Rincón D, Guzmán R, Camacho J, Abril C

Language: Spanish
References: 11
Page: 369-373
PDF size: 242.52 Kb.

ABSTRACT

Traumatic elbow dislocation in the pediatric population is a particularly unusual injury. It was first described by Stimson in 1900 and almost 100 years later revisited by Tachdjian in 1990. Three percent of cases are associated with lateral epicondyle fracture, so this is an infrequent injury that has been described in only a few papers as case reports. The mechanism of injury is not clearly known, nor is the best type of treatment or its complications. We report herein the case of a five year-old girl with fracture dislocation of the lateral epicondyle who was managed with closed reduction and percutaneous fixation with Kirschner nails, with good functional results.

REFERENCES

1. Cheng PG, Chang WN, Wang MN: Posteromedial dislocation of the elbow with lateral condyle fracture in children. J Chin Med Assoc. 2009; 72(2): 103-7.

2. Kirkos JM, Beslikas TA, Papavasiliou VA: Posteromedial dislocation of the elbow with lateral condyle fracture in children. Clin Orthop Relat Res. 2003; (408): 232-6.

3. Lemme K, Lubicky JP, Zeni A, Riley E: Pediatric lateral condyle humeral fractures with and without associated elbow dislocations: a retrospective study. Am J Orthop (Belle Mead NJ). 2009; 38(9): 453-6.

4. Sabat D, Dabas V, Kumar V, Dhal A: Medial dislocation of elbow associated with a fracture of the lateral humeral condyle in a child with pre-existing cubitus varus. Journal of Clinical Orthopaedics & Trauma. 2011;(2): 54-6.

5. Cheng JC, Wing-Man K, Shen WY, Yurianto H, Xia G, Lau JT, et al: A new look at the sequential development of elbow-ossification centers in children. J Pediatr Orthop. 1998; 18(2): 161-7.

6. Skak SV, Olsen SD, Smaabrekke A: Deformity after fracture of the lateral humeral condyle in children. J Pediatr Orthop B. 2001; 10(2): 142-52.

7. Isaac SM, Danial I, Modi A: Isolated posterior elbow dislocation in a one-year-old child: a case report. Acta Orthop Belg. 2009; 75(1): 133-5.

8. RovinskyD, Ferguson C, Younis A, Otsuka NY: Pediatric elbow dislocation associated with a milch type I lateral condyle fracture of the humerus. J Orthop Trauma. 1999; 13(6): 458-60.

9. Pouliart N, De Boeck H: Posteromedial dislocation of the elbow with associated intraarticular entrapment of the lateral epicondyle. J Orthop Trauma. 2002; 16(1): 53-6.

10. Gani NU, Rather AQ, Mir BA, Halwai MA, Wani MM: Humeral biepicondylar fracture dislocation in a child: a case report and review of the literature. Cases J. 2008; 1(1): 163.

11. Eksioglu F, Uslu MM, Gudemez E, Cetik O: Medial elbow dislocation associated with a fracture of the lateral humeral condyle in a child. Orthopedics. 2008; 31(1): 93.