Tag Archive for: Child

Neglected Convergent Elbow Dislocation in a Paediatric Patient: A Case Report

Case Report | Volume 11 | Issue 3 | September-December 2025 | Page: 20-23 | Vivek Singh, Rahul Baishya, Rahul Mishra, Manish Kumar Shah, Dhaval Patel, Aditya K.S. Gowda

DOI- https://doi.org/10.13107/ijpo.2025.v11.i03.248

Open Access License: CC BY-NC 4.0

Copyright Statement: Copyright © 2025; The Author(s).

Submitted: 21/09/2025; Reviewed: 14/10/2025; Accepted: 10/11/2025; Published: 10/12/2025

Authors: Vivek Singh MS Ortho [1], Rahul Baishya MS Ortho [1], Rahul Mishra MS Ortho [1], Manish Kumar Shah MBBS [1], Dhaval Patel MBBS [1], Aditya K.S. Gowda MS Ortho [1]

[1] Department of Orthopedics, Paediatric Orthopaedics Unit, AIIMS, Rishikesh, Uttarakhand, India.

Address of Correspondence
Dr. Aditya K.S. Gowda,
Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India, 249203
E-mail: adityajr.orth@aiimsrishikesh.edu.in

Abstract

Background: Convergent elbow dislocation is a rare paediatric injury with medial translocation of both radius and ulna. Subtle radiographic signs lead to missed diagnoses and delayed treatment.
Case presentation: We evaluated an 11-year-old girl with persistent restriction of forearm rotation and ulnar-nerve symptoms two months after a “simple” elbow dislocation that underwent a closed reduction. The diagnostic work-up included targeted review of the radiographs and non-contrast computerized tomography (CT). Operative management was performed through a posterior approach to the elbow with release of the scar tissue, ulnar-nerve decompression, open reduction, and Kirschner wire (K-wire) stabilization of the radiocapitellar joint.
Results: Pre-operative imaging confirmed convergent radioulnar translocation and anterior calcification (“radial horn”). After K-wire removal and rehabilitation, the patient achieved functional pronation–supination and resolution of ulnar neuropathy. At 24 months follow-up, radiographs showed maintained reduction and a stable, painless elbow with symmetric range of motion.
Conclusions: In the management of trauma to the elbow in children, post-reduction restriction of forearm rotation should raise the suspicion of rare injury patterns such as convergent radioulnar dislocation. In case of delayed presentation, prompt recognition and comprehensive soft-tissue release with nerve decompression can yield excellent function.
Keywords: Elbow dislocation, Convergent dislocation, Child, Ulnar neuropathy, Open reduction.

References

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How to Cite this Article:  Singh V, Baishya R, Mishra R, Shah MK, Patel D, Gowda AKS. Neglected Convergent Elbow Dislocation in a Paediatric Patient: A Case Report. International Journal of Paediatric Orthopaedics. September-December 2025; 11(3): 20-23.

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Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Volume 9 | Issue 1 | January-April 2023 | Page: 21-25 | Abdus Sami, Anil Agarwal, Lokesh Sharma., Yogesh Patel, Varun Garg 

DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.151

Authors: Abdus Sami [1]  MS Orth., Anil Agarwal [1] MS Orth., Lokesh Sharma [1] MS Orth., Yogesh Patel [1] MS Orth., Varun Garg [1] MS Orth.

[1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence

Dr. Anil Agarwal,
Specialist, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
E-mail: anilrachna@gmail.com

Abstract

Purpose: We assessed the functional and radiological outcomes of children with sequelae of bilateral septic hips. Additionally, we attempted to determine the impact of radiological unstable hips on clinical functionality of the child.
Material and methods: The retrospective case series included 9 children minimum 2 years post infection. The functional outcomes were assessed using Lower Extremity Function Score (LEFS) and Children Health Assessment Questionnaire (CHAQ). Follow up hip radiographs were classified according to the Choi’s classification. We labelled the patient as having instability if either hip had a Choi type >3A.
Results: The mean age at final follow-up was 7.6 years. Five patients had multiple joints affection. The mean LEFS score was 62.7 and CHAQ-DI 0.2. The mean LEFS values for radiological stable hips (n= 5 patients) was 66 ± 19.4 and 58.5 ± 15.3 for unstable hips (p=0.5487) while corresponding CHAQ-DI scores were 0.12 ± 0.13 and 0.27 ± 0.12 respectively (p=0.1098) indicating poor relatability between functional capabilities of the child and the radiological appearances of the hips. A strong negative correlation however existed between LEFS/ CHAQ-DI values (R= -0.897; p=0.001).
Conclusions: Septic hip sequelae in children leads to various degrees of functional limitations and patients with multiple joint involvement have worse outcomes. The hip radiological findings do not relate with the overall functional status of the child.
Keywords: Functional outcome, Disability, Hip, Sepsis, Child

References

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How to Cite this Article: Sami A, Agarwal A, Sharma L, Patel Y, Garg V | Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip | International Journal of Paediatric Orthopaedics| January-April 2023; 9(1): 21-25 | https://doi.org/10.13107/ijpo.2023.v09.i01.151

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