Reporte de caso. Elbow dislocation and lateral epicondyle fracture in a five year-old girl. Case report. Bucaramanga, Santander.
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Reporte de caso. Elbow dislocation and lateral epicondyle fracture in a five year-old girl. Case report. Bucaramanga, Santander. Traumatic elbow dislocation in the pediatric population is a particularly unusual injury. It was first described by Stimson in and almost years later revisited by Tachdjian in Three percent of cases are associated with lateral epicondyle fracture, so this is an infrequent injury that has been described in only a few papers as case reports.
The mechanism of injury is not clearly known, nor is the best type of treatment or its complications. We report herein the case of a five year-old girl with fracture dislocation of the lateral epicondyle who was managed with closed reduction and percutaneous fixation with Kirschner nails, with good functional results. Key words: elbow, luxation, child, fracture, fixation. Por todo lo anterior, consideramos que es un resultado postoperatorio satisfactorio con buenos resultados funcionales Figuras 4 y 5.
J Chin Med Assoc. Clin Orthop Relat Res. Sabat D, Dabas V, Kumar V, Dhal A: Medial dislocation of elbow associated with a fracture of the lateral humeral condyle in a child with pre-existing cubitus varus. J Pediatr Orthop. J Pediatr Orthop B. Acta Orthop Belg. J Orthop Trauma. Pouliart N, De Boeck H: Posteromedial dislocation of the elbow with associated intraarticular entrapment of the lateral epicondyle.
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Congenital dislocation of the knee is a rare musculo-skeletal malformation that affects one or both of the lower extremities as in the case reported herein. Ultrasonographic diagnosis of this malformation was initially suspected when the position of the extremities was observed to be incorrect. This then led to the definitive diagnosis on detecting the joint defect of the knee in the fetus. Antenatal diagnosis of this abnormality leads to the earliest possible treatment. When early and appropriate orthopedic maneuvers are performed, the prognosis of these neonates is favorable and in many cases corrective surgery can be avoided.