European Journal of Trauma and Emergency Surgery

, Volume 36, Issue 6, pp 601–603 | Cite as

Transverse dislocation of the elbow with ipsilateral shaft of radius fracture in an adult

Case Report

Abstract

Study design

A report of a rare case of transverse dislocation of the elbow associated with fracture of the shaft of the ipsilateral radius.

Objective

To describe a rare variety of elbow dislocation associated with radial shaft fracture.

Introduction

Transverse dislocation of the elbow is a rare injury and most of the cases have been described in pediatric patients. Association of this injury with fracture of forearm bones is rare. We describe a case of transverse dislocation of the elbow associated with a fracture of the ipsilateral shaft of the radius in an adult.

Material and methods

A 21-year-old male patient sustained trauma to his left upper limb in a traffic accident. Radiographic evaluation revealed transverse dislocation of the elbow and fracture of the shaft of the ipsilateral radius. Closed reduction of the elbow dislocation was carried out followed by open reduction and internal fixation of the fracture.

Results

Eight months after trauma, the patient is asymptomatic with complete range of motion and no instability. Radiographs show a well-healed fracture and congruent elbow joint.

Conclusion

To the best of our knowledge, this is first case of transverse dislocation of the elbow with an ipsilateral radial shaft fracture in an adult. Closed reduction of such dislocations is usually achievable, though open reduction may be required in some case.

Keywords

Transverse elbow dislocation Radius shaft fracture Adult 

References

  1. 1.
    Dlabach JA. Acute dislocations. In: Canale ST, Beaty JH, editors. Campbell’s operative orthopaedics, vol III. 11th ed. Philadelphia: Mosby; 2007. p. 35–93.Google Scholar
  2. 2.
    DeLee JC. Transverse divergent dislocation of the elbow in a child. J Bone Joint Surg Am. 1981;63:322–3.PubMedGoogle Scholar
  3. 3.
    Afshar A. Divergent dislocation of the elbow in an 11-year-old child. Arch Iran Med. 2007;10(3):413–6.PubMedGoogle Scholar
  4. 4.
    Mnif H, Koubaa M, Zrig M, Salah Z, Amara K, Abid A. Transverse divergent dislocation of the elbow in adult: a 9-year follow-up. Eur J Orthop Surg Traumatol. 2009;19(7):495–8.CrossRefGoogle Scholar
  5. 5.
    Shankarappa YK. Transverse divergent dislocation of the elbow with ipsilateral distal radius epiphyseal injury in a seven-year-old. Injury. 1998;29:798–802.CrossRefPubMedGoogle Scholar
  6. 6.
    Mitsuhiko N, Takuya S, Hiromoto I. Transverse divergent dislocation of the elbow with ipsilateral distal radius fracture in a child. J Orthop Trauma. 2007;21(2):145–9.CrossRefGoogle Scholar
  7. 7.
    Kulshreshtha R, Madhav Venu K, Qureshi F, Lahoti O. Divergent dislocation of elbow with ipsilateral distal radioulnar joint dislocation in a gymnast: successful treatment for a rare injury. Eur J Trauma. 2005;31:495–8.CrossRefGoogle Scholar

Copyright information

© Urban & Vogel 2010

Authors and Affiliations

  1. 1.Department of OrthopaedicsMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Maulana Azad Medical CollegeNew DelhiIndia

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