Floating Dislocated Elbow: A Case Report

A, El Ayoubi; Maanouk, Rachid

doi:10.19070/2470-4520-1700014

Cited by 3 publications

(8 citation statements)

References 10 publications

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“…[5] Later on, in 2017, El Ayoubi et al described a new variant that was not included in that classification: association of proximal humeral fracture with posterolateral elbow dislocation and distal radius fracture which made the whole upper limb unstable. [6] Of our 2 cases, case 1 could be classified as De Carli type I. As to our case 2, we could not find a similar report in the English literature, more complex due to the severity of injury both to the soft tissue and articular component.…”

Section: Discussionmentioning

confidence: 54%

“…Thus, 2 more types should be added to the initial De Carli classification: type IV – the case reported by El Ayoubi et al, and type V – our case 2 (Table 2). [6]…”

Section: Discussionmentioning

confidence: 99%

“…These are called "variants", and therefore there is no universal classification. [5][6][7] Based on their case report and the 3 cases reported before 2006, De Carli et al were the first to propose a classification into 3 types. [5] Later on, in 2017, El Ayoubi et al described a new variant that was not included in that classification: association of proximal humeral fracture with posterolateral elbow dislocation and distal radius fracture which made the whole upper limb unstable.…”

Section: Discussionmentioning

confidence: 99%

“…Reviewing the literature, we found around 6 case reports regarding floating-dislocated elbow in adults. [2–7]…”

Section: Introductionmentioning

confidence: 99%

“…Reviewing the literature, we found around 6 case reports regarding floating-dislocated elbow in adults. [2][3][4][5][6][7] They are severe injuries and surgical fixation is required. [8] Early recognition and prompt management could lead to better prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Floating-dislocated elbow in adults: Case reports and literature review

et al. 2022

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Rationale: Floating-dislocated elbow is a severe and extremely rare injury in adults. Reviewing the literature, we found around 6 case reports regarding floating-dislocated elbow in adults. Patient concerns and diagnoses: We report 2 cases of this unusual injury association. Both patients suffered a high energy trauma – fall from a height. Initial X-rays (radiography) revealed in both cases the fractures above and below the elbow (floating elbow) and associated elbow dislocation (floating-dislocated elbow). One case was a type IIIB Gustilo-Anderson open fracture-dislocation with an intra-articular component (olecranon fracture). Interventions and outcomes: Each case had his own management problem regarding what to treat first: the dislocation or the associated fractures? Fractures were treated surgically by reduction and internal fixation, and after elbow dislocation reduction, the upper limb was immobilized in a long, well-padded plaster, with the elbow in 90° of flexion, for 3 weeks. Bone union was observed radiographically at 2 months after surgery in both cases. At the 2-year follow-up we recorded full upper limb recovery in terms of muscular trophism and elbow full range of motion. Lessons: In addition to adding 2 new cases to a lower number of such lesion associations in adults, we also added a new variant of floating-dislocated elbow which has not been reported until now in the literature. Prompt management of these injuries, with stable fixation of the fractures allowed for early rehabilitation with excellent 2-years functional outcome.

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Section: Discussionmentioning

confidence: 54%

“…Thus, 2 more types should be added to the initial De Carli classification: type IV – the case reported by El Ayoubi et al, and type V – our case 2 (Table 2). [6]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Reviewing the literature, we found around 6 case reports regarding floating-dislocated elbow in adults. [2–7]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Floating-dislocated elbow in adults: Case reports and literature review

et al. 2022

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Floating Elbow in Adults: A Systematic Review and Meta-Analysis

et al. 2022

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BackgroundWe aimed to systematically review all papers examining floating elbow injuries in adults. Material and MethodsMEDLINE, Cochrane Bone, Joint and Muscle Trauma, PROSPERO, and Scopus databases were searched up to August 31, 2020. Included studies had as a primary or secondary outcome the functional outcomes after a floating elbow injury on patients aged 17 or older. Methodological quality of the included studies was assessed. ResultsThirty-two studies met the inclusion criteria. Patients were male at 73,1%. Median age of the patients was 33,0 years and median time of follow-up was 19,5 months. Articular surfaces were affected at 24,4%, whereas 51,2% of the fractures was open. Approximately, 34,9% of the patients suffered neural injury. Ipsilateral and multiple-system injuries were present in 34,8% and 76,3 % of the cases, respectively. Multivariate analysis showed that intra-articular and nerve damage, open fractures and multi-system injuries affected range of motion, union and complications. Sex, age, vascular damage and ipsilateral injuries of the patient did not adversely impact the outcome. All of the included studies were classified as very-low quality of evidence. ConclusionsThe current knowledge regarding the characteristics of floating elbow in adults is limited, albeit we were able to provide possible pre-operative predictor outcomes.

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Floating-Variant Medial Elbow Dislocation: A New Classification System

Moussa¹,

Alayane²,

Abboud³

et al. 2022

Cureus

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Floating-variant elbow dislocation is a newly updated term used to describe several associations of fractures around the elbow and elbow dislocation that are still not adequately classified due to their rarity. Being extremely rare, only a handful of case reports are found in the literature describing this condition. Most of these papers described cases associated with the posterior or posterolateral direction of elbow dislocation, wherein each author has treated the fracture differently. The decision of surgical treatment, the order of fixation, the material used, and the need for ligamentous repair are all questions that are yet to be answered. We present herein a unique new variant of floating medial elbow dislocation in a 13-year-old female that was successfully treated by closed reduction of the elbow, open reduction of the distal humerus fracture, and orthopedic treatment of the radial shaft fracture.

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Floating Dislocated Elbow: A Case Report

Cited by 3 publications

References 10 publications

Floating-dislocated elbow in adults: Case reports and literature review

Floating-dislocated elbow in adults: Case reports and literature review

Floating Elbow in Adults: A Systematic Review and Meta-Analysis

Floating-Variant Medial Elbow Dislocation: A New Classification System

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