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Revista de la Asociación Argentina de Ortopedia y Traumatología
On-line version ISSN 1852-7434
Abstract
REYES RODRIGUEZ, José E et al. Luxación convergente en codo pediátrico: Reporte de dos casos. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2017, vol.82, n.4, pp.299-305. ISSN 1852-7434.
We describe two clinical cases and review the available literature on convergent elbow dislocation. Our first case shows how a delay in the diagnosis will lead to an open reduction and internal fixation with K-wires. On the other hand, an early diagnosis prompts a closed reduction without fixation as it is described in the second case. The diagnostic key for the convergent dislocation of the elbow lies in the correct interpretation of radiographs and the prono-supination block on physical examination. The use of indomethacin is recommended to avoid heterotopic calcifications. The final outcome is better when an early diagnosis is achieved regardless of the reduction method.
Keywords : Convergent dislocation; Elbow dislocation; Pediatrics; Radioulnar translocation.