PMC6551541_01
Elbow flexion-extension is limited to 300-00, pronation-supination is normal.
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There was no neurological deficit (Fig. 1).
X-ray of the left elbow AP and lateral.
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From radiological examination, there was a malunion of medial epicondyle with subluxation of left proximal ulna (Fig. 2).
2D and 3D CT Scan reconstruction of the left elbow.
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From 3D CT reconstruction, there was a deformity and malunion fracture in humeral capitellum with radial and ulnar postero-superior dislocation (Fig. 3).
Ulnar nerve and heterotopic ossification identification (A), contracture release and ulnar nerve preservation (B), open reduction and internal fixation using K-Wire (C), final exposed and ulnar nerve transposition (D), immobilization using backslab in 900 flexion position (E), post-operative X-Ray (F).
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From physical examination, the elbow flexion-extension ROM was 1100 - 300 (Fig. 4).
Elbow's ROM comparison preoperative (flexion-extension 300-00) and 6 months postoperative (flexion-extension 1100-300).
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The patient is able to do normal daily activities (Fig. 5).