Dalei Tushar Ranjan, Swain Subhamya Chinmaya, Meher Deepak Kumar
Department of Orthopaedics, VIMSAR Burla, Sambalpur, Odisha, India.
J Orthop Case Rep. 2023 Aug;13(8):24-27. doi: 10.13107/jocr.2023.v13.i08.3800.
Anterior elbow dislocation is a rare occurrence, mostly produced by direct trauma to elbow in flexion attitude following fall from height. Posterior dislocation is the commoner entity at the elbow joint, thus rarity of this case incites reporting.
A 53-year-old male presented to our outpatient department with complaints of pain, swelling, and inability to move his right upper limb, following fall from height. On examination, no associated neurovascular deficit was found. Radiological investigations confirmed anterior dislocation of elbow joint with medial epicondyle fracture of the right humerus. Dislocation was reduced under general anesthesia with ulnohumeral K-wire and fracture of the medial epicondyle was stabilized by open reduction and internal fixation with K-wire.
Anterior dislocation of elbow is a rare occurrence with frequent association with periarticular fractures and neurovascular injury. Therefore, a careful assessment followed by the early proper reduction and management leads to better functional outcome.
肘关节前脱位较为罕见，多因高处坠落时屈曲位的肘部受到直接创伤所致。肘关节后脱位更为常见，因此本病例的罕见性促使进行报道。
一名53岁男性因高处坠落后来到我院门诊，主诉右上肢疼痛、肿胀且无法活动。检查发现无相关神经血管损伤。影像学检查证实为肘关节前脱位合并右肱骨内上髁骨折。在全身麻醉下通过尺骨鹰嘴克氏针复位脱位，并通过切开复位及克氏针内固定稳定内上髁骨折。
肘关节前脱位罕见，常伴有关节周围骨折和神经血管损伤。因此，仔细评估后尽早进行恰当复位和处理可获得更好的功能预后。
