Divergent Dislocation of the Elbow in an Adult with Ehlers–Danlos Syndrome

Onode, Ema; Takamatsu, Kiyohito; Kuroda, Toshiro; Kazuki, Kenichi; Nakamura, Hiroaki

doi:10.2106/jbjs.cc.21.00159

Cited by 1 publication

(3 citation statements)

References 28 publications

(51 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each type in our study was demonstrated in previous literature [2][3][4][5][6]. These concomitant fracture-dislocations of the forearms further complicated the DDE in adults, which brought a considerable challenge to orthopaedic surgeons.…”

Section: Discussionsupporting

confidence: 58%

“…This evidence showed that the forearm was in a position of supination and the displaced humerus divorced the radius and ulna. Moreover, recent literature mentioned that annular ligament (AL) reconstruction should be considered due to a posterolateral dislocated radial head [6]. However, our surgeon did not find the AL damage due to the dislocated radial head during surgery.…”

Section: Discussionmentioning

confidence: 60%

“…The external fixator was removed at 6 weeks post-operative (f-g) and he has full range of motion at 18 monthly follow-up (h-k) observed with generalized swelling of the elbow, severe torsion, ulnar and radial shaft fractures, an LCL tear, and traumatic amputation of the distal aspect of the forearm and the wrist [5]. A case report revealed that a patient with Ehlers-Danlos syndrome (EDS) fell while snowboarding and developed a DDE without a fracture that required an ORIF [6]. Clinical features of this disease included soft-tissue fragility, hyperextension, and joint laxity.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Traumatic divergent dislocation of the elbow in the adults

Gong

Wang

Jiang

et al. 2023

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose This retrospective study aimed to investigate the clinical outcomes of DDE in adults. Methods From September 2010 to March 2020, adult patients with traumatic DDEs admitted to Beijing Chaoyang Hospital and Beijing Jishuitan Hospital were included in this study. Each patient underwent operative or conservative treatment during hospitalization. The clinical and radiological examinations were followed up. The primary outcomes included the Mayo Modified Wrist Score (MMWS), the Mayo Elbow Performance Score (MEPS), the Broberg and Morrey functional index, the Disabilities of the Arm, Shoulder and Hand (DASH) score, and the Visual Analogue Scale (VAS) score that were performed. Post-operative complications and secondary surgery details were also collected. Results Of the fourteen patients, clinical and radiographic results were reviewed at a mean of 53.2 months (18 to 110 months) postoperatively. There were 11 men and three women with an average age of 31.5 years (17 to 51 years). At the final follow-up, the average MMWS, MEPS, Broberg and Morrey functional index, and DASH scores were 91.4 points, 93.4 points, 92.6 points, and 10.7 points. The mean VAS at rest and during activities was 0.4 and 1.7 points. Two patients required a secondary procedure due to radial malalignment and elbow contracture, respectively. In addition, two patients were found degeneration. Conclusions Within the context of high-energy DDE combined with simultaneous upper limb injuries, our study recommended obtaining the mechanical benefit of the forearm ring with concentric elbow stability. Despite the various and complicated traumatic patterns of DDE, great clinical results could be acquired based on adequate surgical treatments and early rehabilitation training.

show abstract