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Traumatic Isolated Posterior Elbow Dislocation: Pediatric case report

Year 2015, Volume: 5 Issue: 3, 176 - 179, 11.12.2015

Abstract

Traumatic isolated elbow dislocations is rare in early childhood. However, posterior dislocation of the elbow is more common in childhood and is often seen with elbow fractures. In this study, we evaluated a rarely encountered isolated posterior elbow dislocation case developed in a 8-year old boy due to falling on elbow at house. Under general anesthesia, closed reduction and long arm splint was performed and recommended for a two-week immobilisation was recommended for patient. Patients underwent clinical follow-up, it was observed that the elbow can be full and painless.Comparative X-ray of the elbow is diagnostically important.

References

  • Ring D, Waters PM. Management of fractures and dislocations of the elbow in children. Acta Orthop Belg 1996 ;62 Suppl 1 : 58-65.
  • Wilkins KE. Fractures and dislocations of the elbow region. In : Rockwood CA Jr, Wilkins KE, King RE (eds). Fractures in Children. Vol. 3. Lippincott-Raven,Philadelphia, 1996, p 680.
  • Borris LC, Lassen MR, Christensen CS. Elbow dislocation in children and adults. A long term follow-up of conservatively treated patients. Acta Orthop Scand 1987 ;58 : 649-51.
  • Rasool MN. Dislocations of the elbow in children. J Bone Joint Surg 2004 ; 86-B : 1050-8.
  • Fowles JV, Slimane N, Kassab MT. Elbow dislocation with avulsion of the medial humeral epicondyle. J Bone Joint Surg 1990 ; 72-B : 102-4.
  • Carey RPL.Simultaneous dislocation of the elbow and proximal radio-ulnar joint. J Bone Joint Surg 1984; 66-B: 254-6.
  • Isaac SM,Danial I,Modi A. Isolated posterior elbow dislocation in a one-year-old child :A case report. Acta Orthop. Belg., 2009; 75(1): 133-5.
  • An KN, Chao EY. Functional evaluation of the elbow. In:Morrey BF, editor. The elbow and its disorders. 2nd ed. Philadelphia: W.B. Saunders; 1993. p. 85-97.
  • Royle SG. Posterior dislocation of the elbow. Clin Orthop 1991 ; 269 : 201-4.
  • Grimer RJ, Brooks S. Brachial artery damage accompanying closed posterior dislocation of the elbow. J Bone Joint Surg 1985 ; 67-B : 378-81.
  • Durakbaşa O,Küçükyazıcı Ö,Tuygun H,Okan N,Görgeç M. Surgical treatment of elbow fracture-dislocations seen in children and adolescents. Acta Orthop Traumatol Turc 2003;37(4):304-8.
  • Altuntas AO, Balakumar J, Howells RJ et al. Posterior divergent dislocation of the elbow in children and adolescents: a report of three cases and review of the literature.J Pediatr Orthop 2005 ; 25 : 317-21.
  • Hendrikson B. Supra-condylar fractures of the humerus in children. Acta Chir Scand 1966 ; Suppl 369.
  • Lipscomb PR, Burleson RJ. Vascular and neural complications in supra-condylar fractures of the humerus in children. J Bone Joint Surg 1955 ; 37-A : 487-92.

Travmatik İzole Posteriyor Dirsek Çıkığı: Çocuk Olgu sunumu

Year 2015, Volume: 5 Issue: 3, 176 - 179, 11.12.2015

Abstract

Travmatik izole dirsek çıkıkları erken çocukluk döneminde oldukça nadir görülür. Ancak çocukluk çağında posteriyor dirsek çıkıkları daha sıktır ve genellikle dirsek çevresi kırıkları ile birlikte görülür. Biz bu çalışmada, 8 yaşındaki bir erkek çocuğunda evde dirsek üzerine düşme sonrasında gelişen ve nadir görülen izole posteriyor dirsek çıkığı olgusunu inceledik. Genel anestezi altında kapalı redüksiyon ve uzun kol ateli uygulanan çocuk hasta için iki haftalık immobilizasyon önerildi. Klinik takipleri sonunda hastanın dirsek hareketlerini tam ve ağrısız olarak yapabildiği gözlendi. Karşılaştırmalı dirsek grafileri çekilmesi tanısal açıdan önemlidir.

References

  • Ring D, Waters PM. Management of fractures and dislocations of the elbow in children. Acta Orthop Belg 1996 ;62 Suppl 1 : 58-65.
  • Wilkins KE. Fractures and dislocations of the elbow region. In : Rockwood CA Jr, Wilkins KE, King RE (eds). Fractures in Children. Vol. 3. Lippincott-Raven,Philadelphia, 1996, p 680.
  • Borris LC, Lassen MR, Christensen CS. Elbow dislocation in children and adults. A long term follow-up of conservatively treated patients. Acta Orthop Scand 1987 ;58 : 649-51.
  • Rasool MN. Dislocations of the elbow in children. J Bone Joint Surg 2004 ; 86-B : 1050-8.
  • Fowles JV, Slimane N, Kassab MT. Elbow dislocation with avulsion of the medial humeral epicondyle. J Bone Joint Surg 1990 ; 72-B : 102-4.
  • Carey RPL.Simultaneous dislocation of the elbow and proximal radio-ulnar joint. J Bone Joint Surg 1984; 66-B: 254-6.
  • Isaac SM,Danial I,Modi A. Isolated posterior elbow dislocation in a one-year-old child :A case report. Acta Orthop. Belg., 2009; 75(1): 133-5.
  • An KN, Chao EY. Functional evaluation of the elbow. In:Morrey BF, editor. The elbow and its disorders. 2nd ed. Philadelphia: W.B. Saunders; 1993. p. 85-97.
  • Royle SG. Posterior dislocation of the elbow. Clin Orthop 1991 ; 269 : 201-4.
  • Grimer RJ, Brooks S. Brachial artery damage accompanying closed posterior dislocation of the elbow. J Bone Joint Surg 1985 ; 67-B : 378-81.
  • Durakbaşa O,Küçükyazıcı Ö,Tuygun H,Okan N,Görgeç M. Surgical treatment of elbow fracture-dislocations seen in children and adolescents. Acta Orthop Traumatol Turc 2003;37(4):304-8.
  • Altuntas AO, Balakumar J, Howells RJ et al. Posterior divergent dislocation of the elbow in children and adolescents: a report of three cases and review of the literature.J Pediatr Orthop 2005 ; 25 : 317-21.
  • Hendrikson B. Supra-condylar fractures of the humerus in children. Acta Chir Scand 1966 ; Suppl 369.
  • Lipscomb PR, Burleson RJ. Vascular and neural complications in supra-condylar fractures of the humerus in children. J Bone Joint Surg 1955 ; 37-A : 487-92.
There are 14 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Gökhan Sever This is me

Mehmet Cankuş This is me

Levent Bostancı This is me

Mehmet Dokur This is me

Publication Date December 11, 2015
Submission Date December 6, 2015
Published in Issue Year 2015 Volume: 5 Issue: 3

Cite

AMA Sever G, Cankuş M, Bostancı L, Dokur M. Traumatic Isolated Posterior Elbow Dislocation: Pediatric case report. Sakarya Tıp Dergisi. December 2015;5(3):176-179.

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