Acute persistent traumatic anterior dislocation of the fractured radial head: a case report and surgical technique

2012 ◽  
Vol 21 (4) ◽  
pp. e5-e8 ◽  
Author(s):  
Njalalle Baraza ◽  
Adnan Saithna ◽  
Matija K. Krkovic
2005 ◽  
Vol 14 (5) ◽  
pp. 554-556 ◽  
Author(s):  
Kota Watanabe ◽  
Shohei Iwabu ◽  
Toshihiko Hosoya

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 ◽  
Vol 21 (1) ◽  
pp. 42-47
Author(s):  
Sang Won Moon ◽  
Youngbok Kim ◽  
Young Chang Kim ◽  
Ji Wan Kim ◽  
Taiyeon Yoon ◽  
...  

A 25-year-old woman presented to the emergency room with a painful and swollen right forearm. She had just sustained an injury from an accident during which her arm was tightly wound by a rope as she was lowering a net from a fishing boat. Before being released, her arm was rigidly trapped in the rope for approximately ten minutes. Radiographs revealed anterior dislocation of the radial head that was accompanied by plastic deformation of the proximal ulna, manifested as a reversal of the proximal dorsal angulation of the ulna (PUDA); suggested a Monteggia equivalent fracture. With the patient under general anesthesia, we reduced the radial head by posterior compression at 90° of elbow flexion and at neutral rotation of the forearm. However, the reduction was easily lost and the elbow re-dislocated with even slight supination or extension of the arm. After the osteotomy of the ulnar deformity to restore the PUDA to normal, the reduction remained stable even with manipulation of the arm. We found that the patient could exercise a full range of motion without pain at the 3-month follow-up, and neither residual instability nor degenerative changes were observed at the final 3-year follow-up.


2007 ◽  
Vol 10 (1) ◽  
pp. 131-135 ◽  
Author(s):  
Youn-Moo Heo ◽  
Woo-Sik Kim ◽  
Sung-Hun Kim ◽  
Teak-Soo Jeon ◽  
Sang-Bum Kim ◽  
...  

2021 ◽  
pp. 194338752199028
Author(s):  
José Henrique Santana Quinto ◽  
Andressa Bolognesi Bachesk ◽  
Lucas Costa Nogueira ◽  
Liogi Iwaki Filho

The prevalence of dentoalveolar injuries in children is approximately 25%, with falls from own height being one of the main etiologies. Diagnosis is based on the clinical evaluation associated with complementary imaging tests. The treatment of choice depends on the type of damage and structure affected. For alveolar process fractures, closed reduction and semi-rigid dental splinting for 4 to 6 weeks is generally satisfactory. However, some cases, such as severe segmental fractures, require open treatment to ensure adequate reduction and stabilization of the displaced alveolar segment, which is usually achieved by titanium miniplates and screws. Nevertheless, there are situations where this type of fixation is not possible, requiring alternative methods. Therefore, this article describes a surgical technique performed by open reduction, associating semi-rigid dental splint and circummandibular wiring in pediatric patient diagnosed with dentoalveolar fracture through clinical examination (with bone fracture displacement) and tomography. The technique promoted a good prognostic to the patient, proving to be a viable alternative for treating dentoalveolar fractures.


2013 ◽  
Vol 23 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Matthias J. Feucht ◽  
Philipp Minzlaff ◽  
Tim Saier ◽  
Andreas Lenich ◽  
Andreas B. Imhoff ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document