Delayed dislocation of the radial head associated with malunion of distal radial fracture: A case report

Figure 2 Surgical findings of dislocation of the radial head associated with malunited radial shaft. A: The elbow joint was approached from the lateral aspect. Soft tissue, such as the joint capsule, was impinged between the capitellum, and the radial head and annular ligament were ruptured, making it difficult to recognize; B: An 8 cm × 1 cm strip of lateral triceps fascia and another 5 cm × 1 cm strip were harvested using a posterior incision, leaving the distal attached to the proximal ulna; C: The long fascial strip was passed around the neck of the radius from behind to forward and sutured back to itself and the ulnar periosteum. The short strip was additionally augmented to the anterior part of the long strip. Finally, reduction of the radial head was held using transarticular Kirschner wires with the elbow in 90° of flexion and the forearm in neutral rotation.