Anterior Dislocation Of Elbow Research Articles

ANTERIOR ELBOW DISLOCATION WITHOUT NEUROVASCULAR INJURY- A RARE CASE REPORT

Introduction- Of all the injuries around elbow joint, simple anterior elbow dislocation is of rare occurrence usually as a result of direct injury to proximal ulna after fall on semi-exed elbow. A 6year-old female child presente Case report- d to emergency department of our hospital with history of fall from 11 feet height followed by pain, deformity, swelling around left elbow and forearm. Digital radiographs suggestive of anterior elbow dislocation, which was managed successfully with closed reduction. Si Conclusion- mple anterior elbow dislocation in paediatric population is a rare entity and closed reduction is treatment of choice followed by physiotherapy under-supervision for good functional outcome in terms of range of motion.

Pediatric anterior elbow dislocation due to a rare mechanism of injury: A case report.

Introduction & importanceElbow dislocations are rare among the pediatric population as their ligaments are stronger than bones. Anterior dislocations of the elbow are even rarer entity usually caused by anteriorly directed force on the hyper-flexed elbow. We present a case of a rotational force on an extended elbow causing anterior dislocation of the shoulder in an 11-year-old boy.Case presentationAn 11-year-old boy presented to the Accident & Trauma unit with pain & swelling of the right elbow following a twisting injury by a spinning washing machine. The child was in pain.Clinical discussionHis elbow was semi flexed and deformed. Distal neurovascular status was found normal. Radiographs of the right elbow revealed anteromedial dislocation of the elbow with the medial epicondyle avulsion. Emergent relocation of the elbow joint has been performed. A concentric reduction, absence of incarcerated bony fragments and stability has been confirmed by the fluoroscopic examination. Post reduction neurovascular examinations unremarkable. The child was discharged with the above-elbow splint. The range of motion exercises has been commenced after three weeks. The child achieved full range of motion at six weeks of post-injury.ConclusionAnterior dislocations are a rare entity in pediatric orthopaedic practice. Evaluation of the causative mechanism of injury is the clue. A rare type of mechanism of injury also should be kept in mind to prevent the delay in diagnosis and treatment.

Anterior elbow fracture dislocation with ulnar nerve palsy in a six-year-old child

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.

Isolated anterior dislocation of the elbow in an adolescent

Although elbow dislocation is the most common dislocation in children, anterior elbow dislocation is considered to be rare. When it occurs rarely as an isolated elbow dislocation with no associated fractures. This report is about a case of isolated elbow dislocation with a rare mechanism of injury. A 14-year-old girl presented to the emergency department with an acute closed injury to her right elbow after her arm got caught and twisted in a washing machine. There was no associated neurovascular injury. A trial of closed reduction failed, so open surgical reduction was performed to avoid growth plate injury or fracture. Urgent open reduction was successful with a good outcome. Anterior elbow dislocation without fracture is a very rare injury and can occur with a vigorous twisting mechanism. Proper management is important to regain normal function. The aim of reporting this case is to emphasize that a rare isolated anterior elbow dislocation can occur by a twisting injury and an open reduction may be needed if a gentle closed reduction could not reduce it, to avoid growth plate injury in a skeletally immature patient.

Anterior dislocation of the elbow with lateral condyle fracture in a child: A rare concomitant injury

Elbow dislocation in children is a rare injury and the anterior dislocation is a rarer variant. These may at times be associated with fractures of condyles or epicondyles of the distal humerus among others. An anterior elbow dislocation along with concomitant fracture of the displaced lateral condyle is a very rare injury, which was successfully managed and is described here with relevant details. Anterior elbow dislocation in a 7-year-old child was reduced, and the lateral condyle fracture was managed by open reduction and K-wire fixation. Good functional outcome was noted despite radiological irregularity over the capitellum with child performing all activities of daily living.

