scholarly journals Transcapsular Buttonholing of the Proximal Ulna as a Cause for Irreducible Pediatric Anterior Elbow Dislocation

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Nick N. Patel ◽  
Robert W. Bruce
Keyword(s):  
Closed Reduction ◽  
Pediatric Population ◽  
Elbow Dislocation ◽  
Joint Capsule ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Proximal Ulna ◽  
Elbow Fracture Dislocation ◽  
Olecranon Fractures ◽  
Insight Into

Anterior elbow dislocations in the pediatric population represent rare and sometimes difficult injuries to manage. Associated olecranon fractures are even more uncommon with limited literature existing on the topic. We present the case of a six-year-old male with a traumatic transolecranon anterior elbow fracture dislocation in whom closed reduction was prevented by buttonholing of the proximal ulna through the anterior joint capsule. This case of pediatric anterior elbow fracture dislocation provides insight into an uncommon and challenging injury complex.

scholarly journals Anterior elbow fracture dislocation with ulnar nerve palsy in a six-year-old child

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 ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Medial Approach ◽  
Left Elbow ◽  
Ulnar Nerve Palsy ◽  
Elbow Fracture Dislocation ◽  
K Wires

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.

Elbow Fracture Dislocation

2018 ◽  
pp. 127-138
Author(s):  
Chad M. Corrigan ◽  
Clay A. Spitler ◽  
Basem Attum
Keyword(s):  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Elbow Fracture Dislocation

Terrible Triad Elbow Fracture Dislocation with Ipsilateral Triceps Avulsion and Radial Shaft Fracture

2020 ◽  
Vol 10 (4) ◽  
pp. e20.00308-e20.00308
Author(s):  
HamidReza Dehghani Nazhvani ◽  
Sam Bemani Lirgeshasi ◽  
Milad Bahari
Keyword(s):  
Shaft Fracture ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Terrible Triad ◽  
Elbow Fracture Dislocation

Elbow Dislocation and Articular Fracture of the Distal Humerus

2010 ◽  
Vol 2 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Thierry G. Guitton ◽  
Andrew D. Duckworth ◽  
Margaret M. Mcqueen ◽  
Peter Kloen ◽  
David Ring
Keyword(s):  
Medial Collateral Ligament ◽  
Articular Surface ◽  
Present Report ◽  
Elbow Dislocation ◽  
Distal Humerus ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Collateral Ligament ◽  
Articular Fracture

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.

scholarly journals Intra-Articular Entrapment of the Medial Epicondyle following a Traumatic Fracture Dislocation of the Elbow in an Adult

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Hicham G. Abdel Nour ◽  
George S. El Rassi ◽  
Jack C. Daoud ◽  
Youssef G. Hassan ◽  
Rami A. Ayoubi ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Elbow Joint ◽  
Pediatric Population ◽  
Medial Epicondyle ◽  
Fracture Dislocation ◽  
Common Finding ◽  
Stability Testing ◽  
Rare Finding ◽  
Acute Fracture ◽  
Traumatic Fracture

Medial epicondyle entrapment after an acute fracture dislocation of the elbow is a common finding in the pediatric population, but a rare finding in adults. We present a case of an adult patient diagnosed with a traumatic fracture dislocation of the elbow joint with intra-articular entrapment of the medial epicondyle. After initial evaluation, closed reduction was done. Stability testing after reduction showed an unstable joint; thus, open reduction and internal fixation was decided.

scholarly journals Radial Head Reconstruction in Elbow Fracture-Dislocation: Monopolar or Bipolar Prosthesis?

2014 ◽  
Vol 472 (7) ◽  
pp. 2144-2150 ◽  
Author(s):  
Robert U. Hartzler ◽  
Bernard F. Morrey ◽  
Scott P. Steinmann ◽  
Manuel Llusa-Perez ◽  
Joaquin Sanchez-Sotelo
Keyword(s):  
Radial Head ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Bipolar Prosthesis ◽  
Elbow Fracture Dislocation

Partial distal humeral resurfacing of a trochlear defect after elbow fracture-dislocation

2013 ◽  
Vol 22 (2) ◽  
pp. e7-e11 ◽  
Author(s):  
Bradley R. Kuzel ◽  
Rick F. Papandrea
Keyword(s):  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Elbow Fracture Dislocation

Reliability and Validity of the Wrightington Classification of Elbow Fracture Dislocation

2021 ◽  
Vol 30 (7) ◽  
pp. e457
Author(s):  
Zaid Hamoodi ◽  
Jagwant Singh ◽  
Mike Elvey ◽  
Adam Charles Watts
Keyword(s):  
Reliability And Validity ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Elbow Fracture Dislocation
Sign in / Sign up

Export Citation Format

Share Document