Posteromedial Elbow Dislocation – Case Report

back and out. Approximately 20% of dislocations coexist bone fractures of the participants.The principles of treatment of simple dislocations include closed reduction and rapid mobilization, except in those rare cases where closed reduction is impossible because of interference soft tissue or osteochondral pieces among the displaced articular surfaces. For the period of immobilization after reduction, the literature we find different opinions. We decided to present this case for two reasons: This rear-through elbow dislocation is rare that occurs after a 9% rate on all types of dislocation of this joint. The dislocation-accompanied with trauma to the inside front surface of the inner elbow and not accompanied by fracture, which is also rare.

CASE REPORT

This is a man aged 55, full-bodied and overweight, a special guard, who says falling on slippery ground smooth and the right upper limb is fully extended and pronated. Joined outpatient immediately after the accident and the other strain in the joint, local swelling, intense pain and loss of motion found in trauma 2cm medial fossa of the elbow that was considered to have occurred from within. The neuromuscular status of the limb was no such deficits and adjacent joints, shoulder and Wrist. The radiological evaluation showed posterior elbow dislocation through without apparent bone involvement (Figure 1.2). The reduction was achieved after general anesthesia and was closed. The technique was attracted by the long axis of the humerus in order to unlock the koronoeidis olekraniko 

without pathological findings and the MRI (Figure 5) showed: a) Complete breaking out collateral ligament b) rupture during myotenontia contribution insertion of the extensor muscles c) contusion with rupture of the larger portion of the flexor tendon ekfytikou when myotenontia outgrowth outgrowth of parakondylio d) The inner lateral link is represented by good anatomical continuity.
The review found after seven days cruising speeds wound healing, swelling on the joint to decline gradually while the blood count and inflammatory markers were found within normal limits (Figure 6). The joint range of motion ranged from the 20th until the 90th decline. He established daily remove the splint and perform exercises bending area

most common posterior and posterior dislocations out. The wound from the inside despite initial certainty that was caused by bone fracture strain of the joint healed by second order soon. And here was this complete rupture of the lateral collateral ligament with intact while the medial impression caused by the concomitant lesions of the extensor and kamtiron at the origin of these. These lesions showed no influence on muscle strength.

REFERENCE

1. Apley’s System of Orthopaedics and Fractures. 8th Edition. Louis Solomon, David Warwick, Selvadurai Nayagam. London 2007 by Arnold (A member of the Hobber Group).
2. Campbell’s Operative Orthopaedics. 11th Edition. S. Terry

7. Current Concepts: Simple and Complex Elbow Dislocations – Acute and Definitive Treatment. Pascal Jungbluth et al. Department of Trauma and Hand Surgery, Heinrich Heine University Hospital Duesseldorf, Germany Eur J Trauma Emerg Surg 2008; 34:120-30.
8. Functional treatment versus plaster for simple elbow dislocations (FuncSiE): a randomized trial. Jeroen de Haan, Dennis den Hartog et al. BMC Musculoskeletal Disorders 2010; 11:263.
9. Dislocation of the Elbow: a retrospective multicentre study of 86 patients. Jeroen de Haan et al. Open Orthop J. 2010; 4:76- 79.
10. Post-traumatic Posterior Radial Head Subluxation. Two Case Reports. Ronald C et al. Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan. Clinical Orthopaedics and Related Research June 24, 1982, p.192-194.