Paediatric transverse divergent dislocation of the elbow

Area of Science:

• Orthopedic Surgery
• Pediatric Traumatology
• Radiology

Background:

• Paediatric elbow dislocations represent 3-6% of all childhood elbow injuries.
• Divergent elbow dislocations, involving proximal radius and ulna divergence, are exceptionally rare.
• These injuries typically result from indirect trauma, such as a fall on an outstretched hand.

Observation:

• The case involved an 8-year-old boy with a transverse divergent elbow dislocation.
• The injury mechanism involved the distal humerus being forced between the proximal radius and ulna.
• Treatment consisted of closed reduction and cast immobilization.

Findings:

• The patient experienced a transverse divergent elbow dislocation.
• Closed reduction and cast immobilization were performed.
• At 6-month follow-up, full range of motion was regained without instability or pain.

Implications:

• This case highlights the successful management of a rare pediatric elbow injury.
• Closed reduction and casting can be an effective treatment for transverse divergent elbow dislocations.
• Prompt diagnosis and appropriate management are crucial for optimal outcomes in pediatric elbow trauma.