Luxation isolée de la tête radiale chez un adulte (à propos d'un cas et revue de la littérature)

Koulali-Idrissi, K.; Rafai, M.A.; Largab, A.; Trafeh, M.

doi:10.1016/j.main.2005.01.002

Cited by 4 publications

(3 citation statements)

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“…In some cases of CRHD diagnosed in childhood, closed reduction is still possible in selected cases with severe impairment of upper limb function or pain ( 12 , 26 ). Radial head resection is indicated for adults but not for children ( 27 , 28 ). Radial head resection can be performed in skeletally mature patients ( 1 , 13 ), but Almquist et al ( 22 ) were concerned about the loss of stability and development of cubitus valgus after the operation in the long term.…”

Section: Discussionmentioning

confidence: 99%

Bilateral anterior congenital radial head dislocation in adults: a case report and literature review

Gao

Tang

et al. 2023

Front. Surg.

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ObjectiveCongenital dislocation of the radial head (CRHD) is a rare condition, with bilateral anterior cases being even less common worldwide. Only a few cases had residual pain after adulthood, even when left untreated. Herein, we describe an adult case of bilateral anterior CRHD with significant pain and snapping during motion. The aim of this study was to report the physical and radiological findings, treatment methods, and short-term outcomes of our case and to review adult CRHD cases in the literature.PatientA 21-year-old male patient presented to our hospital with chief complaints of snapping and exacerbated pain during motion in his left elbow.Diagnoses and interventionsDetailed medical history and physical examination results were recorded. Radiographic examinations were performed on the bilateral elbow, and the diagnosis of bilateral anterior congenital radial head dislocation was confirmed. To relieve the pain and snapping in the left elbow, we performed open reduction and fixation of the radial head with annular ligament reconstruction and ulnar osteotomy. Postoperatively, the elbow rested at 90° flexion with a cast for 16 weeks, and the K-wire was removed on the 10th week; afterward, active functional exercises were performed.OutcomesThe patient was followed-up for 1 year. The pain in his left elbow was relieved with a reduction in the visual analog scale score from 7 to 3. The range of motion of the left elbow was changed from 0° to 135° (preoperative) to −5° to 120° (postoperative) (extension–flexion) without any snapping. However, restrictions in external rotation have not yet been fully resolved. Further physical rehabilitation is required.ConclusionWhen managing patients with congenital radial head dislocation, the contralateral elbow should be evaluated to identify potential bilateral cases. Surgical options should be discussed with adult patients only for the strong need for functional improvement, although the outcomes may not be fully satisfactory.

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Section: Discussionmentioning

confidence: 99%

Bilateral anterior congenital radial head dislocation in adults: a case report and literature review

Gao

Tang

et al. 2023

Front. Surg.

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“…In a cadaveric study, Hayami demonstrated that isolated radial head dislocation (defined as more than 50% displacement) was possible when annular and quadrate ligaments and the proximal half of the IOM are sectioned [28]. In clinical practice, isolated radial head dislocation has frequently been reported in children and skeletally immature patients, but it is very rare in adults, with about 30 cases reported in literature [29][30][31][32][33][34][35].…”

Section: Two-locker Injuriesmentioning

confidence: 99%

“…Two-locker injuries 1.2I PRUJ dislocation-IOM rupture Rethnam [23], Sharma [24], Obert [25], El Ibrahimi [28], Watanabe [27], Koulali-Idrissi [29] 1.2 IU PRUJ dislocation-IOM rupture-ulna fracture Rehim [5] 1.2IR PRUJ dislocation-IOM rupture-radius fracture Rao [38], Haddad [39], Linzel [40], Mehara [41], Cherif [42], Simpson [45], Shamian [43], Singh [44] 1.2RIU PRUJ dislocation-IOM rupture-ulna fracture-radius fracture Ouakrim [63] 2I.3 IOM rupture-DRUJ dislocation Wassink [30], Szabo [31], Bruckner [32], Carlsen [33] 2IR 1.3 PRUJ dislocation-DRUJ dislocation Leung [9], Verettas [10], Potter [11], Nishi [12], Spicer [13], Papageorgiu [14], Wong [35], Tosun [36], Raghavendra [37] Three-locker injuries [19,41], closed reduction and percutaneous DRUJ pinning [15,18], and open reduction with radial head fixation or ligamentous repair [14,16,17]. In two-locker injuries with ulna and/or radius shaft fracture, forearm bones must undergo osteosynthesis.…”

Section: Type Lesion Description Authorsmentioning

confidence: 99%

Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system

et al. 2020

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Background Monteggia, Galeazzi, and Essex-Lopresti injuries are the most common types of fracture–dislocation of the forearm. Uncommon variants and rare traumatic patterns of forearm fracture–dislocations have sometimes been reported in literature. In this study we systematically review the literature to identify and classify all cases of forearm joint injury pattern according to the forearm joint and three-locker concepts. Methods A comprehensive search of the PubMed database was performed based on major pathological conditions involving fracture–dislocation of the forearm. Essex-Lopresti injury, Monteggia and Galeazzi fracture–dislocations, and proximal and/or distal radioulnar joint dislocations were sought. After article retrieval, the types of forearm lesion were classified using the following numerical algorithm: proximal forearm joint 1 [including proximal radioulnar joint (PRUJ) dislocation with or without radial head fractures], middle radioulnar joint 2, if concomitant radial fracture R, if concomitant interosseous membrane rupture I, if concomitant ulnar fracture U, and distal radioulnar joint 3 [including distal radioulnar joint (DRUJ) dislocation with or without distal radial fractures]. Results Eighty hundred eighty-four articles were identified through PubMed, and after bibliographic research, duplication removal, and study screening, 462 articles were selected. According to exclusion criteria, 44 full-text articles describing atypical forearm fracture–dislocation were included. Three historical reviews were added separately to the process. We detected rare patterns of two-locker injuries, sometimes referred to using improper terms of variant or equivalent types of Monteggia and Galeazzi injuries. Furthermore, we identified a group of three-locker injuries, other than Essex-Lopresti, associated with ulnar and/or radial shaft fracture causing longitudinal instability. In addition to fracture–dislocations commonly referred to using historical eponyms (Monteggia, Galeazzi, and Essex-Lopresti), our classification system, to the best of the authors’ knowledge, allowed us to include all types of dislocation and fracture–dislocation of the forearm joint reported in literature. According to this classification, and similarly to that of the elbow, we could distinguish between simple dislocations and complex dislocations (fracture–dislocations) of the forearm joint. Conclusions All injury patterns may be previously identified using an alphanumeric code. This might avoid confusion in forearm fracture–dislocations nomenclature and help surgeons with detection of lesions, guiding surgical treatment. Level of evidence V.

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Chronic isolated radial head dislocation in adults: Technical note and literature review

Bordet

Mentec

Arcens

et al. 2021

Orthopaedics & Traumatology: Surgery & Research

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Luxation isolée de la tête radiale chez un adulte (à propos d'un cas et revue de la littérature)

Cited by 4 publications

References 10 publications

Bilateral anterior congenital radial head dislocation in adults: a case report and literature review

Bilateral anterior congenital radial head dislocation in adults: a case report and literature review

Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system

Chronic isolated radial head dislocation in adults: Technical note and literature review

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