[Elbow dislocation in children associated with proximal radioulnar translocation].
We report a unique case of posterior elbow dislocation with proximal radioulnar translocation in a six-year-old child with 3D reconstruction CT images. Five other cases of this type of association have been reported in the literature. Diagnosis is often established late. Our case illustrates the diagnostic and therapeutic difficulties. The CT scan demonstrated the presence of the proximal radioulnar translocation and contributed greatly to understanding the pathogenic mechanism: the radius crossed over the ulna anteriorly. The CT-scan can reveal associated lesions missed on the plain x-rays. Surgical reduction is generally needed, preferably via a medial approach.
Wodecki
P
P
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de Longjumeau, 159 rue du Président-François-Mitterrand, BP 125, 91161 Longjumeau Cedex 01. philippe.wodecki@ch-longjumeau.fr
Maiza
D
D
Rozenblum
B
B
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006811:Humerus / Q000293:injuries*; D017746:Joint Capsule / Q000293:injuries; D004204:Joint Dislocations / Q000175:diagnosis*; D011884:Radius / Q000293:injuries*; D011885:Radius Fractures / Q000000981:diagnostic imaging; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014457:Ulna / Q000293:injuries*; D000092464:Elbow Injuries