Une luxation antérieure du coude sans fracture péri-articulaire chez un adulte

Chbani, B.; Lahrach, K.; Amar, M.F.; Ibnlkadi, K.; Elmoubaker, S.; Bennani, Amal; Marzouki, A.; Boutayeb, F.

doi:10.1016/j.main.2012.04.009

Cited by 4 publications

(2 citation statements)

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“…In 10 of these cases the method of treatment was not given. In five cases the management was a closed reduction and immobilization between five days and three weeks [6][7][8][9]. The remaining cases report some form of soft tissue repair and stabilization, with ulno-humeral k-wiring used in three of the cases.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Anterior Elbow Dislocation Without Bony Injury

Fahey

Gaafar

Bossut

2021

Cureus

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While elbow dislocation is a common occurrence, the vast majority of them dislocate posteriorly and are due to disruption of the elbow stabilizers, which start on the lateral side and proceed medially, disrupting the anterior and posterior stabilizing structures. We present an unusual case of anterior elbow dislocation, with disruption of the medial stabilizing structures and anterior capsule, without any bony injury. A 44-year-old man presented to the ED after being assaulted. While the exact mechanism of injury was unclear, the patient believes he had been struck with a heavy object on the posterior aspect of his elbow. His dislocation was reduced in the ED, but was highly unstable after reduction. Further imaging revealed disruption of his medial collateral ligaments and common flexor origin. He went on to have an open repair of his medial structures with suture anchors. After six weeks of follow-up he was doing well, with no further episodes of instability and a good functional range of movement. Though rare, anterior elbow dislocations have been reported sporadically in the literature. Surgeons and ED doctors dealing with these injuries should be aware that the maneuvers to relocate the elbow will be different compared to the standard maneuvers used for posterior dislocations. Patients should be examined for stability after reduction, especially on valgus stressing. We would advocate for low threshold for performing an examination under anesthesia (EUA), with open repair of the stabilizing structures if persistently unstable after reduction.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Anterior Elbow Dislocation Without Bony Injury

Fahey

Gaafar

Bossut

2021

Cureus

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“…Fall on the back of the elbow with the joint in flexion dislocates it anteriorly. [11][12][13] The main pathological features are dislocation of humero-ulno-radial joint and stretching of posterior musculo-ligamentous structure and the capsule. 8,12 Most of the elbow dislocations can be reduced closely.…”

Section: Introductionmentioning

confidence: 99%

Irreducible Anterior Dislocation of the Elbow without associated Fracture

Gyawali

Pokharel²,

Pokharel³

2013

J Nepal Med Assoc

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Anterior dislocation of the elbow joint is a rare entity and is usually associated with injuries to surrounding bony and soft tissues. Simple dislocation of the joint is managed conservatively.An eight years old girl had traumatic anterior dislocation of the elbow joint with intact distal neurovascular status. X-rays showed no associated bony injury. Close reductions failed. Per operative findings showed no intra-articular fracture and the radial head was button holed into the anterior joint capsule. Reduction was achieved openly and maintained in a posterior slab for four weeks. Active and assisted mobilization started after removal of the slab. At ten month follow-up there was almost full range of movement of the joint._______________________________________________________________________________________Keywords: anterior dislocation; elbow; open reduction.

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