Subscribe to RSS
DOI: 10.1055/s-0041-1739403
Heterotopic Ossification Following Pediatric Elbow Dislocation: A Case Report[*]
Article in several languages: português | English Financial Support There was no financial support from public, commercial, or non-profit sources.
Abstract
Elbow dislocations are relatively uncommon in children, and most cases present with associated fractures. Complete elbow dislocations are relatively rare, and may involve an increased likelihood of severe soft-tissue injuries. A potential complication is the development of heterotopic ossification, which is usually asymptomatic, but may disturb the joint motion. We describe a case of an 11-year-old girl who sustained an elbow dislocation without associated fractures, but with partial distal disruption of the brachialis muscle. Following closed reduction, the patient developed heterotopic ossification in the anterior distal third of the humerus and loss of range of motion. Surgical treatment with excision of heterotopic ossification through a direct lateral approach provided an excellent result. Heterotopic ossification is a potential complication following elbow dislocation in children, and surgical excision through a lateral approach is an option of treatment when there is functional limitation. Before making the decision to perform surgery, the maturation of the ossification process must be observed.
* Work developed at Hospital da Força Aérea de Brasília, Brasília, DF, Brazil.
Publication History
Received: 26 November 2020
Accepted: 08 March 2021
Article published online:
16 December 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Varacallo M, Parikh D, Mody K, Herman MJ. Pediatric Elbow Dislocations: Acute Management. In: Abzug J, Herman M, Kozin S. editors. Pediatric Elbow Fractures: Cham. Springer International Publishing; 2018: 169-184
- 2 Rasool MN. Dislocations of the elbow in children. J Bone Joint Surg Br 2004; 86 (07) 1050-1058
- 3 Di Gennaro GL, Spina M, Fosco M, Antonioli D, Donzelli O. Dislocations of the elbow in children: long-term follow-up. Musculoskelet Surg 2013; 97 (Suppl. 01) 3-7
- 4 Balboni TA, Gobezie R, Mamon HJ. Heterotopic ossification: Pathophysiology, clinical features, and the role of radiotherapy for prophylaxis. Int J Radiat Oncol Biol Phys 2006; 65 (05) 1289-1299
- 5 Hong CC, Nashi N, Hey HW, Chee YH, Murphy D. Clinically relevant heterotopic ossification after elbow fracture surgery: a risk factors study. Orthop Traumatol Surg Res 2015; 101 (02) 209-213
- 6 Aroojis A, Narula V, Sanghvi D. Pure Medial Elbow Dislocation without Concomitant Fracture in a 10-Year-Old Child. Indian J Orthop 2018; 52 (06) 678-681
- 7 Neviaser JS, Wickstrom JK. Dislocation of the elbow: a retrospective study of 115 patients. South Med J 1977; 70 (02) 172-173
- 8 Susnjar T, Biocić M, Pogorelić Z. Traumatic heterotopic ossification of the elbow in children–a case report. Acta Chir Belg 2010; 110 (02) 246-249
- 9 Dodds SD, Hanel DP. Heterotopic Ossification of the Elbow. In: Trumble T. editor. Wrist and Elbow Reconstruction & Arthroscopy. Rosemont, IL: American Society for Surgery of the Hand; 2006: 425-438
- 10 Matta JM, Siebenrock KA. Does indomethacin reduce heterotopic bone formation after operations for acetabular fractures? A prospective randomised study. J Bone Joint Surg Br 1997; 79 (06) 959-963