TY  - JOUR
T1  - Anterior Olecranon Fracture-Dislocations of the Elbow in ChildrenA Report of Four Cases
AU  - Guitton, Thierry G.
AU  - Albers, Robert G.H.
AU  - Ring, David
Y1  - 2009/06/01
N1  - 10.2106/JBJS.H.00855
JO  - The Journal of Bone & Joint Surgery
SP  - 1487
EP  - 1490
VL  - 91
IS  - 6
N2  - 
A subset of olecranon fractures with loss of normal articular apposition (subluxation or dislocation) is recognized in adults as anterior and posterior olecranon fracture-dislocations1-6, but such injuries in skeletally immature patients have been rarely described7-9. The anterior olecranon fracture-dislocation may resemble an anterior Monteggia lesion in that there is anterior dislocation of the radial head with respect to the capitellum; however, the forearm (the radioulnar relationship) remains intact and the injury is primarily to the ulnohumeral joint by means of disruption of the trochlear notch (Figs. 1-A and 1-B). The coronoid is fractured in approximately half of the patients, the radial head is rarely injured, and the collateral ligaments are generally spared10. Olecranon fractures are relatively uncommon in skeletally immature patients11-13, and we were able to identify the cases of only three skeletally immature patients with an apparent anterior olecranon fracture-dislocation reported in the literature7-9.

SN  - 0021-9355
M3  - doi: 10.2106/JBJS.H.00855
UR  - http://dx.doi.org/10.2106/JBJS.H.00855
ER  -