Acute persistent traumatic anterior dislocation of the fractured radial head: a case report and surgical technique

Baraza, Njalalle; Saithna, Adnan; Krkovič, Matija

doi:10.1016/j.jse.2011.07.035

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…The isolated dislocation of the radial head is a rare injury. Misdiagnosis, incorrect reduction, and relapse are frequent; they delay surgical intervention and therefore cause detrimental functional results [ 1 – 4 ].…”

Section: Discussionmentioning

confidence: 99%

Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition

Climent-Péris

Sirera-Vercher

Sanz-Amaro

2016

Case Reports in Orthopedics

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The case presents an isolated irreducible anteromedial dislocation of radial head due to biceps tendon interposition on a 14-year-old female patient. After an unsuccessful closed reduction, a lateral approach of the left elbow was carried out through Kocher's interval. Given that no pathology was found on the radiohumeral joint, the approach was extended distally. This revealed that the biceps tendon was displaced laterally around the radial neck, preventing the reduction. Once the tendon was taken back to its anatomical position, the radial head reduction was performed successfully. The patient achieved a complete functional recovery. Possible injury mechanisms are discussed, as well as the importance of identifying such a rare injury.

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Section: Discussionmentioning

confidence: 99%

Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition

Climent-Péris

Sirera-Vercher

Sanz-Amaro

2016

Case Reports in Orthopedics

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“…Various mechanisms of injury have been described for anterior dislocation of the radial head: forceful biceps contraction, hyper-pronation associated with slight elbow flexion and varus strain from a fall, direct blow to the posterior aspect of a semiflexed elbow, and hyperextension in supination [4-7,11]. In our case, the mechanism was entrapped forearm, which has never been described.…”

Section: Case Reportmentioning

confidence: 56%

“…A pre-emptive fasciotomy was prompted by severe swelling and tightness of the forearm and the underlying muscle was dusky but bleeding and contractile [4]. In our case, compartment syndrome was confirmed by measuring compartment pressures with a Stryker needle despite minimal clinical symptoms of compartment syndrome.…”

Section: Case Reportmentioning

confidence: 68%

“…Intraoperatively, the dislocated radial head was button holed through the annular ligament and the incarcerated annular ligament was freed and repaired. A variety of other procedures have also been proposed such as radial head excision, Kirschner-wire fixation of radiohumeral joint, and tension band wiring if the annular ligament/LCL complex is damaged irreparably or if there is instability despite repair of the annular ligament/LCL complex [4,7,8,12]. In our case, the patient did well after a repair of the annular ligament and did not report any elbow instability in post-operative follow-up.…”

Section: Case Reportmentioning

confidence: 99%

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Upper extremity compartment syndrome after minor trauma: an imperative for increased vigilance for a rare, but limb-threatening complication

Seigerman¹,

Choi²,

Donegan³

et al. 2013

Patient Saf Surg

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BackgroundCompartment syndrome of any extremity is a limb-threatening emergency requiring an emergent surgical management. Thus, ruling out compartment syndrome is often high on the list of priorities when treating high-energy injuries and fractures. However, even in the most seemingly benign injuries, this dangerous diagnosis must always remain on the differential and suspicion must remain high.Case presentation23-year-old factory worker presents after a low energy entrapment injury to his left forearm. Initial work-up and evaluation noted an isolated radial head dislocation with a normal physical motor and sensory exam. However, maintaining high suspicion for compartment syndrome despite serial normal physical exams, led objective compartment pressure measurement leading to definitive diagnosis. Emergent surgical intervention via compartment fasciotomies was performed, along with closed reduction and ligament repair. At 1 year follow-up, the patient was well-healed, back to work with full range of motion and not activity limitations.ConclusionDespite a seemingly benign injury pattern, and a relatively low energy mechanism, vigilant concern for compartment syndrome following any kind of entrapment injury should initiate serial examinations and compartment pressure measurements especially in circumstances with continued swelling and inability to perform an accurate clinical assessment due to an obtunded or medicated patient.

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“… 2 , 7 , 8 Open reduction with annular and lateral collateral ligamentous repair or external fixation are used when closed reduction fails to restore joint stability. 10 …”

Section: Discussionmentioning

confidence: 99%

Perched Anteromedial Radial Head Dislocation

Rao¹,

Wu²,

Braman³

et al. 2023

Journal of Hand Surgery Global Online

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Acute persistent traumatic anterior dislocation of the fractured radial head: a case report and surgical technique

Cited by 5 publications

References 11 publications

Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition

Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition

Upper extremity compartment syndrome after minor trauma: an imperative for increased vigilance for a rare, but limb-threatening complication

Perched Anteromedial Radial Head Dislocation

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