Elbow Dislocation with Ipsilateral Fracture both Bones Forearm in a Pediatric Age: A Rare Case Report
Volume 6 | Issue 2 | May-August 2020 | Page: 23-26 | Naveen Kumar Singh, Sunny Chaudhary, Nishat Setia, Prateek Girotra
Authors: Naveen Kumar Singh [1], Sunny Chaudhary [2], Nishat Setia [1], Prateek Girotra [1]
[1] Department of Orthopaedics, Hindurao Hospital,Delhi, India.
[2] Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India.
Address of Correspondence
Dr. Sunny Chaudhary,
Department of Orthopedics,AIIMS Rishikesh,India
E-mail: dr.sunny.ortho@gmail.com
Abstract
An elbow dislocation with ipsilateral fracture both bones forearm in a pediatric age group is a very rare injury. Although fracture both bones forearm alone in same age group is very common. These injuries in conjunction usually resulted from a high energy trauma and can be missed if clinician is not aware of such injuries so these injuries need to be addressed carefully. Success of functional outcome depends on concentric reduction of dislocated elbow with anatomical restoration of fractured both bones forearm. Here, we report a case of right-sided elbow dislocation with ipsilateral fracture of both bones forearm in a 11-year-old girl. In this case, closed reduction was performed for dislocated elbow in emergency department using reduction maneuver followed by closed reduction of both bones of forearm. Post-reduction neurovascular status of affected limb was checked and found to be uneventful. Active finger movements were present. Patient was followed-up for a period of 1 year. There was good clinical, radiological, and functional outcome. Previously, only two similar cases were reported and the last reported case had an additional finding of fracture lateral humeral condyle. Our case is an elbow dislocation with ipsilateral fracture both bones forearm in the pediatric age group and it was completely managed conservatively which makes our case-report unique in its presentation.
Keywords: Elbow dislocation; Both bone forearm fracture; Paediatric age.
References
1. Ramesh S, Lim YJ. Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: A rare combination. Strateg Trauma Limb Reconstr 2011;6:97-101.
2. Madhar M, Saidi H, Fikry T, Cermak K, Moungondo F, Schuind F. Dislocation of the elbow with ipsilateral forearm fracture. Six particular cases. Chir Main 2013;32:299-304.
3. Goni V, Behera P, Meena UK, Gopinathan N, Akkina N, Arjun RH. Elbow dislocation with ipsilateral diaphyseal forearm bone fracture: A rare injury report with literature review. Chin J Traumatol 2015;18:113-115.
4. Hung SC, Huang CK, Chiang CC, Chen TH, Chen WM, Lo WH. Monteggia Type I equivalent lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in an adult. Arch Orthop Trauma Surg 2003;123:311-313.
5. Frazier JL, Buschmann WR, Insler HP. Monteggia Type I equivalent lesion: Diaphyseal ulna and proximal radius fracture with a posterior elbow dislocation in a child. J Orthop Trauma 1991;5:373-375.
6. Kose O, Durakbasa MO, Islam NC. Posterolateral elbow dislocation with ipsilateral radial and ulnar diaphyseal fractures: A case report. J Orthop Surg (Hong Kong) 2008;16:122-123.
7. Rijal L, Kc KM, Sagar G. Elbow dislocation with ipsilateral radius and ulna fracture: Is it so common? Nepal Med Coll J 2012;14:163-164.
8. Ring D, Jupiter JB. Fracture-dislocation of the elbow. J Bone Joint Surg Am 1998;80:566-580.
9. Fleming FJ, Flavin R, Poynton AR. Elbow dislocation with ipsilateral open radial and ulnar diaphyseal fractures–a rare combination. Injury 2004;35:90-92.
10. Kumar P, Manjhi LB, Rajak RL. Open segmental fracture of both bone forearm and dislocation of ipsilateral elbow with extruded middle segment radius. Indian J Orthop 2013;47:307-309.
11. Bryce CD, Armstrong AD. Anatomy and biomechanics of the elbow. Orthop Clin North Am 2008;39:141-154.
| How to Cite this Article: Singh NK, Chaudhary S, Setia N, Girotra P | Elbow Dislocation with Ipsilateral Fracture both Bones Forearm in a Pediatric Age: A Rare Case Report | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 23-26. |
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