Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition

The case presents an isolated irreducible anteromedial dislocation of radial head due to biceps tendon interposition on a 14-year-old female patient. After an unsuccessful closed reduction, a lateral approach of the left elbow was carried out through Kocher’s interval. Given that no pathology was fo...

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Main Authors: Vicente J. Climent-Peris, Josette Sirera-Vercher, M. Dolores Sanz-Amaro
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/5812353
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author Vicente J. Climent-Peris
Josette Sirera-Vercher
M. Dolores Sanz-Amaro
author_facet Vicente J. Climent-Peris
Josette Sirera-Vercher
M. Dolores Sanz-Amaro
author_sort Vicente J. Climent-Peris
collection DOAJ
description The case presents an isolated irreducible anteromedial dislocation of radial head due to biceps tendon interposition on a 14-year-old female patient. After an unsuccessful closed reduction, a lateral approach of the left elbow was carried out through Kocher’s interval. Given that no pathology was found on the radiohumeral joint, the approach was extended distally. This revealed that the biceps tendon was displaced laterally around the radial neck, preventing the reduction. Once the tendon was taken back to its anatomical position, the radial head reduction was performed successfully. The patient achieved a complete functional recovery. Possible injury mechanisms are discussed, as well as the importance of identifying such a rare injury.
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series Case Reports in Orthopedics
spelling doaj-art-2bf24a6a7a2142cdaf7103086e6493332025-08-20T03:55:17ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/58123535812353Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon InterpositionVicente J. Climent-Peris0Josette Sirera-Vercher1M. Dolores Sanz-Amaro2Department of Orthopaedic Surgery, Hospital Lluís Alcanyís, Xàtiva, Valencia, SpainDepartment of Orthopaedic Surgery, Hospital Lluís Alcanyís, Xàtiva, Valencia, SpainDepartment of Orthopaedic Surgery, Hospital Lluís Alcanyís, Xàtiva, Valencia, SpainThe case presents an isolated irreducible anteromedial dislocation of radial head due to biceps tendon interposition on a 14-year-old female patient. After an unsuccessful closed reduction, a lateral approach of the left elbow was carried out through Kocher’s interval. Given that no pathology was found on the radiohumeral joint, the approach was extended distally. This revealed that the biceps tendon was displaced laterally around the radial neck, preventing the reduction. Once the tendon was taken back to its anatomical position, the radial head reduction was performed successfully. The patient achieved a complete functional recovery. Possible injury mechanisms are discussed, as well as the importance of identifying such a rare injury.http://dx.doi.org/10.1155/2016/5812353
spellingShingle Vicente J. Climent-Peris
Josette Sirera-Vercher
M. Dolores Sanz-Amaro
Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
Case Reports in Orthopedics
title Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
title_full Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
title_fullStr Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
title_full_unstemmed Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
title_short Irreducible Anteromedial Dislocation of Radial Head with Biceps Tendon Interposition
title_sort irreducible anteromedial dislocation of radial head with biceps tendon interposition
url http://dx.doi.org/10.1155/2016/5812353
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