Corrective osteotomy for a malunited proximal radius fracture causing radio-capitellar dislocation in a paediatric patient: A case report

Abstract

Background Malunited proximal radius fractures causing dislocation of the radio-capitellar joint are rare. We present a case of a two-year-old female patient with such an injury who was treated with a proximal radius osteotomy with good long-term outcomes. Method/results Case study of a single patient with a malunited proximal radius fracture which was identified as causing radio-capitellar dislocation who underwent corrective osteotomy with a good result. Conclusion Our opinion is that a corrective osteotomy for a malunited proximal radius fracture causing radio-capitellar dislocation is a sound treatment option and that no supplementary soft tissue reconstruction such as annular ligament exploration/reconstruction is necessary.

Delayed dislocation of the radial head associated with malunion of distal radial fracture: A case report

“…Delayed RHD associated with the malunion of an isolated radial shaft fracture is extremely rare. Only four such cases have been reported in the English-language literature[ 3 - 6 ]. Currently, there are no clear guidelines on surgical methods that can be successfully used for delayed RHD with the malunion of a radial shaft fracture.…”

“…In another report, a 12-year-old boy underwent corrective osteotomy with annular ligament reconstruction at 16 mo after injury[ 5 ]. In previously reported cases, corrective wedge osteotomy was performed in all cases to restore the normal curvature of the radius, with the repair or reconstruction of the annular ligament performed in two cases for RHD (Table 1 ) [ 3 - 6 ]. However, in the present case, the question was whether corrective osteotomy should be additionally performed in a situation where open reduction and repair or reconstruction of the annular ligament was considered.…”