The role of simple elbow dislocations in cubitus valgus development in children

Adaş, Müjdat; Bayraktar, Mehmet Kürşad; Tonbul, Murat; Uzun, Metin; Çakar, Murat; Tekin, Ali Çağrı; Kalkar, İsmail; Esenyel, Meltem

doi:10.1007/s00264-013-2199-4

Cited by 17 publications

(16 citation statements)

References 18 publications

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“…The goal of surgery with nonunion lateral humeral condyle is uniting the fragment to avoid progressive cubitus valgus leading to ulnar neuropathy, pain and instability [18]. The repair of nonunion lateral humeral condyle remains controversial, especially those presenting with >1 cm of displacement [7,12,13,16,19].…”

Section: Discussionmentioning

confidence: 99%

Should we repair nonunion of the lateral humeral condyle in children?

Eamsobhana

Kaewpornsawan

2015

International Orthopaedics (SICOT)

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(1) We support osteosynthesis for children, not only for those who have pain but also for those who are less symptomatic. Good and excellent results by Mayo elbow performance score were found in all patients, and all nonunions were united with good range of motion. (2) Neglecting lateral condyle fracture in children more than 28 months will reduce Mayo performance score to below 89 points. (3) Cases presenting with AVN pre-operatively can still have good results and remodeling potential with congruency of the joint.

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Section: Discussionmentioning

confidence: 99%

Should we repair nonunion of the lateral humeral condyle in children?

Eamsobhana

Kaewpornsawan

2015

International Orthopaedics (SICOT)

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“…Non-union of lateral condyle humerus fractures can cause progressive cubitus valgus deformity and has been reported to be the most common cause of TUNP 13 , 14 .…”

Section: Discussionmentioning

confidence: 99%

Cubitus Valgus with Tardy Ulnar Nerve Palsy – Functional Outcome of Milch Osteotomy without Anterior Transposition of Ulnar Nerve

et al. 2020

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Introduction: To assess the results of Milch osteotomy in terms of deformity correction and functional outcome in the absence of ulnar nerve transposition. Material and Methods: Nine patients with cubitus valgus deformity greater than 20° with tardy ulnar nerve palsy (TUNP) operated between 2012 and 2017 were evaluated. Correction by Milch osteotomy and fixation was done in each case, without osteosynthesis of the non-union lateral condyle humerus or transposition of the ulnar nerve. At one year post-operatively, carrying angle, elbow function (Mayo Elbow Performance Score) and ulnar nerve symptoms were assessed. Results: The mean carrying angle pre-operatively was 30.8° on the affected side which improved to a mean of 8.3° postoperatively with an average correction of 22.5°. The mean elbow flexion pre-operatively was 129.4° which improved to 133.3° post-operatively. The mean preoperative MEP score was 76.7 which improved to a mean of 92.2 post-operatively (p < 0.01). TUNP recovered completely in all the patients. Conclusion: Milch osteotomy is an effective procedure for cubitus valgus deformity correction and its associated tardy ulnar nerve palsy without a decrease in elbow ROM. Correction of even severe valgus deformities without concurrent anterior transposition of the ulnar nerve is likely to improve ulnar nerve symptoms.

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“…Recurrence of dislocation was not seen in our series. Cubitus valgus is the most observed complication after elbow dislocation; it is more often seen in dislocations associated with other injuries leading to growth disturbance around the elbow 21 . Hinged elbow external fixators can be used for old dislocations after extensive soft tissue release 22 .…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Paediatric Elbow Dislocations

Kaziz¹,

Naouar²,

Osman³

et al. 2016

MOJ

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Introduction: Elbow dislocations are uncommon in children. The treatment and outcomes remains controversial. Materials and methods: We report retrospectively the clinical and functional results of elbow dislocations in children treated in Sahloul University Hospital. Both isolated or pure dislocations and those associated with other injuries were evaluated separately.Results: Forty-eight children were selected based on inclusion criteria. All were unilateral injuries. Pure dislocations were observed in 19 cases, out of which according to the Robert’s criteria, 13 children (68%) had excellent, three (15%) good, two (10%) fair, and one (7%)poor outcome. Out of the 29 elbow dislocations associated with other injuries, 3 (10%) had excellent, 4 (13%) good, 8 (27%) fair and 14 (50%) poor result. Reviewing the functional results, better range of motion was found in elbows with pure dislocation compared to those with associated injuries.Conclusion: Prolonged follow-up and effective rehabilitation programs are required for good outcomes.

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The role of simple elbow dislocations in cubitus valgus development in children

Cited by 17 publications

References 18 publications

Should we repair nonunion of the lateral humeral condyle in children?

Should we repair nonunion of the lateral humeral condyle in children?

Cubitus Valgus with Tardy Ulnar Nerve Palsy – Functional Outcome of Milch Osteotomy without Anterior Transposition of Ulnar Nerve

Outcomes of Paediatric Elbow Dislocations

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