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Early Outcomes of Pediatric Elbow Dislocation-Risk Factors Associated With Morbidity

Robert F Murphy1, Carley Vuillermin, Manahil Naqvi

  • 1Boston Children's Hospital, Harvard Medical School, Boston, MA.

Journal of Pediatric Orthopedics
|November 5, 2015
PubMed

Insights

Pediatric ulnohumeral elbow dislocations often result in good functional outcomes. However, multiple fractures, surgery, and prolonged immobilization are linked to poorer results in children.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Musculoskeletal Research

Background:

  • Ulnohumeral elbow dislocation is a rare injury in the pediatric population.
  • This study investigates risk factors for poor functional outcomes in pediatric ulnohumeral elbow dislocations.

Purpose of the Study:

  • To identify risk factors associated with suboptimal functional outcomes in pediatric ulnohumeral elbow dislocations.
  • To analyze the impact of associated injuries and treatment modalities on functional recovery.

Main Methods:

  • Retrospective review of 145 pediatric ulnohumeral elbow dislocations over 7 years.
  • Analysis of demographics, injury characteristics, treatments, and complications.
  • Functional outcomes assessed using Roberts criteria at minimum 6-week follow-up.

Main Results:

  • 90% of cases achieved good or excellent functional outcomes.
  • Multiple fractures, operative intervention, and immobilization >2 weeks correlated with poorer outcomes.
  • Complications occurred in 11% of cases, significantly impacting functional results.

Conclusions:

  • Most pediatric ulnohumeral elbow dislocations have favorable outcomes.
  • Multiple fractures, surgery, and prolonged immobilization are key risk factors for diminished function.
  • Complications significantly affect functional outcomes, highlighting the need for careful management.
Abstract

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