Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Liu, Xuemin; Yan, Guisen; Lu, Ming; Guo, Yuan

doi:10.1097/md.0000000000008595

Cited by 9 publications

(5 citation statements)

References 32 publications

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“…They studied various fractures like medial condyle, lateral condyle, medial epicondyle and olecranon fractures, and radial head fractures. 13 In this study the cohort of medial epicondyle fracture was small (n=10). We exclusively studied only medial epicondyle fractures with and without elbow dislocation and our assessment showed excellent results in 92% of patients.…”

Section: Discussionmentioning

confidence: 95%

Medial epicondyle fractures in children: a study of functional outcome of surgical fixation

2018

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Background: Medial epicondyle fracture is a common elbow injury in children. It is associated with elbow dislocation in many cases. Treatment of displaced medial epicondyle fracture with and without elbow dislocation is a debated topic. Surgical and non surgical methods are practiced with variable results.Methods: Our study was a prospective study of medial epicondyle fractures treated by surgical fixation with k wires. We studied total of 24 cases out of which 15 had elbow dislocation. The study period was from 2012 to 2015 and indications for surgery were displacement more than 5 mm, elbow instability, incarceration of fragment, ulnar nerve irritation. Open reduction and internal fixation with K wire done. We used joystick method while reducing the fragment with k wire which was a great help. We assessed the cases using mayo elbow performance score.Results: Our study yielded excellent results in 92% of patients (mayo elbow performance score >90). There was no major difference in clinical outcome between two groups of patients. Complications like instability and non-union not seen following surgical fixation with K wires. The mean loss of flexion, extension, supination, and pronation was 4, 5, 3 and 2 degrees respectively with elbow dislocation group and 2, 3, 1, 1 in without dislocation group. Pre op instability seen in 54% patients was absent in follow up period. Stiffness was more in elbow dislocation group but overall performance was almost equal.Conclusions: Surgical fixation of medial epicondyle fractures yields excellent results and may be advisable when indicated.

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Section: Discussionmentioning

confidence: 95%

Medial epicondyle fractures in children: a study of functional outcome of surgical fixation

2018

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“…Prelomi lakta kod dece su izuzetno traumatični kako za dete tako i za roditelja, te je stoga je neophodno brzo reagovanje. Ranom hirurškom intervencijom postiže se stabilna fiksacija i koštano spajanje uz poboljšanje funkcije lakta (13).…”

Section: Slika 5 Prikaz Opsega Pokreta Nakon Završetka Lečenja I Obav...unclassified

“…Nakon zatvorene repozicije i perkutanog pinovanja 94% normalnog opsega pokreta lakta deteta treba očekivati za oko 6 meseci nakon pinovanja, a dalje poboljšanje se može očekivati unutar godinu dana od operacije (14). Prednost zatvorene metode je mnogo manja mogućnost nastanka komplikacija u vidu infekcija, povrede nerava, kontraktura, miozitis osifikansa (11)(12)(13)(14)(15). Posledice neadekvatnog operativnog lečenja ove vrste povrede ostavljaju trajni deformitet na laktu od kojih je najčešći valgusni lakat, što stavlja veliki teret na operativni tim i samog operatora pa se zbog same složenosti povrede i anatomije dečijeg lakta mora biti izuzetno precizan i oprezan kako bi rezultat operativnog lečenja bio odličan kao u našem slučaju (11)(12)(13).…”

Section: Slika 5 Prikaz Opsega Pokreta Nakon Završetka Lečenja I Obav...unclassified

“…Prednost zatvorene metode je mnogo manja mogućnost nastanka komplikacija u vidu infekcija, povrede nerava, kontraktura, miozitis osifikansa (11)(12)(13)(14)(15). Posledice neadekvatnog operativnog lečenja ove vrste povrede ostavljaju trajni deformitet na laktu od kojih je najčešći valgusni lakat, što stavlja veliki teret na operativni tim i samog operatora pa se zbog same složenosti povrede i anatomije dečijeg lakta mora biti izuzetno precizan i oprezan kako bi rezultat operativnog lečenja bio odličan kao u našem slučaju (11)(12)(13). Za razliku od komplikovanih, kod nekomplikovanih suprakondilarnih i lateralnih kondilarnih fraktura distalnog humerusa potrebno je u proseku oke pet nedelja kako bi se povratio prvobitni opseg pokreta lakta u pravcu ekstenzije, fleksije, supinacije i pronacije i to nakon uklanjanja gipsa, a bez fizikalne terapije (15).…”

