Radial head button holing: a cause of irreducible anterior radial head dislocation

Shin, Sei One; Chai, Jong-Yil; You, Ja Yeon; Park, Jina; Bae, Kee Jeong

doi:10.1007/s00256-016-2451-2

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Shelton et al reported a case of isolated medial head dislocation requiring open reduction due to a bony block of the closed reduction by the coronoid, highlighting potential impediments to closed reduction like the biceps tendon, joint capsule, brachialis muscle and/or annular ligament [ 16 , 17 ]. In our case, the closed reduction was performed smoothly and did not necessitate an open procedure.…”

Section: Discussionmentioning

confidence: 99%

Isolated lateral radial head dislocation in a child: A case report and literature review

Tfayli,

Naja,

Nassar

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Isolated lateral radial head dislocation in a child: A case report and literature review

Tfayli,

Naja,

Nassar

et al. 2024

International Journal of Surgery Case Reports

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“…However, in the case of “buttonholing,” the joint capsule is perforated by the radial head, and the resulting hematoma is dissipated. [ 43 , 44 ] Still, due to the patient’s improved range of motion and the ability to participate in sports activities, the family did not agree to revision surgery. Suzuki et al compared the functional outcomes of dislocated radial head patients after corrective osteotomy surgery.…”

Section: Discussionmentioning

confidence: 99%

Functional outcomes of pediatric true and equivalent Monteggia fractures – Review of the literature

Aslan

Gedik

Birsel

et al. 2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This study aims to describe the functional outcome of true and equivalent Monteggia fracture-dislocations in the pediatric population. We also provided a review of the literature about the treatment options. METHODS: Five surgically and three conservatively treated patients were identified who were treated in 2009-2021. The study population consisted of six female and two male patients. The mean age at the time of treatment was 7. The mean follow-up time was 55 months (range, 12–128). The Mayo Elbow Performance Score and the Oxford Elbow Score were used for outcome evaluation. Range of motion and grip strengths were also evaluated. RESULTS: There were two Bado type 1 and six Monteggia equivalent injuries. Closed reduction and casting were utilized for the two Bado type 1 injuries as the initial treatment. However, one had a radial head re-dislocation and had to be treated operatively. This patient had a radial head re-dislocation after the surgery and was followed up conservatively. Three Monteggia equivalent injuries were treated with closed reduction and casting, with no complications. One patient had a radial head anterior dislocation with plastic deformation of the ulna, and this patient was managed with CORA-based corrective ulnar osteotomy. For Monteggia injuries, the main treatment objective is to restore the ulnar length. Bilateral computed tomography imaging with 3D reconstruction can be utilized in preoperative planning of Monteggia fracture-dislocations to customize the treatment. Close observation is essential to detect radial head subluxation, which needs early intervention before irreversible changes occur. CONCLUSION: The true/equivalent Monteggia fractures’ main treatment goal is to restore the ulnar length. Conservative treatment, with a close follow-up, is the first option if closed reduction can be achieved. If closed reduction is not possible, careful preoperative planning and early rehabilitation are key to success for management of Monteggia fractures.

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“…Bony causes of failed relocation include the following: Monteggia-type fractures and loose bone or osteochondral fragments. Soft tissue causes include the following: anterior joint capsule, 2-4 annular ligament, [5][6][7][8][9] distal brachialis tendon [10][11][12] or distal biceps brachii tendon. [13][14][15][16][17][18] Cates et al 11 postulated a 2-stage mechanism of injury.…”

Section: Discussionmentioning

confidence: 99%

Traumatic irreducible anterior dislocation of the radio‐capitellar joint due to entrapment of the brachialis tendon lateral to the radial head: A case report

Dimmick¹,

Lin

Linklater

et al. 2022

J Med Imag Rad Onc

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Elbow dislocation is the second most common type of joint dislocation in adults and the most common joint dislocation in children. These dislocations are commonly associated with significant soft tissue injury and/or fractures. Anterior dislocation of the radio‐capitellar articulation is uncommon. Failure of relocation of the radial head due to soft tissue imposition requiring open reduction is rare, however, is extremely important to recognise clinically and radiologically. This case report describes a case of anterior dislocation of the radio‐capitellar joint due to entrapment of the brachialis tendon lateral to the radial head and discusses the radiological assessment and the spectrum of causes of a clinically irreducible radio‐capitellar joint. Misdiagnosis of a dislocation or failed reduction may result in long‐term functional sequelae for the patient.

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Radial head button holing: a cause of irreducible anterior radial head dislocation

Cited by 5 publications

References 17 publications

Isolated lateral radial head dislocation in a child: A case report and literature review

Isolated lateral radial head dislocation in a child: A case report and literature review

Functional outcomes of pediatric true and equivalent Monteggia fractures – Review of the literature

Traumatic irreducible anterior dislocation of the radio‐capitellar joint due to entrapment of the brachialis tendon lateral to the radial head: A case report

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