The Duke Orthopaedic Journal

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  8 (2018)
Volume  7 (2017)
Volume  6 (2016)
Volume  5 (2015)
Volume  4 (2014)
Volume  3 (2013)
Volume  2 (2012)
Volume  1 (2011)
Related articles

VOLUME 8 , ISSUE 1 ( June, 2018 ) > List of Articles

CASE REPORT

Incarcerated Coronoid Fracture at the Time of Pediatric Elbow Dislocation

Jonathan A Godin, David M Tainter, Mitchell R Klement, Benjamin A Alman, A Jordan Grier, Erika L Templeton, Robert K Lark, Rachel M Reilly

Keywords : Case report, Coronoid fracture, Elbow dislocation, Incarcerated fracture, Pediatric elbow.

Citation Information : Godin JA, Tainter DM, Klement MR, Alman BA, Grier AJ, Templeton EL, Lark RK, Reilly RM. Incarcerated Coronoid Fracture at the Time of Pediatric Elbow Dislocation. The Duke Orthop J 2018; 8 (1):22-27.

DOI: 10.5005/jp-journals-10017-1090

License: CC BY-NC 3.0

Published Online: 01-05-2017

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

An elbow dislocation with associated incarcerated coronoid fracture in a child is a rare injury. No prior cases of this clinical scenario have been described in the English literature. Radiographs, including a true lateral and contralateral elbow views, are vital to identify the lack of joint congruency. This case underscores the importance of thorough postreduction physical examination, including range of motion and stability, and radiograph interpretation. Suspicion for an entrapped fracture should be high in a patient with a lack of joint congruency, residual joint instability, and limited range of motion following attempted reduction.

