Conservative Management of the Pediatric Isolated Elbow Dislocation: Rare Case Series
摘要
The present study aimed to evaluate the functional and radiological outcomes of isolated elbow dislocations in the pediatric population.
Materials and MethodsMedical records of pediatric patients with isolated elbow dislocation treated between 2017 and 2023 were retrospectively reviewed. Eleven patients (8 boys and 3 girls) aged 7–10 years were included. Functional and radiological outcomes were evaluated at final follow-up and compared with the contralateral uninjured side. Functional and cosmetic outcomes were also assessed according to Flynn criteria.
ResultsThe mean initial age of the patients was 8.5 ± 1.1 years, the mean age at final follow-up was 12.5 ± 2.3 years, and the mean follow-up time was 47.4 ± 27.8 months. No statistically significant difference was found between the injured and uninjured sides in terms of humerocapitellar angle, Baumann angle, or carrying angle. According to Flynn criteria, functional results were excellent in 9 patients and good in 2 patients, whereas cosmetic results were excellent in 9 patients and fair in 2 patients.
ConclusionPediatric isolated elbow dislocations are rare injuries, and favorable outcomes can be achieved with early diagnosis, gentle reduction, short-term immobilization, and early mobilization in appropriately selected patients.