title: Acute traumatic posterior elbow dislocation in children.
abstract: Traumatic posterior dislocation of the elbow is often associated with significant morbidity and incomplete recovery. The aim of this study was to retrospectively analyse the outcome of 33 children (median age 10.8 years). Patients underwent reduction and assessment of stability under general anaesthesia. Pure dislocations (n=10) were immobilized, whereas unstable fractures (n=23) were stabilized. Refixation of ligaments was performed if stability was not achieved by fracture stabilization alone. Immobilization was continued for 26 (pure dislocations) or 35 days (associated injuries), respectively. Results were excellent (n=9) or good (n=1) after pure dislocation. Results were excellent (n=15), good (n=7) or poor (n=1) in children with associated injuries. Accurate diagnosis, concentric stable reduction of the elbow as well as stable osteosynthesis of displaced fractures are associated with good results in children with acute posterior elbow dislocations.
authors.affiliation: Department of Pediatric Surgery and Pediatric Urology, University Children’s Hospital, Tübingen, Germany. justus.lieber@med.uni-tuebingen.de
authors.forename: Justus
authors.initials: J
authors.lastname: Lieber
authors.forename: Sabine M
authors.initials: SM
authors.lastname: Zundel
authors.forename: Tobias
authors.initials: T
authors.lastname: Luithle
authors.forename: Jörg
authors.initials: J
authors.lastname: Fuchs
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Kirschner
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005592:Fracture Fixation; D017102:Fracture Healing; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D010012:Osteogenesis; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D000092464:Elbow Injuries