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CASE REPORT
Year : 2018  |  Volume : 52  |  Issue : 6  |  Page : 678-681

Pure medial elbow dislocation without concomitant fracture in a 10-year-old child


1 Department of Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Centre, Mumbai, Maharashtra, India
2 Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Dr Alaric Aroojis
Department of Paediatric Orthopaedics, Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Centre, Four Bungalows, Andheri (West), Mumbai - 400 053, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ortho.IJOrtho_534_17

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Pediatric elbow dislocations are rare injuries and are often accompanied by concomitant fractures. We report a rare case of medial dislocation of the right elbow without accompanying fracture in a 10.5-year-old boy after fall from a bicycle. After radiographic and magnetic resonance imaging evaluation, closed reduction under general anesthesia was performed and the elbow was immobilized in a posterior above-elbow slab. Elbow mobilization was started after 2 weeks and the posterior slab was discontinued after 4 weeks. At 3 months, the patient had a full range of active elbow flexion extension and pronation supination. At 4-year followup, radiographs show a normal alignment of the elbow with mild changes of heterotopic ossification. We believe that this is the first such case ever reported in literature. Early recognition and prompt diagnosis is the key to achieve a good result.


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