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Neglected posterior dislocation of elbow: A review
Chandra Prakash Pal1, Vivek Mittal1, Karuna Shankar Dinkar1
1Department of Orthopaedics, 5 th Floor, New Surgery Building, Sarojini Naidu Medical College, Agra, 282001, Uttar Pradesh, India.
Journal of Clinical Orthopaedics and Trauma
|May 17, 2021
Summary
Neglected posterior elbow dislocations, often posterolateral, present significant challenges in developing nations. Surgical treatment aims to restore a stable, mobile, and pain-free elbow, though it requires extensive rehabilitation.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Neglected posterior elbow dislocation, defined as untreated for ≥3 weeks, is prevalent in developing countries.
- Posterolateral type accounts for ~90% of cases, causing deformity, stiffness, pain, and functional limitation.
Purpose of the Study:
- To review the literature on neglected posterior elbow dislocations.
- To present expert views on prognosis and recommended surgical techniques for this challenging condition.
Main Methods:
- Literature review of neglected posterior elbow dislocations.
- Analysis of diagnostic modalities including radiography, CT, and MRI.
- Discussion of surgical treatment challenges and goals.
Main Results:
- Diagnosis is typically radiographic, with advanced imaging aiding surgical planning.
- Treatment is complex due to soft tissue contractures, ligamentous issues, and potential complications like nerve injury and myositis ossificans.
- Long-term physiotherapy is crucial for optimal outcomes.
Conclusions:
- Surgical goals include achieving a painless, stable, and mobile elbow with joint congruity.
- Effective management requires addressing significant post-traumatic changes and patient compliance.
