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In-ho Jeon - One of the best experts on this subject based on the ideXlab platform.

  • Intra-articular entrapment of the ulnar nerve after acute Elbow Dislocation: a rare cause of flexion contracture
    Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2013
    Co-Authors: Nina Djordjević, Ivan Micic, Aditya Pawaskar, In-ho Jeon
    Abstract:

    The ulnar nerve is more frequently injured than the median or radial nerves after Elbow Dislocation [1]. Ulnar nerve palsy can be due to the injury itself or to manipulation or surgical treatment. Entrapment of the ulnar nerve at the Elbow in association with Elbow Dislocation and medial epicondyle fracture has been reported in the literature [2]. However, there is no case of intra-articular ulnar nerve entrapment in Elbow Dislocation that has been reported in the English literature. We present a unique case of intraarticular ulnar nerve entrapment after an Elbow Dislocation with clinical presentation of a painful flexion contracture.

  • surgical management of unstable Elbow Dislocation without intra articular fracture
    International Orthopaedics, 2009
    Co-Authors: Ivan Micic, Poong-taek Kim, Shin-yoon Kim, Ilhyung Park, In-ho Jeon
    Abstract:

    The purpose of this study was to describe soft tissue injury patterns and report the clinical results of primary ligament repair with use of protected early mobilisation in unstable Elbow Dislocations with pure capsulo-ligamentous injuries. Twenty-four patients who presented with traumatic unstable Elbow Dislocation without associated intra-articular fracture were reviewed. Anatomical repair was performed using metal anchor screws and the bone tunnel method. Ligament avulsion was noted in 55% for the medial collateral ligament, 80% for the lateral collateral ligament, 60% for the flexor tendon and 80% for the extensor tendon. The overall mean Mayo Elbow Performance Score was 93.2. Brachial artery injuries occurred in two Elbows. Heterotopic calcification was noted in 14 patients and there was one severe traumatic arthrosis. This study showed a high incidence of reattachable avulsion injuries to ligaments, tendon/muscle and capsule in unstable Elbow Dislocations. Primary ligament repair coupled with early rehabilitation provided satisfactory outcomes at two to four years postoperatively.

  • Primary ligament repair for Elbow Dislocation.
    The Keio journal of medicine, 2008
    Co-Authors: In-ho Jeon, Shin-yoon Kim, Poong-taek Kim
    Abstract:

    Few have been reported on the role of early primary ligament repair for acute unstable Elbow Dislocation. The purpose of this study is to evaluate the clinical outcome of early primary ligament repair for unstable Elbow Dislocation followed by protected early joint mobilization exercise. Thirteen patients who underwent operative treatment due to unstable Elbow Dislocation without associated fracture were retrospectively reviewed. There were 11 male and 2 female with average age of 37 years (range; 18-72 years). Surgical indications of the unstable Elbow were subluxation or non-congruent Elbow joint on the radiographs following closed reduction. Elbow Dislocation which required extension block splint over 45 degrees to maintain reduction was considered as unstable Elbow Dislocation. In ten patients, full stability was restored only after both medial and lateral structures were re-attached. In two patients, only lateral structure (LCLC and common extensor tendon) was repaired and in one patient, only medial structure (MCL and flexor pronator tendon) was repaired for stability. Overall mean functional Mayo Elbow Performance Score was 93.5 (range; 70-100). No Elbow was dislocated or subluxated after operation. All ten patients returned to previous work level in average of 3.5 months. Heterotopic calcification was noted in six patients and three had mild ulnar nerve symptoms after operation. In conclusion, primary ligament repair in acute unstable Elbow Dislocation were successful, because surgery achieved sufficient stability to allow early exercise.

George S. Matsinos - One of the best experts on this subject based on the ideXlab platform.

  • Median nerve entrapment and ulnar nerve palsy following Elbow Dislocation in a child.
    Journal of surgical orthopaedic advances, 2012
    Co-Authors: Dimitrios V Petratos, Nikolaos A. Stavropoulos, Emmanouil Morakis, George S. Matsinos
    Abstract:

    This report presents a rare case of a child who presented with neglected intra-articular entrapment of the median nerve, ulnar nerve palsy, and intra-articular incarceration of the medial epicondyle following closed reduction of an Elbow Dislocation. In the present case, as in most other cases, the diagnosis and treatment were delayed. Careful initial and postreduction neurological examination, as well as careful interpretation of the plain radiographs, is necessary for early detection of any nerve complications and associated fractures of an Elbow Dislocation. The authors' opinion is that a child with an Elbow Dislocation, which is initially neurologically intact but advances to a median or ulnar nerve deficit after the reduction, must undergo early surgical exploration, especially when the Dislocation is associated with a medial epicondyle fracture.

