Home Body Atlas Ligaments Elbow Varus Posteromedial Rotatory Instability Complex
Ligament Upper Arm

Elbow Varus Posteromedial Rotatory Instability Complex

complexus instabilitatis posteriomedialis rotatoriae cubiti

The varus posteromedial rotatory instability (VPMRI) of the elbow involves combined anteromedial coronoid fracture and lateral collateral ligament injury, producing a characteristic instability pattern distinct from PLRI.

Region: Upper Arm
Biomechanics

Function & Actions

The anteromedial coronoid facet and the lateral collateral ligament together provide the primary constraint against varus-posteromedial rotation — their combined failure produces the VPMRI pattern.

Clinical Relevance

Clinical Notes

VPMRI injury (O'Driscoll type II coronoid fracture with LCL disruption) requires combined anteromedial coronoid fixation and LCL repair/reconstruction for stability. Isolated coronoid fixation without LCL repair fails to address the complete instability.

Pathology

Common Injuries & Conditions

VPMRI Injury Treatment

Combined anteromedial coronoid ORIF and lateral collateral ligament repair for varus posteromedial rotatory instability, addressing both structural components of this complex elbow injury pattern.

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