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Diagnoses and treatments of traumatic elbow dislocation in children

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Author:
No author available
Journal Title:
Chinese Journal of Pediatric Surgery
Issue:
8
DOI:
10.3760/cma.j.cn421158-20230810-00264
Key Word:
肘关节;关节脱位;骨折固定术;外伤;儿童;Elbow joint;Joint dislocations;Fracture fixation;External injury;Child

Abstract: Objective:To explore the clinical characteristics and management strategies of traumatic elbow dislocation in children.Methods:From January 2015 to January 2022, the relevant clinical data were retrospectively reviewed for 53 children with elbow dislocation. There were 42 boys and 11 girls with an average age of 10.2(1-15) years. Clinical characteristics, diagnostic modalities and treatment modes were recorded. Mayo elbow function score was utilized for evaluating the clinical efficacies and outcomes.Results:Involved side was left (n=21) and right (n=32). Simple elbow dislocation accounted for 5.7%(3/53), concurrent single fracture or ligament injury 62.3%(33/53) and concurrent multiple fractures or ligament injury 32%(17/53). There were concurrent ulnar nerve injury (n=3) and concurrent radial nerve injury (n=3). Radiograph alone accounted for 47.2%(25/53), radiograph plus computed tomography (CT) 28.3%(15/53), radiograph plus magnetic resonance imaging (MRI) 7.4%(4/53), radiograph plus musculoskeletal ultrasonography 5.7%(3/53), radiograph, musculoskeletal ultrasonography plus MRI 5.7%(3/53), radiograph, CT plus MRI 1.9%(1/53), radiograph, CT plus musculoskeletal ultrasonography 1.9%(1/53) and radiograph, CT, MRI plus musculoskeletal ultrasonography 1.9%(1/53). Treatments included closed reduction plus plaster fixation (n=14) and open reduction plus internal fixation (n=39). The follow-up period was 6.2(3-24) months and healing time 7.2(6-8) weeks. According to the Mayo elbow function score, the outcomes were excellent (n=46), good (n=6) and fair (n=1) at the last follow-up, There was no instance of incision infection or redislocation.Conclusion:Most cases of traumatic elbow dislocation are associated with elbow fracture. Early identification and timely treatment can achieve bone healing and restore elbow function.

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