Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?
Case. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. Howe...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/3260106 |
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| _version_ | 1849305076197228544 |
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| author | Juan M. Patiño Juan M. Torres Moirano |
| author_facet | Juan M. Patiño Juan M. Torres Moirano |
| author_sort | Juan M. Patiño |
| collection | DOAJ |
| description | Case. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. However, a bone graft was not performed. After 2 years of follow-up, the DASH score was 3.3. The Mayo Score was 90. Conclusion. Posterolateral instability associated with an engaging bone defect, in every elbow extension and pivot shift test, was not found in the literature. The capitellum defects are associated with PLRI and make it worse. Bone reconstruction may not be indicated. |
| format | Article |
| id | doaj-art-08e9c3d6ab0e4e799f4ceab325f97523 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-08e9c3d6ab0e4e799f4ceab325f975232025-08-20T03:55:32ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/32601063260106Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect?Juan M. Patiño0Juan M. Torres Moirano1Departamento de Ortopedia y Traumatologia, Servicio de Cirugía de Miembro Superior, Hospital Militar Central “Cosme Argerich”, Buenos Aires., ArgentinaDepartamento de Ortopedia y Traumatologia, Servicio de Cirugía de Miembro Superior, Hospital Militar Central “Cosme Argerich”, Buenos Aires., ArgentinaCase. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift test with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect grafting and osteosynthesis. However, a bone graft was not performed. After 2 years of follow-up, the DASH score was 3.3. The Mayo Score was 90. Conclusion. Posterolateral instability associated with an engaging bone defect, in every elbow extension and pivot shift test, was not found in the literature. The capitellum defects are associated with PLRI and make it worse. Bone reconstruction may not be indicated.http://dx.doi.org/10.1155/2020/3260106 |
| spellingShingle | Juan M. Patiño Juan M. Torres Moirano Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? Case Reports in Orthopedics |
| title | Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? |
| title_full | Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? |
| title_fullStr | Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? |
| title_full_unstemmed | Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? |
| title_short | Engaging Posterior Capitellum Fracture and Elbow Posterolateral Rotatory Instability: Is It Always Necessary to Treat the Bone Defect? |
| title_sort | engaging posterior capitellum fracture and elbow posterolateral rotatory instability is it always necessary to treat the bone defect |
| url | http://dx.doi.org/10.1155/2020/3260106 |
| work_keys_str_mv | AT juanmpatino engagingposteriorcapitellumfractureandelbowposterolateralrotatoryinstabilityisitalwaysnecessarytotreatthebonedefect AT juanmtorresmoirano engagingposteriorcapitellumfractureandelbowposterolateralrotatoryinstabilityisitalwaysnecessarytotreatthebonedefect |