The Journal of Bone and Joint Surgery (American). 2010;92:1780-1785.
doi:10.2106/JBJS.I.01694
© 2010 The Journal of Bone and Joint Surgery, Inc.
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Pediatric Elbow Dislocation Associated with Proximal Radioulnar Translocation

A Report of Three Cases and a Review of the Literature

Benoit Combourieu, MD1, Camille Thevenin-Lemoine, MD1, Kariman Abelin-Genevois, MD1, Pierre Mary, MD1, Jean-Paul Damsin, MD1 and Raphaël Vialle, MD, PhD1

1 Department of Paediatric Orthopaedics, Armand Trousseau Hospital, Université Pierre et Marie Curie-Paris 6, 26 Avenue du Docteur Arnold Netter, F-75571 Paris, CEDEX 12, France. E-mail address for R. Vialle: raphael.vialle@trs.aphp.fr

The first 150 words of the full text of this article appear below.


   Introduction
 
Elbow dislocation is uncommon in children1-3, accounting for <3% of elbow injuries. Since 1979, when MacSween4 was the first, as far as we know, to describe the case of a patient with proximal radioulnar translocation, also known as convergent elbow dislocation, twelve cases of this very uncommon elbow dislocation4-16 have been reported in children. Initial failure to recognize the true nature of the lesion is characteristic8-11,14. With misdiagnosis, delayed treatment may lead to a poor functional result8. We report the cases of three children with proximal radioulnar dislocation and suggest a pathophysiologic mechanism of injury for this rare condition. The parents of the patients were informed that data concerning the case would be submitted for publication, and they consented.


   Case Reports
 
CASE 1. A six-year-old girl was admitted after a fall on her right elbow. Initial examination revealed a painful, swollen right elbow without neurologic or vascular problems. . . . [Full Text of this Article]


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