CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 746-750
DOI: 10.1016/j.rboe.2018.03.003
Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Isolated Anterior Dislocation of the Radial Head with Atypical Presentation in an Adult: A Case Report[*]

Article in several languages: português | English
1  Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia
,
Sandeep Gupta
1  Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia
,
Ashwani Soni
1  Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia
,
Anubhav Malhotra
1  Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia
,
Sudhir Kumar Garg
1  Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia
› Author Affiliations
Further Information

Publication History

03 September 2017

13 March 2018

Publication Date:
13 December 2019 (online)

Abstract

Isolated anterior dislocation of the radial head is rarely reported. To date, only five cases have been reported in the world literature. In all of these cases, the patients presented with restricted supination–pronation movements of the forearm with maintained elbow flexion–extension. We report an unusual case of isolated anterior radial head dislocation in an 18-year-old male, who presented with maintained supination–pronation movements of the forearm but restricted elbow flexion–extension. Closed reduction was attempted, but it failed. Hence, an open reduction was performed. However, the reduction was unstable due to rupture of the annular ligament. Hence, the repair of the annular ligament was performed, and a radio-ulnar Kirschner wire was passed to maintain the reduction of the proximal radio-ulnar joint, thus keeping the annular ligament stress-free, facilitating its healing. At 12 months of follow-up, the patient had normal elbow function and complete range of motion.

Informed consent

Written informed consent was obtained from the patient for the publication of the data concerning the case.


* Originally Published by Elsevier Editora Ltda.