PMC5974669_01
First radiograph of the patient-notice to radioulnar convergent elbow dislocation.
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F1
Closed reduction was applied on the emergency conditions to the patient who was diagnosed as ulnohumeral and radiohumeral convergent posterolateral dislocation without fracture by elbow antero-posterior (A-P) and lateral radiographs (Fig. 1).
Control radiographs after reduction.
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F2
While sedo-analgesia was continuing after reduction (Fig. 2), soft tissue swelling was detected by palpation on the medial side of elbow Valgus stress test was positive.
Finger sign-soft tissue depression-on the medial side of elbow by palpation. depression-on the medial side of elbow by palpation.
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F3
By palpation, finger sign at the FGO-soft tissue depression at the medial side of elbow-was detected (Fig. 3).
Magnetic resonance imaging images showing flexor group origo rupture (1) and medial collateral ligament, (2) ruptures.
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F4
On MRI images, MCLR and FGOR were observed (Fig. 4).
Completely ruptured medial collateral ligament (1) and flexor group origo rupture (2), perioperative view.
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F5
Using medial approach, MCL, FGO, and joint were accessed (Fig. 5).
Fluoroscopic images of the patient's elbow using suture-anchor (1) repairing.
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F6
MCL was observed completely (containing both A-P bundles) ruptured, and repaired by suture-anchor implant (Fig. 6).
Elbow joint of the patient at the 3rd month-range of motion was nearly-totally recovered.
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F7
No complication was observed during follow-ups (Fig. 7).