Medial Elbow Dislocation Associated with a Fracture of the Lateral Humeral Condyle in a Child

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


Author(s):  
Logan M. Scheuermann ◽  
Michael G. Conzemius

Abstract Objective The aim of this study was to investigate the effects of an induced incomplete ossification of the humeral condyle (IOHC) lesion on ex vivo canine humeral condylar biomechanics. Study Design Nine paired cadaveric elbows were collected from mature dogs weighing between 20 and 25 kg. Left and right limbs were randomized to IOHC or normal groups. Limbs were prepared for mechanical testing; ligaments were preserved and an IOHC lesion was created. Elbows were potted, positioned into a biomaterials testing system at an angle of 135 degrees and axially loaded to failure at a rate of 30 mm/minute. Results Induced IOHC lesions reduced peak load (p = 0.02) when compared with an intact humerus. There was no difference between stiffness (p = 0.36) of intact humeri or humeri with an induced IOHC lesion. An induced IOHC lesion increased (p = 0.012) the probability of intracondylar fracture under load. Conclusion Cadaveric humeri are weakened by the creation of an intracondylar osteotomy and fractures secondary to induced IOHC are similar to spontaneous humeral condylar fractures. These findings support the hypothesis that naturally occurring IOHC weakens the humeral condyle and may predispose to humeral condylar fracture.


2018 ◽  
Vol 27 (6) ◽  
pp. 1092-1096 ◽  
Author(s):  
Alfonso Vaquero-Picado ◽  
Joaquín Núñez de Armas ◽  
Samuel Antuña ◽  
Raúl Barco

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e58-e64
Author(s):  
Marcos Garcia ◽  
Camille Bismuth ◽  
Claire Deroy-Bordenave

AbstractThe aim of this study was to report the outcome in a 6-year-old male English Setter dog that suffered a combination of divergent elbow dislocation and open distal ulnar fracture. This study is a case report. After surgical reduction in the elbow luxation, the dog was treated with the TightRope fixation system used as replacement of the lateral collateral ligament, a radioulnar positional screw, and external skeletal fixation. Removal of all implants was performed 3 months postoperatively. The 6-month follow-up visit found the dog without lameness, displaying normal activity, and with normal elbow range of motion and normal Campbell's test. Successful surgical management was achieved with good long-term results using TightRope, a positional screw, and an external skeletal fixator.


Author(s):  
Saeed Al-Qahtani ◽  
Bandar Alqahtani ◽  
Thamer Alasiri ◽  
Abdulaziz Qaysi ◽  
Ahmad Alqahtani ◽  
...  

Orthopedics ◽  
1992 ◽  
Vol 15 (7) ◽  
pp. 874-877
Author(s):  
William B Geissler ◽  
Alan E Freeland

1987 ◽  
Vol 12 (3) ◽  
pp. 356-358
Author(s):  
S. BOE ◽  
F. HOLST-NIELSEN

A case of median nerve paralysis due to intra-articular entrapment occurring after closed reduction of a dislocation of the elbow joint is reported. In the present case, as in most other reported cases, diagnosis and treatment was delayed. If median nerve paralysis occurs following elbow dislocation and is accompanied by an unusual amount of pain, or if it occurs following reduction, entrapment should be suspected and the nerve explored without delay.


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