La luxation antérieure du coude associée à une fracture de l’olécrâne : une forme rare de luxation du coude chez l’enfant

Elbow dislocation is exceptional in children due to the minimal resistance of the joint capsule and ligaments compared with the bony structure. Posterior dislocations do occur, but anterior dislocation is even more exceptional. The diagnosis is often missed. We report a case of anterior elbow dislocation in a child.

Ipsilateral fracture dislocation of the shoulder and elbow: A case report and literature review.

Ipsilateral dislocation of the shoulder and elbow is an uncommon injury. A literature review identified nine previously described cases. We are reporting a unique case of ipsilateral posterior shoulder dislocation and anterior elbow dislocation along with concomitant intra-articular fractures of both joints. This is the first report describing this combination of injuries. Successful treatment generally occurs with closed reduction of ipsilateral shoulder and elbow dislocations, usually reducing the elbow first. When combined with a fracture at one or both locations, closed reduction of the dislocations in conjunction with appropriate fracture management can result in a positive functional outcome.

Anterior Elbow Dislocation With Potential Compartment Syndrome

Anterior elbow dislocation is an infrequent lesion, usually produced by direct trauma to the proximal ulna after a fall on the elbow in flexion, and is often associated with soft tissue injuries. The authors report a case of a complex injury produced by a high-energy trauma in the right arm of a 65-year-old patient. His limb was trapped inside an industrial spin-dryer, resulting in a closed anterior elbow dislocation, diaphyseal ulnar shaft, radial styloid process fractures, and an associated compartment syndrome. The injury mechanism and its treatment are described to better manage the soft tissue injury and early elbow mobilization using the FEARM hinged external fixator. A good result was achieved, with almost complete restoration of the patient's arm functions, and he has returned to his previous working activities.

ARM

Certain complex traumatic elbow lesions challenge the orthopaedic and trauma surgeon. If they are not treated correctly, they cause a high rate of disability, arising from elbow instablility and stiffness, either by fibrosis or joint incongruity. Injuries such as complex fractures of the proximal third of the ulna, coronoid fractures associated with radial head fractures (the "terrible triad"), are even worse if they are accompanied by soft tissue lesions. Hinged external fixators, complemented by other surgical procedures, are, for many, a recommended alternative when dealing with irreparable lesions. The AO tubular external fixator, by virtue of its versatility, is a very important tool in orthopaedics and trauma, but there is not the possibility of using it as a hinged fixator. The authors describe a prototype of a hinged joint that can be applied easily to the AO tubular external fixator, converting it into a hinged one. This hinged joint, in conjunction with the AO tubular external fixator, has been applied in 5 patients; 2 "terrible triads", one posterior elbow fracture-dislocation with radial head fracture, one Monteggia fracture-dislocation and an anterior elbow dislocation that developed a forearm compartment syndrome. The patients' age range was between 20 and 72 years (median 45,6); 4 were male and 1 female. In 3 patients, either a type III coronoid fracture or a radial head fracture, could not be repaired. One radial head was totally removed and another one partially removed. The remaining indications were because of severe soft tissue lesions. Results were evaluated using the Mayo Elbow Score Scale and the Broberg and Morrey radiographic evaluation scale. The median follow up was 18 months(range 6 to 48 months). All 5 patients got a maximum score of 100 points in the Mayo's Elbow Score Scale, indicating excellent results. No patient suffered elbow pain, or any type of elbow instability. The median range of motion in flexion was of 127.5 degrees (max. 140 degrees and min. 120 degrees ) and the median extension loss was 20 degrees (max. 25 degrees and min. 15 degrees ). One patient had pronation limited to 70 degrees and one had supination limited to 70 degrees . Every patient was able to resume a normal daily life activity and returned to normal work. In 3 patients the radiographic evaluation was Grade 0 and in the other 2, Grade I. Two complications occurred, one was a distal ulnar Schanz screw loosening with osteolysis and the other was a superficial infection of one Schanz screw. It can be concluded that good results can be obtained in injuries with severe elbow instability and soft tissue lesions, using this hinged external fixator. With this new clamp, the AO tubular external fixator is transformed into a hinged one and a new use is added to this already very versatile system. This clamp is very easy to apply.

