Case Report
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World J Surg Proced. Sep 28, 2023; 13(2): 7-13
Published online Sep 28, 2023. doi: 10.5412/wjsp.v13.i2.7
Simple lateral elbow dislocation: A case report
Mehmet Albayrak
Mehmet Albayrak, Department of Orthopaedics and Traumatology, Ozel Tekirdag Yasam Hospital, Tekirdag 59020, Turkey
Author contributions: Albayrak M contributed this work, designed the research study, performed the research, contributed new reagents and analytic tools, analyzed the data and wrote the manuscript. The author has read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The author read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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Corresponding author: Mehmet Albayrak, MD, Doctor, Department of Orthopaedics and Traumatology, Ozel Tekirdag Yasam Hospital, Ozel Tekirdag Yasam Hastanesi Cumhuriyet Mah Busra Sok No. 20 Suleymanpasa, Tekirdag 59020, Turkey. doktorm.albayrak@gmail.com
Received: April 25, 2023
Peer-review started: April 25, 2023
First decision: July 17, 2023
Revised: July 19, 2023
Accepted: August 8, 2023
Article in press: August 8, 2023
Published online: September 28, 2023
Processing time: 154 Days and 20.3 Hours
Abstract
BACKGROUND

Simple lateral elbow dislocation (SLED) is a rare type of elbow dislocation; however, its treatment may be complicated by accompanying soft tissue or neurovascular damage. Herein, we report a rare case of SLED managed secon-darily with open reduction and soft tissue repair following failure of closed reduction.

CASE SUMMARY

A 67-year-old woman suffered SLED after falling on her outstretched left hand with her elbow extended. She developed pain, swelling, and movement restriction in the elbow; there were no neurovascular symptoms, except for numbness in the 4th and 5th digits. Radiologic investigation confirmed the SLED, and a closed reduction under anesthesia was performed. The follow-up radiographs at 1-wk revealed failure of reduction; accordingly, open reduction with lateral collateral ligament and common extensor origin repair were carried out. The patient regained full elbow range of motion by six weeks.

CONCLUSION

Adequate concentric reduction for SLED, conservatively or surgically, reduces complications and provides a more functional joint.

Keywords: Common extensor origin; Elbow joint capsule; Lateral collateral ligament; Closed reduction; Open reduction; Fluoroscopy; Case report

Core Tip: Despite their rarity, the results of simple lateral elbow dislocations are gratifying if they are handled well from start to finish. Treatment may be terminated with closed methods or surgery may be required. Regardless of the method of treatment, the results are good with a close follow-up.