Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Paediatric biepicondylar elbow fracture dislocation - a case report | Meta and Miller Journal of Orthopaedic Surgery and Research 2010 5 75 http content 5 1 75 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access Paediatric biepicondylar elbow fracture dislocation - a case report Mahendrakumar Meta 1 David Miller2 Abstract Paediatric elbow biepicondylar fracture dislocations are very rare injuries and have been only published in two independent case reviews. We report a case of 13 years old boy who sustained this unusual injury after a fall on outstretched hand resulting in an unstable elbow fracture dislocation. Closed reduction was performed followed by delayed ORIF Open Reduction and Internal Fixation with K wires. Final follow-up at 14 weeks revealed a stable elbow and satisfactory function with full supination-pronation range of motion from 0 -120 of flexion and normal muscle strength. This type of injury needs operative treatment and fixation to restore stability and return to normal or near normal elbow function. The method of fixation screws or K wires may depend on size and number of fracture fragments. Background Upper extremity injuries are more common in children 65-75 of all fractures in children as they tend to protect themselves with their outstretched arms when they fall 1 . Distal humerus fractures account for approximately 86 of all fractures around elbow. Whilst supracondylar fractures are the most common elbow injuries they are closely followed by fractures of the lateral epicondyle and the medial epicondyle 1 . Medial epicondyle fractures are commonly associated with elbow dislocations. Lateral epicondyle fractures are rare. Isolated injuries are reported sparsely and mostly in textbooks like Rockwood and Green s Fracture in Children 1 . To our knowledge biepicondylar fractures with an associated elbow dislocation are only reported twice in the literature 2 3 . Variations in appearance of different ossification centers around elbow add to the complexity and difficulty to .
