Acta Ortopédica Mexicana

Ruíz-Mejía O, Luján-Rodríguez A, Orivio-Gallegos JA, Pimentel-Rangel J, Valle de-Lascurain G, Esquivel-Vallejo A
Congenital radial head dislocation: report of two cases
Acta Ortop Mex 2019; 33 (2)

Language: Español
References: 20
Page: 118-122
PDF: 191.71 Kb.

[Fulltext - PDF]


Introduction: Congenital dislocation of the Radial head is a condition that has been described in a few cases in the international literature, the anterior and lateral dislocation were the less frequent forms of presentation with 15% of cases, each, and the posterior dislocation the most frequent with 70% of the total cases reported. However, this pathology is considered the most frequent congenital pathology of the elbow in children. The present study describes the case of a patient with congenital dislocation of elbow anterior variety and another case with dislocation lateral variety, both diagnosed at an early age, in which it has been decided for conservative management and an annual follow-up. A bibliographic review of the subject is also carried out. Discussion: The congenital elbow dislocation usually has a benign evolution, being painless and not very limiting for the patient, so it can be managed conservatively. Pain and limited movement are indicative of surgical treatment. There are multiple surgical treatments for this entity, however they are not widely accepted due to the complications and poor results presented by them.

Key words: Dislocation, congenital, radial head, children, congenital diseases, treatment, elbow.


  1. Álvarez GJ. Luxación congénita familiar de la cabeza radial. Revista Española de Cirugía Osteoarticular. 2005; 40(221): 39-41.

  2. Maruyama M, Takahara M, Kikuchi N, Ito K, Watanabe T, Ogino T. Snapping elbow with congenital radial head dislocation: case report. J Hand Surg Am. 2010; 35(6): 981-5.

  3. Yamazaki H, Kato. Open reduction of the radial head with ulnar osteotomy and annular ligament reconstruction for bilateral congenital radial head dislocation. J Hand Surg Eur Vol. 2007; 32(1): 93-7.

  4. Liu R, Miao W, Mu M, Wu G, Qu J, Wu Y. Ulnar rotation osteotomy for congenital radial head dislocation. J Hand Surg Am. 2015; 40(9): 1769-75.

  5. Rosenbaum AJ, Leonard G, Uhl RL, Mulligan M, Bagchi K. Congenital posterior dislocation of the radial head. Orthopedics. 2014; 37(1): 62-3.

  6. García-Albea R, Mesa-Rivero ME, Cienfuegos-López A, González-Herranz J. Luxación congénita de la cabeza de radio asociada a síndrome uña-rotula. Rev S and Trauma y Ort. 2013; 30(2/2): 67-70.

  7. Kaas L, Struijs PA. Congenital radial head dislocation with a progressive cubitus valgus: a case report. Strategies Trauma Limb Reconst. 2012; 7(1): 39-44.

  8. Plascencia MA, Játiva SF. Tres casos de luxación anterior congénita de cabeza radial en tres generaciones distintas. Rev Cir Ort Trauma. 1999; 43: 437-40.

  9. Miura T. Congenital dislocation of the radial head. J Hand Surgery (Br). 1990; 15B: 477-81.

  10. Ferrer H. Luxación congénita de la cabeza radial. Rev Esp Cir Ost. 1979; 14: 237-41.

  11. Caravias DE. Some Observations on Congenital dislocation of the head of the radius. J Bone Joint Surg Br. 1957; 39-B(1): 86-90.

  12. Mizuno K, Usui Y, Kohyama K, Hirohata K. Familiar congenital unilateral anterior dislocation of the radial head: differentiation from traumatic dislocation by means of arthrography. A case report. J Bone Joint Surg Am. 1991; 73(7): 1086-90.

  13. Rustagi T, Agashe MV, Dhamele J, Aroojis AJ, Mehta R. Loeys-Dietz syndrome with bilateral radial head dislocation: a case report. J Orthop Surg (Hong Kong). 2013; 21(2): 262-5.

  14. Echtler B, Burckhardt A. Isolated congenital dislocation pf the radial head: good function in 4 untreated patients after 14-45 years. Acta Orthop Scand. 1997; 68(6): 598-600.

  15. Bucknill TM. Anterior dislocation of the radial head in children. Proc Roy Soc Med. 1977; 70(9): 620-4.

  16. Lloyd-Roberts GC, Bucknill TM. Anterior dislocation of the radial head in children. J Bone Joint Surg Br. 1977; 59-B(4): 402-7.

  17. Suzuki T, Seki A, Nakamura T, Ikegami H, Takayama S, Nakamura M, et al. Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children. Bone Joint J. 2015; 97-B(11): 1582-7.

  18. Horii E, Nakamura R, Koh S, Inagaki H, Yajima H, Nakao E. Surgical treatment for chronic Radial head dislocation. J Bone Joint Surg Am. 2002; 84-A(7): 1183-8.

  19. Campbell CC, Waters PM, Emans JB. Campbell. Excision of the radial head for congenital dislocation. J Bone Joint Surg Am. 1992; 74-A(5): 726-33.

  20. Bengard MJ, Calfee RP, Steffen JA, Goldfarb CA. Intermediate-term to long-term outcome of surgically and nonsurgically treated congenital, isolated radial head dislocation. J Hand Surg Am. 2012; 37(12): 2495-501.