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Anterior transolecranon fracture-dislocation of the elbow in a 4-year-old child


 ABC Medical Center, Mexico City, Mexico

Correspondence Address:
Alejandro Miravete-Galvez,
ABC Medical Center, Mexico City
Mexico
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_60_18

Anterior elbow dislocation is a rare entity in the pediatric population, with only case reports or small series of cases found in the literature. Because of its extremely rare occurrence, there are low to nonexisting guidelines available for the correct and standardized treatment of this pathology. We present the case of a 4-year-old male who fell from a standing height, the exact mechanism of injury is unknown, and who sustained an anterior transolecranon fracture-dislocation of the left elbow. We performed a closed reduction of the fracture-dislocation, and fixation was made with one percutaneous 1.6-mm Kirschner wire, entering through the tip of the olecranon and anchoring the anterior cortex of the ulna. A posterior fiberglass elbow splint was placed for 1 week and changed to a fiberglass cast for 3 additional weeks. Five weeks after removing the fiberglass cast, the child's elbow motion was from 15° to 120°, with full pronation/supination, recovering full elbow motion at approximately 6 months. This case represents an extremely uncommon injury pattern, presenting as a potentially serious fracture-dislocation of the elbow; our results are a reminder of the importance of avoiding aggressive treatment modalities in young children, even in the presence of severely displaced articular injuries.


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    -  Miravete-Galvez A
    -  Saleme-Cruz J
    -  Jorba-Elguero P
    -  Dabaghi-Richerand A
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