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Annular ligament reconstruction in chronic posttraumatic radial head dislocation in children
1Department of Orthopaedic Surgery, Cleveland Clinic Florida, Ft. Lauderdale.
Insights
Pediatric traumatic radial head dislocation, often missed, can become chronic. Treatment options range from observation to surgery, with this review detailing indications, risks, and benefits.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Traumatic radial head dislocation in children is rare.
- Delayed diagnosis can lead to chronic radial head dislocation.
- Treatment strategies for chronic cases remain controversial.
Observation:
- This case report details the management of a pediatric patient with chronic radial head dislocation.
- A comprehensive literature review was conducted to analyze existing treatment modalities.
Findings:
- The review outlines specific indications for both conservative and surgical interventions.
- Potential risks and benefits associated with each treatment approach are discussed.
Implications:
- This work aims to guide clinicians in selecting appropriate treatment for chronic radial head dislocations in children.
- Understanding the risks and benefits can optimize patient outcomes and management strategies.
Abstract:
Traumatic radial head dislocation without an associated fracture is an unusual injury in children. Occasionally, the diagnosis is missed or the injury is not treated acutely, leading to chronic radial head dislocation. The recommended treatment has been controversial, ranging from benign neglect to surgical reconstruction. This case report and review of the literature describes treatment indications and options, as well as potential risks and benefits for conservative and surgical approaches.