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Case report
Anterior elbow dislocation without fracture in an adult: a rare injury pattern
  1. Sandeep Vijayan1,
  2. Vijayaraghavan Chalappurath2,
  3. Sudeep Jose1 and
  4. Sharath Kumar Rao1
  1. 1 Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  2. 2 Department of Orthopaedics, Asha Hospital, Vadakara, Kerala, India
  1. Correspondence to Dr Sudeep Jose, sudeepjose1{at}gmail.com

Abstract

Anterior elbow dislocation without periarticular fracture (simple dislocation) is an extremely rare injury and is usually caused by distraction or torsional forces. It is important to look for associated ligamentous and musculotendinous injuries in this pattern. We report an elderly patient who sustained simple anterior dislocation of the elbow and in whom successful closed reduction could be achieved. Reduction by closed method is possible if we know the exact mechanism of elbow injury. Despite the presence of medial collateral ligament injury, he was managed non-operatively and had full functional recovery. Checking for joint stability and collateral ligaments after reduction and getting additional radiological investigations help in better treatment planning. Early protected active mobilisation should be initiated to achieve better functional results.

  • elbow instability
  • elbow fracture
  • joint interposition
  • injuries
  • injuries
  • ligament rupture

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Footnotes

  • Contributors SV was involved in patient care, planning, conduct, reporting, designing, acquisition of data, analysis, compiling and interpretation of data. VC was involved in patient care, planning, conception, acquisition of data, analysis and interpretation of data. SJ was involved in patient care, conduct, reporting, analysis and interpretation of data. SKR was involved in patient care, planning, conduct, conception, designing, analysis and interpretation of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.