A Case of "Subtle" Missed Complex Elbow Dislocation - Learning from Mistakes Made on Plain Radiography

Chronic elbow dislocation is a profoundly debilitating condition characterized by severe instability, limited elbow function, and significant pain. The term "neglected dislocation of the elbow" refers to a traumatic elbow dislocation that has gone untreated for three weeks or longer. Successfully treating this condition presents a challenge, as it involves restoring elbow stability and achieving a decent range of motion, which can be particularly complex.

We present a case involving a 34-year-old male patient who experienced a complex dislocation of his right elbow joint. Initial diagnosis at our emergency department missed the elbow dislocation, but a follow-up visit three weeks later revealed the true extent of the injury. Fortunately, successful closed reduction resulted in the patient regaining full range of motion, with a Mayo Elbow Performance Score of 90.

This case report serves to underscore the essential nature of accurate diagnosis and treatment of elbow dislocations, both clinically and radiologically, to prevent future complications.