Radial head dislocation with acute plastic bowing of the ulna.
Five radial head dislocations with acute plastic bowing of the ulna in patients aged 6-12 years were reviewed. Closed reduction was successful in two, and open reduction was required in three patients in whom treatment was started more than 2 weeks after injury. In one child who presented 2 months after injury, realignment by osteotomy of the ulna as well as open reduction of the radial head was necessary. Follow-up evaluations at 6-24 months revealed good clinical outcomes in all patients. Awareness of this type of radial head dislocation is important to avoid delays in diagnosis and treatment.
Sai
Shigaku
S
Department of Orthopaedic Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
Fujii
Katsuyuki
K
Chino
Hiroyuki
H
Inoue
Junichi
J
D000058:Accidental Falls; D002648:Child; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D008297:Male; D011884:Radius / Q000503:physiopathology* / Q000601:surgery; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D014457:Ulna / Q000503:physiopathology* / Q000601:surgery