Unreduced isolated radial head dislocation in a child: a case report

Area of Science:

• Pediatric Orthopedics
• Traumatology
• Pediatric Musculoskeletal Disorders

Background:

• This case report details a pediatric patient with an isolated traumatic radial head dislocation, a rare injury.
• The dislocation was initially missed, leading to a delayed diagnosis 15 days post-injury.

Discussion:

• Delayed diagnosis of radial head dislocation can complicate treatment and outcomes.
• This case highlights the importance of thorough clinical examination in pediatric elbow injuries.
• Management involved open reduction and annular ligament repair, indicating the complexity of late-presenting dislocations.

Key Insights:

• Isolated traumatic radial head dislocation in children can occur without associated fractures.
• Prompt diagnosis is crucial for optimal outcomes in pediatric elbow trauma.
• Surgical intervention, including ligamentous repair and fixation, may be necessary for delayed presentations.

Outlook:

• Further research into the long-term outcomes of surgically managed delayed radial head dislocations in children is warranted.
• Improved diagnostic protocols for pediatric elbow injuries could prevent missed diagnoses.
• Understanding the biomechanics of these injuries may lead to refined treatment strategies.