Bilateral Elbow Dislocation Without Fracture After Minor Trauma in a Healthy Adult Man

Öz

The elbow is the second most frequently dislocated major joint in adults. Elbow dislocation is a common traumatic injury, occurring in approximately 20% of all joint dislocations. Falling onto an outstretched hand is the most prevalent cause of elbow dislocation. Simultaneous bilateral elbow dislocation is a rare presentation, and reports of similar injuries are very limited. A 21-year-old male patient was brought to the emergency department after landing on both hands with flexed elbows from a height of one meter while doing home decoration work. The posterolateral dislocations was detected in both elbows without a fracture on the plain radiographs. The patient's elbows were reduced under procedural sedation analgesia in the emergency department. The patient's splints were removed in the orthopedics outpatient clinic after a 2-week follow-up, and he had no complications. It should be noted that serious bilateral dislocations can occur even in minor traumas like this. Procedural sedation not only prevents the delay of the procedure and the occurrence of complications, especially during the treatment of such multiple dislocations, but also increases patient comfort.

Anahtar Kelimeler

• Bilateral elbow dislocation
• elbow dislocation without fracture
• minor trauma
• work accident

Destekleyen Kurum

None

Proje Numarası

None

Kaynakça

1. 1. Kuhn MA, Ross G. Acute Elbow Dislocations. Orthop Clin North Am. 2008;39(2):155–61. doi:10.1016/j.ocl.2007.12.004
2. 2. Kataoka T, Kokubu T, Mifune Y, Inui A, Nishimoto H, Kurosawa T, et al. Bilateral Collateral Ligament Reconstruction for Chronic Elbow Dislocation. Kobe J Med Sci. 2020;66(2):E71. /pmc/articles/PMC7837654/
3. 3. Layson J, Best BJ. Elbow Dislocation. StatPearls [Internet]. 2022 Apr 30 [cited 2022 Jun 25]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK549817/
4. 4. Modi CS. Suppl-8, M1: Editorial: Current Concepts in Elbow Trauma. Open Orthop J. 2017;11(1):1345. doi:10.2174/1874325001711011345
5. 5. Stoneback JW, Owens BD, Sykes J, Athwal GS, Pointer L, Wolf JM. Incidence of elbow dislocations in the United States population. J Bone Joint Surg Am. 2012;94(3):240–5. doi:10.2106/JBJS.J.01663
6. 6. Sybert MW, Hennrikus WL. Bilateral medial epicondyle fractures with elbow dislocations in an adolescent female athlete: http://dx.doi.org/101177/1460408616648359. 2016;19(2):142–5. doi:10.1177/1460408616648359
7. 7. Abdelrahman AA, Elgassim MA, Elfaki IMA, Fadul KY, Elgassim MAM. Bilateral Elbow Dislocation After Trauma in a Healthy Adult Female. Cureus. 2022;14(1). doi:10.7759/CUREUS.21029
8. 8. Schultz BJ, Lowe DT, Pean CA, Egol KA. Treatment of a Chronic Elbow Dislocation With an Internal Fixator. J Orthop Trauma. 2021;35:S13–4. doi:10.1097/BOT.0000000000002176

9. 9. O’Driscoll SW. How Do Elbows Dislocate?: Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. A Cadaveric Study.” J Bone Joint Surg Am. 2018;100(7):e46. doi:10.2106/JBJS.17.01448
10. 10. Mathew PK, Athwal GS, King GJW. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg. 2009;17(3):137–51. doi:10.5435/00124635-200903000-00003