Open elbow dislocation with distal ischemia: a therapeutic emergency

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
M BachyB Bachy

Abstract

We report the case of a 13-year-old boy with a traumatic elbow dislocation, open stage 2 (Cauchoix and Duparc), with distal ischemia. Exposure of the neurovascular humeral bundle through the wound accentutated the clinical emergency. This clinical observation consisted of elbow dislocation with all severity criteria: (i) opening of the skin, (ii) association with a fracture of the medial humeral epicondyle, and (iii) neurological deficit in the territory of the median nerve. The purpose of this report is to remind physicians that no investigation should delay surgery in elbow dislocation. Despite initial distal ischemia, no vascular exploration is required. Early reduction of the disloction is the key point of care.

References

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May 17, 2011·Journal of Vascular Surgery·Pavan BrahmamdamR James Valentine

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Citations

Feb 12, 2014·Clinical Orthopaedics and Related Research·Jorge G BorettoDavid Ring
May 3, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·R GauthéJ Lechevallier

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