Dislocation of the elbow with ipsilateral forearm fracture. Six particular cases

Mahtar, Mohamed; Saïdi, H.; Fikry, T.; Cermak, Katerina; Moungondo, Fabian; Schuind, Frédéric

doi:10.1016/j.main.2013.07.004

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…Indeed, 9 cases of similar lesions were described in adults. 3 , 4 , 5 , 6 , 7 , 8 In the literature, this unusual lesion has been reported, in a child, only in one occasion reported by Frazier et al., in 1991. 9 It was about a 7-year-old boy with anteriorly angulated diaphyseal ulna fracture and a proximal third radius fracture with a posterior elbow dislocation, as well as our patient.…”

Section: Discussionmentioning

confidence: 86%

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child

Hassini

Saïdi

Touati

et al. 2018

Chinese Journal of Traumatology

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In this report, we describe an extremely unusual Monteggia equivalent type 1 lesion in a 10-year-old boy following a fall from a height of 1 m. On the plain radiographs, our patient had a particular Monteggia equivalent type 1 injury associating a posterior elbow dislocation with diaphyseal radius and ulna fractures. The patient was treated by closed reduction technique. At six months of follow-up, the fractures were consolidated and the elbow was stable. To our knowledge, only 8 adult cases and one paediatric observation with similar lesions had been reported through medical literature. Therefore, the aim of our case report is to remind this rare entity and also to provide a comprehensive review of the literature related to this uncommon lesion.

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Section: Discussionmentioning

confidence: 86%

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child

Hassini

Saïdi

Touati

et al. 2018

Chinese Journal of Traumatology

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“…Concurrent ipsilateral upper limb injuries in this study were associated with nearly 12-fold increase in the risk of elbow stiffness when a considerable number of factors noted to be risk in previous studies were controlled. The ipsilateral limb injury has been considered as a risk factor for worse outcome in different orthopedic disorders [31,32]. In relation speci cally to terrible triad injury, the available evidence is scarce.…”

Section: Discussionmentioning

confidence: 99%

What Factors Are Associated With Elbow Stiffness After Operation of Terrible Triad Injury？

Zhu

Deng

Cheng

et al. 2021

Preprint

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Background: The elbow stiffness is a common complication after operation of terrible triad injury (TTI) and significantly impair the patients’ activities of daily living, while the risk factors have yet to be clearly identified. The goal of this study was to examine the patient-related, injury-related, and treatment-related factors for elbow stiffness after operation of terrible triad injury.Methods: Between January 2013 and December 2019, 71 patients at two tertiary-care referral centers underwent operation of terrible triad injury were respectively reviewed. Range of motion (ROM), Mayo elbow performance scores (MEPS), Broberg-Morrey scores were used for functional evaluation. According to the ROM, the patients were categorized into stiffness group and non-stiffness group. The former had < 100° of extension-flexion ROM and the latter had > 100°. The patient-related, injury-related, and treatment-related factors were extracted from the medial records. The multivariant logistic regression were performed to identify the independent factors.Result: At a mean follow-up of 35.9 months (12-68 months),13 patients were classified into the stiffness group and 58 patients in the non-stiffness group. The stiffness group had significant worse functional scores compared to the non-stiffness group. Patients in the stiffness group were more likely to be Mason type III fracture, high-energy injuries, to have longer time between injury and surgery, ipsilateral upper limb injuries, and other fractures in body. However, multivariant logistic regression analysis revealed that time between injury and surgery > seven days, concurrent ipsilateral upper limb injuries and high-energy injury were independent factors that increased the risk of elbow stiffness after operation of terrible triad injury.Conclusions: The patients underwent operation for terrible triad injury should be informed the probability of elbow stiffness when concurred ipsilateral upper limb injuries and operations should be conducted without delay. Knowledge of these risk factors will be helpful for guiding prophylaxis and early intervention in patients with high risk of elbow stiffness after operation of terrible triad injury.

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“…This method may have provided greater stability during the dislocation treatment [11-14]. Surgical treatment is reserved to incoercible, inveterate dislocations or in cases of neurovascular lesions [16, 17]. Josefsson et al [15] presented one of a few series when isolated dislocations were operated on to observe the extent of capsular ligament injuries in order to repair them.…”

Section: Discussionmentioning

confidence: 99%

“…This questioning made it possible to introduce another concept in the management of reduced and stable dislocations: functional treatment or early mobilization. Consequently, on the one hand, immobilization supporters insist on its analgesic qualities, allowing capsular ligament healing and short as well as long-term stability [9, 16, 17, 21]. On the other hand, functional treatment supporters hold immobilization as a culprit for stiffness especially if prolonged [7, 8, 18, 19].…”

Section: Discussionmentioning

confidence: 99%

Management Of Recent Elbow Dislocations: Functional Treatment Versus Immobilization; A Prospective Study About 60 Cases

Coulibaly¹,

Moustapha²,

Djoumoi³

et al. 2017

TOORTHJ

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Objective:To determine our therapeutic posture trough a comparison of functional treatment results versus immobilization in two different periods.Introduction:For years, the treatment of recent elbow dislocations consisted of reduction and immobilization during 21 days. Given the frequency of stiffness other methods have been tried out.Method:A prospective study was carried out from January 2010 to December 2014. Sixty patients averaging 28.3 years of age underwent elbow dislocation reduction. They were categorized into three separate groups. Patients in the first group had their elbow immobilized for 21 days whereas Group 2 patients were immobilized for 10 days. Group 3 patients were applied a functional treatment followed by a functional rehabilitation. Patients were evaluated according to the Mayo Clinic Elbow Performance Index and the results analyzed with statistical software (SPSS, version 18).Results:During the first month, the functional results of the patients were excellent and good in 19%, 94.7% and 90% respectively for Groups 1, 2 and 3. The pain was intense (10 on the visual analogue scale) in group 3 associated with swelling. At day 90, the results of the patients in Groups 2 and 3 were excellent in 100% of the cases versus 90% for Group 1. At 6 months, all the results were the same. We have not noted any instability, or recurrence or periarticular ossification in our patients.Conclusion:The treatment of stable elbow dislocations remains orthopedic. The risk of instability and pain motivates a short 10-day immobilization period followed by early mobilization.

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Dislocation of the elbow with ipsilateral forearm fracture. Six particular cases

Cited by 11 publications

References 14 publications

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child

What Factors Are Associated With Elbow Stiffness After Operation of Terrible Triad Injury？

Management Of Recent Elbow Dislocations: Functional Treatment Versus Immobilization; A Prospective Study About 60 Cases

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