J. J. O'flanagan - One of the best experts on this subject based on the ideXlab platform.

Poong-taek Kim - One of the best experts on this subject based on the ideXlab platform.

  • surgical management of unstable Elbow Dislocation without intra articular fracture
    International Orthopaedics, 2009
    Co-Authors: Ivan Micic, Poong-taek Kim, Shin-yoon Kim, Ilhyung Park, In-ho Jeon
    Abstract:

    The purpose of this study was to describe soft tissue injury patterns and report the clinical results of primary ligament repair with use of protected early mobilisation in unstable Elbow Dislocations with pure capsulo-ligamentous injuries. Twenty-four patients who presented with traumatic unstable Elbow Dislocation without associated intra-articular fracture were reviewed. Anatomical repair was performed using metal anchor screws and the bone tunnel method. Ligament avulsion was noted in 55% for the medial collateral ligament, 80% for the lateral collateral ligament, 60% for the flexor tendon and 80% for the extensor tendon. The overall mean Mayo Elbow Performance Score was 93.2. Brachial artery injuries occurred in two Elbows. Heterotopic calcification was noted in 14 patients and there was one severe traumatic arthrosis. This study showed a high incidence of reattachable avulsion injuries to ligaments, tendon/muscle and capsule in unstable Elbow Dislocations. Primary ligament repair coupled with early rehabilitation provided satisfactory outcomes at two to four years postoperatively.

  • Primary ligament repair for Elbow Dislocation.
    The Keio journal of medicine, 2008
    Co-Authors: In-ho Jeon, Shin-yoon Kim, Poong-taek Kim
    Abstract:

    Few have been reported on the role of early primary ligament repair for acute unstable Elbow Dislocation. The purpose of this study is to evaluate the clinical outcome of early primary ligament repair for unstable Elbow Dislocation followed by protected early joint mobilization exercise. Thirteen patients who underwent operative treatment due to unstable Elbow Dislocation without associated fracture were retrospectively reviewed. There were 11 male and 2 female with average age of 37 years (range; 18-72 years). Surgical indications of the unstable Elbow were subluxation or non-congruent Elbow joint on the radiographs following closed reduction. Elbow Dislocation which required extension block splint over 45 degrees to maintain reduction was considered as unstable Elbow Dislocation. In ten patients, full stability was restored only after both medial and lateral structures were re-attached. In two patients, only lateral structure (LCLC and common extensor tendon) was repaired and in one patient, only medial structure (MCL and flexor pronator tendon) was repaired for stability. Overall mean functional Mayo Elbow Performance Score was 93.5 (range; 70-100). No Elbow was dislocated or subluxated after operation. All ten patients returned to previous work level in average of 3.5 months. Heterotopic calcification was noted in six patients and three had mild ulnar nerve symptoms after operation. In conclusion, primary ligament repair in acute unstable Elbow Dislocation were successful, because surgery achieved sufficient stability to allow early exercise.

D. Reidy - One of the best experts on this subject based on the ideXlab platform.

  • Simultaneous bilateral Elbow Dislocation with associated bilateral radial head fracture
    European Journal of Orthopaedic Surgery & Traumatology, 2007
    Co-Authors: Michael Leonard, D. Reidy
    Abstract:

    Bilateral Elbow Dislocation is a rare injury, with only a small number of case reports in the literature. The majority of these reports describe associated ligamentous injuries only. Simultaneous bilateral radial head fracture in association with bilateral Elbow Dislocation has only been described on one occasion previously. We present the case of a 54-year-old woman who dislocated both Elbows and fractured both radial heads following a fall. In the operating theatre under general anaesthesia, both Elbows were reduced by closed manipulation, it was then decided to treat the radial head fractures non-operativley. There was no neurovascular deficit either pre or post reduction. The patient was placed in above Elbow casts for 1 week. Both casts were then removed and intensive physiotherapy was prescribed. The patient had an excellent clinical outcome and returned to work as a florist within 6 months of her injury. The purpose of this report was to describe a very rare injury pattern, and to emphasise the importance of early mobilisation following bilateral Elbow Dislocation.