Abstract:Medial epicondyle fractures of the humerus account for 11%-20% of all elbow injuries in children. Although intra-articular incarceration of the medial epicondyle occurs in 5%-18% of medial epicondyle fractures associated with an elbow dislocation, the mechanism of intrusion of the fracture fragment is unknown. We report a case of an irreducible elbow fracture and dislocation due to incarceration of the medial epicondyle fragment of the humerus, classified as a Watson-Jones type 3 fracture of the medial epicond… Show more
“…Osseous interposition has also been reported as a cause for irreducibility [ 7 , 13 , 17 , 18 ]. Perhaps, the most commonly interposed structure is the medial epicondyle and the mechanism for this has been well described.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical repair or reconstruction of ligamentous injuries, such as LCL and medial collateral ligament, is indicated in cases of severe or recurrent instability, with various techniques available depending on the extent of the injury and patient factors [ 4 ]. Most of the cases reported in the literature are those of posterior, simple elbow dislocations, wherein the elbow dislocation is not associated with any fracture [ 4 - 13 ]. Irreducibility after varus posteromedial rotary instability of the elbow has not been reported so far in the literature.…”
Introduction: Elbow dislocations, particularly those associated with varus posteromedial rotary instability, are relatively uncommon. We present the case of a 25-year-old male initially managed nonoperatively for a posterior elbow dislocation, who subsequently experienced irreducible re-dislocation with characteristic fractures of the anteromedial facet and tip of the coronoid, indicative of varus posteromedial rotary instability. Case Report: Following an unsuccessful attempt at closed reduction under general anesthesia, open reduction was performed, revealing the interposition of the posterior capsule of the humero-ulnar joint as the cause of irreducibility. Fixation of the coronoid fracture was undertaken, and the patient exhibited excellent functional outcomes at a 4.5-year follow-up. Conclusion: This case underscores the rarity of irreducible elbow dislocation in the context of varus posteromedial rotary instability and highlights the crucial role of capsular interposition in such cases. Successful open reduction, coronoid fixation, and attentive postoperative care contributed to the patient’s favorable long-term functional outcome. Keywords: Varus posteromedial rotary instability, elbow dislocation, capsular Interposition, open reduction, coronoid fracture.
“…Osseous interposition has also been reported as a cause for irreducibility [ 7 , 13 , 17 , 18 ]. Perhaps, the most commonly interposed structure is the medial epicondyle and the mechanism for this has been well described.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical repair or reconstruction of ligamentous injuries, such as LCL and medial collateral ligament, is indicated in cases of severe or recurrent instability, with various techniques available depending on the extent of the injury and patient factors [ 4 ]. Most of the cases reported in the literature are those of posterior, simple elbow dislocations, wherein the elbow dislocation is not associated with any fracture [ 4 - 13 ]. Irreducibility after varus posteromedial rotary instability of the elbow has not been reported so far in the literature.…”
Introduction: Elbow dislocations, particularly those associated with varus posteromedial rotary instability, are relatively uncommon. We present the case of a 25-year-old male initially managed nonoperatively for a posterior elbow dislocation, who subsequently experienced irreducible re-dislocation with characteristic fractures of the anteromedial facet and tip of the coronoid, indicative of varus posteromedial rotary instability. Case Report: Following an unsuccessful attempt at closed reduction under general anesthesia, open reduction was performed, revealing the interposition of the posterior capsule of the humero-ulnar joint as the cause of irreducibility. Fixation of the coronoid fracture was undertaken, and the patient exhibited excellent functional outcomes at a 4.5-year follow-up. Conclusion: This case underscores the rarity of irreducible elbow dislocation in the context of varus posteromedial rotary instability and highlights the crucial role of capsular interposition in such cases. Successful open reduction, coronoid fixation, and attentive postoperative care contributed to the patient’s favorable long-term functional outcome. Keywords: Varus posteromedial rotary instability, elbow dislocation, capsular Interposition, open reduction, coronoid fracture.
“…Eklem içinde kalan mediyal epikondil redüksiyonu engeller. [6] Nadiren brakiyal arter ve median sinir sıkışarak damar sinir yaralanması oluşturabilir. Sıklıkla ve özellikle de mediyal epikondilin kırık olduğu durumlarda ulnar sinir yaralanması görülür.…”
Section: İzole Di̇rsek çIkiklari Ve Medi̇yal Epi̇kondi̇l Kiriğinin Eşli̇k unclassified
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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