Abstract
Chronic elbow dislocations, while rare, may cause significant loss of function for patients. Due to significant soft tissue contractures and intra-articular fibrosis, treatment for these injuries is challenging and is approached on an individual basis based on the nature of the injury and the patient’s goals. Presented here is a case of a 27-year-old male with a 2-week-old elbow fracture dislocation treated with open reduction, internal fixation of the ulna, radial head replacement, and lateral ulnar collateral ligament repair along with a 1-year follow-up. The intraoperative considerations, treatment algorithms, and management of a common complication, heterotopic ossification, are outlined.
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References
Donohue KW, Mehlhoff TL. Chronic elbow dislocation: evaluation and management. J Am Acad Orthop Surg. 2016;24(7):413–23.
Pugh DM, Wild LM, Schemitsch EH, King GJ, McKee MD. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am. 2004;86-a(6):1122–30.
McKee MD, Bowden SH, King GJ, et al. Management of recurrent, complex instability of the elbow with a hinged external fixator. J Bone Joint Surg. 1998;80(6):1031–6.
Foruria AM, Augustin S, Morrey BF, Sanchez-Sotelo J. Heterotopic ossification after surgery for fractures and fracture-dislocations involving the proximal aspect of the radius or ulna. J Bone Joint Surg Am. 2013;95(10):e66.
McAuliffe JA, Wolfson AH. Early excision of heterotopic ossification about the elbow followed by radiation therapy. J Bone Joint Surg Am. 1997;79(5):749–55.
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Minhas, S.V., Paksima, N. (2019). The Chronic (Missed) Elbow Dislocation. In: Tejwani, N. (eds) Fractures of the Elbow. Springer, Cham. https://doi.org/10.1007/978-3-030-22857-6_10
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DOI: https://doi.org/10.1007/978-3-030-22857-6_10
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