title: [Open elbow dislocation with distal ischemia: a therapeutic emergency].
abstract: We report the case of a 13-year-old boy with a traumatic elbow dislocation, open stage 2 (Cauchoix and Duparc), with distal ischemia. Exposure of the neurovascular humeral bundle through the wound accentutated the clinical emergency. This clinical observation consisted of elbow dislocation with all severity criteria: (i) opening of the skin, (ii) association with a fracture of the medial humeral epicondyle, and (iii) neurological deficit in the territory of the median nerve. The purpose of this report is to remind physicians that no investigation should delay surgery in elbow dislocation. Despite initial distal ischemia, no vascular exploration is required. Early reduction of the disloction is the key point of care.
authors.affiliation: Clinique chirurgicale infantile, CHU Charles-Nicolle, 1 rue de Germont, 76231 Rouen cedex, France. manonbachy@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Bachy
authors.forename: J
authors.initials: J
authors.lastname: Leroux
authors.forename: A
authors.initials: A
authors.lastname: Pegot
authors.forename: S
authors.initials: S
authors.lastname: Abu Amara
authors.forename: J
authors.initials: J
authors.lastname: Lechevallier
authors.forename: B
authors.initials: B
authors.lastname: Bachy
mesh_terms: D000293:Adolescent; D004551:Elbow Joint; D004630:Emergencies; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D004204:Joint Dislocations / Q000150:complications*; D008297:Male