Section: Slika 5 Prikaz Opsega Pokreta Nakon Završetka Lečenja I Obav...unclassified

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Operative treatment of supracondylar elbow fracture in a child using the percutaneous method

Kadić,

Bozović,

Radojević

et al. 2022

Praxis medica

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Supracondylar fractures are the most common elbow injuries in children and are associated with prolonged morbidity due to possible complications that can lead to deformity. The decision on the treatment method is made based on Gartland's classification (I, II, III and IV types) and the treatment can be non-operative (I and II type) and operative (III and IV type). When it comes to the percutaneous method, the main dilemma for its implementation is related to pinning from the medial side of the elbow because there is a high possibility of injury to the n. ulnaris which, according to data from the literature, occurs in some 15% of cases. The aim of treatment is pain relief and maintenance of the patient's functional status. The case presented in this paper represents a patient with whom the clinician is most likely to encounter and shows the clinical assessment of the patient's condition, the way of deciding on the treatment method and the outcome of the treatment undertaken. Agirl, 8 years old, was injured when she fell while playing. At the Department of Orthopedic Surgery and Traumatology, Clinical Hospital Center Kosovska Mitrovica, the patient was clinically and radiographically examined, and the injury was defined as a supracondylar fracture type III according to Gartland. After adequate preoperative preparation under general anesthesia, without the use of a drape - Turniquet, with the use of a C-bow, repositioning is performed and after obtaining a satisfactory position of the fragments, they are fixed percutaneously with 3 Kirschner needles, two medially and one laterally. The patient was discharged 3 days after admission with controls performed for 7 days. The Kirschner pins were removed on the 5th week after the operation and physical treatment was started, after which the movements of flexion and extension as well as pronation and supination were fully restored. Similar results are found in the literature. This information can be helpful in advising parents about what to expect after their child's injury. Also, they represent evidence of good clinical practice for orthopedic doctors and physiotherapists.

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“…Posteromediyal ve diverjan tip dirsek çıkıkları da vardır. [7] Dirsek şiş ve ağrılıdır. Dirsek hareketleri kısıtlı ve ağrılıdır.…”

Section: İzole Di̇rsek çIkiklari Ve Medi̇yal Epi̇kondi̇l Kiriğinin Eşli̇k unclassified

Çocuklarda akut çıkıklara yaklaşım

Erkuş¹,

Kalenderer²

2019

TOTBID

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AKROMİYOKLAVİKÜLER EKLEM (AKE) ÇIKIKLARIAKE çıkıkları oldukça nadir görülen yaralanmalardır. Kontakt sporları ile uğraşan adolesanlarda genelde direkt travmalarla ortaya çıkar. [2] Genelde konservatif yöntemlerle (omuz-kol askısı) tedavi edilir (Şekil 1). TRAVMATİK OMUZ ÇIKIKLARIOldukça nadir görülen yaralanmalardır. Kontakt sporları ile uğraşan adolesanlarda nadiren görülür. Atravmatik olandan ve istemli çıkıklardan mutlaka ayırt edilmeleri gerekir. En sık görülen öne omuz çıkığında anteroinferior glenohumeral bağ ve anterior labrum yaralanır. Bu yaralanma "Bankart lezyonu" olarak tanımlanır. Travmanın şiddetine bağlı olarak

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Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Cited by 9 publications

References 32 publications

Medial epicondyle fractures in children: a study of functional outcome of surgical fixation

Medial epicondyle fractures in children: a study of functional outcome of surgical fixation

Operative treatment of supracondylar elbow fracture in a child using the percutaneous method

Çocuklarda akut çıkıklara yaklaşım

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