‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature

Introduction: Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury. Case: A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbo...

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Main Authors: Swapnil Keny, Nihar Modi, Murtaza Haidermota, Nikhil Gokhale, Seema Khambatta, Aryan Keny
Format: Article
Language:English
Published: Elsevier 2024-08-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644024000906
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author Swapnil Keny
Nihar Modi
Murtaza Haidermota
Nikhil Gokhale
Seema Khambatta
Aryan Keny
author_facet Swapnil Keny
Nihar Modi
Murtaza Haidermota
Nikhil Gokhale
Seema Khambatta
Aryan Keny
author_sort Swapnil Keny
collection DOAJ
description Introduction: Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury. Case: A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbow joint were done with a hyper-supination manoeuvre to reverse the translocation. She was managed with an above-elbow cast for 4 weeks and showed good radiological and functional outcomes on subsequent follow-ups until 1 year. Conclusion: Early recognition of PRUT and a thorough clinico-radiological assessment are mandatory when dealing with paediatric elbow injuries. Our cadaveric study with illustrations defines the mechanism of this rare injury for better understanding.
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issn 2352-6440
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publishDate 2024-08-01
publisher Elsevier
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series Trauma Case Reports
spelling doaj-art-b09856d7486a4ca798a71c3f44b31d1f2025-08-20T03:20:33ZengElsevierTrauma Case Reports2352-64402024-08-015210106710.1016/j.tcr.2024.101067‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literatureSwapnil Keny0Nihar Modi1Murtaza Haidermota2Nikhil Gokhale3Seema Khambatta4Aryan Keny5KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, IndiaDepartment of Orthopaedics, KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, India; Corresponding author.Department of Orthopaedics, KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, IndiaDepartment of Orthopaedics, KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, IndiaDepartment of Anatomy, TNMC and BYL Nair Charitable Hospital, Mumbai, Maharashtra, IndiaSeth GS Medical College and KEM Hospital, Mumbai, IndiaIntroduction: Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury. Case: A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbow joint were done with a hyper-supination manoeuvre to reverse the translocation. She was managed with an above-elbow cast for 4 weeks and showed good radiological and functional outcomes on subsequent follow-ups until 1 year. Conclusion: Early recognition of PRUT and a thorough clinico-radiological assessment are mandatory when dealing with paediatric elbow injuries. Our cadaveric study with illustrations defines the mechanism of this rare injury for better understanding.http://www.sciencedirect.com/science/article/pii/S2352644024000906ChildrenProximal radioulnar translocationPRUTUlnar nerveIsolated elbow dislocationPaediatric elbow injury
spellingShingle Swapnil Keny
Nihar Modi
Murtaza Haidermota
Nikhil Gokhale
Seema Khambatta
Aryan Keny
‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
Trauma Case Reports
Children
Proximal radioulnar translocation
PRUT
Ulnar nerve
Isolated elbow dislocation
Paediatric elbow injury
title ‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
title_full ‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
title_fullStr ‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
title_full_unstemmed ‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
title_short ‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
title_sort prut a cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature
topic Children
Proximal radioulnar translocation
PRUT
Ulnar nerve
Isolated elbow dislocation
Paediatric elbow injury
url http://www.sciencedirect.com/science/article/pii/S2352644024000906
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