Untreated posterior dislocation of the elbow in children.

Fowles, J. V.; Kassab, M T; Douik, M.

doi:10.2106/00004623-198466060-00013

Cited by 59 publications

(36 citation statements)

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“…13,14 For cases presenting after 3 months, total elbow arthroplasty, excisional arthroplasty, or arthrodesis are recommended. 15,16 Neither patient age nor the duration of dislocation affects the result. 2 Open reduction enables restoration of a useful range of motion.…”

Section: Resultsmentioning

confidence: 99%

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Kapukaya

Uçar

Gem

2013

J Orthop Surg (Hong Kong)

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purpose. To evaluate outcome of open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations. Methods. Records of 6 women and 14 men aged 7 to 60 (mean, 20) years who underwent open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations were reviewed. The dislocations were posterolateral (n=11), posterior (n=4), and posteromedial (n=5). No patient had a neurologic deficit. Elbow stiffness was the main indication for surgery. The duration of dislocation was 25 to 45 days in 11 patients and >45 days in 9; the mean was 47 days. The Mayo Elbow Performance Index (MEPI) was used to assess outcome at the final follow-up. The maximum score was 100. Scores of 90 to 100 were considered excellent, 75 to 89 good, 60 to 74 fair, and <60 poor. results. The mean follow-up period was 39.1 months. At the final follow-up, the mean MEPI score was 79.3; outcome was excellent in 6 patients, good in 8, fair in Open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations 4, and poor in 2. The mean MEPI was 86.4 and 70.6 for patients with ≤45 and >45 days of dislocation, respectively. The mean range of movement improved from 20º to 84.5º (p<0.001). The 2 groups were significantly different in terms of MEPI (p=0.005) and range of movement (p=0.001). The MEPI correlated negatively with the duration of dislocation (r= -0.562, p=0.01). The range of movement correlated negatively with patient age (r= -0.649, p=0.002). conclusion. Open reduction and Kirschner wire fixation with triceps lengthening, together with active postoperative elbow movements achieved favourable results for neglected elbow dislocations, especially in younger patients and those in whom the duration of dislocation was <45 days.

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Section: Resultsmentioning

confidence: 99%

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Kapukaya

Uçar

Gem

2013

J Orthop Surg (Hong Kong)

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“…Most authors advise open reduction from 3 weeks to 3 months, total elbow replacement, excisional arthroplasty and arthrodesis is recommended thereafter [1,5,6] . Arthrodesis is reserved for heavy workers and arthroplasty for good ROM.…”

Section: Discussionmentioning

confidence: 99%

“…These patients present late with very little range of motion of elbow for activity of daily living and hence their treatment becomes mandatory of any future functional requirement [2,4] . The time since injury and age of patient determine mode of treatment [3,5] . Most authors recommend open reduction for late presenting cases upto 3 months after injury [1,6,7] .…”

Section: Introductionmentioning

confidence: 99%

Neglected old posterior dislocation of elbow: Treatment and results of open reduction

Kachnerkar¹,

Lakde²,

Salokhe³

2017

Int. J. Orthop. Sci.

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Neglected old dislocations of elbow are found only in developing countries in significant numbers and there is very less literature of this condition from developed countries. It is a huge challenge for orthopaedic surgeons in developing countries as even after treatment it is difficult to achieve full range of motion and function in a neglected case. In this article we report treatment and results of one of the largest series of 15 cases on neglected posterior elbow dislocation. Our management protocol was opening joint through posterior approach and using Speed Technique doing a V-Y plasty for tricep and most of times fixing reduced joint by 2 diverging k wires. At one year follow up

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“…Buna rağmen manipülasyon denenirse eklem yüzeyi hasarı veya kemik kırığı oluşabilir. Çoğu otorite 3 aya kadar dirsek redüksiyonu için açık redüksiyon önermektedir (3,4). Günlük hayattaki çoğu aktivite 1000 fleksiyon arkı ve 1000 supinasyon -pronasyon arkı ile yapılabilmektedir.…”

Section: Discussionunclassified

Kırık Fragmanı Eklem İçinde Olan Medial Epikondil Kırığıyla Birlikte İhmal Edilmiş Pediatrik Dirsek Çıkığı: Olgu Sunumu

Er¹,

Yücehan²,

Eroglu³

et al. 2016

Kocatepe Tıp Dergisi

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ÖZTravmatik dirsek çıkığı çocuklarda nadirdir ve zamanın-da tanı konulduğunda tedavi etmek genellikle kolaydır. Ancak tanı, yaralanmadan 3 hafta ve sonrasında tanı konulmuş ve dirsek çıkığına medial epikondil kırığı da eşlik ediyor ise tedavi daha karmaşık hale gelebilir. Biz burada medial epikondil kırığının eşlik ettiği ve kırık fragmanının eklem içinde olduğu, tedavisi gecikmiş dirsek çıkığı olan 13 yaşındaki bir hastamızı sunmaktayız. Dirsek çıkığı ve medial epikondil kırığı açık redükte edildi ve kırık fragman Kirschner telleri ile tespit edildi. Hasta fizik tedavi programı ile takip edildi. Sonuçta kabul edilebilir sınırlar-da dirsek fonksiyonu elde edildi.Anahtar Kelimeler: İhmal edilmiş; dirsek çıkığı; pediatrik ABSTRACTTraumatic dislocation of the elbow is rare in children and it's generally easy to treat when diagnosed in time. However, if it is diagnosed three weeks or more after the injury and the dislocation is complicated with the avulsion fracture of the medial epicondyle, treatment is more difficult. We report a 13 year-old patient with an unusual case of neglected elbow dislocation with medial epicondyle fracture that was entrapped into the elbow joint. Open reduction of elbow dislocation and internal fixation of medial epicondyle fracture was performed. After physical therapy programme, eventually elbow function was restored to acceptable ranges.

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Untreated posterior dislocation of the elbow in children.

Cited by 59 publications

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Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Neglected old posterior dislocation of elbow: Treatment and results of open reduction

Kırık Fragmanı Eklem İçinde Olan Medial Epikondil Kırığıyla Birlikte İhmal Edilmiş Pediatrik Dirsek Çıkığı: Olgu Sunumu

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