case_images: PMC4546717_01
case_images: PMC4546717_02
case_images: Open elbow dislocation with brachial artery stretched over the medial epicondyle
case_images: PAMJ-21-128-g001.jpg
case_images: PMC4546717_02_PAMJ-21-128-g001.jpg
case_images: F0001
case_images: 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.
case_images: The lateral radiograph of the elbow dislocation
case_images: PAMJ-21-128-g002.jpg
case_images: PMC4546717_02_PAMJ-21-128-g002.jpg
case_images: F0002
case_images: 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).
case_images: The wrist lateral radiograph showing epiphyseal separation fractures of the radius
case_images: PAMJ-21-128-g003.jpg
case_images: PMC4546717_02_PAMJ-21-128-g003.jpg
case_images: F0003
case_images: 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).
case_images: Elbow radiograph after reduction (face)
case_images: PAMJ-21-128-g004.jpg
case_images: PMC4546717_02_PAMJ-21-128-g004.jpg
case_images: F0004
case_images: 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).
case_images: Elbow radiograph after reduction (profile)
case_images: PAMJ-21-128-g005.jpg
case_images: PMC4546717_02_PAMJ-21-128-g005.jpg
case_images: F0005
case_images: 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).
case_images: Muscle damage, the contused brachial artery and the median nerve after reduction of the dislocation
case_images: PAMJ-21-128-g006.jpg
case_images: PMC4546717_02_PAMJ-21-128-g006.jpg
case_images: F0006
case_images: 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).
case_images: Radiograph of the wrist after reduction and pinning
case_images: PAMJ-21-128-g007.jpg
case_images: PMC4546717_02_PAMJ-21-128-g007.jpg
case_images: F0007
case_images: Firstly the radius distal extremity fracture was reduced, and then stabilized with a pin (Figure 7).