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Open antero-lateral dislocation of the elbow. A case report.

Alonso JA, Roy BR, Shaw DL - BMC Musculoskelet Disord (2002)

Bottom Line: We present an unusual case of an open antero-lateral dislocation of the elbow, which was not associated with any vascular or neural injury.The elbow was found to be very unstable, and was placed in a back slab.Elbow dislocations without associate fractures are adequately treated by manipulation and reduction, in spite of the almost complete disruption of the soft tissues around the joint.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Trauma Surgery, Bradford Royal Infirmary, Bradford, UK. antonio@alonso.co.uk

ABSTRACT

Background: Open dislocations are infrequent, often associated with damage to the neuro vascular structures. We present an unusual case of an open antero-lateral dislocation of the elbow, which was not associated with any vascular or neural injury.

Case presentation: A 34 year female dance instructor sustained an open dislocation of her elbow. Surgical exploration was undertaken. No major neurovascular injury was present. There was almost complete disruption of all the muscular and ligamentous attachments to the distal humerus and the proximal radius and ulna, which were not formally repaired during surgery. The elbow was found to be very unstable, and was placed in a back slab. The functional recovery was complete in about six months, the patient regaining full range of elbow movement. Elbow dislocations without associate fractures are adequately treated by manipulation and reduction, in spite of the almost complete disruption of the soft tissues around the joint.

No MeSH data available.


Related in: MedlinePlus

Postero-anterior radiograph of right elbow showing an antero-lateral dislocation
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Figure 2: Postero-anterior radiograph of right elbow showing an antero-lateral dislocation

Mentions: On admission there was a palpable radial pulse and full sensation in her forearm and hand. Radiographs revealed this to be an anterolateral elbow dislocation (Figures 2 and 3). Surgical exploration was undertaken. The uninjured brachial artery, and ulnar and median nerves were all visualised. There was almost complete disruption of all the muscular and ligamentous attachments to the distal humerus and the proximal radius and ulna. The joint was relocated, the wound cleaned with saline lavage and primarily closed without formal repair of muscular and ligamentous structures. The elbow was found to be very unstable, and was placed in a back slab. The post operative period was uneventful.


Open antero-lateral dislocation of the elbow. A case report.

Alonso JA, Roy BR, Shaw DL - BMC Musculoskelet Disord (2002)

Postero-anterior radiograph of right elbow showing an antero-lateral dislocation
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC64646&req=5

Figure 2: Postero-anterior radiograph of right elbow showing an antero-lateral dislocation
Mentions: On admission there was a palpable radial pulse and full sensation in her forearm and hand. Radiographs revealed this to be an anterolateral elbow dislocation (Figures 2 and 3). Surgical exploration was undertaken. The uninjured brachial artery, and ulnar and median nerves were all visualised. There was almost complete disruption of all the muscular and ligamentous attachments to the distal humerus and the proximal radius and ulna. The joint was relocated, the wound cleaned with saline lavage and primarily closed without formal repair of muscular and ligamentous structures. The elbow was found to be very unstable, and was placed in a back slab. The post operative period was uneventful.

Bottom Line: We present an unusual case of an open antero-lateral dislocation of the elbow, which was not associated with any vascular or neural injury.The elbow was found to be very unstable, and was placed in a back slab.Elbow dislocations without associate fractures are adequately treated by manipulation and reduction, in spite of the almost complete disruption of the soft tissues around the joint.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Trauma Surgery, Bradford Royal Infirmary, Bradford, UK. antonio@alonso.co.uk

ABSTRACT

Background: Open dislocations are infrequent, often associated with damage to the neuro vascular structures. We present an unusual case of an open antero-lateral dislocation of the elbow, which was not associated with any vascular or neural injury.

Case presentation: A 34 year female dance instructor sustained an open dislocation of her elbow. Surgical exploration was undertaken. No major neurovascular injury was present. There was almost complete disruption of all the muscular and ligamentous attachments to the distal humerus and the proximal radius and ulna, which were not formally repaired during surgery. The elbow was found to be very unstable, and was placed in a back slab. The functional recovery was complete in about six months, the patient regaining full range of elbow movement. Elbow dislocations without associate fractures are adequately treated by manipulation and reduction, in spite of the almost complete disruption of the soft tissues around the joint.

No MeSH data available.


Related in: MedlinePlus