[Elbow dislocation in children associated with proximal radioulnar translocation]. 2007

P Wodecki, and D Maiza, and B Rozenblum
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de Longjumeau, 159 rue du Président-François-Mitterrand, BP 125, 91161 Longjumeau Cedex 01. philippe.wodecki@ch-longjumeau.fr

We report a unique case of posterior elbow dislocation with proximal radioulnar translocation in a six-year-old child with 3D reconstruction CT images. Five other cases of this type of association have been reported in the literature. Diagnosis is often established late. Our case illustrates the diagnostic and therapeutic difficulties. The CT scan demonstrated the presence of the proximal radioulnar translocation and contributed greatly to understanding the pathogenic mechanism: the radius crossed over the ulna anteriorly. The CT-scan can reveal associated lesions missed on the plain x-rays. Surgical reduction is generally needed, preferably via a medial approach.

UI MeSH Term Description Entries
D011884 Radius The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it. Radial Tuberosity,Radial Tuberosities,Tuberosities, Radial,Tuberosity, Radial
D011885 Radius Fractures Fractures of the RADIUS. Galeazzi Fracture,Galeazzi Fracture Dislocation,Radial Fractures,Dislocation, Galeazzi Fracture,Fracture Dislocation, Galeazzi,Fracture, Galeazzi,Fracture, Radial,Fracture, Radius,Radial Fracture,Radius Fracture
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006811 Humerus Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT. Humeri,Greater Tubercle,Humeral Greater Tuberosity,Humeral Lesser Tuberosity,Lesser Tubercle,Olecranon Fossa,Olecranon Fossi,Greater Tubercles,Greater Tuberosities, Humeral,Greater Tuberosity, Humeral,Humeral Greater Tuberosities,Humeral Lesser Tuberosities,Lesser Tubercles,Lesser Tuberosities, Humeral,Lesser Tuberosity, Humeral,Tubercle, Greater,Tubercles, Greater
D000092464 Elbow Injuries Injuries involving the ELBOW and ELBOW JOINT. Elbow Joint Injuries,Elbow Injury,Elbow Joint Injury,Injury, Elbow,Injury, Elbow Joint,Joint Injury, Elbow
D012421 Rupture Forcible or traumatic tear or break of an organ or other soft part of the body. Ruptures

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