Kailash S, Shanmuganathan S
Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.
Department of Orthopaedics, AVSS Hospitals and Advanced Trauma Care Centre, Madurai, Tamil Nadu, India.
J Orthop Case Rep. 2017 Jan-Feb;7(1):91-94. doi: 10.13107/jocr.2250-0685.704.
Anterior elbow dislocation is an infrequent lesion, produced by direct trauma to the proximal ulna after a fall on the elbow in flexion and injury to the neurovascular bundle is not infrequent. Authors report a case of acute anterior dislocation of the elbow joint with neurovascular injury.
A 30-year-old male admitted with a history of accidental fall followed by pain, swelling over his left elbow. Clinical, radiological, Doppler investigations revealed anterior dislocation of the elbow with brachial artery injury with posterior interosseous nerve palsy without any bony injury. Immediate closed reduction, primary vascular repair with fasciotomy was done following which elbow function improved.
Anterior dislocations of elbow joint are among the rarest of injuries. Because the dislocation is anterior, injury to nerve and vessel can occur frequently. Therefore, a careful assessment for neurovascular injury mandatory. Early proper reduction and management of neurovascular injury if any is necessary for good elbow function.
肘关节前脱位是一种罕见的损伤，由屈肘位跌倒时尺骨近端受到直接创伤引起，神经血管束损伤并不少见。作者报告一例肘关节急性前脱位合并神经血管损伤的病例。
一名30岁男性因意外跌倒入院，随后出现左肘部疼痛、肿胀。临床、影像学及多普勒检查显示肘关节前脱位，伴有肱动脉损伤及骨间后神经麻痹，无任何骨质损伤。立即进行了闭合复位及一期血管修复并行筋膜切开术，术后肘关节功能改善。
肘关节前脱位是极为罕见的损伤之一。由于脱位为前方脱位，神经和血管损伤较为常见。因此，必须仔细评估神经血管损伤情况。早期进行恰当复位并对神经血管损伤进行必要处理，对恢复良好的肘关节功能至关重要。
