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Related Experiment Videos

Convergent dislocation of the elbow

B L Gillingham1, J G Wright

  • 1Department of Orthopedics, Naval Medical Center, San Diego, CA 92134-5000, USA.

Clinical Orthopaedics and Related Research
|July 1, 1997
PubMed
Summary

Proximal radioulnar translocation is a rare elbow injury. Early diagnosis on radiographs is crucial for prompt treatment and full recovery.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Traumatology

Background:

  • Proximal radioulnar translocation is an exceptionally rare elbow injury, with only seven previous cases documented.
  • Delayed diagnosis can complicate management and affect patient outcomes.

Observation:

  • A case of a 6-year-old girl with a proximal radioulnar translocation that remained undiagnosed for over two weeks.
  • The injury presented with a lack of supination and a disrupted radiocapitellar relationship on initial radiographs.

Findings:

  • Definitive treatment involved open reduction and internal fixation using a radiocapitellar pin to stabilize the proximal radius.
  • At a 2-year follow-up, the patient experienced no symptoms and regained a nearly full range of motion, resuming all activities.

Implications:

  • Highlights the importance of recognizing subtle radiographic signs for early diagnosis of rare elbow dislocations.
  • Emphasizes that prompt diagnosis and appropriate surgical intervention can lead to excellent functional recovery in pediatric elbow injuries.
  • Contributes to the limited literature on proximal radioulnar translocation, particularly in the pediatric population.

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