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Perched Anteromedial Radial Head Dislocation
Allison Rao1, Edward Wu1, Jonathan Braman1
1Department of Orthopedic Surgery, University of Minnesota Medical School, Minneapolis, MN.
Journal of Hand Surgery Global Online
|June 16, 2023
Summary
A rare perched anteromedial radial head dislocation, not previously reported, was successfully treated with closed reduction. This case highlights the challenges of closed reduction for elbow injuries and the need for surgical preparedness.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Radial head dislocations are common elbow injuries.
- Perched radial head dislocations are rare, with anteromedial variants undocumented.
- This study addresses a unique case of perched anteromedial radial head dislocation.
Observation:
- A patient presented with an isolated radial head dislocation.
- The dislocation was perched specifically on the coronoid process.
- Radiographic images confirmed the rare injury pattern without associated coronoid fracture or complete elbow dislocation.
Findings:
- The case represents the first reported instance of perched anteromedial radial head dislocation.
- Successful closed reduction was achieved, restoring full range of motion and function.
- This contrasts with previously reported literature, which lacks documentation of this specific injury or its non-operative management.
Implications:
- Closed reduction of such injuries can be challenging, even under anesthesia.
- Surgical settings should allow for conversion to open reduction if closed methods fail.
- This case expands the understanding of radial head dislocation injury patterns and treatment outcomes.
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