Anterior transolecranon fracture dislocation with an associated avulsion fracture of coronoid process of ulna in a child: a case report

Yamaura, Kohei; Inui, Atsuyuki; Mifune, Yutaka; Nishimoto, Hanako; Kataoka, Tetsuro; Kitaoka, Takashi; Mukohara, Shintaro; Yoshikawa, Tomoya; Niikura, Takahiro; Kokubu, Tatsuo; Kuroda, Ryosuke

doi:10.1016/j.jseint.2020.10.005

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…Reported injuries associated with a coronoid process osteochondral flap fracture include elbow dislocation, humeral lateral condyle fracture, ulnar collateral ligament injury, neck of radius fracture, and olecranon process fracture (1)(2)(3)(4) . Coronoid process osteochondral flap fracture with a concomitant olecranon process fracture has been described in younger children below 5-7 years of age, while our patient was 10 years old (2,4,7) . We hypothesized that our patient presented after a spontaneously relocated elbow, similar to the case reported by Valisena et al (2) The diagnosis of coronoid process osteochondral flap fractures is a formidable challenge.…”

Section: A B a Bmentioning

confidence: 59%

Pediatric Olecranon Fracture with Coronoid Process Osteochondral Flap Fracture: A Rare and Challenging Case

Chong,

Abdul Aziz,

Raghunandanan

et al. 2024

JseaOrtho

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Purpose: Osteochondral flap fracture is a variant of fracture in the pediatric age group. It is caused by a shearing force that separates the articular cartilage from the underlying subchondral bone. We present a pediatric case of an olecranon process fracture with an osteochondral flap fracture of the coronoid process. Case report: A 10-year-old child presented with swelling and pain in the right elbow after an incident of direct trauma. A plain radiograph revealed multiple small fracture fragments, inconclusive of coronoid process involvement. Intraoperatively, we found an osteochondral fracture of the coronoid process with anteromedial facet displacement. The fracture was reduced and secured with two K-wires. The undisplaced olecranon fracture was fixed with a K-wire in situ. Conclusions: Osteochondral flap fractures of the coronoid process can be easily missed and underestimated in imaging studies. Neglected fractures can lead to severe impairment of elbow motion and function and cause chronic pain. The anatomical reduction of the coronoid facet is crucial and yields the best outcome.

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Section: A B a Bmentioning

confidence: 59%

Pediatric Olecranon Fracture with Coronoid Process Osteochondral Flap Fracture: A Rare and Challenging Case

Chong,

Abdul Aziz,

Raghunandanan

et al. 2024

JseaOrtho

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“…The patient did not present an anterior trans olecranon fracture-dislocation. Yamamuro [27] was the first to report a case in 2020, and then Zeng reported another case in 2022, with three identical lesions; these patients were classified with trans olecranon injuries because they had olecranon and coronoid fractures, as in this case report, but the two patients had anterior elbow dislocation instead of posterior radial head dislocation. Ulna fracture and coronoid fracture associated with posterior radial head dislocation make the studied case unique.…”

Section: A New Terrible Triad Of the Elbowmentioning

confidence: 76%

“…In children, the 11 cases of fracture-dislocation reported until 2020 were not associated with coronoid fractures [23][24][25][26]; one case was associated with medial epicondyle avulsion, and another was associated with radial neck fracture. In 2020, Yamamuro [27] presents the first case with anterior trans olecranon fracture-dislocation associated with avulsion of the coronoid process in a 7-year-old boy, and in 2022, Zheng [28] presents the second case in a 7-year-old girl.…”

Section: Olecranon Fracturementioning

confidence: 99%

CORHD Lesions: A New Pediatric Terrible Triad of the Elbow. A Case Report and Literature Review

2022

Ann Case Report

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Background context:The osteoarticular pathology of the elbow includes a number of complex lesions, the best known being the Monteggia fracture-dislocation, the anterior Trans olecranon fracture-dislocation and the terrible triad of the elbow. The diagnosis and treatment of these injuries require the medical practitioner to have solid knowledge to establish an early diagnosis and optimal treatment in order to fully recover the elbow function. When faced with a novel case involving complex lesions that cannot be included in the known pathology, the orthopaedist needs to use conceptual reasoning to make a detailed analysis of the historical data and previously-described associated lesions, and then compare them with those under study.Purpose: To present a novel case and identify its place within the complex elbow injuries. The current case report can help orthopaedic and trauma surgeons to identify this rare and complex lesion.Study Design/Setting: Each lesion was identified and interpreted. Analysis in the context of scientific data was performed after each investigation and for each lesion or lesion group described in the literature. The evaluation confirmed or denied each condition.Patient Sample: A 12-year-old male patient presented to the Emergency Unit with a traumatic elbow and was immediately hospitalized. He was clinically examined and explored by radiology and imaging. Three lesions difficult to include in the known pathology were identified.Outcome Measures: Each diagnostic stage was evaluated based on both the accumulated knowledge and literature review. The final diagnosis was established step by step, after which the patient underwent surgery. Methods:The presence of an elbow showing obvious clinical signs of a major impact and an apparently harmless radiological aspect known as TRASH (The Radiographic Appearance Seemed Harmless) suggested possible osteochondral lesions. Special attention was paid to radiological and imaging details. The data revealed by these investigations were compared with those in the literature and it has emerged that a new terrible triad is in question.

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“…Trans -olecranial anterior dislocation is the least common type, in the series by Yousri et al [4] that reports 144 cases of elbow dislocation, only one was described. To the best of our knowledge, only 12 cases of trans-olecranon fracture variants have been reported in the English literature [8] .…”

Section: Discussionmentioning

confidence: 99%

Anterior trans-olecranial dislocation of the elbow in children: A case report of an unusual form of elbow dislocation and review of literature

Jlidi¹,

Bouaicha²,

Lamouchi³

et al. 2022

International Journal of Surgery Case Reports

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Anterior transolecranon fracture dislocation with an associated avulsion fracture of coronoid process of ulna in a child: a case report

Cited by 4 publications

References 15 publications

Pediatric Olecranon Fracture with Coronoid Process Osteochondral Flap Fracture: A Rare and Challenging Case

Pediatric Olecranon Fracture with Coronoid Process Osteochondral Flap Fracture: A Rare and Challenging Case

CORHD Lesions: A New Pediatric Terrible Triad of the Elbow. A Case Report and Literature Review

Anterior trans-olecranial dislocation of the elbow in children: A case report of an unusual form of elbow dislocation and review of literature

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