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Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: a single centre

G Nussberger1, S Schädelin2, J Mayr3

  • 1University Children's Hospital Basel, Basel, Switzerland.

Journal of Children'S Orthopaedics
|May 1, 2018
PubMed

Insights

Functional outcomes for pediatric traumatic elbow dislocations (TED) are excellent regardless of surgical or non-surgical treatment. Nonoperative management is recommended when clear surgical indications are absent, ensuring good functional recovery.

Area of Science:

  • Pediatric Orthopedics
  • Musculoskeletal Injuries
  • Traumatology

Background:

  • Traumatic elbow dislocation (TED) is a common pediatric joint injury.
  • Optimal treatment strategies for pediatric TED remain debated.
  • Assessing functional outcomes is crucial for guiding treatment decisions.

Purpose of the Study:

  • To compare the functional outcomes of operative versus nonoperative treatment for traumatic elbow dislocations in children.
  • To evaluate the long-term functional results based on treatment approach.

Main Methods:

  • Retrospective comparative study analyzing medical records of pediatric TED patients.
  • Functional outcomes assessed using Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module.
  • Comparison of scores between nonoperatively and operatively treated groups.

Main Results:

  • 37 pediatric patients with TED were included (21 nonoperative, 16 operative).
  • No significant difference in MEPS or QuickDASH scores between groups at mean 5.6-year follow-up.
  • Similar long-term functional outcomes observed for TED with medial epicondyle/condyle fractures, regardless of surgical intervention.

Conclusions:

  • Excellent functional outcomes are achievable for pediatric traumatic elbow dislocations irrespective of treatment strategy.
  • Nonoperative management should be considered in the absence of clear surgical indications.
  • Treatment choice does not significantly impact long-term functional results.
Abstract

Keywords:
Elbow dislocationQuickDASH Sport and Music Modulechildelbow functionmedial epicondyle avulsionoutcome

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