Sports I Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Question 1)An open lateral approach for elbow capsular release is performed on a 60-year-old male who developed significant stiffness in the elbow due to arthritis. His range of motion improves from pre-operative range of 30 - 90 to a post-operative range of 20 – 130. However, the now complains of pain and instability at the elbow while pushing out of a chair. Radiographs are normal. What structure was injured at the time of capsular release? Select the Correct AnswerAnterior capsulePosterior CapsuleLateral ulnar collateral ligamentUlnar collateral ligamentAnnular ligamentCorrect Answer: Lateral ulnar collateral ligament Explanation: The patient is describing pain and instability while pushing out of the sitting position after a lateral approach to the elbow. The lateral ulnar collateral ligament was damaged at its origin on the lateral epicondyle resulting in posterolateral rotatory instability. The anterior and posterior capsule is excised at the time of capsular release and would not provide rotatory stability. The approach was performed on the lateral elbow and unlikely to damage the ulnar collateral ligament on the medial side. References: Source: Dr Stephanie Muh, MD Henry Ford Hospital Detroit, MI Haglin JM, Kugelman DN, Christiano A, Konda SR, Paksima N, Egol KA. Open surgical elbow contracture release after trauma: results and recommendations. J Shoulder Elbow Surg. 2018 Mar;27(3):418-426. doi: 10.1016/j.jse.2017.10.023. Epub 2017 Dec 28. PMID: 29290605. Lindenhovius AL, Linzel DS, Doornberg JN, Ring DC, Jupiter JB. Comparison of elbow contracture release in elbows with and without heterotopic ossification restricting motion. J Shoulder Elbow Surg. 2007 Sep-Oct;16(5):621-5. doi: 10.1016/j.jse.2007.01.005. Epub 2007 Jul 23. PMID: 17644008. Badhrinarayanan S, Desai A, Watson JJ, White CHR, Phadnis J. Indications, Outcomes, and Complications of Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Chronic Posterolateral Rotatory Instability: A Systematic Review. Am J Sports Med. 2021 Mar;49(3):830-837. doi: 10.1177/0363546520927412. Epub 2020 Sep 2. PMID: 32877230. Wrong Answer: Please try again! Submit Post navigation Previous QuestionTrauma INext QuestionJoints I