Isolated Fracture Dislocation of Medial Humeral Condyle Without Elbow Dislocation: Mechanism of an Unreported Injury

Author(s):  
R. K. Manocha ◽  
Rushama Tandon ◽  
Kritesh Mishra
2012 ◽  
Vol 482-484 ◽  
pp. 2033-2036
Author(s):  
Hong Jun Ding ◽  
Xi Bin Wang ◽  
Zhi Qiang Liang ◽  
Qiang Jia

This paper analysis Griffith 's Theory and the metal theoretical fracture strength, thus introducing a line defect that existence in actual crystal — dislocation; And in-depth analysis the metal fracture dislocation mechanism in the micro cutting, and the formation and expand of the Fracture cracks , provides the theory basis for micro cutting


Orthopedics ◽  
2008 ◽  
Vol 31 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Fatih Eksioglu ◽  
M. Murad Uslu ◽  
Eftal Gudemez ◽  
Ozgur Cetik

2010 ◽  
Vol 2 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Thierry G. Guitton ◽  
Andrew D. Duckworth ◽  
Margaret M. Mcqueen ◽  
Peter Kloen ◽  
David Ring

Background The present report describes subluxation and dislocation of the elbow with articular fracture of the distal humerus and injury to the medial collateral ligament, a type of elbow fracture-dislocation about which little is available in the literature. Methods Twenty-two patients with subluxation or dislocation of the elbow (with injury to the medial collateral ligament) and a fracture of the distal humerus articular surface (capitellum/trochlea) were identified. Seventeen patients had a minimum of 12 months follow-up and eight patients returned for a long-term follow-up at a median of 36 months (range 12 months to 154 months) after injury. Results Nine patients had one or more subsequent surgeries. Seven patients had surgery to address complications and two had a planned implant removal. The final median arc of elbow flexion was 120° (range 100° to 145°) and the median arc of forearm rotation was 175° (range 150° to 180°). The median Broberg and Morrey score was 88 points (range 63 points to 100 points) and the median Disabilities of the Arm Shoulder and Hand score was 9 points (range 1 point to 43 points). Discussion Some elbow dislocations and subluxations are associated with osteochondral fractures of the distal humeral articular surface.


1997 ◽  
Vol 10 (4) ◽  
pp. 925 ◽  
Author(s):  
Bum Soo Kim ◽  
Sung Do Cho ◽  
Yong Sun Cho ◽  
Tae Woo Park ◽  
Chang Sung So

Author(s):  
A DARAS-BALLESTER ◽  
NADIA JOVER-JORGE ◽  
PEDRO DOMENECH-FERNANDEZ

Background and aim: External humeral condyle fracture associated with a posteromedial elbow dislocation is a very rare entity, of which there are very few cases published. Our objective is to present a complex case treated in our Hospital, the diagnosis, the treatment we chose, and the follow-up at 9 weeks after the intervention. Clinical case: 5-year-old boy with a posteromedial elbow dislocation associated with an external humeral condyle fracture, which was diagnosed by CT and treated surgically using an anterior approach over the elbow, open reduction, and osteosynthesis with K-wires. Results: clinical and radiological results 9 weeks after the intervention were excellent, presenting a Radiographic consolidation of the fracture and an excellent range of joint mobility. Conclusion: early diagnosis and surgical treatment through open reduction and osteosynthesis of the external condyle is the gold standard on treatment for these injuries, since a bad reduction leads to poor long-term results.


2004 ◽  
Vol 53 (4) ◽  
pp. 810-815
Author(s):  
Hideki Ishii ◽  
Akihiko Asami ◽  
Motoki Sonohata ◽  
Nobuhiko Maruno ◽  
Takao Hotokebuchi ◽  
...  

1992 ◽  
Vol 41 (1) ◽  
pp. 265-267
Author(s):  
Shin-ichiro Takasugi ◽  
Ken Urabe ◽  
Toshihumi Shimoda ◽  
Naohisa Tayama ◽  
Itaru Yuge ◽  
...  

Author(s):  
Marc Schnetzke ◽  
Alexander Ellwein ◽  
Dirk Maier ◽  
Ferdinand Christian Wagner ◽  
Paul-Alfred Grützner ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 207-212
Author(s):  
Nur Ayuni Khirul Ashar ◽  
Siew Khei Liew ◽  
Nur Syahirah Azmi ◽  
Raymond Dieu Kiat Yeak ◽  
Rahul Lingam ◽  
...  

Background. Anterior elbow fracture dislocation is rare, especially in paediatric age group. Of the reported cases to date, three-quarter were posterior dislocation of the elbow. Anterior elbow dislocation is rarely reported, with incidence of only 2%. Clinical case. A 6-year-old girl presented to casualty with left elbow deformity and pain after she tripped and fell in the toilet. Ulnar clawing was present with reduced sensation over ulnar nerve distribution. No wound was found, distal pulses and circulation were good. The X-rays showed anterior dislocation of the left elbow with olecranon fracture. Closed manual reduction was attempted but failed. Open reduction and percutaneous K-wire insertion under general anaesthesia was performed. Medial approach of the elbow was done. Intra-operatively ulnar nerve was found impinged by the distal ulnar fragment but was in continuity. The transverse olecranon fracture was fixed with two K-wires and the radial head was reduced. Ulnar nerve was mobilised until tension-free. Ulnar collateral ligament was repaired. The elbow was immobilised with a splint. Ulnar claw was resolved at 2 weeks. The fracture heals and the K-wires were removed at 6 weeks. At 8 weeks, range of movement of the elbow was full. The elbow was stable in varus and valgus. Discussion. Anterior elbow dislocation is a high energy trauma and one should be cautious of neurovascular injury. There was no clear recommendation in the literature regarding surgical approach. We chose medial approach of the elbow for ulnar nerve exploration and olecranon fixation. Conclusion. This rare injury should be treated with high index of suspicious. Surgical approach should be tailored individually according to the instability of the elbow joint and neurovascular status, as in this case was the posteromedial instability associated with ulnar nerve palsy.


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