Introduction Fractures of the proximal ulna group olecranon fractures, coronoid process fractures, and metaphyseal fractures. The most complex fractures, often associating these three fractures, are a formidable challenge for the surgeon. The objective of surgery is first to obtain bone union, but also to restore a stable joint, articular congruence, strength, and a satisfactory and painless arc of mobility. Displaced olecranon fracture in adults:
May 5, First decision: June 6, Revised: June 15, Article in press: June 28, Published online: July 18, Abstract Anterior transolecranon dislocation of the elbow is rarely observed in children, reported in only a small series.
The present case involves an anterior transolecranon dislocation of the left elbow joint in a 7-year-old child, which was surgically treated. Two attempts of closed reduction failed because the radial head had buttonholed via the joint capsule.
After its release, open reduction was easily performed; osteosynthesis of the olecranon was not performed. Remarkably, good result was obtained, despite a mild flexion deformity at the last follow-up. This case report aims to highlight this treatment method, which may be considered for such an uncommon injury.
Anterior transolecranon dislocation is rarely observed in children and rarely reported in the literature. This case shows that the management of this injury can be difficult, requiring surgery with or without osteosynthesis of the olecranon.
Anterior transolecranon dislocation of the elbow in a child: A case report and review of literature. Limited published recommendations for the management of these lesions in children are available. Closed reduction is possible in most elbow dislocations.
We report a rare case of irreducible anterior transolecranon fracture dislocation of the left elbow joint in a 7-year-old child who was surgically treated. The patient presented with severe pain, swelling, and deformity of the elbow, with functional disability of the left upper limb.
The neurovascular status of the limb was intact, range of motion was restricted by pain, and the fingers were mobile and sensitive. In addition, the radial pulse was palpable and equal to that of the contralateral side.
X-rays of the elbow revealed anterior and lateral transolecranon dislocation Figure 1. The child was transferred to the operating room and placed in the decubitus position, with his arm on a hand table. Closed reduction was attempted twice under general anesthesia and using an X-ray image intensifier.
Maneuver was conducted as recommended in a previous report by Winslow[ 2 ]; however, both attempts were unsuccessful. Therefore, the patient was surgically treated. A lateral approach to expose the elbow joint found that the olecranon and radial head were anteriorly dislocated, and the annular ligament was torn.
The closed reduction attempts failed because the radial head was buttonholed through the torn anterior capsule of the elbow joint. Subsequently, the radial head was released, and the joint was reduced under direct vision Figure 2.
Reduction was perfect, as verified by an X-ray image intensifier.The shoulder blade (scapula) is a triangular-shaped bone that is protected by a complex system of surrounding muscles.
Scapula fractures represent less than 1% of all broken bones and many of them can be treated without surgery. High-energy, blunt trauma injuries, such as those experienced in a. (SBQ12TR.9) A year-old male is involved in a motor vehicle accident and presents with the closed orthopedic injuries shown in Figures A and B.
He is also noted to have a grade 1 splenic laceration and lung contusion.
He is cleared by the trauma team, and undergoes early total care with reamed femoral and tibial nailing. Isolated olecranon fractures are the most common fractures of the proximal ulna and account for 10 % of upper extremity fractures.
The direct fall onto the elbow is the main injury pattern [1, 2].Surgical treatment depends on the grade of fracture dislocation and the number of bony fragments .Tension-band wiring (TBW) is a well-established fixation technique for two-part, transverse fracture.
If operative treatment is postponded because of severe swelling, traumatized, contused skin, or the patient’s overall condition, displaced supracondylar fractures side arm or overhead olecranon pin traction until operative treatment can be performed.
th ier za E ity o Injury, Int. J. Care Injured 41 () – he rly udy and and Contents lists available at ScienceDirect Inju journa l homepage: www.e l Introduction. Abstract. Objective: To compare and discuss the clinical effect and biomechanics between locking compression plate and interlocking intramedullary nail for treatment of humerus shaft fracture.
Methods: cases of patients with humerus shaft fracture were selected and divided into the locking compression plate group (LCP group) with 58 patients and the interlocking intramedullary nail group.