tailieunhanh - Báo cáo khoa hoc:" Posterior dislocation of the elbow as an unusual presentation after a total hip replacement: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Posterior dislocation of the elbow as an unusual presentation after a total hip replacement: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Posterior dislocation of the elbow as an unusual presentation after a total hip replacement a case report Kumar Periasamy Dominic Meek and Paul Crossman Address Department of Orthopaedics and Trauma surgery Southern General Hospital Glasgow UK Email Kumar Periasamy - kumarranitha@ Dominic Meek - rmdmeek@ Paul Crossman - Corresponding author Published 6 February 2008 Received 16 October 2007 Journal of Medical Case Reports 2008 2 38 doi 1752-1947-2-38 Accepted 6 February 2008 This article is available from http content 2 1 38 2008 Periasamy et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Posterior dislocation of the elbow is usually associated with trauma to the joint with a reported incidence of 3 to 6 . Chronic instability is usually symptomatic following the initial injury. Case presentation We report a case of posterior dislocation of the elbow occurring in a patient while using her arm to lift herself using a monkey pole on the second day following a total hip replacement. The dislocation was reduced under sedation in the ward. There were no signs or symptoms suggesting any joint hypermobility syndrome in the patient. Follow up 4 months following the injury revealed a complete recovery in the range of motion and a pain free elbow. There were no signs and symptoms of any instability. Conclusion This is the first time such a case is reported in the literature. It certainly demonstrates that even in the absence of instability a patient can be predisposed to low energy dislocation of the elbow. Introduction Posterior dislocation of elbow .