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Transverse divergent dislocation of the elbow in adult: a 9-year follow-up

  • Hichem MnifEmail author
  • Mustapha Koubaa
  • Makram Zrig
  • Zohra ben Salah
  • Karim Amara
  • Abderrazek Abid
Case Report

Abstract

Transverse divergent dislocation of the elbow, in which the radius and ulna dislocate in diverging directions, is an extremely rare injury (19 cases have been reported in the literature). Usually, this type of elbow dislocation occurs in children, and an adult case is extremely rare. In this report, we present a case of a transverse divergent dislocation of elbow in a 20-year-old woman, treated with conservative method and long-arm cast immobilization. At 9 years, she had no pain in the elbow, returned to full activities and had normal function. The X-ray of the elbow was normal, except for a small nonunited bony fragment adjacent to the coronoid process of the ulna.

Keywords

Transverse Divergent Dislocation Elbow Adult 

Notes

Acknowledgments

No funds were received in support of this study.

References

  1. 1.
    Afshar A (2007) Divergent dislocation of the elbow in an 11-year-old child. Arch Iranian Med 10(3):413–416Google Scholar
  2. 2.
    Altuntas AO, Balakumar J, Howells RJ, Graham HK (2005) Posterior divergent dislocation of the elbow in children and adolescents: a report of three cases and review of the literature. J Pediatr Orthop 25:317–321PubMedCrossRefGoogle Scholar
  3. 3.
    Basanagoudar P, Pace A, Ross D (2006) Pediatric divergent dislocation of the elbow. Acta Orthop Belg 72:359–361PubMedGoogle Scholar
  4. 4.
    Carey RPL (1984) Simultaneous dislocation of the elbow and the proximal radio-ulnar joint. J Bone Joint Surg Br 66:254–256PubMedGoogle Scholar
  5. 5.
    Kazuki K, Miyamato T, Ohzono K (2005) A case of traumatic divergent fracture-dislocation of the elbow combined with Essex-Lopresti lesion in adult. J Shoulder Elbow Surg 14:224–226PubMedCrossRefGoogle Scholar
  6. 6.
    Mathur K, Nazir AA, Patil S, Lin K (2006) divergent dislocation of the Elbow with ipsilateral fracture in both forearm bonesin child. Europ J Orthop Surg Traumatol 16:36–37CrossRefGoogle Scholar
  7. 7.
    McAuliffe TB, Williams D (1988) Transverse divergent dislocation of the elbow. Injury 9:279–280CrossRefGoogle Scholar
  8. 8.
    Prasad G, Rafee A, Chougle A (2006) Divergent dislocation of the elbow treated with a cast brace: case report. Eur J Orthop Surg Traumatol 16:360–361CrossRefGoogle Scholar
  9. 9.
    Stimson LA (1917) A practical treatise on fractures and dislocations, 8th edn. Lea and Febiger, New York, pp 727–729Google Scholar
  10. 10.
    Zaricznyj B (2000) Transverse divergent dislocation of the elbow. Clin Orthop 373:146–152PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Hichem Mnif
    • 1
    Email author
  • Mustapha Koubaa
    • 1
  • Makram Zrig
    • 1
  • Zohra ben Salah
    • 1
  • Karim Amara
    • 1
  • Abderrazek Abid
    • 1
  1. 1.Department of Orthopaedic SurgeryMonastirTunisia

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