PMC4546717_01
PMC4546717_02
Open elbow dislocation with brachial artery stretched over the medial epicondyle
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F0001
The entrance exam showed an functional disability of the left upper limb, a vicious attitude with an elbow deformation which looks like an ax, a horizontal contaminated wound approximatively 03 centimeters in the antecubital fossa, Cauchoix and Duparc type 2, exposing the cartilaginous distal humerus with a contused brachial artery under tension on the trochlear groove that creates a real easel (Figure 1), with the absence of pulsations on the visible portion of the brachial artery with abolition of distal pulses.
The lateral radiograph of the elbow dislocation
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F0002
The radiological evaluation revealed a convergent posterior elbow dislocation and epiphyseal fracture abruption (Figure 2), salter and Harris type 2 of the radius distal extremity (Figure 3).
The wrist lateral radiograph showing epiphyseal separation fractures of the radius
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F0003
The radiological evaluation revealed a convergent posterior elbow dislocation and epiphyseal fracture abruption (Figure 2), salter and Harris type 2 of the radius distal extremity (Figure 3).
Elbow radiograph after reduction (face)
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F0004
The surgery care, 30 minutes after admission, was first to a careful decontamination and debridement of the traumatic wound, followed by a reduction of the elbow's dislocation by External maneuvers (Figure 4, Figure 5).
Elbow radiograph after reduction (profile)
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F0005
The surgery care, 30 minutes after admission, was first to a careful decontamination and debridement of the traumatic wound, followed by a reduction of the elbow's dislocation by External maneuvers (Figure 4, Figure 5).
Muscle damage, the contused brachial artery and the median nerve after reduction of the dislocation
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F0006
Showing the median nerve, which get back to its anatomical position and leading to the vanishing of the tension on the brachial artery (Figure 6).
Radiograph of the wrist after reduction and pinning
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F0007
Firstly the radius distal extremity fracture was reduced, and then stabilized with a pin (Figure 7).