scholarly journals Management of post-traumatic elbow instability after failed radial head excision: A case report

2017 ◽  
Vol 20 (1) ◽  
pp. 59-62
Author(s):  
Georgios Touloupakis ◽  
Emmanouil Theodorakis ◽  
Fabio Favetti ◽  
Massimiliano Nannerini
2019 ◽  
Vol 12 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Alexandra H Hildebrand ◽  
Betty Zhang ◽  
Nolan S Horner ◽  
Graham King ◽  
Moin Khan ◽  
...  

Background Radial head excision has historically been a common surgical procedure for the operative management of radial head fractures and post-traumatic conditions. With recent advances in other surgical techniques, controversy exists regarding its indications. This review evaluates the indications and outcomes of radial head excision in traumatic and non-traumatic elbow pathology. Methods Multiple databases were searched for studies involving radial head excision. Screening and data abstraction were conducted in duplicate. Only studies reporting outcomes for radial head excision were included. Results Twenty-seven studies with 774 radial head excision patients were included. The most common indications involved acute excision of comminuted radial head fractures (n = 347) and rheumatoid arthritis (n = 201). Post-operative functional scores after acute excision were reported to be good to excellent. In the chronic setting of rheumatoid disease, radial head excision resulted in improved range of motion, although pain was not effectively relieved. Discussion Outcomes of radial head excision for acute fracture are good to excellent; however, it should not be performed when concurrent or ligamentous injuries are present. Although some studies compared excision to open reduction and internal fixation or replacement, more data are needed to make proper conclusions. The strength of these conclusions is limited by the quality of included literature.


Author(s):  
S. Benzarti ◽  
M. A. Triki ◽  
H. Kaziz ◽  
T. Mouelhi ◽  
M. L. Ben Ayeche ◽  
...  

Post-traumatic dislocation of the radial head is a rare injury, generally described in the case of the Monteggia fracture associating a fracture of the ulnar diaphysis and a dislocation of the radial head. We report an exceptional case of an isolated post-traumatic dislocation in a 6-year-old child, who presented to our emergency department following a fall from a bike with a reception on the outstretched left arm. Clinical examination showed a swollen left elbow painful to palpation with a limited and painful range of motion of the elbow especially pronation-supination. Plain radiographs of the left elbow and forearm showed an isolated anterior dislocation of the radial head. Reduction was carefully performed followed by an above-the-elbow cast for 4 weeks with good functional and radiological outcome. Through this case report we insist on a systematic careful interpretation of plain radiographs of the elbow in children. With these precautions, diagnosis is not overlooked and an early management is initiated when the closed reduction is still possible.  


2018 ◽  
Author(s):  
Elena Lazar ◽  
Alexandra Marin ◽  
Ruxandra Dobrescu ◽  
Corin Badiu
Keyword(s):  

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