Revision of Nonseptic Failed Total Elbow Arthroplasty With Osseous Integrity - p. 978 128. 107 Revision Total Elbow Arthroplasty With Strut Augmentation - p. 990 129. 108 Revision of Failed Total Elbow Arthroplasty With Osseous Deficiency - p. 995 130. 109 Revision of Failed Total Elbow Arthroplasty With Osseous Deficiency - p. 1001 131. Part X Nonprosthetic Alternatives and Salvage Procedures - p. 1008 132. 110 Synovectomy of the Elbow - p. 1010 133. 111 Ulnohumeral Arthroplasty - p. 1018 134. 112 Osteochondral Allograft Reconstruction - p. 1028 135. 113 Anconeus Interposition Arthroplasty - p. 1035 136. 114 Interposition Arthroplasty of the Elbow - p. 1043 137. 115 Elbow Arthrodesis - p. 1054 138. 116 Soft Tissue Coverage of the Elbow - p. 1062 139. 117 Flaccid Dysfunction - p. 1078 140. 118 Spastic Dysfunction of the Elbow - p. 1099 141. 119 Elbow Resection Arthroplasty - p. 1109 142. 120 Elbow Disarticulation Amputation - p. 1116 143. Index - p. 1122
