CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 168-172
DOI: 10.1055/s-0040-1714232
Relato de Caso
Ombro e Cotovelo

Multidirectional Instability in a Neglected Elbow Dislocation Managed with Circumferential Ligament Reconstruction. A Case Report[*]

Article in several languages: português | English
1   Departamento de Cirurgia da Mão, Instituto de Ortopedia e Trauma Sanjay Gandhi, Bangalore, Karnataka, Índia
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2   Departamento de Ortopedia e Lesões Esportivas, Instituto de Ortopedia e Trauma Sanjay Gandhi, Karnataka, Índia
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2   Departamento de Ortopedia e Lesões Esportivas, Instituto de Ortopedia e Trauma Sanjay Gandhi, Karnataka, Índia
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2   Departamento de Ortopedia e Lesões Esportivas, Instituto de Ortopedia e Trauma Sanjay Gandhi, Karnataka, Índia
› Author Affiliations
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Abstract

Neglected elbow dislocation is an uncommon condition and its treatment remains challenging. We present a case of a middle-aged woman presenting with neglected elbow dislocation and multi-direction instability in whom open reduction of the elbow joint and circumferential ligamentous reconstruction with a gracilis tendon graft was done. The functional outcome assessed with the Mayo elbow performance index was excellent. This circumferential technique is undoubtedly a viable technique and the indications can be extended to even manage a neglected dislocation. This procedure reduces the need or diminishes the duration of external fixation requirement and thereby encourages early mobilization.

Statement of Informed Consent

The patient was informed that data concerning the case would be submitted for publication and the patient agreed.


* This study was done at the Department of Hand Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India.




Publication History

Received: 30 March 2020

Accepted: 01 June 2020

Article published online:
25 September 2020

© 2020. 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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