[4]. The elbow is made up of the upper arm bone (humerus) and two bones in the forearm (radius and ulna). Learn the common causes of lower back pain, as well as pain in the knee, stomach, kidney, shoulder, chest, gallbladder, heel, sciatic nerve, neck, hip, foot and other parts of the body. Inter-Medica Sarandi. Ann R Coll Surg Engl. Orthopedics. A hyperpronation or a supination-flexion technique may be used to reduce a radial head subluxation (nursemaid’s elbow). [Medline]. Monteggia lesions in adults. Dislocation of the radial head can be congenital, related to underlying disease, or traumatic. The ligament that supports the radial bone then slips into the elbow joint. [Medline]. 9 (4):572-5. These techniques are safe and require no special equipment, assistants, analgesia/sedation, or post-procedure immobilization. 1989 Nov. 20(6):365-7. J Bone Joint Surg Br. Flynn JM, Ramirez N, Betz R, et al. Terms of Use. 91.72. Monteggia fracture dislocations: a historical review. Prevalence of Capitellar Osteochondritis Dissecans in Children With Chronic Radial Head Subluxation and Dislocation. [Medline]. Clin Orthop Relat Res. ation, thus causing radial head posterior displacement. Emerg Med J. At three weeks, the patien… [30], Table 1. The radial head dislocation was impossible to reduce and an open reduction was performed using lateral Kocher approach. The reduction of a radial head dislocation is an emergency procedure, and it generally needs to be performed within six to eight hours of injury. It is more common in adolescent athletes, particularly those who are engaged in sports such as football and wrestling. 116(2):144-7. [Medline]. incidence The complications are generally prevented or successfully managed. [Medline]. [Medline]. Am J Orthop (Belle Mead NJ). The treatment of chronic radial head dislocation remains controversial. J Bone Joint Surg Br. 2016 Jun. Unstable fracture-dislocations of the elbow. We have encountered patients with Monteggia fracture-dislocation whos … Negi AK, Pestonji MD, Iyer S. Isolated posterior dislocation of the radial head in an adult. [Medline]. Radial head dislocations may be seen in association with the rare isolated interosseous membrane injury of the forearm or in association with an Essex-Lopresti injury (fracture of the radial head with concomitant dislocation of the distal radioulnar joint (DRUJ) and disruption of the interosseous membrane). Occasionally, however, a dislocated radial head could not be reduced manually even when the length and/or angulation of the fractured ulna had been corrected. [Full Text]. 1993 Sep-Oct. 13(5):561-6. Papandrea R, Waters PM. Vogt B, Tretow HL, Daniilidis K, Wacker S, Buller TC, Henrichs MP, et al. 2016. 1983 May. When this happens, the radial bone can't move back into its normal place. Line does not bisect capitellum. [Medline]. The doctor may advise for an X-ray of the affected forearm in various positions to confirm the radial head dislocation and any associated fracture. Procedures, 2002 [45]  Such injuries are usually reduced with fixation in the operating room. [46, 47, 48]. Elbow and above-elbow amputations may be performed for the following reasons: peripheral vascular disease (PVD), risk factors include diabetes and blood clots, osteomyelitis (an infection in the bones), severe injury or accidents, surgery to remove tumors or infected area from bones and muscles. In most cases, the radial head dislocates anteriorly or laterally; rarely posteriorly. 2010. A pulled elbow, also known as a radial head subluxation, is when the ligament that wraps around the radial head slips off. 1977 Jan-Feb. (122):207-9. [Medline]. 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