Tomer Divya, Bartakke Girishchandra, Deokate Pravin
Department of Orthopaedics, BJ Government Medical College and Sassoon General Hospital, Pune, India.
J Orthop Case Rep. 2022 Feb;12(2):90-92. doi: 10.13107/jocr.2022.v12.i02.2680.
Anterior transolecranon fracture dislocation of the elbow is rarely found in pediatric patients, with very few cases reported till now, and very less literature available on its management.
We hereby present a rare case of trauma to the left elbow in a 9-year-old female child who sustained anterior transolecranon dislocation without neurovascular deficit. Such fracture dislocations are managed usually by surgical methods with or without osteosynthesis. However, we present a report of closed reduction of the condition with good clinical outcomes.
Closed reduction can be a safe method of treatment of anterior dislocation of the elbow if no neurovascular deficit is present. This case report aims to highlight this possible treatment method which in itself is unusual for this uncommon pediatric injury.
小儿肘关节经鹰嘴前脱位很少见，目前报道的病例极少，关于其治疗的文献也非常少。
我们在此报告一例9岁女童左肘罕见创伤病例，该患儿发生经鹰嘴前脱位且无神经血管损伤。此类骨折脱位通常采用手术方法治疗，可伴有或不伴有骨固定。然而，我们报告了该病例通过闭合复位获得良好临床效果的情况。
如果不存在神经血管损伤，闭合复位可以是治疗肘关节前脱位的一种安全方法。本病例报告旨在强调这种可能的治疗方法，对于这种不常见的小儿损伤来说，这种方法本身就不寻常。
