case_images: PMC5966696_01
case_images: AP (a) and attempted lateral (b) radiographs of the right elbow demonstrating anteromedial elbow dislocation in a skeletally immature individual. The solid arrow points to the Salter-Harris radial head fracture with significant radial head displacement. The dashed arrow points to an ossific fragment near the distal humerus which likely represents the olecranon avulsion.
case_images: CRIOR2018-8986230.001.jpg
case_images: PMC5966696_01_CRIOR2018-8986230.001.jpg
case_images: fig1
case_images: X-ray evaluation revealed an anteromedial elbow dislocation with fracture of the radial head (Figure 1).
case_images: Lateral radiograph of the right elbow showing continued anterior dislocation of the ulnohumeral joint despite attempted reduction. The Salter-Harris II fracture of the radial head can again be noted.
case_images: CRIOR2018-8986230.002.jpg
case_images: PMC5966696_01_CRIOR2018-8986230.002.jpg
case_images: fig2
case_images: Once under general anesthesia and with muscle relaxation employed, another closed reduction maneuver was attempted again with no success (Figure 2).
case_images: AP (a) and lateral (b) radiographs of the right elbow demonstrating anatomic reduction of both the ulnohumeral and radiocapitellar joints. The radial head fracture has improved alignment.
case_images: CRIOR2018-8986230.003.jpg
case_images: PMC5966696_01_CRIOR2018-8986230.003.jpg
case_images: fig3
case_images: Once the entrapped proximal ulna was freed from the anterior capsule, it was easily reduced into its anatomic position (Figure 3).
case_images: AP (a) and lateral (b) radiographs of the right elbow 7 months postoperatively demonstrating continued anatomic reduction of the ulnohumeral and radiocapitellar joints. The radial head and olecranon fractures are well healed. The patient's physes remain open.
case_images: CRIOR2018-8986230.004.jpg
case_images: PMC5966696_01_CRIOR2018-8986230.004.jpg
case_images: fig4
case_images: Radiographs revealed well aligned and healed fractures with maintained physes (Figure 4).