Medial complex elbow dislocation: an unusual pattern of injury.
A 47-year-old man sustained a medial complex dislocation of the right elbow. After initial evaluation, closed reduction was performed. On examination under general anesthesia, the elbow was unstable under varus and valgus stress. Computed tomography scan showed a medial epicondyle and a coronoid fracture. Both medial and lateral approaches were used to fix the epicondylar fragment, the coronoid fragment, and the complex damage to the soft tissues. Immobilization in a cast for 1 week followed by early motion in a dynamic orthosis resulted in a good outcome. Follow up at 2 years showed a range of motion of 110 degrees of flexion-extension and 170 degrees of pronation-supination. Radiographs showed no significant arthritis or heterotopic ossifications.
Rodriguez-Martin
Juan
J
Trauma and Orthopaedics, Hospital 12 Octubre, Madrid, Spain. juanrodmar@yahoo.es
Pretell-Mazzini
Juan
J
Cecilia-Lopez
David
D
Resines-Erasun
Carlos
C
D002370:Casts, Surgical; D004550:Elbow / Q000000981:diagnostic imaging / Q000503:physiopathology; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D007593:Joint Instability / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D011403:Pronation / Q000502:physiology; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D000092464:Elbow Injuries