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Pure elbow dislocation in the paediatric age group.

Hakan Sofu1, Sarper Gursu2, Yalkin Camurcu3

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Non-surgical treatment of acute traumatic pure elbow dislocations in children yields favorable outcomes. This approach, involving closed reduction and splinting, demonstrates good functional recovery and stability in pediatric patients.

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Area of Science:

  • Orthopedics
  • Pediatric Traumatology

Background:

  • Acute traumatic pure elbow dislocations are rare in children.
  • Non-surgical management is a viable option for pediatric elbow dislocations.

Purpose of the Study:

  • To evaluate clinical outcomes and prognosis of non-surgically treated pure elbow dislocations in children.
  • To assess the effectiveness of closed reduction and splinting in pediatric elbow dislocations.

Main Methods:

  • Retrospective evaluation of acute traumatic pure elbow dislocations in children (median age 8 years) treated non-surgically.
  • Follow-up averaged 46 months, assessing range of motion (ROM), stability, neurovascular status, and functional scores (MEPS).

Main Results:

  • Mean flexion-extension ROM was 119.5 degrees; mean pronation/supination were 67/79 degrees.
  • Excellent or good clinical outcomes (MEPS score avg. 91.6) were achieved in 11 out of 12 patients.
  • Four cases showed moderate instability; no significant neurovascular complications were reported.

Conclusions:

  • Acute traumatic pure elbow dislocation in children is a rare emergency.
  • Non-surgical treatment, including closed reduction, splinting, and rehabilitation, is safe and effective.
  • This conservative approach leads to good functional recovery and stability in pediatric patients.