Clinical and functional outcomes and treatment options for paediatric elbow dislocations: Experiences of three trauma centres

Subaşı, Mehmet; Işık, Mustafa; Bulut, Mehmet; Cebesoy, Oğuz; Uludağ, Abuzer; Karakurt, Lokman

doi:10.1016/j.injury.2015.05.026

Cited by 23 publications

(24 citation statements)

References 18 publications

(57 reference statements)

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“…With an incidence of three to six per 100 000 children, traumatic elbow dislocation (TED) is the most common injury of large joints in children. 1 , 2 In approximately 60% of TEDs, avulsions and fractures of the medial epicondyle, radial neck, or coronoid process are present. 1 , 2 The most common mechanism of trauma leading to TED is falling on the outstretched arm causing valgus stress on the elbow joint and hyperextension of wrist and fingers.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 In approximately 60% of TEDs, avulsions and fractures of the medial epicondyle, radial neck, or coronoid process are present. 1 , 2 The most common mechanism of trauma leading to TED is falling on the outstretched arm causing valgus stress on the elbow joint and hyperextension of wrist and fingers. 2 - 5 The mean age for TED is about ten years, and male to female ratios cited range from 2:1 to 6:1.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 The most common mechanism of trauma leading to TED is falling on the outstretched arm causing valgus stress on the elbow joint and hyperextension of wrist and fingers. 2 - 5 The mean age for TED is about ten years, and male to female ratios cited range from 2:1 to 6:1. 6 , 7 , 8 Nonoperative management of TED consists of closed reduction and short-term immobilization.…”

Section: Introductionmentioning

confidence: 99%

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Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study

Nussberger

Schädelin

Mayr

et al. 2018

Journal of Children's Orthopaedics

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PurposeTraumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED.MethodsWe analysed the medical records of patients with TED treated at the University Children’s Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score. These scores were compared between nonoperatively and operatively treated patients.ResultsA total of 37 patients (mean age 10.2 years, 5.2 to 15.3) were included. Of these, 21 (56.8%) children had undergone nonoperative treatment, with 16 (43.2%) patients having had operative treatment. After a mean follow-up of 5.6 years (1.2 to 5.9), MEPS and QuickDASH Sport and Music Module scores in the nonoperative group and operative group were similar: MEPS: 97.1 points (SD 4.6) versus 97.2 points (SD 2.6); 95% confidence interval (CI)-2.56 to 2.03); p = 0.53; QuickDASH Sport and Music Module score: 3.9 points (SD 6.1) versus 3.1 points (SD 4.6); 95% CI 2.60 to 4.17; p = 0.94. We noted no significant differences regarding the long-term functional outcome between the subgroup of children treated operatively versus those treated nonoperatively for TED with accompanying fractures of the medial epicondyle and medial condyle.ConclusionFunctional outcome after TED was excellent, independent of the treatment strategy. If clear indications for surgery are absent, a nonoperative approach for TED should be considered.Level of evidenceLevel III - therapeutic, retrospective, comparative study

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study

Nussberger

Schädelin

Mayr

et al. 2018

Journal of Children's Orthopaedics

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“…Paediatric traumatic elbow dislocation, is an uncommon injury 1 . It is estimated to occur between 3% to 6% of all paediatric elbow injuries 1–4 .…”

Section: Introductionmentioning

confidence: 99%

“…Besides, physes which are still open lead to dislocations associated especially with fractures of the distal humeral extremity 4 . Isolated elbow dislocations are usually associated with disruption of collateral ligaments 1 , 3 , 4 . The most commonly used classification based on the direction of displacement of the radio-ulnar unit from the distal humerus was adopted for our patients 5 .…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Paediatric Elbow Dislocations

Kaziz¹,

Naouar²,

Osman³

et al. 2016

MOJ

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Introduction: Elbow dislocations are uncommon in children. The treatment and outcomes remains controversial. Materials and methods: We report retrospectively the clinical and functional results of elbow dislocations in children treated in Sahloul University Hospital. Both isolated or pure dislocations and those associated with other injuries were evaluated separately.Results: Forty-eight children were selected based on inclusion criteria. All were unilateral injuries. Pure dislocations were observed in 19 cases, out of which according to the Robert’s criteria, 13 children (68%) had excellent, three (15%) good, two (10%) fair, and one (7%)poor outcome. Out of the 29 elbow dislocations associated with other injuries, 3 (10%) had excellent, 4 (13%) good, 8 (27%) fair and 14 (50%) poor result. Reviewing the functional results, better range of motion was found in elbows with pure dislocation compared to those with associated injuries.Conclusion: Prolonged follow-up and effective rehabilitation programs are required for good outcomes.

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An Elbow Dislocation With and Without Additional Fractures

Besselaar¹,

Douveren²

2017

Pediatric Orthopedic Trauma Case Atlas

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Clinical and functional outcomes and treatment options for paediatric elbow dislocations: Experiences of three trauma centres

Cited by 23 publications

References 18 publications

Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study

Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study

Outcomes of Paediatric Elbow Dislocations

An Elbow Dislocation With and Without Additional Fractures

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