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Pediatric Elbow Dislocation Associated with Proximal Radioulnar TranslocationA Report of Three Cases and a Review of the Literature
Benoit Combourieu, MD1; Camille Thevenin-Lemoine, MD1; Kariman Abelin-Genevois, MD1; Pierre Mary, MD1; Jean-Paul Damsin, MD1; Raphaël Vialle, MD, PhD1
1 Department of Paediatric Orthopaedics, Armand Trousseau Hospital, Université Pierre et Marie Curie-Paris 6, 26 Avenue du Docteur Arnold Netter, F-75571 Paris, CEDEX 12, France. E-mail address for R. Vialle: raphael.vialle@trs.aphp.fr
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Paediatric Orthopaedics, Armand Trousseau Hospital, Université Pierre et Marie Curie-Paris 6, Paris, France

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Jul 21;92(8):1780-1785. doi: 10.2106/JBJS.I.01694
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Elbow dislocation is uncommon in children1-3, accounting for <3% of elbow injuries. Since 1979, when MacSween4 was the first, as far as we know, to describe the case of a patient with proximal radioulnar translocation, also known as convergent elbow dislocation, twelve cases of this very uncommon elbow dislocation4-16 have been reported in children. Initial failure to recognize the true nature of the lesion is characteristic8-11,14. With misdiagnosis, delayed treatment may lead to a poor functional result8. We report the cases of three children with proximal radioulnar dislocation and suggest a pathophysiologic mechanism of injury for this rare condition. The parents of the patients were informed that data concerning the case would be submitted for publication, and they consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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