Skip to main content
SpringerLink
Log in

Treatment of chronic radial head dislocations in children

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

From 1990 to 2005 our department treated nine patients with chronic radial head dislocation by an ulnar osteotomy and indirect reduction by interosseous membrane. The patients varied in age from 2 years and 8 months to 10 years, and the time from the injury to operation ranged from 40 days to 3 years. The range of functional motion and carrying angle was restored in all nine patients, and no complications, such as recurrent dislocation, infection, or neurovascular injury were observed. This technique has proven to be a successful approach to treating such cases, with a low range of complications and good functional results.

Résumé

De 1990 à 2005 nous avons traité 9 patients, agés de 2 ans 8 mois à 10 ans, d’une luxation permanente de la tête radiale par une ostéotomie cubitale avec réduction indirecte par la membrane inter-osseuse. Le délai entre le traumatisme et la chirurgie était de 40 jours à 3 ans. L’amplitude de mobilité et l’axe du coude étaient restaurés dans tous les cas sans complication à déplorer. Les auteurs sont satisfaits de cette technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bado JL (1967) The Monteggia lesion. Clin Orthop 50:71–86

    PubMed  CAS  Google Scholar 

  2. Bell Tawse AJS (1965) The treatment of Malunited Anterior Monteggia Fractures in children. J Bone Joint Surg 47B:718–723

    Google Scholar 

  3. Best TN, Orth AF (1994) Management of old unreduced Monteggia fracture dislocations of the elbow in children. J Pediatr Orthop 2:193–198

    Google Scholar 

  4. Bouyala JM, Chestrian P, ramaherison P (1978) L’osteotomie haute du cubitus dans le traitment de la luxations anterieure residuelle après fracture de Monteggia. Chir Pediatr 19:201–203

    PubMed  CAS  Google Scholar 

  5. Blount WP (1954) Fractures in children. Baltimore, Williams and Wilkins

  6. Boyd HS, Boals JC (1969) The Monteggia lesion: a review of 159 cases. Clin Orthop 66:94–100

    PubMed  CAS  Google Scholar 

  7. Freedman L, Luk K, Leong JCY (1988) Radial head reduction after a missed Monteggia fracture. J Bone Joint Surg 70B:846–847

    Google Scholar 

  8. Hirayama T, Takemitsu Y, Yagihara K, Mikita A (1987) Operation for chronic dislocation of the radial head in children. J Bone Joint Surg 69B 4:639–642

    Google Scholar 

  9. Hurst LC, Dubrow EN (1983) Surgical treatment of symptomatic chronic radial head dislocation: a neglected Monteggia fracture. J Pediatr Orthop 3:227–230

    PubMed  CAS  Google Scholar 

  10. Kalamchi A (1986) Monteggia fracture-dislocation in children: late treatment in two cases. J Bone Joint 68A:615–619

    Google Scholar 

  11. Kocher J (1987) Lateral approach. In: Campbell´s operative orthopaedics, 7th edn. St. Louis, Mosby, p 92

  12. Lloyd-Roberts GC, Bucknill TM (1977) Anterior dislocation of the radial head in children. Aetiology, natural history and management. J Bone Joint Surg 59B 4:402–407

    Google Scholar 

  13. McFarland B (1936) Congenital dislocation of the head of the radius. Br J Surg 24:41–49

    Article  Google Scholar 

  14. Pollen AG (1973) Fractures and dislocations in children. Churchill-Livingstone, Edinburgh

  15. Stelling FH, Cote RH (1956) Traumatic dislocation of head of radius in children. J Am Med Assn 160:732–736

    CAS  Google Scholar 

  16. Stoll TM, Willis BR, Paterson DC (1992) Treatment of missed Monteggia fracture in the child. J Bone Joint Surg 74B:436–440

    Google Scholar 

  17. Watson-Jones R (1955) Fractures and joint injuries, vol 2, 4th edn. E and S Livingstone, Edinburgh

  18. Wright PR (1963) Greenstick fracture of the upper end of the ulna with dislocation of the radio-humeral joint or displacement of the superior radial epiphysis. J Bone Joint Surg 45B:727–731

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. UNICAMP, Ortophaedics and Traumatology Department, Cidade Universitária Zeferino Vaz – Barão Geraldo, 13083-970, Campinas-Sao Paulo, Brazil

    W. D. Belangero, B. Livani & R. K. Zogaib

  2. Rua Vicente Porto 208, Residencial Barão do Café no. 03, Bairro Barão Geraldo, Campinas-Sao Paulo, Brazil

    B. Livani

Authors
  1. W. D. Belangero
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Livani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. K. Zogaib
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. Livani.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Belangero, W.D., Livani, B. & Zogaib, R.K. Treatment of chronic radial head dislocations in children. International Orthopaedics (SICOT) 31, 151–154 (2007). https://doi.org/10.1007/s00264-006-0153-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-006-0153-4

Keywords

Search

Navigation