Open reduction of an old and unreduced posterior elbow dislocation

The old unreduced elbow dislocation is not very frequent, but when it is found, it is a challenge for every surgeon. We present a case of 65 years old man who came to the hospital with a dislocated elbow. After the first attempt to reduce, the elbow was mobilized in sling for 2 weeks, but during a s...

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Autores principales:	Tudor Mihai Gavrilă, Emanuel Antoneac, Cristea Vlad, Stefan Cristea
Formato:	article
Lenguaje:	EN
Publicado:	Digital ProScholar Media 2021
Materias:	old elbow dislocation ct mri open reduction ligamentoplasty Medicine R
Acceso en línea:	https://doaj.org/article/b780022cf39c4f688c2270999f52bc57
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spelling	oai:doaj.org-article:b780022cf39c4f688c2270999f52bc572021-11-23T16:49:49ZOpen reduction of an old and unreduced posterior elbow dislocation10.25083/2559.5555/6.2.142559-5555https://doaj.org/article/b780022cf39c4f688c2270999f52bc572021-11-01T00:00:00Zhttps://www.e-repository.org/jcis/6/2/14.pdfhttps://doaj.org/toc/2559-5555The old unreduced elbow dislocation is not very frequent, but when it is found, it is a challenge for every surgeon. We present a case of 65 years old man who came to the hospital with a dislocated elbow. After the first attempt to reduce, the elbow was mobilized in sling for 2 weeks, but during a small effort, the joint dislocated again. Another two orthopedic reduction were tried, followed by cast immobilization, but the elbow dislocated again. The patient presented in our service after two months from the injury with stiff joint in a vicious position. On imagistic examinations (Rx, CT, MRI), it was found comminuted fracture of coronoid process, posterior dislocation of olecranon and both collateral ligaments were torn. An open reduction was performed during which the joint surface was cleaned up, the anterior capsule was reattached to the coronoid process with an anchor, and then, collateral ligament was restored with the help of autograft, a gracilis muscle (bone fixed with two anchors). Postoperatively, the patient slowly began to mobilize the elbow with splint protection. After a year, the patient returned for follow-up; the function was completely restored and he had no pain.Tudor Mihai GavrilăEmanuel AntoneacCristea Vlad Stefan CristeaDigital ProScholar Mediaarticleold elbow dislocationctmriopen reductionligamentoplastyMedicineRENJournal of Clinical and Investigative Surgery, Vol 6, Iss 2, Pp 166-169 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	old elbow dislocation ct mri open reduction ligamentoplasty Medicine R
spellingShingle	old elbow dislocation ct mri open reduction ligamentoplasty Medicine R Tudor Mihai Gavrilă Emanuel Antoneac Cristea Vlad Stefan Cristea Open reduction of an old and unreduced posterior elbow dislocation
description	The old unreduced elbow dislocation is not very frequent, but when it is found, it is a challenge for every surgeon. We present a case of 65 years old man who came to the hospital with a dislocated elbow. After the first attempt to reduce, the elbow was mobilized in sling for 2 weeks, but during a small effort, the joint dislocated again. Another two orthopedic reduction were tried, followed by cast immobilization, but the elbow dislocated again. The patient presented in our service after two months from the injury with stiff joint in a vicious position. On imagistic examinations (Rx, CT, MRI), it was found comminuted fracture of coronoid process, posterior dislocation of olecranon and both collateral ligaments were torn. An open reduction was performed during which the joint surface was cleaned up, the anterior capsule was reattached to the coronoid process with an anchor, and then, collateral ligament was restored with the help of autograft, a gracilis muscle (bone fixed with two anchors). Postoperatively, the patient slowly began to mobilize the elbow with splint protection. After a year, the patient returned for follow-up; the function was completely restored and he had no pain.
format	article
author	Tudor Mihai Gavrilă Emanuel Antoneac Cristea Vlad Stefan Cristea
author_facet	Tudor Mihai Gavrilă Emanuel Antoneac Cristea Vlad Stefan Cristea
author_sort	Tudor Mihai Gavrilă
title	Open reduction of an old and unreduced posterior elbow dislocation
title_short	Open reduction of an old and unreduced posterior elbow dislocation
title_full	Open reduction of an old and unreduced posterior elbow dislocation
title_fullStr	Open reduction of an old and unreduced posterior elbow dislocation
title_full_unstemmed	Open reduction of an old and unreduced posterior elbow dislocation
title_sort	open reduction of an old and unreduced posterior elbow dislocation
publisher	Digital ProScholar Media
publishDate	2021
url	https://doaj.org/article/b780022cf39c4f688c2270999f52bc57
work_keys_str_mv	AT tudormihaigavrila openreductionofanoldandunreducedposteriorelbowdislocation AT emanuelantoneac openreductionofanoldandunreducedposteriorelbowdislocation AT cristeavlad openreductionofanoldandunreducedposteriorelbowdislocation AT stefancristea openreductionofanoldandunreducedposteriorelbowdislocation
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Open reduction of an old and unreduced posterior elbow dislocation

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