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[Elbow dislocation in childhood. Long-term observational study].

G Frongia1, P Günther, P Romero

  • 1Sektion Kinderchirurgie, Chirurgische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, Heidelberg, Germany. giovanni.frongia@gmail.com

Der Unfallchirurg
|September 24, 2010
PubMed
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Pediatric elbow dislocations, though rare, typically heal well in children. Most cases show good to excellent outcomes with minimal long-term functional deficits, even with associated fractures.

Area of Science:

  • Orthopedics
  • Pediatric Traumatology
  • Sports Medicine

Background:

  • Traumatic elbow dislocation is an uncommon injury in children, representing 3-6% of all elbow injuries.
  • Limited literature exists on the long-term outcomes of childhood elbow dislocations.

Purpose of the Study:

  • To evaluate the clinical outcomes and functional recovery in children treated for acute traumatic elbow dislocation.
  • To assess the impact of concomitant fractures on the prognosis of pediatric elbow dislocations.

Main Methods:

  • Retrospective study of 33 children treated for acute traumatic elbow dislocation between 2001 and 2008.
  • Clinical examination and Mayo Elbow Performance Score assessment after an average follow-up of 4.5 years.
  • Analysis of injury patterns, including dislocation type, associated fractures, and treatment interventions.

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Main Results:

  • 61% of patients were clinically examined post-treatment.
  • No joint instabilities were observed, and only minor limitations in range of motion were noted.
  • Mayo elbow performance scores were good to excellent for all evaluated children, irrespective of associated fractures.

Conclusions:

  • Pediatric traumatic elbow dislocations generally have favorable outcomes with minimal long-term functional limitations.
  • Associated fractures do not appear to significantly worsen the functional prognosis after elbow dislocation in children.
  • Recurrence rates are low, and joint stability is typically maintained post-treatment.