Abstract
Paediatric elbow biepicondylar fracture dislocations are very rare injuries and have been only published in two independent case reviews. We report a case of 13 years old boy, who sustained this unusual injury after a fall on outstretched hand resulting in an unstable elbow fracture dislocation. Closed reduction was performed followed by delayed ORIF (Open Reduction and Internal Fixation) with K wires. Final follow-up at 14 weeks revealed a stable elbow and satisfactory function with full supination-pronation, range of motion from 0°-120° of flexion and normal muscle strength. This type of injury needs operative treatment and fixation to restore stability and return to normal or near normal elbow function. The method of fixation (screws or K wires) may depend on size and number of fracture fragments.
Highlights
Upper extremity injuries are more common in children (65-75% of all fractures in children) as they tend to protect themselves with their outstretched arms when they fall [1]
Medial epicondyle fractures are commonly associated with elbow dislocations
Fifty percent of medial epicondyle fractures are associated with elbow dislocations with the ulnar collateral ligament causing an avulsion fracture
Summary
Upper extremity injuries are more common in children (65-75% of all fractures in children) as they tend to protect themselves with their outstretched arms when they fall [1]. Whilst supracondylar fractures are the most common elbow injuries, they are closely followed by fractures of the lateral epicondyle and the medial epicondyle [1]. Medial epicondyle fractures are commonly associated with elbow dislocations. Biepicondylar fractures with an associated elbow dislocation are only reported twice in the literature [2,3].
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