Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report
Abstract Isolated anterior dislocation of the radial head is rarely reported. To date, only five cases have been reported in the world literature. In all of these cases, the patients presented with restricted supination-pronation movements of the forearm with maintained elbow flexion-extension. We r...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-12-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000600746&tlng=en |
| _version_ | 1797225744200368128 |
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| author | Rajeev Kansay Sandeep Gupta Ashwani Soni Anubhav Malhotra Sudhir Kumar Garg |
| author_facet | Rajeev Kansay Sandeep Gupta Ashwani Soni Anubhav Malhotra Sudhir Kumar Garg |
| author_sort | Rajeev Kansay |
| collection | DOAJ |
| description | Abstract Isolated anterior dislocation of the radial head is rarely reported. To date, only five cases have been reported in the world literature. In all of these cases, the patients presented with restricted supination-pronation movements of the forearm with maintained elbow flexion-extension. We report an unusual case of isolated anterior radial head dislocation in an 18-year-old male, who presented with maintained supination-pronation movements of the forearm but restricted elbow flexion-extension. Closed reduction was attempted, but it failed. Hence, an open reduction was performed. However, the reduction was unstable due to rupture of the annular ligament. Hence, the repair of the annular ligament was performed, and a radio-ulnar Kirschner wire was passed to maintain the reduction of the proximal radio-ulnar joint, thus keeping the annular ligament stress-free, facilitating its healing. At 12 months of follow-up, the patient had normal elbow function and complete range of motion. |
| first_indexed | 2024-03-08T08:04:27Z |
| format | Article |
| id | doaj.art-42dfa83db368492aa6b326b850626ba5 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:13:53Z |
| publishDate | 2019-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-42dfa83db368492aa6b326b850626ba52024-04-03T08:57:03ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782019-12-0154674675010.1016/j.rboe.2018.03.003Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case ReportRajeev Kansayhttps://orcid.org/0000-0002-8349-0433Sandeep GuptaAshwani SoniAnubhav MalhotraSudhir Kumar GargAbstract Isolated anterior dislocation of the radial head is rarely reported. To date, only five cases have been reported in the world literature. In all of these cases, the patients presented with restricted supination-pronation movements of the forearm with maintained elbow flexion-extension. We report an unusual case of isolated anterior radial head dislocation in an 18-year-old male, who presented with maintained supination-pronation movements of the forearm but restricted elbow flexion-extension. Closed reduction was attempted, but it failed. Hence, an open reduction was performed. However, the reduction was unstable due to rupture of the annular ligament. Hence, the repair of the annular ligament was performed, and a radio-ulnar Kirschner wire was passed to maintain the reduction of the proximal radio-ulnar joint, thus keeping the annular ligament stress-free, facilitating its healing. At 12 months of follow-up, the patient had normal elbow function and complete range of motion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000600746&tlng=enelbow jointjoint dislocationsradiusarticular ligaments |
| spellingShingle | Rajeev Kansay Sandeep Gupta Ashwani Soni Anubhav Malhotra Sudhir Kumar Garg Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report Revista Brasileira de Ortopedia elbow joint joint dislocations radius articular ligaments |
| title | Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report |
| title_full | Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report |
| title_fullStr | Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report |
| title_full_unstemmed | Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report |
| title_short | Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report |
| title_sort | isolated anterior dislocation of the radial head with atypical presentation in an adult a case report |
| topic | elbow joint joint dislocations radius articular ligaments |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000600746&tlng=en |
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