Convergent luxation in pediatric elbow. Report of two cases.

Article Sidebar

PDF (Español (España)) PDF Figura 1 (Español (España)) Figura 2 (Español (España))
Published: Nov 13, 2017
DOI: https://doi.org/10.15417/643
Keywords:
convergent dislocation, elbow dislocation, pediatrics, radioulnar translocation.

Main Article Content

José Emilio Reyes Rodríguez
Complejo Asistencial de Segovia
http://orcid.org/0000-0002-9556-1040
María del Carmen Rubio Álvaro
Complejo Asistencial de Segovia
Antonio Javier Alonso Benavente
Hospital Universitario Rey Juan Carlos Móstoles
Juan María Ibáñez Tomé
Complejo Asistencial de Segovia
Paula Ortiz Perojo
Complejo Asistencial de Segovia
José Luis Tomé Delgado
Complejo Asistencial de Segovia

Abstract

IntroductionWe describe two clinical cases and review the available literature on the convergent elbow dislocation.ResultOur first case shows how a delay in the diagnosis will lead to an open reduction and internal fixation with K-wires. On the other hand, an early diagnosis prompts a closed reduction and without fixation as it is described in the second case.ConclusionsThe diagnostic key for the convergent dislocation of the elbow lies in the correct interpretation of the radiographs  and the prono-supination block on physical examination. The use of indomethacin is recommended to avoid heterotopic calcifications. The final outcome is better when an early diagnosis is achieved regardless of the method of reduction.Keywords: convergent dislocation, elbow dislocation, pediatrics, radioulnar translocation

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Reyes Rodríguez, J. E., Rubio Álvaro, M. del C., Alonso Benavente, A. J., Ibáñez Tomé, J. M., Ortiz Perojo, P., & Tomé Delgado, J. L. (2017). Convergent luxation in pediatric elbow. Report of two cases. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(4), 299-305. https://doi.org/10.15417/643
Issue
Vol 82 No 4 (2017)
Section
Case Presentations
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.

In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.

It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.

The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.

Author Biographies

José Emilio Reyes Rodríguez, Complejo Asistencial de Segovia

Servicio de Cirugía Ortopédica y Traumatológica, Complejo Asistencial de Segovia, Castilla y León, España

María del Carmen Rubio Álvaro, Complejo Asistencial de Segovia

Servicio de Cirugía Ortopédica y Traumatológica, Complejo Asistencial de Segovia, Castilla y León, España

Antonio Javier Alonso Benavente, Hospital Universitario Rey Juan Carlos Móstoles

Servicio de Cirugía Ortopédica y Traumatológica, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España

Juan María Ibáñez Tomé, Complejo Asistencial de Segovia

Servicio de Cirugía Ortopédica y Traumatológica, Complejo Asistencial de Segovia, Castilla y León, España

Paula Ortiz Perojo, Complejo Asistencial de Segovia

Servicio de Cirugía Ortopédica y Traumatológica, Complejo Asistencial de Segovia, Castilla y León, España

José Luis Tomé Delgado, Complejo Asistencial de Segovia

Servicio de Cirugía Ortopédica y Traumatológica, Complejo Asistencial de Segovia, Castilla y León, España

References

1. Stans AA, Lawrence TR. Dislocations of the elbow, medial epicondylar humerus fractures. In: Flynn JM, Skaggs DL, Waters PM (ed) Rockwood and Wilkins’ Fractures in Children, 8th edn. Wolters Kluwer, Philadelphia; 2015. pp 652-697.

2. Crawford A, Evans E. Missed fracture dislocation of the elbow with translocation of the radius. U.S. Navy Medicine 1977; 68:26–29.

3. Harvey S, Tchelebi H. Proximal radial ulnar translocation. J Bone Joint Surg Am 1979; 61:447–449.

4. MacSween WaA. Transposition of radius and ulna associated with dislocation of the elbow in a child. Injury 1979 May;10(4):314-6.

5. Scullion JE. Proximal radio-ulnar translocation. Injury 1981;13:83-5.

6. Carey RP. Simultaneous dislocation of the elbow and the proximal radio-ulnar joint. J Bone Joint Surg Br. 1984;66(2):254-6.

7. Eklof O, Nybonde T, Karlsson G. Luxation of the elbow complicated by proximal radio-ulnar translocation. Acta Radiol 1990;31:145-6.

8. Isbister ES. Proximal radioulnar translocation in association with posterior dislocation of the elbow. Injury 1991;22:479-82.

9. Carl A, Prada S, Teixeira K. Proximal radioulnar transposition in an elbow dislocation. J Orthop Trauma 1992;6:106-9.

10. Gillingham BL, Wright JG. Convergent dislocation of the elbow. Clin Orthop 1997;Jul:198-201.

11. Leconte D, Gouizi L, Palmar P. Quid? What do you think? Diagnosis: radio-cubital post-traumatic proximal translocation. J Radiol 1999;80: 1679-1680.

12. Rodrigo Verguizas A, Guiral Eslava J, Tello Arenas E. Luxación convergente del codo. Avances Traum 2002; 32: 157-159.

13. Galea A. An unusual case of elbow dislocation in a child: crossover of the radius and ulna. J Trauma 2004;57:1125-6.

14. Bong-Jin Lee, Sung-Rak Lee, Dong-Hwan Shin. Proximal Radio-Ulnar Translocation Associated with Elbow Dislocationon -Case Report-. J. Of Korean Orthop. Assoc. 2004; 39: 582-5.

15. Gascó Gómez J, Gomar Sancho F, Gascó Adrién J. Luxación posterior de codo asociada a traslocación radiocubital proximal. Revista Española de Cirugía Osteoarticular. 2004; 39 (217): 40-44.

16. Saied A, Ayatollahi Moussavi A. Elbow dislocation translocation in a child: A case report. J Shoulder Elbow Surg. 2007; 16 (6): 17-19.

17. Wodecki P, Maiza D, Rozenblum B. Elbow dislocation in children associated with proximal radioulnar traslocation. Rev Chir Orthop Reparatrice Appar Mot, 2007 Apr; 93(2):190-4

18. Roberts C, Lee TS, Rooney J, Jovanovic A, Creer R. Convergent dislocation of the elbow: report of three cases. J Shoulder Elbow Surg 2008; 17:e9–e13.

19. Combourieu B, Thevenin-Lemoine C, Abelin-Genevois K, Mary P, Damsin JP, Vialle R. Pediatric elbow dislocation associated with proximal radioulnar translocation: a report of three cases and a review of the literature. J Bone Joint Surg Am 2010; 92:1780–1785.

20. Antonis K, Leonidou OA, Sbonias G, Fligger I. Convergent type proximal radioulnar translocation complicating posterior elbow dislocation: watch out for dual dislocations in children’s elbows. J Pediatr Orthop B 2011;20:138–141.

21. Parikh SN, Lykissas MG, Mehlman CT, Sands S, Herrera-Soto J, Panchal A and Crawford AH. Convergent and divergent dislocation of the pediatric elbow: two case reports and comprehensive review of literature. Journal of Pediatric Orthopaedics B 2014; 23:158–167

22. Anakwenze OA, Kancherla VK, Warrender W, Abboud JA. Outcomes of modified 2-incision technique with use of indomethicin in treatment of distal biceps tendon rupture. Orthopedics. 2011 Nov 9; 34(11):e724-9.