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Radial head dislocations in children with below-elbow deficiencies.

G J Menio, S M Wenner

    The Journal of Hand Surgery
    |September 1, 1992
    PubMed
    Summary
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    Two-thirds of children with below-elbow limb deficiencies, congenital or acquired, also have radial head dislocations. This condition typically does not require surgery or prosthetic adjustments.

    Area of Science:

    • Pediatric Orthopedics
    • Congenital Limb Differences
    • Upper Extremity Anomalies

    Background:

    • Below-elbow limb deficiencies, whether congenital or acquired, are associated with other musculoskeletal abnormalities.
    • Radial head dislocation is a frequently observed concomitant condition in these patients.

    Purpose of the Study:

    • To investigate the incidence and characteristics of radial head dislocations in children with below-elbow deficiencies.
    • To determine the implications of radial head dislocation for surgical management and prosthetic fitting.

    Main Methods:

    • Review of pediatric cases with below-elbow limb deficiencies.
    • Analysis of the relationship between residual limb length and the direction of radial head dislocation.
    • Evaluation of the need for surgical intervention or prosthetic modification for these dislocations.

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    Main Results:

    • A high prevalence (two-thirds) of concomitant radial head dislocations was observed in children with below-elbow deficiencies.
    • The direction of radial head dislocation was found to be significantly influenced by the length of the residual limb.
    • Specific surgical treatment for the dislocation was rarely indicated, and prosthetic modifications were infrequently necessary.

    Conclusions:

    • Radial head dislocation is a common finding in children with below-elbow limb deficiencies.
    • The management of radial head dislocation in this population is generally conservative, with low requirements for surgical or prosthetic intervention.