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Scholars Journal of Medical Case Reports | Volume-11 | Issue-07
Postero-External Dislocations of the Bilateral Elbow Associated with Detachment of the Medial Epicondyls in Children: About a Case Report
Dr. Pedro Gomes, Dr. Amar Adam
Published: July 19, 2023 |
190
97
DOI: 10.36347/sjmcr.2023.v11i07.015
Pages: 1384-1387
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Abstract
Posterolateral dislocations of the bilateral elbow associated with medial epicondyle detachment in children are rare lesions following high-energy trauma and are more often observed in children elbow dislocation associated with unilateral epicondyle detachment but bilateral remains exceptional. Constitute a pediatric emergency and ineffective treatment causes instability of the elbow and pseudarthrosis of the lateral epicondyle. We report the case of a case of bilateral posterolateral elbow dislocation associated with detachment of the medial epicondyles. This is an 11-year-old patient, admitted for blunt trauma to the bilateral elbows, the clinical examination noted edema and deformities of both elbows. Radiological assessment showed bilateral posterolateral dislocation of the elbows associated with stage IV medial epicondyle detachments according to the Watson-Jones classification. The patient underwent closed manual reduction and open-hearth pinning and then BABP cast; for right medial epicondyle and open screwing for left medial epicondyle and then BABP cast. Immediate and remote postoperative control deemed satisfactory, splints removed at 3 weeks, elbow rehabilitation was prescribed, osteosynthesis materials removed at 6 weeks with good clinical results.