Dislocation of the Elbow in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 227-232, 2003.
Article
in Korean
| WPRIM
| ID: wpr-652946
ABSTRACT
PURPOSE:
The purpose of this study was to analyze the clinical manifestations of elbow dislocation in children and to suggest an appro-priate treatment modality for this rare injury. MATERIALS ANDMETHODS:
We analyzed 17 cases, treated from September 1989 to July 2000. The factors examined included; age, sex, etiology, direction, associated injuries, method of treatment, results and complications. Clinical results were evaluated using the grading system of Linscheid and Wheeler.RESULTS:
The mean age was 10 years 4 months. Etiologies were; fall from a height 8 cases, slip down 7 cases and unknown 2 cases. The directions of the dislocations were posterior 14 cases, posterolateral 2 cases, and posteromedial 1 case, with no anterior dislocation. Associated injuries were noted in 14 cases (82.4%), and 8 of these cases were treated by open reduction and internal fixation. The remaining 9 cases were treated by closed reduction followed by a long arm cast. The mean period of immobilization was 3.8 weeks. One case was complicated with a myositis ossificans, which resulted in spontanous remission. Results were excellent in 15 cases, and good in 2 cases with no poor cases.CONCLUSION:
The incidence of associated fractures (82.4%) was higher in this study than in previous reports. A careful examination is necessary to identify associated injuries and achieve stability with the surgical procedure, which should be followed by early active exercise.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arm
/
Incidence
/
Joint Dislocations
/
Elbow
/
Immobilization
/
Myositis Ossificans
Type of study:
Incidence study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2003
Type:
Article
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