Abstract
We report a patient who developed proximal radio-ulnar synostosis after two attempts of open reduction for congenital subluxation of the radial head. The patient was a 5 year-old boy who sustained a supracondylar fracture to his right humerus after a fall.Coincident congenital radial head subluxation was misdiagnosed as traumatic dislocation and he received open reduction of the radial head and pinning. But the radial head subluxated again. He then received a second open reduction with pinning and osteotomy of the ulna. Proximal radio-ulnar synostosis developed after these surgeries. On the first visit to our clinic, he showed ankylosis of forearm in 10° pronation. X-p films and CT revealed proximal radioulnar synostosis. The synostosis was separated and the space created by separation was filled with the anconeus and vascularized fascio-fat graft from the ipsilateral upper arm. Three years after surgery, X-p films showed no re-ankylosis and supination improved to 35° and pronation improved to 45°.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
