Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-26T07:08:49.728Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

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

REFERENCES

1. Wilkins, KE. Fractures and dislocations of the elbow region. In: Rockwood, CA, Wilkins, KE, King, RE, editors. Fractures in children. 4th ed. Vol 3. Philadelphia: Lippincott-Raven, 1996. p. 653–887.Google Scholar
2. Lansinger, O, Karlsson, J, Körner, L, et al. Dislocation of the elbow joint. Arch Orthop Trauma Surg 1984;102:183–6, doi:10.1007/BF00575230.CrossRefGoogle ScholarPubMed
3. Parvin, RW. Closed reduction of common shoulder and elbow dislocations without anesthesia. AMA Arch Surg 1957; 75:972–5, doi:10.1001/archsurg.1957.01280180104014.CrossRefGoogle ScholarPubMed
4. Cohen, MS, Hastings, H II. Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg 1998;6:15–23.CrossRefGoogle ScholarPubMed
5. Fowles, JV, Slimane, N, Kassab, MT. Elbow dislocation with avulsion of the medial humeral epicondyle. J Bone Joint Surg Br 1990;72–B:102–4.CrossRefGoogle ScholarPubMed
6. Broberg, MA, Morrey, BF. Results of treatment of fracture dislocations of the elbow. Clin Orthop 1987;216:109–19.CrossRefGoogle Scholar
7. Ward, WT, Williams, JJ. Radial neck fracture complicating closed reduction of a posterior elbow dislocation in a child: case report. J Trauma 1991;31:1686–8, doi:10.1097/00005373-199112000-00020.CrossRefGoogle Scholar
8. Jeffery, CC. Fractures of the neck of the radius in children. Mechanism of causation. J Bone Joint Surg Br 1972;54:717–9.CrossRefGoogle ScholarPubMed
9. Henrikson, B. Isolated fractures of the proximal end of the radius in children: epidemiology, treatment and prognosis. Acta Orthop Scand 1969;40:246–60, doi:10.3109/17453676908989505.CrossRefGoogle ScholarPubMed
10. Brodeur, AE, Silberstein, JJ, Graviss, ER. Radiology of the pediatric elbow. Boston: GK Hall; 1981.Google Scholar
11. Steinberg, EL, Golomb, D, Salama, R, et al. Radial head and neck fractures in children. J Pediatr Orthop 1988;8:35–40, doi:10.1097/01241398-198801000-00009.CrossRefGoogle ScholarPubMed
12. Navali, AM, Sadigi, A. Displaced fracture of the neck of the radius with complete 180 degrees rotation of the radial head during closed reduction. J Hand Surg [Br] 2006;31:689–91, doi:10.1016/j.jhsb.2006.04.020.CrossRefGoogle ScholarPubMed
13. Sheps, DM, Hildebrand, KA, Boorman, RS. Simple dislocations of the elbow: evaluation and treatment. Hand Clin 2004;20:389–404, doi:10.1016/j.hcl.2004.07.002.CrossRefGoogle ScholarPubMed