BACKGROUND The combination of an elbow dislocation, a radial head fracture, and a coronoid process fracture is known as "terrible triad" injury of the elbow. This injury is one of the most challenging injuries of the musculoskeletal system and almost always causes instability of the elbow. The use of an adjuvant hinged external fixator in such injuries is still debated. CASE PRESENTATION In t...

BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency departmen...

Humeral medial epicondyle fractures constitute around 15% of pediatric elbow fractures. Up to 60% occur in association with elbow dislocations. Knowledge of potential imaging pitfalls when examining acute elbow fractures in children contributes significantly to accurate diagnosis. Nevertheless, management of missed pediatric medial epicondyle fractures has rarely been reported. We present an 11...

BACKGROUND The ulnar coronoid process plays a central role in maintaining elbow stability. Some of its fractures were often combined with injury of bone and ligament. Arthroscopy enables perfect visualization to allow anatomical repair. METHODS From January 2012 to December 2013, six patients (four males, two females) with a mean age of 26.6 years were treated. The left and right ulnas were i...

1 – Coordinator of the Shoulder and Elbow Surgery Group, Bahia Institute of Orthopedics and Traumatology (INSBOT – Instituto Baiano de Ortopedia e Traumatologia); Orthopedic surgeon at the Hospital Português da Bahia 2 – Head of the Shoulder and Elbow Surgery Group, ORTOPED Fracture Clinic; Orthopedic surgeon at the Hospital Português da Bahia 3 – Medical Assistant, Shoulder and Elbow Surgery G...

In this report divergent dislocation of the elbow in an 11-year-old boy and its outcome is presented. His right upper limb was trapped in a water irrigation machine and sustained an extreme pronation thrust through the hyperextended elbow. He had also suffered from a segmental fracture of both bones of the forearm and a fracture of the humerus. The median and ulnar nerves were functionless at h...

Coronoid process fractures are reported to occur from avulsion by the brachialis muscle or to be associated with elbow dislocations. We report a rare case of coronoid process fracture due to avulsion by the anterior bundle of the medial collateral ligament rendering the elbow unstable. In children, small fracture fragments of the coronoid process (types 1 & 2) are in reality often much larger b...

UNLABELLED The floating elbow is an uncommon injury occurring both in children and in adults. Two reports of rare variants of floating elbow injury have been published, but to the best of our knowledge, no recurrence of this injury has been described. We present a complex pattern of floating injury, occurring in the same limb 3 years after a floating elbow lesion, which included supracondylar f...

OBJECTIVE To report the result of a severe articular defect secondary to a complex open fracture of the distal humerus, using the ipsilateral radial head as a bone autograft for the trochclear region as an alternative to total arthroplasty. CASE REPORT We describe a patient who suffered an open fracture of the elbow with bone loss in the distal humeral region and, after the initial stabilisat...

BACKGROUND AND PURPOSE Elbow fractures amount to 4.3% of all the fractures. The elbow is prone to stiffness after injury and fractures can often lead to significant functional impairment. Rehabilitation is commonly used to restore range of motion (ROM) and function. Practice patterns in elbow fracture rehabilitation have not been defined. The purpose of this study was to describe current elbow ...