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Proximal radioulnar translocations in adults: a tertiary centre study

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

We present three cases of proximal radioulnar translocation in adults. Although rare, it is most commonly seen in paediatric cases. There have been three previously documented cases in adults, all requiring surgery and associated with ulnohumeral dislocations. Two of our cases required operative intervention, whilst one was reduced closed and did not require stabilisation. Furthermore, we have for the first time shown that proximal radioulnar translocations can occur in isolation in adults without an ulnohumeral dislocation.

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References

  1. Combourieu B, Thevenin-Lemoine C, Abelin-Genevois K, Mary P, Damsin JP, Vialle R (2010) Pediatric elbow dislocation associated with proximal radioulnar translocation: a report of three cases and a review of the literature. J Bone Joint Surg Am 92(8):1780–1785

    Article  Google Scholar 

  2. Lippe CN, Williams DP (2005) Combined posterior and convergent elbow dislocations in an adult. A case report and review of the literature. J Bone Joint Surg Am 87(7):1597–1600

    Article  Google Scholar 

  3. Roberts C, Lee TS, Rooney J, Jovanovic A, Creer R (2008) Convergent dislocation of the elbow: report of three cases. J Shoulder Elbow Surg 17(4):e9–e13

    Article  Google Scholar 

  4. Min W, Cohn M, McLaurin TM (2011) Incarceration of the radial head associated with a radial head fracture, radiocapitellar dislocation, and proximal radioulnar translocation. J Orthop Trauma 25(5):e43–e46

    Article  Google Scholar 

  5. Sanchez-Sotelo J, Romanillos O, Garay EG (2000) Results of acute excision of the radial head in elbow radial head fracture-dislocations. J Orthop Trauma 14(5):354–358

    Article  CAS  Google Scholar 

  6. Mazhar FN, Ebrahimi H, Jafari D, Mirzaei A (2018) Radial head resection versus prosthetic arthroplasty in terrible triad injury: a retrospective comparative cohort study. Bone Joint J 100-B(11):1499–1505

    Article  Google Scholar 

  7. Beingessner DM, Dunning CE, Gordon KD, Johnson JA, King GJ (2004) The effect of radial head excision and arthroplasty on elbow kinematics and stability. J Bone Joint Surg Am 86-A(8):1730–1739

    Article  Google Scholar 

  8. Hall JA, McKee MD (2005) Posterolateral rotatory instability of the elbow following radial head resection. J Bone Joint Surg Am 87(7):1571–1579

    PubMed  Google Scholar 

  9. Watters TS, Garrigues GE, Ring D, Ruch DS (2014) Fixation versus replacement of radial head in terrible triad: is there a difference in elbow stability and prognosis? Clin Orthop Relat Res 472(7):2128–2135

    Article  Google Scholar 

  10. Pugh DM, Wild LM, Schemitsch EH, King GJ, McKee MD (2004) Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am 86-A(6):1122–1130

    Article  Google Scholar 

  11. Pike JM, Athwal GS, Faber KJ, King GJ (2009) Radial head fractures—an update. J Hand Surg Am 34(3):557–565

    Article  Google Scholar 

  12. Ruchelsman DE, Christoforou D, Jupiter JB (2013) Fractures of the radial head and neck. J Bone Joint Surg Am 95(5):469–478

    Article  Google Scholar 

  13. Harvey S, Tchelebi H (1979) Proximal radio-ulnar translocation. A case report. J Bone Joint Surg Am 61(3):447–449

    Article  CAS  Google Scholar 

  14. Carey RP (1984) Simultaneous dislocation of the elbow and the proximal radio-ulnar joint. J Bone Joint Surg Br 66(2):254–256

    Article  CAS  Google Scholar 

  15. Eklof O, Nybonde T, Karlsson G (1990) Luxation of the elbow complicated by proximal radio-ulnar translocation. Acta Radiol 31(2):145–146

    Article  CAS  Google Scholar 

  16. Gillingham BL, Wright JG (1997) Convergent dislocation of the elbow. Clin Orthop Relat Res 340:198–201

    Article  Google Scholar 

  17. MacSween WA (1979) Transposition of radius and ulna associated with dislocation of the elbow in a child. Injury 10(4):314–316

    Article  CAS  Google Scholar 

  18. Doornberg JN, Ring DC (2006) Fracture of the anteromedial facet of the coronoid process. J Bone Joint Surg Am 88(10):2216–2224

    PubMed  Google Scholar 

  19. O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD (2003) Difficult elbow fractures: pearls and pitfalls. Instr Course Lect 52:113–134

    PubMed  Google Scholar 

  20. Steinmann SP (2008) Coronoid process fracture. J Am Acad Orthop Surg 16(9):519–529

    Article  Google Scholar 

  21. El-Ghawabi MH (1973) Fracture of the neck of the radius with medial displacement of the head. Report of three cases. J Bone Joint Surg Br 55(3):647–649

    Article  CAS  Google Scholar 

  22. Eid AM (1982) Fracture of the head of the radius with ulnar displacement of separated fragments. Injury 13(5):395–399

    Article  CAS  Google Scholar 

  23. Hildebrand KA, Patterson SD, King GJ (1999) Acute elbow dislocations: simple and complex. Orthop Clin North Am 30(1):63–79

    Article  CAS  Google Scholar 

  24. Mehlhoff TL, Noble PC, Bennett JB, Tullos HS (1988) Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am 70(2):244–249

    Article  CAS  Google Scholar 

  25. Galbraith KA, McCullough CJ (1979) Acute nerve injury as a complication of closed fractures or dislocations of the elbow. Injury 11(2):159–164

    Article  CAS  Google Scholar 

  26. Shin R, Ring D (2007) The ulnar nerve in elbow trauma. J Bone Joint Surg Am 89(5):1108–1116

    Article  Google Scholar 

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Authors and Affiliations

  1. Addenbrooke’s Hospital, Cambridge, UK

    Nawfal Al-Hadithy, Alex Mulligan & Lee Van Rensburg

  2. Frimley Park Hospital, Portsmouth Road, Frimley, Camberley, GU16 7UJ, UK

    Satish Babu

Authors
  1. Nawfal Al-Hadithy
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  2. Alex Mulligan
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  3. Satish Babu
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  4. Lee Van Rensburg
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Correspondence to Satish Babu.

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Al-Hadithy, N., Mulligan, A., Babu, S. et al. Proximal radioulnar translocations in adults: a tertiary centre study. Eur J Orthop Surg Traumatol 30, 851–858 (2020). https://doi.org/10.1007/s00590-020-02645-y

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  • DOI: https://doi.org/10.1007/s00590-020-02645-y

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