The authors report eight cases of neglected dislocations of the elbow. The
fracture-dislocations were included in our series. All patients benefited from a
surgical reduction. In five cases, an internal fixation by K-wires was necessary.
All patients benefited from physical therapy after removal of osteosynthesis material.
After a mean follow-up of 20 months, we noted 50% of satisfactory functional results
according to Mayo Elbow Performance Score. Neglected dislocations of elbow remain
a rather frequent entity in developing countries. Its main cause is the negligence
of patients and the recourse to traditional treatment. The prognosis of this injury
remains reserved.
References
[1]
Mehta, S., Sud, A., Tiwari, A. and Kapoor, S.K. (2007) Open Reduction for Late-Presenting Posterior Dislocation of the Elbow. Journal of Orthopaedic Surgery (Hong Kong), 15, 15-21.
Freeman III, B.L. (1998) Old Unreduced Dislocations. In: Crenshaw, A.H., Ed., Campbell’s Operative Orthopaedics, 9th Edition, Mosby, St.
Louis, 2673-2674.
[4]
Mehta, S., Sud, A., Tiwari, A. and Kapoor, S.K. (2007) Open Reduction for Late-Presenting Posterior Dislocation of the Elbow. Journal of Orthopaedic Surgery (Hong Kong), 15, 15-21.
[5]
Naidoo, K.S. (1982) Unreduced Posterior Dislocations of the Elbow. The
Journal of Bone & Joint Surgery, 64, 603- 606.
[6]
Rockwood, C.A. (1996) Treatment of Old Unreduced Posterior Dislocation
of Elbow. In: Rockwood, C.A., Ed., 4th Edition, Rockwood
and Green’s Fracture in Adults, 4th
Edition, Lippincott-Raven, Philadelphia, 975-976.
[7]
Coulibalya, N.F., Tiemdjoa, H., Sanea, A.D., Sarr, Y.F., Ndiayea, A. and Seyea, S. (2012) Posterior Approach for Surgical Treatment of Neglected
Elbow Dislocation. Orthopaedics &
Traumatology: Surgery & Research, 98, 552-558. http://dx.doi.org/10.1016/j.otsr.2012.03.006
Martini, M., Benselama, R. and Daoud, A. (1984) Neglected Luxations of the Elbow. 25 Surgical Reduction. Revue de Chirurgie Orthopédique et
Réparatrice de l'Appareil Moteur, 70, 305-312.
[11]
Josefsson, P.O., Johnell, O. and Gentz, C.F. (1984) Long-Term Sequelae of Simple Dislocation of
the Elbow. The Journal of Bone and Joint
Surgery, American Volume, 66, 927-930.
[12]
Ohno, Y., Shimizu, K. and Ohnishi, K. (2005) Surgically Treated Chronic Unreduced Medial
Dislocation of the Elbow in a 70-Year-Old Man: A Case Report. Journal of Shoulder and Elbow Surgery, 14, 549-553. http://dx.doi.org/10.1016/j.jse.2004.08.006
[13]
Josefsson, P.O., Gentz, C.F., Johnell, O. and Wendeberg, B. (1987) Surgical versus Non-Surgical Treatment of Ligamentous
Injuries Following Dislocation of the Elbow Joint. A Prospective Randomized Study. The Journal of Bone and Joint Surgery, American Volume, 69, 605-608.
[14]
Mehlhoff, T.L., Noble, P.C., Bennett, J.B. and Tullos, H.S. (1988) Simple Dislocation of the Elbow in the Adult.
Results after Closed Treatment. The
Journal of Bone and Joint Surgery, American Volume, 70, 244-249.
[15]
Azmi, I., Razak, M. and Hyzan, Y. (1998) The Results of
Treatment of Dislocation and Fracture-Dislocation of the Elbow: A Review of 41
Patients. Medical Journal of Malaysia, 53, 59-70.
[16]
Majima, M., Horii, E. and Nakamura, R. (2007) Treatment of
Chronically Dislocated Elbows: A Report of Three Cases. Journal of Shoulder and Elbow Surgery, 16, e1-e4. http://dx.doi.org/10.1016/j.jse.2006.09.003
[17]
Arafiles, R.P. (1987) Neglected Posterior of the Elbow. A Reconstruction
Operation. The Journal of Bone and Joint
Surgery, 69, 199-202.
[18]
Jupiter, J.B. and Ring, D. (2002) Treatment of
Unreduced Elbow Dislocations in the Hinged External Fixation. The Journal of Bone and Joint Surgery, American Volume, 84-A, 1630-1635.
[19]
Ait Essi, F.,
Rafai, M.,
Largab, A. and
Trafeh, M. (2005) Neglected Fracture-Dislocation of the Elbow:
Surgical Reduction with Enlarging Osteoplasty of the Trochlear Notch. Chirurgie de la Main, 24, 177-180. http://dx.doi.org/10.1016/j.main.2005.04.006
[20]
Di Shino, M.,
Breda, Y.,
Grimaldi, F.M.,
Lorthioir, J.M. and Merrien, Y. (1990) Surgical Treatment of Neglected Elbow Dislocations. Report of 81 Cases. Revue de Chirurgie Orthopedique et Reparatrice de L’appareil Moteur, 76, 303-310.