title: Simultaneous bilateral elbow dislocation with bilateral medial epicondyle fractures in a 13-year-old female gymnast with hyperlaxity.
abstract: Bilateral simultaneous elbow dislocations are extremely rare and have only been described in 12 cases. In the paediatric population unilateral elbow dislocations are rare with 3-6% of all elbow injuries and there are only few studies describing this injury exclusively in children. There is only one case report of a paediatric patient who sustained a simultaneous bilateral elbow dislocation with medial epicondyle fractures. We present a second paediatric case of simultaneous bilateral elbow dislocation with associated displaced bilateral medial epicondyle fractures in a gymnast with joint hyperlaxity (3 of 5 Wynne-Davies criteria) treated with closed reduction and short-term immobilisation (3 weeks). The patient returned to full trampoline gymnastics between 4 and 5 months postinjury and made an uneventful recovery.
authors.affiliation: Department of Orthopaedics, Princess Margaret Hospital for Children, Perth, Western Australia, Australia. stef11bau@yahoo.co.uk
authors.forename: Stefan
authors.initials: S
authors.lastname: Bauer
authors.forename: Ben
authors.initials: B
authors.lastname: Dunne
authors.forename: Colin
authors.initials: C
authors.lastname: Whitewood
mesh_terms: D000293:Adolescent; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000209:etiology*; D006173:Gymnastics; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000209:etiology*; D007593:Joint Instability / Q000150:complications*; D009104:Multiple Trauma / Q000209:etiology*; D000092464:Elbow Injuries