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

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Chronic elbow dislocation, defined as an untreated traumatic dislocation for over three weeks, leads to significant joint instability, functional limitation, and pain.
• Management of neglected elbow dislocations poses challenges in restoring stability and range of motion.

Observation:

• A 34-year-old male presented with a complex elbow dislocation initially missed by emergency department diagnosis.
• The neglected dislocation was identified during a follow-up visit three weeks post-injury.

Findings:

• Successful closed reduction was performed for the neglected elbow dislocation.
• The patient achieved a full range of motion and a Mayo Elbow Performance Score of 90 post-reduction.

Implications:

• Accurate clinical and radiological diagnosis of elbow dislocations is crucial for timely and effective treatment.
• Prompt management of elbow dislocations can prevent long-term morbidity and improve patient outcomes.