Congenital Dislocation of the Radial Head: Spectrum and Natural History

Open reduction, ulnar osteotomy and external fixation for chronic anterior dislocation of the head of the radius

“…1,10,19 Posterior dislocation, bilateral involvement, associated anomalies, generalised laxity, a positive family history, a long history of decreased elbow movement, significant proximal migration and marked secondary changes of the radial head are typical features of a congenital problem. 4,20 Increased ulnar length at the wrist may be a diagnostic sign. 20 Careful clinical assessment of this joint is recommended.…”

“…4,20 Increased ulnar length at the wrist may be a diagnostic sign. 20 Careful clinical assessment of this joint is recommended. 4,15 Instability of the distal radioulnar joint may become symptomatic during ulnar lengthening.…”

Unique application of a metacarpophalangeal joint implant as a radial head prosthesis

“…18,19 Radial head resection has become a primary salvage technique for the treatment of symptomatic patients older than 15 years, with several reports described in the literature. 4,16,22,34 Radial head resection carries several shortcomings, specifically valgus instability of the elbow and distal radial ulnar joint complications. 4, 16 Bell et al further described treatment of posterior radial head dislocation with surgical excision.…”

“…4,16,22,34 Radial head resection carries several shortcomings, specifically valgus instability of the elbow and distal radial ulnar joint complications. 4, 16 Bell et al further described treatment of posterior radial head dislocation with surgical excision. They advocated resection only for severe symptomatic arthritis, given their conclusion that despite pain relief in most cases, motion improvement was minimal.…”

Morphologic Evaluation of Chronic Radial Head Dislocation: Three-dimensional and Quantitative Analyses

“…Exclusion criteria were acute dislocation of less than 6 months and no obvious traumatic history of the elbow. Among these patients, one with bilateral dislocation with no obvious traumatic history was excluded because the condition was considered congenital [20]. Therefore, 15 patients with traumatic radial head dislocations participated in this study (Table 1).…”