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Isolated Medial Dislocation of Elbow: A Case Report.
Kapil Mani Kc1, Ramesh Aryal1, Samir Acharya2
1Department of Orthopedics, Mercy City Hospital, Butwal, Rupandehi.
Isolated medial elbow dislocations are rare and often missed. Early identification and closed reduction in a 15-year-old boy resulted in near-normal elbow function after three months.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Posterior or posterolateral elbow dislocations are most common.
- Isolated medial and lateral elbow dislocations are exceptionally rare injuries.
- Medial elbow dislocations can present with subtle findings and minimal pain, leading to delayed diagnosis.
Observation:
- A 15-year-old male presented with an isolated medial elbow dislocation.
- The injury was initially overlooked due to subtle clinical signs.
- The patient underwent successful closed reduction and posterior slab application.
Findings:
- The isolated medial elbow dislocation was correctly identified and treated.
- Post-treatment, the patient exhibited nearly normal elbow flexion-extension and supination-pronation at three months.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Implications:
- Highlights the importance of recognizing uncommon elbow dislocations.
- Emphasizes the potential for good functional recovery with timely management.
- Suggests that subtle presentations of medial elbow dislocations require heightened clinical suspicion.
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