RESUMO
Traumatic dislocation of the elbow is rare in children and can most often be managed in the emergency department using procedural sedation and closed reduction with good functional outcome. Radiographs must be evaluated for associated avulsions and fractures around the elbow. We present the case of a 14-year-old girl who sustained a fracture of the radial neck subsequent to repeated attempts at closed reduction of a pure posterior elbow dislocation that was missed on postreduction radiographs. Careful use of reduction techniques and avoidance of repeated forceful manipulations is emphasized.
Assuntos
Lesões no Cotovelo , Luxações Articulares/terapia , Procedimentos Ortopédicos/efeitos adversos , Fraturas do Rádio/etiologia , Adolescente , Articulação do Cotovelo/diagnóstico por imagem , Feminino , Humanos , Doença Iatrogênica , Luxações Articulares/diagnóstico por imagem , Procedimentos Ortopédicos/métodos , Radiografia , Fraturas do Rádio/diagnóstico por imagemRESUMO
We report a new method of fixation of osteochondral fractures using tissue adhesive butyl-2-cyanoacrylate. A traumatic osteochondral fracture of the patella and the medial femoral condyle in a 29-year-old male was fixed with butyl-2-cyanoacrylate tissue adhesive. At 6 month follow-up the fractures showed complete healing, the postoperative knee score was 84 and the functional knee score 90 (Knee Society Clinical Rating System).
