29-169
Luxación inveterada del codo en niños. A propósito de un caso
NEGLECTED DISLOCATION OF THE ELBOW IN CHILDREN. REPORT OF ONE CASE
J. GASCÓ y P. TEROL Unidad de Traumatología y Ortopedia. Departamento de Cirugía. Facultad de Medicina y Odontología. Universidad de Valencia. Valencia.
Recepción:
12/01/2009
Aceptación:
12/01/2009
Publicación:
12/01/2009
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Resumen (ES)
Neglected dislocation of the elbow is a rare entity, very unfrequent in developedcountries, affecting mostly marginated groups. The posterior type is the most frequentneglected dislocation of the elbow. When attempted 3 weeks after dislocation, close reductionusually fails or is very unstable due to the interposition of granulomatous or scar tissue withinthe joint and the retraction of periarticular soft tissues. For neglected dislocations treated from3 weeks to 3 months after the injury, we recommended open reduction through a posteriorapproach, including section of the triceps tendon, and reconstruction of the periarticular structures.We present one case of a 10-year-old boy, with neglected dislocation of the left elbowtreated procedure and showing a very satisfactory outcome.
Palabras clave (ES):
Luxación
Codo
Inveterada
Infantil
Niño
Resumen (EN)
Neglected dislocation of the elbow is a rare entity, very unfrequent in developedcountries, affecting mostly marginated groups. The posterior type is the most frequentneglected dislocation of the elbow. When attempted 3 weeks after dislocation, close reductionusually fails or is very unstable due to the interposition of granulomatous or scar tissue withinthe joint and the retraction of periarticular soft tissues. For neglected dislocations treated from3 weeks to 3 months after the injury, we recommended open reduction through a posteriorapproach, including section of the triceps tendon, and reconstruction of the periarticular structures.We present one case of a 10-year-old boy, with neglected dislocation of the left elbowtreated procedure and showing a very satisfactory outcome.
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