Acute traumatic posterior elbow dislocation in children

Journal of Pediatric Orthopedics. Part B
Justus LieberHans-Joachim Kirschner

Abstract

Traumatic posterior dislocation of the elbow is often associated with significant morbidity and incomplete recovery. The aim of this study was to retrospectively analyse the outcome of 33 children (median age 10.8 years). Patients underwent reduction and assessment of stability under general anaesthesia. Pure dislocations (n=10) were immobilized, whereas unstable fractures (n=23) were stabilized. Refixation of ligaments was performed if stability was not achieved by fracture stabilization alone. Immobilization was continued for 26 (pure dislocations) or 35 days (associated injuries), respectively. Results were excellent (n=9) or good (n=1) after pure dislocation. Results were excellent (n=15), good (n=7) or poor (n=1) in children with associated injuries. Accurate diagnosis, concentric stable reduction of the elbow as well as stable osteosynthesis of displaced fractures are associated with good results in children with acute posterior elbow dislocations.

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Citations

Feb 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·R Kraus
Dec 18, 2013·International Orthopaedics·Müjdat AdaşMeltem Esenyel
Sep 27, 2014·The Journal of Hand Surgery·Tulgar Toros, Kemal Ozaksar
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Apr 24, 2018·The Journal of Emergency Medicine·Michael Gottlieb, Jessen Schiebout

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