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Heterotopic Ossification Following Pediatric Elbow Dislocation: A Case Report
Henrique Mansur1, Roberto Luiz Bisol2, Daniel Augusto Maranho3
1Departamento de Ortopedia e Traumatologia, Hospital Santa Helena - Rede D'or e Hospital Regional do Gama, Distrito Federal, Brasil.
Pediatric elbow dislocations, though rare, can lead to heterotopic ossification, a bone growth complication. Surgical removal of this ossification can restore motion, but timing is crucial for optimal outcomes in children.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Musculoskeletal Trauma
Background:
- Elbow dislocations in children are uncommon and often associated with fractures.
- Complete elbow dislocations are rare and may indicate severe soft-tissue injury.
- Heterotopic ossification is a known complication that can impair joint mobility.
Purpose of the Study:
- To report a case of pediatric elbow dislocation without fracture but with brachialis muscle injury.
- To highlight the development and surgical management of heterotopic ossification post-dislocation.
- To discuss the treatment implications and timing for heterotopic ossification in pediatric elbow injuries.
Main Methods:
- Case report of an 11-year-old girl with an elbow dislocation.
- Non-operative management initially, followed by observation of heterotopic ossification.
- Surgical excision of heterotopic ossification via a direct lateral approach.
Main Results:
- The patient developed heterotopic ossification and loss of range of motion after closed reduction.
- Surgical excision of the heterotopic ossification resulted in an excellent functional outcome.
- The brachialis muscle showed partial distal disruption.
Conclusions:
- Heterotopic ossification is a potential complication of pediatric elbow dislocations.
- Surgical excision through a lateral approach is a viable treatment for functional limitation.
- Observation of ossification maturation is recommended before surgical intervention.
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