Chronically Unreduced Posterior Dislocation of the Elbow
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2014, Vol 16, Issue 2
Abstract
Background. Chronically unreduced posterior dislocation of the elbow is a complex and difficult problem for the surgeon and its treatment significantly influences future functional performance of the patient. There are few reports in the literature regarding chronically unreduced dislocations, and most of them are based on observations of individual patients.Material and methods. A total of 9 patients with chronically unreduced posterior dislocations of the elbow were treated in the Department of Orthopaedics and Traumatology between 2004 and 2012. The mean time between injury and reduction was 5.6 weeks. Eight of the patients had a concomitant fracture of the radial head, 5 had a fracture of the coronoid process, and 8 demonstrated significant damage to the lateral collateral ligament complex. All patients were qualified for surgical reduction of the dislocation, and then, after a maximum of 2 weeks of immobilization in a plaster cast, the patients were referred for intensive physiotherapy. Stability, range of motion and elbow function according to the MEPI score were evaluated during follow-up visits.Results. Elbow instability did not occur in any of the patients during the follow-up. Complications in our patients included a posttraumatic contracture of the elbow, periarticular ossifications and loosening of the radial head endoprosthesis.Conclusions. Recommendations for the management of these difficult cases are formulated.
Authors and Affiliations
Magdalena Pieniężna-Ćwirko, Mariusz Urban, Piotr Zakrzewski, Stanisław Pomianowski
Keywords
Related Articles
- EP ID EP57394
- DOI -
- Views 92
- Downloads 0
Diastematomyelia – a diagnostic and therapeutic problem. Case report.
Summary 1. Introduction. Diastematomyelia is a type of dysraphism with a double or bifid spinal cord divided by an osseous septum. This defect often co-occurs with other developmental disorders of the skull or the atlant...
Chronic Recurrent Multifocal Osteomyelitis (CRMO) in Children – Single-centre Clinical Observations and Experience
Background. CRMO is characterized by chronic bone pain of recurrent nature. The onset is usually at the beginning of the second decade of life. Bony lesions may be visible on radiographs, although sometime...
Treatment of excessive bone loss from both crus bones with internal bone transport using an intramedullary nail – case report.
We present a case report of a 16-year-old patient who suffered multisite and multiorgan injuries following a road accident. The most prominent musculoskeletal problem was a bilateral crush injury of the crus in combinati...
Operacyjne leczenie stawowych złamań kości piętowej
Wprowadzenie: poważnie przemieszczone złamania kości piętowej były leczone operacyjnie płytą i śrubami już na początku XX wieku przez Lerichea (lata 20te) i Judeta (lata 50te), jednak dopiero w latach 80tych upowszechnił...
The effect of the therapeutic approach on the course of Perthes' disease and its outcome: Conservative vs. surgical treatment
Background. The aim of our study was to compare the outcome of Perthes' disease in children treated conservatively or surgically, and to attempt to answer the question as to whether surgery shortens the duration of the d...