Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2018; 9(7): 100-104
Published online Jul 18, 2018. doi: 10.5312/wjo.v9.i7.100
Anterior transolecranon dislocation of the elbow in a child: A case report and review of literature
Wajdi Bouaziz, Ahmed Racem Guidara, Ahmed Trabelsi, Tarek Bardaa, Mourad Hammami, Zoubaier Ellouz, Hassib Keskes
Wajdi Bouaziz, Ahmed Racem Guidara, Ahmed Trabelsi, Tarek Bardaa, Zoubaier Ellouz, Hassib Keskes, Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, Sfax 3000, Tunisia
Mourad Hammami, Department of Orthopaedic Surgery and Traumatology, Tataouine Regional Hospital, Sfax 3263, Tunisia
Author contributions: All the authors contributed in outlining the manuscript, gathering the data, and writing the manuscript.
Informed consent statement: The patient’s mother provided written informed consent authorizing the use and disclosure of her son’s protected health information.
Conflict-of-interest statement: None of the authors have any financial or other conflicts of interest that may bias the current study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmed Racem Guidara, MD, Doctor, Surgeon, Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, El Ain Street, Sfax 3000, Tunisia. rassimou@live.fr
Telephone: +216-22-650267
Received: May 4, 2018
Peer-review started: May 5, 2018
First decision: June 6, 2018
Revised: June 15, 2018
Accepted: June 28, 2018
Article in press: June 28, 2018
Published online: July 18, 2018
Abstract

Anterior transolecranon dislocation of the elbow is rarely observed in children, reported in only a small series. The present case involves an anterior transolecranon dislocation of the left elbow joint in a 7-year-old child, which was surgically treated. Two attempts of closed reduction failed because the radial head had buttonholed via the joint capsule. After its release, open reduction was easily performed; osteosynthesis of the olecranon was not performed. Remarkably, good result was obtained, despite a mild flexion deformity at the last follow-up. This case report aims to highlight this treatment method, which may be considered for such an uncommon injury.

Keywords: Elbow, Children, Anterior dislocation, Open reduction, Olecranon osteosynthesis

Core tip: Anterior transolecranon dislocation is rarely observed in children and rarely reported in the literature. This case shows that the management of this injury can be difficult, requiring surgery with or without osteosynthesis of the olecranon.