Elbow dislocation translocation in a child: A case report

Saied, Alireza; Moussavi, Alia Ayatollahi

doi:10.1016/j.jse.2006.10.008

Cited by 14 publications

(8 citation statements)

References 9 publications

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“…This follows the pattern in the literature with almost half of the cases being diagnosed late. 3 Associated injuries in convergent elbow translocations include radial neck fractures, 8 radial head fractures, 3,8 coronoid fractures, 3 and ulnar nerve injuries. 3,5,7 Radial neck fractures are the most common associated fractures, whereas radial head fractures have been seen in only four such cases reported until now.…”

Section: Discussionmentioning

confidence: 99%

“…preventing closed reduction, and the presence of associated injuries which necessitate operative intervention. 8 The key steps in open reduction include release of the developing fibrosis between the radius and the ulna as well as the meticulous repair of the annular ligament and the radial collateral ligament, if it is torn or anatomic fixation of the avulsion fracture of the radial head, whichever may be the case. 3 We followed these principles during surgery and could obtain an excellent clinicoradiologic result.…”

Section: Discussionmentioning

confidence: 99%

“…1 Dislocations of the elbow are rare too, because the supracondylar region of the humerus fails first with only 45 dislocations recorded in a large series of 1579 elbow injuries by Henrikson 2 and only 15 convergent dislocations found in our review of literature. [3][4][5][6][7][8] A convergent dislocation means that both the radius and ulna are dislocated from the humerus and then transposed such that the ulna appears opposite the capitellum and the radial head appears opposite the trochlea on radiographs. 3 We report an even rarer subtype of this dislocation associated with a radial head fracture.…”

Section: Introductionmentioning

confidence: 99%

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Convergent Radioulnar Translocation With Radial Head Fracture in a Child

Agashe

Samant²,

Aroojis

2012

Journal of Orthopaedic Trauma

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Convergent type radioulnar translocation is an extremely rare form of injury occurring in a growing child. We report a case of convergent radioulnar translocation along with a radial head fracture in a young child. Open reduction of the elbow and internal fixation of the radial head fragment helped in achieving concentric reduction and good functional outcome at 2 years of follow-up. This case has been shown to highlight the diagnostic and management issues of this rare condition, which may be easily missed initially.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Convergent Radioulnar Translocation With Radial Head Fracture in a Child

Agashe

Samant²,

Aroojis

2012

Journal of Orthopaedic Trauma

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“…[4]. The convergent type of radioulnar dislocation (or translocation) was first described by Harvey (1979) [5] Since, then 13 articles have been published, reporting 21 case reports of this injury [4,[6][7][8][9][10][11][12][13][14][15][16][17]. The difficulty, or sometimes inability to recognize the radioulnar translocation in the initial x-rays is the most common problem in these cases, [5,[10][11][12]14] which can lead to a late treatment and finally to a poor functional result [10].…”

Section: Introductionmentioning

confidence: 99%

Proximal Radio-Ulnar Translocation Associated with Posterior Dislocation of The Elbow in a Child

Hatzigiannakis¹

2017

OROAJ

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“…8 These studies are mostly about pediatric elbow dislocations with concomitant fractures around elbow. 8,16 …”

Section: Introductionmentioning

confidence: 99%

Pediatric open elbow dislocation without fracture: A case report

Polat

Karademir

Akgül

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONElbow dislocations in children are rare injuries. These injuries are often in the form of complex injuries that is accompanied by the median nerve damage and medial epicondyle fracture in the pediatric age group. Open elbow dislocation without fracture in the pediatric age group has been reported very rarely in the literature.PRESENTATION OF CASEThe purpose of this study is to present an 8-year-old patient who has open elbow dislocation without fracture accompanying with brachial artery injury. In the clinical examination of the patient, there was an open wound in the transverse antecubital region. After repair of brachial artery injury, open reduction was performed under general anesthesia. In the postoperative clinical examination at 6 months, left elbow flexion was 140°, extension was full and there were no deficit in the supination and pronation of the forearm.DISCUSSIONElbow dislocation without fracture in pediatric patients is a very rare injury. Usually the trauma mechanism of elbow dislocation is falling on outstretched hand with elbow in approximately 30° of flexion. However our patient had fallen on outstretched hand with elbow in full extension. Although this type of trauma mechanism is typical for supracondylar humerus fractures in pediatric age group, in our patient an open posterior elbow dislocation without fracture had occurred.CONCLUSIONPediatric elbow dislocations are rare injuries and the management of these injuries can be technically demanding due to concurrent neurovascular injuries. An open dislocation without fracture is very rare and it should be treated with immediate intervention, an effective teamwork and good rehabilitation.

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Elbow dislocation translocation in a child: A case report

Cited by 14 publications

References 9 publications

Convergent Radioulnar Translocation With Radial Head Fracture in a Child

Convergent Radioulnar Translocation With Radial Head Fracture in a Child

Proximal Radio-Ulnar Translocation Associated with Posterior Dislocation of The Elbow in a Child

Pediatric open elbow dislocation without fracture: A case report

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