Anterior dislocation of the elbow

Since Evers2 first reported a case of anterior elbow dislocation in 1787, only sporadic case reports of this rare traumatic entity have appeared in the literature.3,6,9,10 An injury to the back of the flexed elbow appears to be the most common causative mechanism. In this report, we present an unusual case of anterior elbow dislocation with a mechanism of injury not previously described to our knowledge.

주관절의 전방 단순 탈구 - 증례보고

An anterior dislocation of the elbow without a fracture of the olecranon is an extremely rare injury. This paper reports a 36-year-old male who stumbled and fell on his outstretched hand during a soccer game. The anteroposterior and lateral radiographs indicated a simple anterior dislocation of the elbow, which was reduced using a closed method. The elbow joint was stable in the range of motion, but the sensation of the two ulnar digits was still reduced. MRI was useful for the identification of the pathoanatomy. At the follow-up examination three months after the initial trauma, the hypesthesia has fully recovered and the patient regained the full range of the elbow and forearm motion without pain and instability. After 18 months, the patient had a normal elbow function, and could play various sports. If an anterior elbow dislocation is detected early, a closed reduction with careful pathoanatomical considerations would be successful.

Anterior elbow dislocation following medial epicondylectomy: A case report

Anterior elbow dislocation following medial epicondylectomy: A case report

External fixation for fracture-dislocations of the proximal humerus.

The Journal of Bone and Joint Surgery. British volumeVol. 71-B, No. 5 ArticlesFree AccessExternal fixation for fracture-dislocations of the proximal humerusCH Brooks, JE CarvellCH BrooksSearch for more papers by this author, JE CarvellSearch for more papers by this authorPublished Online:21 Feb 2018https://doi.org/10.1302/0301-620X.71B5.2584268AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited ByFracture shaft of humerus with anterior dislocation of shoulder treated with closed locked nailingJournal of Clinical Orthopaedics and Trauma, Vol. 2, No. 1A humeral shaft fracture complicated with anterior shoulder dislocation in a young male treated with modified Intramedullary nailing prior to reduction: a case report23 November 2009 | Cases Journal, Vol. 2, No. 1Open Humerus Shaft Fracture With Ipsilateral Anterior Shoulder Fracture-Dislocation and Posterior Elbow Dislocation: A Case ReportJournal of Trauma: Injury, Infection & Critical Care, Vol. 64, No. 5Open intramedullary nailing with tension band and locking sutures for proximal humeral fracture: Hot air balloon techniqueJournal of Shoulder and Elbow Surgery, Vol. 15, No. 5Effectiveness of Locked Nailing for Displaced Three-Part Proximal Humeral FracturesThe Journal of Trauma: Injury, Infection, and Critical Care, Vol. 61, No. 2Locked Nailing for Displaced Surgical Neck Fractures of the HumerusThe Journal of Trauma: Injury, Infection, and Critical Care, Vol. 45, No. 6Semitubular blade plate fixation in proximal humeral fractures: A biomechanical study in a cadaveric modelJournal of Shoulder and Elbow Surgery, Vol. 7, No. 5Current concepts in the treatment of proximal humeral fracturesCurrent Orthopaedics, Vol. 11, No. 3Surgical Treatment of Complex Fracture of the Proximal HumerusClinical Orthopaedics and Related Research, Vol. 327ANTERIOR GLENOHUMERAL DISLOCATION WITH IPSILATERAL HUMERAL SHAFT FRACTUREOrthopedics, Vol. 18, No. 8Operative treatment of two-part, displaced surgical neck fractures of the proximal humerusOperative Techniques in Orthopaedics, Vol. 4, No. 1Open reduction and internal fixation of two- and three-part displaced surgical neck fractures of the proximal humerusJournal of Shoulder and Elbow Surgery, Vol. 1, No. 6 Vol. 71-B, No. 5 Metrics Downloaded 107 times History Published online 21 February 2018 Published in print 1 November 1989 InformationCopyright © 1989, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download