Cover Image

A RARE CASE OF SIMPLE ANTERIOR DISLOCATION OF ELBOW WITH BRACHIAL ARTERY INJURY WITH POSTERIOR INTEROSSEOUS NERVE PALSY

MURUGESH KUMAR

Abstract


Anterior elbow dislocation is a rare injury, often associated with soft tissue injury. A 30 yr male admitted with history of accidental fall followed by pain, swelling over his left elbow. Clinically and radiological, doppler investigation           revealed Anterior Dislocation Of Elbow With Brachial Artery Injury and Posterior Interosseus Nerve Palsy without other bony injury. Immediate closed reduction and primary vascular repair and anastomosis with long saphenous vein graft was done followed by fasciotomy of forearm. Post operatively forearm viability elbow function improved.


Full Text:

PDF

References


. Josefsson PO, Nilsson BE (1986) Incidence of elbow dislocation. Acta Orthop Scand 57(6):537–538

Hildebrand KA, Patterson SD, King GJ (1999) Acute elbow dislocations: simple and complex. Orthop Clin North Am 30(1): 63–79

Conn J Jr, Wade PA (1961) Injuries of the elbow: a ten year review. J Trauma 1:248–268

Josefsson PO, Johnell O, Gentz CF (1984) Long-term sequelae of simple dislocation of the elbow. J Bone Joint Surg Am 66(6): 927–930

J. de Haan · N. W. L. Schep · W. E. Tuinebreijer ·P. Patka · D. den Hartog Simple elbow dislocations: a systematic review of the literature. 2 april. 1997. J Arch Orthop Trauma Surg

O’Driscoll SW, Jupiter JB, King GJ et al (2001) The unstable elbow. Instr Course Lect 50:89–102

Sparks SR, DeLa Rosa J, Bergan JJ, Hoyt DB, Owens EL. Arterial injury in uncomplicated upper extremity dislocations. Ann Vasc Surg 2000;14:110-13.

Slowik GM, Fitzimmons M, Rayhack JM. Closed elbow dislocation andbrachial artery damage. J Orthop Trauma 1993;7:558-61.

Taub PJ, Giannikis G, Shen H-Y, Kim U. Brachial artery transection following closed elbow dislocation. J Trauma 1999;47:176-8.

Eijer H, Ballmer FT, Bis HB, Hertel R. Delayed diagnosis of a ruptured brachial artery after posterior dislocation of the elbow. Injury 1998;29:390-2.

Sadat-Ali M. Brachial artery injury in closed elbow dislocation: case report and review of literature. Arch Orthop Trauma Surg 1990;109:299-90.

Marcheix B, Chaufour X, Ayel J, et al. Transection of the brachial artery after closed posterior elbow dislocation. J Vasc Surg 2005;42:1230-2

Thomas PJ, Noellert RC. Brachial artery disruption after closed posterior dislocation of the elbow. Am J Orthop 1995;24:558-60.

Marnham R. Dislocation of the elbow with rupture of the brachial artery. Br J Surg 1934;22:181.

Linscheid RL, Wheeler DK. Elbow dislocations. JAMA 1965;194:1171- 6.

Sturm JT, Rothenberger DA, Strate RG. Brchial artery disruption following closed elbow dislocation. J Trauma 1978;18:364-6.

AuFranc OE, Jones WN, Turner RH. Dislocation of the elbow with brachial artery injury. JAMA 1966;197:719-21.

Slais, M, Spacek M, Rohn V, Mitas P, Tosovsky J. Posterior elbow dislocation combined with subadventitial rupture of the brachial artery: interposition with the use of the autologous basilica vein. Prague Med Rep; 2007;108:87-92.

Amsallem JL, Blankstein A, Bass A, Horoszowski H. Brachial artery injury: a complication of posterior elbow dislocation. Orthop Rev 1986;15:379-82.

Ferrera PC. Elbow dislocation complicated by brachial artery laceration. Am J Orthop 1999;17:103-5

Goldman MH, Schaumburg F. Brachial artery injuries associated with posterior elbow dislocations. Surg Gyn 1987;164:95-7.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University