21 YR OLD RT. handed student presented with a stiff elbow, jog of rotation Fixed at 90 degrees flexion. She was immobilised in the primary institution for 3 weeks following dislocation which she was mobilised.
Alkaline phosphatase is normal.
MRI shows some radiocapitellar bands
plan- Arthroscopic arthrolysis,if not possible to do a column procedure.One worry was the restriction of pronation/supination and suspicious subluxation of the radial head
ReplyDeleteWe did an open release(Column release) got full flex/extension but had restriction of terminal pronation. radial head subluxation may be the cause. We did not do a radial head excision as she had exams in 2 weeks.
ReplyDelete