Divergent Dislocation of Elbow with Ipsilateral Distal Radioulnar Joint Dislocation in a Gymnast

Abstract

European Journal of TraumaAb stract Divergent dislocation of the elbow is a rare injury. It is a result of longitudinal disruption of interosseous membrane of forearm. Although it can logically result in disruption of distal radioulnar joint, according to the authors' knowledge this combination has not been reported before. The case of a young gymnast is presented who suffered this injury. She was treated successfully in a hinged external fixator and with stabilization of distal radioulnar joint by a K-wire. She regained almost full range of movement and returned to national level gymnastics.

Divergent Dislocation of the Elbow in an Adult with Ehlers–Danlos Syndrome

“…Although it can be caused by a simple fall in a child, high-velocity trauma generally occurs in adults 31 . This injury is classified into the following 3 types: transverse dislocation 1,8 , anteroposterior dislocation 35 , and radioulnar translocation 29 . Kasse et al described more coronoid fractures in the posterior transverse dislocation and more radial head fractures in the posterior radioulnar translocation 31 .…”

Transverse dislocation of the elbow with ipsilateral shaft of radius fracture in an adult

“…This usually involves dislocation at the humeroulnar articulation. Divergent dislocation involving simultaneous dislocation of the humeroulnar, humeroradial and the proximal radioulnar joints is an uncommon injury [3][4][5][6][7]. The injury is extremely rare in adults with just one case described in literature [4].…”

“…This type of dislocation is sometimes associated with fracture of the forearm bones. The fractures include both bones of the forearm [3], ipsilateral distal radial epiphyseal injury [5], ipsilateral distal radial fracture [6] and ipsilateral distal radioulnar joint dislocation [7]. The management of the injury involves closed reduction of the dislocation although open reduction has been necessary in a few cases.…”

Traumatic Floating Bone. About 11 Cases and a Literature Review

“…The most injured bones could [19], the firth metacarpal [20], the second metacarpal [21], the third metacarpal [22], the fourth metacarpal [35], the fifth metatarsal [35], the isolated ulna [23], the fibula [24], the first phalanx [25], the second phalanx [26], etc. The second group with a freed group of bones includes the forearm (radius-ulna complex [27] [28] or radius-ulna-lunatum complex [15] [29] and the leg (tibia-fibula-talus complex) [30].…”