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Open Access Case report

Complex Pediatric Elbow Injury: An Uncommon Case

H Sharma1*, R Ayer2 and GR Taylor2

Author Affiliations

1 Department of Trauma and Orthopaedics, Victoria Infirmary, Glasgow, G42 9TY, UK

2 Department of Trauma and Orthopaedics, Southampton General Hospital, Southampton, SO16 6YD, UK

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BMC Musculoskeletal Disorders 2005, 6:13  doi:10.1186/1471-2474-6-13

Published: 9 March 2005

Abstract

Background

There is paucity of literature describing complex elbow trauma in the pediatric population. We described a case of an uncommon pediatric elbow injury comprised of lateral condyle fracture associated with posterolateral dislocation of elbow.

Case presentation

A 12-year-old boy sustained a direct elbow trauma and presented with Milch type II lateral condyle fracture associated with posterolateral dislocation of elbow. Elbow dislocation was managed by closed reduction. The elbow stability was assessed under general anaesthesia, followed by open K-wiring for the lateral condylar fracture fixation. The patient had an uneventful recovery with an excellent outcome at 39 months follow-up.

Conclusion

Complex pediatric elbow injuries are quite unusual to encounter, the management of such fractures can be technically demanding. Concomitant elbow dislocation should be managed by closed reduction followed by open reduction and internal fixation (K-wires or cannulated screws) of the lateral condyle fracture.

Keywords:
Complex pediatric elbow trauma; Lateral condyle fracture; Elbow dislocation.