PDF Share
  1. Henrikson B. Supracondylar fracture of the humerus in children. A late review of end-results with special reference to the cause of deformity, disability and complications. Acta Chir Scand (Suppl) 1966;369:1-72.
  2. Josefsson PO, Nilsson BE. Incidence of elbow dislocation. Acta Orthop Scand 1986 Dec;57(6):537-538.
  3. Lee HH, Shen HC, Chang JH, Lee CH, Wu SS. Operative treatment of displaced medial epicondyle fractures in children and adolescents. J Shoulder Elbow Surg 2005 Mar- Apr;14(2):178-185.
  4. Smith FM. Medial epicondyle injuries. J Am Med Assoc 1950 Feb 11;142(6):396-402, illust.
  5. Wilson NI, Ingram R, Rymaszewski L, Miller JH. Treatment of fractures of the medial epicondyle of the humerus. Injury 1988 Sep;19(5):342-344.
  6. Dailiana ZH, Papatheodorou LK, Michalitsis SG, Varitimidis SE. Pediatric terrible triad elbow fracture dislocations: report of 2 cases. J Hand Surg Am 2013 Sep;38(9):1774-1778.
  7. Linscheid RL, Wheeler DK. Elbow dislocations. JAMA 1965 Dec 13;194(11):1171-1176.
  8. Neviaser JS, Wickstrom JK. Dislocation of the elbow: a retrospective study of 115 patients. South Med J 1977 Feb;70(2):172-173.
  9. Carlioz H, Abols Y. Posterior dislocation of the elbow in children. J Pediatr Orthop 1984 Jan;4(1):8-12.
  10. Rasool MN. Dislocations of the elbow in children. J Bone Joint Surg Br 2004 Sep;86(7):1050-1058.
  11. Quick TJ, Gibbons P, Smith N. An olecranon chondral flap and osteochondral coronoid fracture in a spontaneously reduced elbow dislocation in a child. J Pediatr Orthop B 2013 Sep;22(5):481-485.
  12. Brodeur AE, Silberstein MJ, Graviss ER, Luisiri A. The basic tenets for appropriate evaluation of the elbow in pediatrics. Curr Probl Diagn Radiol 1983 Sep-Oct;12(5):1-29.
  13. Landin LA, Danielsson LG. Elbow fractures in children. An epidemiological analysis of 589 cases. Acta Orthop Scand 1986 Aug;57(4):309-312.
  14. Brodeur AE, Silberstein MJ, Graviss ER. Radiology of the pediatric elbow. Boston, MA: G. K. Hall Medical Publishers; 1981.
  15. Cheng JC, Wing-Man K, Shen WY, Yurianto H, Xia G, Lau JT, Cheung AY. A new look at the sequential development of elbow-ossification centers in children. J Pediatr Orthop 1998 Mar-Apr;18(2):161-167.
  16. Emery KH, Zingula SN, Anton CG, Salisbury SR, Tamai J. Pediatric elbow fractures: a new angle on an old topic. Pediatr Radiol 2016 Jan;46(1):61-66.
  17. Hyatt BT, Schmitz MR, Rush JK. Complications of pediatric elbow fractures. Orthop Clin North Am 2016 Apr;47(2): 377-385.
  18. Waters PM, Beaty J, Kasser J. Elbow “TRASH” (The Radiographic Appearance Seemed Harmless) Lesions. J Pediatr Orthop 2010;30:77-81.
  19. Skaggs DL. Elbow fractures in children: diagnosis and management. J Am Acad Orthop Surg 1997 Nov;5(6):303-312.
  20. Nowicki PD, Duhn R. The use of arthrography in pediatric orthopaedic surgery. J Am Acad Orthop Surg 2014 Aug;22(8): 472-481.
  21. Yates C, Sullivan JA. Arthrographic diagnosis of elbow injuries in children. J Pediatr Orthop 1987 Jan-Feb;7(1):54-60.
  22. Gufler H, Schulze CG, Wagner S, Baumbach L. MRI for occult physeal fracture detection in children and adolescents. Acta Radiol 2013 May;54(4):467-472.
  23. Pudas T, Hurme T, Mattila K, Svedstrom E. Magnetic resonance imaging in pediatric elbow fractures. Acta Radiol 2005 Oct;46(6):636-644.
  24. Iyer RS, Thapa MM, Khanna PC, Chew FS. Pediatric bone imaging: imaging elbow trauma in children—a review of acute and chronic injuries. AJR Am J Roentgenol 2012 May;198(5):1053-1068.
  25. Beltran J, Rosenberg ZS, Kawelblum M, Montes L, Bergman AG, Strongwater A. Pediatric elbow fractures: MRI evaluation. Skeletal Radiol 1994 May;23(4):277-281.
  26. Rockwood CA, Wilkins KE, Beaty JH, Kasser JR. Rockwood and Wilkins’ fractures in children. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
  27. Morrey BF, Sanchez-Sotelo J. The elbow and its disorders. 4th ed. Philadelphia, PA: Saunders/Elsevier; 2009.
  28. Closkey RF, Goode JR, Kirschenbaum D, Cody RP. The role of the coronoid process in elbow stability. A biomechanical analysis of axial loading. J Bone Joint Surg Am 2000 Dec; 82-A(12):1749-1753.
  29. Wells J, Ablove RH. Coronoid fractures of the elbow. Clin Med Res 2008 May;6(1):40-44.
  30. Jeon IH, Sanchez-Sotelo J, Zhao K, An KN, Morrey BM. The contribution of the coronoid and radial head to the stability of the elbow. J Bone Joint Surg Br 2012 Jan;94(1):86-92.
  31. Maylahn DJ, Fahey JJ. Fractures of the elbow in children; review of three hundred consecutive cases. J Am Med Assoc 1958 Jan 18;166(3):220-228.
  32. Bracq H. [Fractures of the olecranon]. Rev Chir Orthop Reparatrice Appar Mot 1987;73(6):469-471.
  33. Roberts PH. Dislocation of the elbow. Br J Surg 1969 Nov;56(11):806-815.
  34. Bilgili F, Dikmen G, Bas A, Asma A, Batibay SG, Şirikçi M, Atalar AC. Acute traumatic posterior fracture dislocation of the elbow in pediatric patients: impact of surgery time and associated fractures on outcome. J Pediatr Orthop B 2016 Sep;25(5):434-438.
  35. Galbraith KA, McCullough CJ. Acute nerve injury as a complication of closed fractures or dislocations of the elbow. Injury 1979 Nov;11(2):159-164.
  36. Pritchett JW. Entrapment of the median nerve after dislocation of the elbow. J Pediatr Orthop 1984 Nov;4(6):752-753.
  37. Danielsson LG. Median nerve entrapment in elbow dislocation. A case report. Acta Orthop Scand 1986 Oct;57(5): 450-452.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.