scholarly journals Bipolar Dislocation of the Arm (Shoulder And Elbow): About One Case in an African Teaching Hospital

2018 ◽  
Vol 12 (1) ◽  
pp. 147-152
Author(s):  
DA Songahir Christophe ◽  
Korsaga Alexandre ◽  
Tinto Sayouba ◽  
Sawadogo Mamoudou ◽  
Kafando Hamado ◽  
...  
Keyword(s):  
Clinical Case ◽  
Functional Results ◽  
Road Accident ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Functional Rehabilitation ◽  
Left Handed ◽  
Adequate Care ◽  
Old Left ◽  
Elbow Fracture Dislocation

We report an exceptional clinical case of an ipsilateral dislocation fracture of the shoulder and right elbow, realizing a “swinging arm”. Following a violent road accident, patient S.I, a 43-year-old left-handed sports educator, presented with an antero-medial shoulder dislocation fracture and a posterolateral ipsilateral elbow fracture-dislocation. The reduction in urgency, followed by the orthopedic compression by Mayo Clinic and functional rehabilitation, allowed obtaining a good result after seven months. The ipsilateral bipolar dislocation of the shoulder and elbow is an exceptional lesional entity. Its adequate care in emergency makes it possible to obtain good anatomical and functional results.

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

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

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.

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