PROBLEM

A 6 years old boy was brought to the ER with a history of fall on the outstretched left hand while playing at home. He complained of severe pain and deformity of the left elbow and inability to use the left upper limb.

There was gross deformity of the left elbow and much swelling and bruising about the elbow. The left radial pulse was weak when compared to the right side.

ANTERO-LATERAL DISLOCATION LEFT ELBOW WITH FRACTURE OLECRANON

TREATMENT

The elbow was immobilized in a plaster slab and he was taken up for surgery. Through a lateral approach, the dislocation was reduced and the fractured olecranon was fixed with two k- wires. After wound closure the elbow was immobilized in an above- elbow back slab

INTRA- OPERATIVE RADIOGRAPHS

RESULTS

Post- op the radial pulse was well felt. The back- slab was removed after 3 weeks and the wires were removed. He was started on active mobilization exercises of the elbow and regained nearly full range of movements and full function

RADIOGRAPHS AT 3 WEEKS

RADIOGRAPHS AFTER REMOVAL OF K- WIRES

FUNCTIONAL RESULTS