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Iatrogenic radial neck fracture on closed reduction of elbow dislocation

Published online by Cambridge University Press:  04 March 2015

Prasad Ellanti  and
Dermot O'Farrell
Prasad Ellanti*
Affiliation:
Department of Trauma and Orthopaedic Surgery, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland
Dermot O'Farrell
Affiliation:
Department of Trauma and Orthopaedic Surgery, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland
*
Department of Trauma and Orthopaedic Surgery, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland; [email protected].

Abstract

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Traumatic dislocation of the elbow is rare in children and can most often be managed in the emergency department using procedural sedation and closed reduction with good functional outcome. Radiographs must be evaluated for associated avulsions and fractures around the elbow. We present the case of a 14-year-old girl who sustained a fracture of the radial neck subsequent to repeated attempts at closed reduction of a pure posterior elbow dislocation that was missed on postreduction radiographs. Careful use of reduction techniques and avoidance of repeated forceful manipulations is emphasized.

Keywords

closed reductionelbow dislocationiatrogenicradial neck fracture
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 6 , November 2013 , pp. 389 - 391
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

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