scholarly journals Irreducible Traumatic Radial Head Dislocation Due to Annular Ligament Interposition in a Child with Ulnar Plastic Deformation: A Case Report

2021 ◽  
Author(s):  
Dung T Tran ◽  
Nam T Vu ◽  
Quynh T Nguyen ◽  
Toan D Duong ◽  
Du G Hoang ◽  
...  
Keyword(s):  
Plastic Deformation ◽  
Case Report ◽  
Radial Head ◽  
Annular Ligament ◽  
Radial Head Dislocation

scholarly journals Treatment of missed Monteggia lesion in children: Case report

2011 ◽  
Vol 139 (1-2) ◽  
pp. 99-102
Author(s):  
Zoran Vukasinovic ◽  
Vesna Jovanovic ◽  
Desanka Mitrovic ◽  
Nemanja Slavkovic
Keyword(s):  
Radial Head ◽  
Treatment Process ◽  
Annular Ligament ◽  
Ilizarov Method ◽  
Radial Head Dislocation ◽  
Bone Maturation ◽  
Joint Opening ◽  
Monteggia Lesion ◽  
Lesion Type ◽  
Missed Monteggia

Introduction. A Monteggia lesion is a dislocation of the radial head associated with a fracture with the proximal third of the ulna. It is rare in children and the dislocation of the radial head is often missed at the time of injury. There are a lot of described treatment methods: open reduction of the radial head and reconstruction of the annular ligament combined with ulnar osteotomy, the same method without reconstruction of the annular ligament, gradual lengthening and angulation of the ulna by Ilizarov method without the opening of radiocapitelar joint. Case Outline. A 14-year-old boy had been diagnosed with Monteggia lesion type Bado II three years before the admission to hospital. Previously nonoperatively treated, the missed radial head dislocation Bi-phase treatment had been done. Firstly, the distraction Ilizarov device was placed on the forearm, corticotomy of the ulna was done, distraction lasted fifteen days. Secondly, after achieving 1.5 cm of new bone and good level of the radial head, a reduction mechanism was incorporated into the Ilizarov device. The radiocapitelar joint was not opened, the reconstruction of the annular ligament was not done. After the radial head reduction and new bone maturation (1.5 months), the Ilizarov device was taken off. Conclusion. The described method of treatment has several important advantages: radial head reduction may be done without the joint opening, the recovery is very fast and easy after that; the elbow and forearm appear cosmetically very well after the operation; the treatment process is short, the arm is in use all the time, the absence from school is not needed, the achieved result is permanent.

scholarly journals Isolate and irreducible radial head dislocation in children: a rare case of capsular interposition

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Luigi Tarallo ◽  
Michele Novi ◽  
Giuseppe Porcellini ◽  
Fabio Catani
Keyword(s):  
Radial Head ◽  
Soft Tissues ◽  
Biceps Tendon ◽  
Annular Ligament ◽  
Neutral Position ◽  
Radial Head Dislocation ◽  
Anterior Capsule ◽  
Associated Lesions ◽  
Sport Activities ◽  
Tendon Interposition

Abstract Background Radial head dislocation with no associated lesions, is a relatively uncommon injury in children. In this case report, it is reported a case of anteromedial locked radial head dislocation in children, and we discuss its clinical presentation and pathogenetic mechanism of injury. Case presentation An 8-year-old girl fell off on her right forearm with her right elbow extended in hyperpronation. An isolated radio-capitellar dislocation was identified with no other fractures or neurovascular injuries associated. Elbow presented an extension-flexion arc limited (0°- 90°), and the prono-supination during general anesthesia shows “a sling effect” from maximal pronation (+ 55°) and supination (+ 90°) to neutral position of forearm. The radial head dislocation was impossible to reduce and an open reduction was performed using lateral Kocher approach. The radial head was found “button-holed” through the anterior capsule. The lateral soft tissues were severely disrupted and the annular ligament was not identifiable. Only by cutting the lateral bundle of the capsule was possible to reduce the joint. At 50 moths follow-up, patient presented a complete Range of motion (ROM), complete functionality and no discomfort or instability even during sport activities. Discussion and conclusion It is important to understand the pathogenic mechanisms of locked radial head dislocation in children. Some mechanism described are the distal biceps tendon or the brachialis tendon interposition. However even the anterior capsule can hinder reduction. A characteristic “sling-effect” of the forearm could be pathognomonic for capsular button-holing. Surgical release of the capsular bundle sometimes is the only way to reduce the dislocation and obtain a good outcome.

Treatment of plastic bowing of the ulna with radial head dislocation using minimally invasive bending and rotational osteotomy: a case report

2013 ◽  
Vol 22 (6) ◽  
pp. e20-e24
Author(s):  
Takao Miyake ◽  
Go Iida ◽  
Tetsutaro Fukuhara ◽  
Yoshitaka Kurokawa ◽  
Junichi Miyake ◽  
...  
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Radial Head ◽  
Radial Head Dislocation ◽  
Rotational Osteotomy

Chronic post-traumatic radial head dislocation associated with dissociation of distal radio-ulnar joint: a case report

2007 ◽  
Vol 128 (7) ◽  
pp. 669-671 ◽  
Author(s):  
Bilgehan Tosun ◽  
Ozgur Selek ◽  
Levent Buluc ◽  
Kaya Memisoglu
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Radial Head Dislocation ◽  
Post Traumatic

Radial Head Dislocation With Ipsilateral Radial Shaft Fracture: A Case Report

2000 ◽  
Vol 13 (3) ◽  
pp. 570
Author(s):  
Keun Woo Kim ◽  
Yong Hoon Kim ◽  
Hak Jin Min ◽  
Ui Seoung Yoon ◽  
Hee Oh Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Shaft Fracture ◽  
Radial Head Dislocation

RADIAL HEAD DISLOCATION AS A RARE COMPLICATION OF OBSTETRIC BRACHIAL PLEXUS PALSY: LITERATURE REVIEW AND FIVE CASE SERIES

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 33-36 ◽  
Author(s):  
Cecilia W. Huo
Keyword(s):  
Brachial Plexus ◽  
Radial Head ◽  
Biceps Tendon ◽  
Rare Complication ◽  
Case Series ◽  
Annular Ligament ◽  
Radial Head Dislocation ◽  
Brachial Plexus Palsy ◽  
Obstetric Brachial Plexus Palsy ◽  
Obstetric Brachial Plexus

Radial head dislocation secondary to obstetric brachial plexus palsy is a rare complication that may occur a few years after birth. Five cases were examined and a comprehensive literature search was performed. Although it is a concern for parents, the dislocation resulted in mild or minimal functional impairment for all five children. Surgical interventions such as biceps tendon transfer, radial head open reduction or excision and annular ligament reconstruction were largely ineffective in significantly improving ranges of motion. Clinicians should be aware of the potentially futile outcomes and risks associated with the surgical treatment of radial head dislocation.

Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna

2008 ◽  
Vol 17 (5) ◽  
pp. 768-771 ◽  
Author(s):  
Sakae Sano ◽  
Tomoyuki Rokkaku ◽  
Katsumi Imai ◽  
Shinobu Saito ◽  
Yoshihiro Abe ◽  
...  
Keyword(s):  
Plastic Deformation ◽  
Radial Head ◽  
Radial Head Dislocation
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