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Paediatric biepicondylar elbow fracture dislocation - a case report.
Mahendrakumar Meta1, David Miller
1Orthopaedic Registrar , Department of Orthopaedics, Royal Brisbane & Women Hospital, Butterfield Street, Herston 4029, QLD Australia. meta_orthouk@yahoo.co.uk.
Journal of Orthopaedic Surgery and Research
|October 19, 2010
Summary
This case report details a rare paediatric elbow fracture dislocation in a 13-year-old boy. Surgical intervention (Open Reduction and Internal Fixation) restored elbow stability and function.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Elbow Biomechanics
Background:
- Paediatric elbow biepicondylar fracture dislocations are exceptionally rare injuries.
- Literature is limited, primarily consisting of two independent case reviews.
Purpose of the Study:
- To report a case of a 13-year-old boy with a paediatric elbow biepicondylar fracture dislocation.
- To discuss the management and outcomes of this rare injury.
Main Methods:
- A 13-year-old male sustained an unstable elbow fracture dislocation after a fall on an outstretched hand.
- Initial management involved closed reduction, followed by delayed Open Reduction and Internal Fixation (ORIF) using K wires.
Main Results:
- The patient achieved a stable elbow at 14-week follow-up.
- Satisfactory functional recovery included full supination-pronation and a 0°-120° range of motion.
- Normal muscle strength was regained.
Conclusions:
- Paediatric elbow fracture dislocations necessitate operative treatment for stability restoration.
- Fixation methods, such as K wires or screws, should be tailored to fracture fragment characteristics.
