DOI: 10.36347/sjams.2013.v01i06.0048

Pages: 867-869

Elbow dislocation due to trauma is rare in children with an incidence of only 3% to 6% of all elbow injuries. Pure dislocations are rare and radiological evaluation is must to evaluate carefully for associated injuries, which can include fractures or avulsions of the medial epicondyle, coronoid process, radial head, trochlea and lateral condyle or disruption of the proximal radio-ulnar joint. A 16 years boy came to the casualty department with the history of fall on outstretched hand while playing and diagnosed to have posterolateral elbow dislocation with entrapment of the medial epicondyle in the humeroulnalr joint by 3-D CT. Treated with open reduction and internal fixation with cancellous screw with washer. Postoperatively wound healed well, range of motion exercises started two days after the surgery and patient achieved full range of motion by two weeks. Radiologically the fixation was satisfactory and at three months physis was fused to the distal humerus. Elbow dislocations in children are rare. If there is associated type 1 Salter Harris medial epicondyle injury with entrapment in the humeroulnalr joint and elbow instability, must be treated with open reduction and internal fixation. Early rehabilitation protocol helps to gain full range of motion.