An unexpected outcome following radial head excision for Jeffrey type II fracture-dislocation of the proximal radius in a child.

Case Report A right-hand dominant 10-year-old boy fell onto his outstretched hand and twisted his left elbow while jumping over a drain. He was only seen four days after the injury and presented with a swollen left elbow with a severely limited range of motion. There was no pain or tenderness over the distal forearm or wrist. There were no associated open wounds or neurovascular defi cits. Radiographs revealed disruption of the radiocapitellar joint and a posteriorly displaced proximal radial epiphysis with the capitellum interposed within the fracture site (Fig. 1a). Surgery was undertaken through a posterolateral approach to the elbow where the free-fl oating radial head, devoid of An Unexpected Outcome following Radial Head Excision for Jeffrey Type II Fracture-Dislocation of the Proximal Radius in a Child