An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy

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8 Citations (Scopus)

Abstract

Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.

Original languageEnglish
Pages (from-to)459-461
Number of pages3
JournalJournal of Pediatric Orthopaedics Part B
Volume19
Issue number5
DOIs
Publication statusPublished - Sep 2010

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Ulnar Neuropathies
Elbow
Joint Capsule
Ulnar Nerve
Case Management
History
Wounds and Injuries

Keywords

  • elbow dislocation
  • medial epicondyle fracture
  • paediatrics
  • ulnar nerve palsy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

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title = "An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy",
abstract = "Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.",
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T1 - An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy

AU - Mohamed Haflah, Nor Hazla

AU - Ibrahim, Sharaf

AU - Sapuan, Jamari

AU - Abdullah, Shalimar

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N2 - Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.

AB - Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.

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KW - paediatrics

KW - ulnar nerve palsy

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