Complex Pediatric Elbow Injury: An Uncommon Case

Sharma, Himanshu; Ayer, Robert; Taylor, GR

doi:10.1186/1471-2474-6-13

Cited by 16 publications

(25 citation statements)

References 12 publications

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“…The fracture can be treated as if the dislocation had not occurred. Similarly, in a case report by Sharma et al [17], the elbow dislocation was reduced by closed manipulation. Subsequently, elbow stability was assessed under general anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…The peak incidence occurs between 13 and 14 years of age [13][14][15][16][17][18][19]. Dislocation of the elbow is classified by the direction of the dislocation of the ulna.…”

Section: Discussionmentioning

confidence: 99%

“…There is a paucity of literature describing LCM fractures of the elbow in children, which occur concurrently with olecranon fracture or elbow dislocation. A few isolated case reports or small case series of five or less have reported LCM fractures in association with elbow dislocation [11,17,21] and olecranon fractures [15].…”

Section: Introductionmentioning

confidence: 99%

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Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

“…The peak incidence occurs between 13 and 14 years of age [13][14][15][16][17][18][19]. Dislocation of the elbow is classified by the direction of the dislocation of the ulna.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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“…We planned for emergent reduction of the dislocation and fixation of lateral condyle as it was displaced, followed by compliant physiotherapy after the union has been ensured clinico-radiologically. Fixation of small fragment helps restore integrity of important lateral ligament complex and thus is advisable (9). The similar method of treatment is applied by workers like Kirkos et al (3) and Cheng et al (10) in their series of four and three cases respectively.…”

Section: Discussionmentioning

confidence: 91%

Lateral condyle fracture with concomitant postero-medial elbow dislocation in a child: a case report

Dharmshaktu

2016

J Emerg Pract Trauma

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Simultaneous combination of fracture of the lateral condyle and postero-medial elbow dislocation is a rare event and limited to few reports or case series in the literature. Rarity of the injury also necessitates judicious diagnosis and appropriate management to ensure optimal functional outcome. Various authors have reported about the condition including the management which mostly includes surgical intervention. A report of one such injury pattern in an 8 years old male child with operative management and satisfactory outcome is presented to highlight the presence of this rare combination and adherence to standard treatment protocols to address them. The report is an addition to the limited resources available on similar fractures and highlights the importance of ruling out possible associated injuries in cases of elbow dislocations. A good fixation of lateral condyle fracture is instrumental to avoid late complications leading to poor functional outcome. The early and supervised rehabilitation also plays a role in ensuring successful return to activities of daily living.

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“…The advantage of this index is that it is only performed on one hip, the affected hip, unlike other different methods [9-15]. We suggest future studies to apply the new index in prospective studied.…”

Section: Discussionmentioning

confidence: 99%

Tomographic index as auxiliary criteria for surgery indication in fracture dislocation of acetabulum posterior wall

Fujiki¹,

Yamaguchi²,

Miachiro³

et al. 2012

Int Arch Med

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There are situations which the tomographic exam is done on the affected hip or situations where the contralateral hip presents abnormalities that make it impossible to compare. In this study we aimed to evaluate a tomographic index that does not require comparison between the both hips. Twenty two patients with unilateral acetabular fracture dislocation with fracture of posterior wall were studied. We established the relationship between the remaining posterior wall and the femoral head diameter (head/wall index-H/W index). We evaluated 45 two-dimensional computed tomography scan in normal hips and established the H/W index. In 45 normal hips we simulated a posterior wall fracture with involvement of 25% and 30% of the posterior wall and calculated the H/W index. We divided into five groups with five different H/W index (fractured group with non surgical treatment; fractured group; normal group; normal group with simulated fracture of 25% and; 30% of the posterior wall). 2.4 was the lowest limit of confidence interval of the group with 25% of the posterior wall fracture. When we analyzed the confidence interval of the 30% fracture group the upper limit of the confidence interval was 2.7, close to the lower limit of the surgical group that was 2.9. Thus, we suggest the 2.4 the H/W index limit as an auxiliary criteria to indicate whether or not to operate. H/W index is helpful to decide whether or not surgery indication in the fracture dislocation of the posterior wall of the acetabulum.

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Complex Pediatric Elbow Injury: An Uncommon Case

Abstract: Background: There is paucity of literature describing complex elbow trauma in the pediatric population. We described a case of an uncommon pediatric elbow injury comprised of lateral condyle fracture associated with posterolateral dislocation of elbow.

Cited by 16 publications

References 12 publications

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Lateral condyle fracture with concomitant postero-medial elbow dislocation in a child: a case report

Tomographic index as auxiliary criteria for surgery indication in fracture dislocation of acetabulum posterior wall

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