TY - JOUR PY - 2012// TI - Acute traumatic posterior elbow dislocation in children JO - Journal of Pediatric Orthopaedics. Part B A1 - Lieber, Justus A1 - Zundel, Sabine M. A1 - Luithle, Tobias A1 - Fuchs, Jörg A1 - Kirschner, Hans-Joachim SP - 474 EP - 481 VL - 21 IS - 5 N2 - Traumatic posterior dislocation of the elbow is often associated with significant morbidity and incomplete recovery. The aim of this study was to retrospectively analyse the outcome of 33 children (median age 10.8 years). Patients underwent reduction and assessment of stability under general anaesthesia. Pure dislocations (n=10) were immobilized, whereas unstable fractures (n=23) were stabilized. Refixation of ligaments was performed if stability was not achieved by fracture stabilization alone. Immobilization was continued for 26 (pure dislocations) or 35 days (associated injuries), respectively. Results were excellent (n=9) or good (n=1) after pure dislocation. Results were excellent (n=15), good (n=7) or poor (n=1) in children with associated injuries. Accurate diagnosis, concentric stable reduction of the elbow as well as stable osteosynthesis of displaced fractures are associated with good results in children with acute posterior elbow dislocations.

Language: en

LA - en SN - 1060-152X UR - http://dx.doi.org/10.1097/BPB.0b013e328354b08c ID - ref1 ER -