Medial Complex Elbow Dislocation: An Unusual Pattern of Injury
| Autor: | Juan Rodriguez-Martin, David Cecilia-Lopez, Carlos Resines-Erasun, Juan Pretell-Mazzini |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Joint Instability
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Elbow Joint Dislocations Fractures Bone Fracture Fixation medicine Humans Pronation Orthopedics and Sports Medicine Range of Motion Articular Reduction (orthopedic surgery) biology business.industry Soft tissue General Medicine Anatomy Middle Aged musculoskeletal system biology.organism_classification Radiography body regions Casts Surgical Valgus Treatment Outcome medicine.anatomical_structure Elbow dislocation Orthopedic surgery Manipulation Orthopedic Surgery Elbow Injuries business Range of motion Epicondyle |
| Zdroj: | Journal of Orthopaedic Trauma. 24:e21-e24 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0b013e3181ad629d |
| Popis: | A 47-year-old man sustained a medial complex dislocation of the right elbow. After initial evaluation, closed reduction was performed. On examination under general anesthesia, the elbow was unstable under varus and valgus stress. Computed tomography scan showed a medial epicondyle and a coronoid fracture. Both medial and lateral approaches were used to fix the epicondylar fragment, the coronoid fragment, and the complex damage to the soft tissues. Immobilization in a cast for 1 week followed by early motion in a dynamic orthosis resulted in a good outcome. Follow up at 2 years showed a range of motion of 110 degrees of flexion-extension and 170 degrees of pronation-supination. Radiographs showed no significant arthritis or heterotopic ossifications. |
| Databáze: | OpenAIRE |
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