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Abstract

Background

Neglected posterior dislocation of the elbow is common in developing countries. We evaluated the clinical results of open reduction focusing on range of motion (ROM), stability and pain.

Materials and Methods

Sixteen patients were treated for neglected dislocation of the elbow between January 2008 and December 2012 at St. Luke’s Catholic Hospital and College of Nursing, Wolisso, Ethiopia. Mean time from injury was 2.8 months (range, 2–48 months). All patients underwent open reduction using Speed’s technique. Mean follow-up was 12 months (range, 12–36 months). Range of motion (ROM) was measured, stability was checked with the lateral pivot shift apprehension test.

Results

All patients improved their range of motion (ROM). Pain decreased. One patient developed instability during the rehabilitation programme; in the remaining patients pivot shift test was negative.

Conclusion

Open reduction is an effective method to restore joint stability, improve function of neglected posterior dislocation of the elbow.

Keywords

Africa surgery musculoskeletal

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References

Islam

Jahangir

Manzur

Chowdury

Tripura

Das

. Management of neglected elbow dislocations in a setting with low clinical resources. Orthop Surg 2012; 4: 177–181.

Ayana

Mekonen

Lollino

. The “hit by a stick” disease: an epidemiologic study of the causes of trauma in a non-profit hospital in rural Ethiopia. Trop Doct 2012; 42: 1–4.

Oguachuba

. Mismanagement of elbow joint fractures and dislocations by traditional bone setters in Plateau State, Nigeria. Trop Geogr Med 1986; 38: 67–71.

Speed

. An operation for unreduced posterior dislocations of the elbow. Southern Med J 1925; 18: 193–198.

Arafiles

. Neglected posterior dislocation of the elbow. A reconstruction operation. J Bone Joint Surg 1987; 69b: 199–202.

Fowles

Kassab

Douik

. Untreated posterior dislocation of the elbow in children. J Bone Joint Surg 1984; 66a: 921–926.

Billett

. Unreduced posterior dislocation of the elbow. J Trauma 1979; 19: 186–188.

Jupiter

Ring

. Treatment of unreduced elbow dislocations with hinged external fixation. J Bone Joint Surg 2002; 84a: 1630–1635.

Laupattarakasem

Mahaisavariya

Mahakkanukrauh

Jeeravipoolvarn

Saengnipanthkul

. Old elbow dislocation: Joint mobility after open reduction. J Med Assoc Thai 1988; 71: 289–292.

10.

Krishnamoorthy

Bose

Wong

. Treatment of old unreduced dislocation of the elbow. Injury 1976; 8: 39–42.

11.

Mahaisavariya

Laupattarakasem

Supachutikul

Taesiri

Sujaritbudhungkoon

. Late reduction of dislocated elbow. Need triceps be lengthened? J Bone Joint Surg 1993; 75b: 426–428.

12.

Shahriaree

Sajadi

Silver

Sheikholeslamzadeh

. Excisional arthroplasty of the elbow. J Bone Joint Surg 1979; 61a: 922–927.

13.

Naidoo

. Unreduced posterior dislocation of the elbow. J Bone Joint Surg 1982; 64b: 603–606.

14.

Silva

. Old dislocations of the elbow. Ann Roy Coll Surg Engl 1958; 22: 363–381.

15.

Freeman

III

Old unreduced dislocations. In: Cren-shaw

(ed). Campbell’s Operative Orthopedics 1998; Vol I, 9th edn. St Louis, MO: Mosby, pp. 2673–2674.

16.

Devnani

. Outcome of longstanding dislocated el-bows treated by open reduction and excision of collateral ligaments. Singapore Med J 2004; 45: 14–19.

Outcome of open reduction for the neglected posterior dislocation of the elbow in a low-to-middle income country