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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2015, Number 6

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Acta Ortop Mex 2015; 29 (6)

Inveterate radio-humeral dislocation in children. Case report and literature review

Matus-Jiménez J, Cuevas-Maravillas G, Aguilar-Santana A
Full text How to cite this article

Language: Spanish
References: 5
Page: 313-316
PDF size: 513.37 Kb.


Key words:

Dislocation, chronic, child, reduction, allograft.

ABSTRACT

Introduction: Radio-humeral dislocation is rare, as it generally occurs with ulnar fracture. It is unusual in children and chronic lesions are even more unusual. Objective: Report of a case, its treatment and two-year follow-up. Material and method: Treatment consisted of open reduction and annular ligamentoplasty with fascia lata allograft, maintaining the reduction with a Kirschner nail for 6 weeks. The latter was then removed and rehabilitation was started. Result: The two-year follow-up report stated that the child has resumed his activities at school and his physical activity. Discussion: The authors report that the techniques used to approach inveterate lesions should include shortening the ulna to be able to reduce the radius and maintain it. The standard technique was modified and good results were obtained.


REFERENCES

  1. Canale ST: Campbell. Cirugía ortopédica. Parte XI. Fracturas y luxaciones en la infancia. 10.a edición. Barcelona: Elsevier España; 2004: 1410-4.

  2. Herring J, Tachdjian MO. Ortopedia clínica y pediátrica: diagnóstico y tratamiento. Ed.Panamericana, 1999, 4a. Edición, Vol. 2:3388-411.

  3. Fekete K, Manninger J, Detre Z: Management of inveterate Monteggia-injuries (role of the interosseous membrane. Magy Traumatol Orthop Helyreallito Seb. 1991; 34(1): 59-63.

  4. Eathiraju S, Mudgal CS, Jupiter JB: Monteggia fracture-dislocations. Hand Clin. 2007; 23(2): 165-77, v.

  5. Sur YJ, Park JB, Song SW: Pediatric posterior Monteggia lesion: a greenstick fracture of the proximal ulnar metaphysis with radial neck fracture. A case report. J Orthop Trauma. 2010; 24(2): e12-6.




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Acta Ortop Mex. 2015 Nov-Dic;29