Abstract
BackgroundThere is paucity of literature describing complex elbow trauma in the pediatric population. We described a case of an uncommon pediatric elbow injury comprised of lateral condyle fracture associated with posterolateral dislocation of elbow.Case presentationA 12-year-old boy sustained a direct elbow trauma and presented with Milch type II lateral condyle fracture associated with posterolateral dislocation of elbow. Elbow dislocation was managed by closed reduction. The elbow stability was assessed under general anaesthesia, followed by open K-wiring for the lateral condylar fracture fixation. The patient had an uneventful recovery with an excellent outcome at 39 months follow-up.ConclusionComplex pediatric elbow injuries are quite unusual to encounter, the management of such fractures can be technically demanding. Concomitant elbow dislocation should be managed by closed reduction followed by open reduction and internal fixation (K-wires or cannulated screws) of the lateral condyle fracture.
Highlights
There is paucity of literature describing complex elbow trauma in the pediatric population
Concomitant elbow dislocation should be managed by closed reduction followed by open reduction and internal fixation (K-wires or cannulated screws) of the lateral condyle fracture
This report presents a rare condition of a complex elbow injury consisting of lateral condyle fracture in association with posterolateral elbow dislocation
Summary
Complex pediatric elbow injuries are quite unusual to encounter, the management of such fractures can be technically demanding. Concomitant elbow dislocation can be managed by closed reduction followed by open K-wiring or cannulated screw fixation of the lateral http://www.biomedcentral.com/1471-2474/6/13 condyle fracture. A close clinico-radiological follow-up helps in early diagnosis of the loss of reduction. We recommend that all patients with a dislocated elbow should have elbow stability assessed under general anaesthesia because of high complication rate associated with a missed lateral condylar injury
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