Skip Navigation LinksHome > July/August 1999 - Volume 19 - Issue 4 > Tardy Displacement of Traumatic Radial Head Dislocation in C...
Journal of Pediatric Orthopaedics:
Trauma

Tardy Displacement of Traumatic Radial Head Dislocation in Childhood

Weisman, David S. M.D.; Rang, Mercer F.R.C.S.C.; Cole, William G. Ph.D., F.R.C.S.C.

Collapse Box

Abstract

The diagnosis of traumatic dislocation of the radial head, either isolated or as part of a Monteggia fracture-dislocation, was delayed in 10 of the 110 children treated with these injuries during the study period. In eight children, the dislocation was overlooked on the initial radiographs. In two children, the radial head was reduced on the initial elbow radiographs, but it was dislocated 10 days later in one child and 21 days later in the other. The most likely explanation is that the radial head dislocated at the time of impact, spontaneously reduced by the time the first radiographs were obtained, and redislocated while the arm was in a cast. We conclude that radiographic assessments of the radiocapitellar joint, by using the radiocapitellar line, are required in children with elbow and forearm injuries at presentation and when the cast is removed.

© 1999 Lippincott Williams & Wilkins, Inc.

The Pediatric Orthopaedic Society of North America (POSNA)
is a group of healthcare professionals, primarily pediatric orthopaedic surgeons, dedicated to advancing musculoskeletal care of children and adolescents. JPO is our official member journal. 
Like us on facebook and become a member today!

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.