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Anterior dislocation of the radial head in children

T M Bucknill

    Proceedings of the Royal Society of Medicine
    |September 1, 1977
    PubMed

    Insights

    Unrecognized radial head dislocations in children often lead to disability. Surgical reduction and annular ligament reconstruction, using a triceps tendon graft, show promising results for these injuries.

    Area of Science:

    • Pediatric Orthopedics
    • Traumatology

    Background:

    • Unilateral isolated radial head dislocation is a rare injury in children.
    • Delayed diagnosis frequently leads to significant disability and joint instability.

    Purpose of the Study:

    • To review problems associated with pediatric radial head dislocations.
    • To evaluate surgical reduction and annular ligament reconstruction techniques.

    Main Methods:

    • Retrospective review of 28 children with unilateral isolated radial head dislocation.
    • Description of a modified annular ligament reconstruction using a triceps tendon strip.

    Main Results:

    • Failure to recognize the dislocation was common.
    • Surgical reduction was necessary due to deformity and instability.
    • Late reduction required annular ligament reconstruction.
    • Good outcomes were observed in a small cohort undergoing the modified reconstruction.

    Conclusions:

    • Early recognition and treatment of radial head dislocations are crucial in children.
    • Modified annular ligament reconstruction with triceps tendon may offer a viable surgical option for late cases.

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