Hinged elbow fixation and treatment of unstable elbow dislocation with ipsilateral arteriovenous shunts: A case report

Background Posterior dislocation of the elbow associated to a radial shaft fracture is a rare lesion, its treatment is difficult and complicated, and the indications, surgical options, and timing of surgery may vary. In the present case, we performed immediately after the trauma (urgent care) an open reduction internal fixation (ORIF) surgery of the radial fracture by means of a 3.5 mm locking plate, associated to closed elbow reduction and stabilization with dynamic bracing. Case Report A 26-year-old woman was seen in our service with a traumatic deformity of her right, dominant forearm and elbow after a fall from a balance board and presented with a radial shaft fracture and posterior elbow dislocation. The palmar approach was used and the shaft fracture was fixated. During the radial fracture reduction maneuver, the dislocation of the elbow was spontaneously reduced. At 1 year postoperatively, the patient showed good wrist, forearm, and elbow range of motion (ROM). Disabilities of the arm, shoulder and hand (DASH) score of 5, visual analogue scale (VAS) of 0, and grip strength of 92%, as compared with the nonaffected side. Clinical Relevance Nowadays, case reports of concomitant, ipsilateral multiple injuries that uncommonly occur together in a single traumatic episode are very rare. The awareness of this association for early recognition is of paramount significance for ideal clinical results.

Download Full-text

Engaging Osborne-Cotterill lesion with Mason 4 radial head elbow dislocation fracture: a case report of biomechanical importance and operative treatment

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2017.11.017 ◽

2018 ◽

Vol 27 (3) ◽

pp. e75-e78 ◽

Cited By ~ 4

Author(s):

Eugenia Schwarzkopf ◽

Norbert Südkamp ◽

Dirk Maier

Keyword(s):

Case Report ◽

Operative Treatment ◽

Radial Head ◽

Elbow Dislocation

Download Full-text

Brachial artery transection associated with open elbow dislocation in a 12-year-old: a case report

Vascular ◽

10.1258/vasc.2011.cr0282 ◽

2011 ◽

Vol 21 (1) ◽

pp. 27-30 ◽

Cited By ~ 4

Author(s):

Yunus Nazli ◽

Necmettin Colak ◽

Ismail Uras ◽

Mahmut Komurcu ◽

Omer Cakir

Keyword(s):

Case Report ◽

Vascular Injury ◽

Brachial Artery ◽

Elbow Dislocation ◽

Limb Ischemia ◽

Treatment Delay ◽

Rapid Evaluation ◽

Vascular Repair ◽

Orthopedic Injuries ◽

High Level

Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.

Download Full-text