Pure medial elbow dislocation without concomitant fracture i
Pediatric elbow dislocations are rare injuries and are often accompanied by concomitant fractures. Published recently in the Indian Journal of Orthopaedics, the authors 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. According to the authors, this is the first such case ever reported in the literature.

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 follow-up, radiographs show a normal alignment of the elbow with mild changes of heterotopic ossification. Early recognition and prompt diagnosis is the key to achieve a good result.

Read in detail about the case here: https://pxmd.co/s3dAu