Trans-olecranon fracture-dislocation of the elbow

Case contributed by Rodney Strahan
Diagnosis certain

Presentation

Fall from tree onto flexed elbow. Elbow pain and deformity.

Patient Data

Age: 8 years
Gender: Male

There is a displaced fracture of the proximal ulna (olecranon and coronoid) with disruption of the ulnohumeral joint and displacement of the radial head anterior to the capitellum.

Case Discussion

The rarest of the three known complex elbow fracture-dislocation. This invariably requires surgical open reduction and internal fixation.

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