Benomar Ismail, Bendeddouhce Kenza, Aqqaoui Loubna, Oubejja Houda, Ettayebi Fouad
Pediatric Surgery, Children's Hospital of Rabat, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR.
Cureus. 2025 Apr 3;17(4):e81659. doi: 10.7759/cureus.81659. eCollection 2025 Apr.
Isolated radial head dislocation in children is a rare but significant injury, often resulting from trauma. It is clinically challenging to diagnose due to its subtle symptoms and can lead to serious long-term consequences if not treated promptly. Early detection and treatment are crucial to prevent persistent elbow pain, stiffness, instability, and functional impairment. This report details four cases of isolated radial head dislocation in children, each following trauma. All patients underwent closed reduction and were immobilized in a splint for three weeks. The cases were reviewed to highlight the importance of timely intervention and the outcomes of the treatment approach. Despite advances in treatment techniques, the exact mechanism behind isolated radial head dislocation remains unclear. Radial head dislocations are more commonly seen in adults, and their presentation in children can be easily overlooked due to less pronounced clinical and radiological symptoms. A precise diagnosis is essential to avoid long-term complications such as instability and functional limitations. Early diagnosis and appropriate treatment of isolated radial head dislocation in children are essential for preventing lasting effects. Further research is needed to understand the underlying mechanisms and optimize post-reduction management strategies to improve long-term outcomes.
儿童单纯桡骨头脱位是一种罕见但严重的损伤，通常由外伤引起。由于其症状不明显，临床上诊断具有挑战性，如果不及时治疗，可能会导致严重的长期后果。早期发现和治疗对于预防持续性肘部疼痛、僵硬、不稳定和功能障碍至关重要。本报告详细介绍了4例儿童单纯桡骨头脱位病例，均有外伤史。所有患者均接受了闭合复位，并使用夹板固定三周。通过回顾这些病例，强调了及时干预的重要性以及治疗方法的效果。尽管治疗技术有所进步，但单纯桡骨头脱位的确切机制仍不清楚。桡骨头脱位在成人中更为常见，由于儿童的临床和放射学症状不那么明显，其在儿童中的表现很容易被忽视。精确诊断对于避免诸如不稳定和功能受限等长期并发症至关重要。儿童单纯桡骨头脱位的早期诊断和适当治疗对于预防持久影响至关重要。需要进一步研究以了解其潜在机制，并优化复位后管理策略以改善长期效果。
