1
|
Albayrak M. Simple lateral elbow dislocation: A case report. World J Surg Proced 2023; 13:7-13. [DOI: 10.5412/wjsp.v13.i2.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 07/19/2023] [Accepted: 08/08/2023] [Indexed: 09/27/2023] Open
Abstract
BACKGROUND Simple lateral elbow dislocation (SLED) is a rare type of elbow dislocation; however, its treatment may be complicated by accompanying soft tissue or neurovascular damage. Herein, we report a rare case of SLED managed secon-darily with open reduction and soft tissue repair following failure of closed reduction.
CASE SUMMARY A 67-year-old woman suffered SLED after falling on her outstretched left hand with her elbow extended. She developed pain, swelling, and movement restriction in the elbow; there were no neurovascular symptoms, except for numbness in the 4th and 5th digits. Radiologic investigation confirmed the SLED, and a closed reduction under anesthesia was performed. The follow-up radiographs at 1-wk revealed failure of reduction; accordingly, open reduction with lateral collateral ligament and common extensor origin repair were carried out. The patient regained full elbow range of motion by six weeks.
CONCLUSION Adequate concentric reduction for SLED, conservatively or surgically, reduces complications and provides a more functional joint.
Collapse
Affiliation(s)
- Mehmet Albayrak
- Department of Orthopaedics and Traumatology, Ozel Tekirdag Yasam Hospital, Tekirdag 59020, Turkey
| |
Collapse
|
2
|
Weng HK, Chang WL, Yeh ML, Su WR, Hsu KL. Irreducible Elbow Dislocation Associated with Hill-Sachs-like Lesion over the Capitellum. Clin Shoulder Elb 2019; 22:37-39. [PMID: 33330192 PMCID: PMC7713877 DOI: 10.5397/cise.2019.22.1.37] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 10/26/2018] [Accepted: 10/30/2018] [Indexed: 11/25/2022] Open
Abstract
Irreducible dislocation of the elbow is an uncommon event. We present the case of a posterolateral elbow dislocation after a fall injury in a 67-year-old woman. A closed reduction performed in the emergency department was unsuccessful since the limited passive range of motion resulted in difficulty to perform longitudinal traction and flexion. Computed tomography images showed that the posterolateral aspect of the capitellum was impacted by the tip of the coronoid process, thus appearing similar to the Hill–Sachs lesion in the humeral head. Subsequent open reduction of the elbow revealed the dislocation to be irreducible since the tip of the coronoid process had wedged into a triangular Hill–Sachs-like lesion in the capitellum. The joint was reduced by providing distal traction on the forearm, and main fragments were disengaged using digital pressure. At the 3-month follow-up, the patient reported no dislocations, and had an acceptable range of motion. Thus, we propose that to avoid iatrogenic injury to the joint or other nearby structures, irreducible dislocations should not be subjected to repeated manipulation.
Collapse
Affiliation(s)
- Hung-Kai Weng
- Department of Orthopedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Institute of Basic Medical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Division of Orthopedics, Department of Surgery, National Cheng Kung University Hospital Dou Liou Branch, College of Medicine, National Cheng Kung University, Yunlin, Taiwan
| | - Wei-Lun Chang
- Department of Orthopedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Division of Orthopedics, Department of Surgery, National Cheng Kung University Hospital Dou Liou Branch, College of Medicine, National Cheng Kung University, Yunlin, Taiwan
| | - Ming-Long Yeh
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Wei-Ren Su
- Department of Orthopedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Kai-Lan Hsu
- Department of Orthopedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.,Division of Traumatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| |
Collapse
|
3
|
Díaz Suárez R, Luengo Alonso G, Porras Moreno MÁ, Jiménez Díaz V, García Lamas L, Cecilia López N. Unusual case of complex fracture dislocation of the elbow. Strategies Trauma Limb Reconstr 2018:10.1007/s11751-018-0322-1. [PMID: 30421352 DOI: 10.1007/s11751-018-0322-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 11/01/2018] [Indexed: 11/30/2022] Open
Affiliation(s)
- Rebeca Díaz Suárez
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain.
| | - Gonzalo Luengo Alonso
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
| | - Miguel Ángel Porras Moreno
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
| | - Verónica Jiménez Díaz
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
- Departamento de Cirugía, Universidad Complutense, Madrid, Spain
| | - Lorena García Lamas
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
| | - Navidad Cecilia López
- Hospital Universitario 12 de Octubre, Servicio Cirugia Ortopedica Y Traumatologia, Planta 7 Residencia General Av Cordoba SN Km 5400, Madrid, Spain
- Hospital Universitario 12 de Octubre, Unidad Mano y Codo, Madrid, Spain
- Departamento de Cirugía, Universidad Complutense, Madrid, Spain
| |
Collapse
|