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Year : 2020  |  Volume : 17  |  Issue : 3  |  Page : 95-98

Elbow floating in children: About three cases and literature review

Department of Pediatric Surgery, Aristide Le Dantec Hospital Dakar, Dakar, Sénégal

Correspondence Address:
Prof. Oumar Ndour
Department of Pediatric Surgery, CHU Aristide Le Dantec, Dakar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_82_16

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Purpose: The aim of this study was to determine the epidemiological, lesion, treatment and outcome of the 'floating elbow' in children. Observations: It was two boys and a girl with a mean age of 7 years. The average consultation time was 3.6 h. In two patients, the trauma had occurred during playful accident with fall from a height. Supracondylar fracture was associated with a fracture epiphyseal separation-type II distal end of the right radius in one case, a fracture of the distal quarter of the bones 2 of the forearm in the second patient and fracture quarter distal radius in the third patient. All fractures of the elbow were treated by osteosynthesis as well as a fracture of the distal radius ¼. The average hospital stay was 5 days. After a mean of 8 months was rated limitation of elbow flexion to 100° in a patient, an externalisation of the pins at the elbow in M3 in one patient and a limitation of elbow extension at 30° in 2 patients. One patient had a varus ulna. The pronosupination was preserved in all patients. Conclusion: The 'floating elbow' is unusual in children and usually occurs during a high-energy trauma. His treatment is not yet the subject of consensus. Complications often involve the elbow.

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