Scientific article| Volume 39, ISSUE 2, P206-208, February 2014

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Recurrent Anterior Instability of the Radial Head: Case Report

Published:December 13, 2013DOI:
      We present a case of recurrent anterior instability of the radial head presenting 4 weeks after injury. A 16-year-old girl injured the right upper extremity while playing volleyball. Thereafter, she felt a recurrent click associated with pain in the elbow when rotating the forearm. Image intensifier findings implied that the radial head would anteriorly dislocate with contraction of the biceps brachii. Annular ligament reconstruction using the palmaris longus tendon graft relieved the instability.

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        • Neviaser R.J.
        • LeFevre G.W.
        Irreducible isolated dislocation of the radial head: a case report.
        Clin Orthop Relat Res. 1971; : 72-74
        • Hamilton W.
        • Parkes II, J.C.
        Isolated dislocation of the radial head without fracture of the ulna.
        Clin Orthop Relat Res. 1973; : 94-96
        • Wiley J.J.
        • Pegington J.
        • Horwich J.P.
        Traumatic dislocation of the radius at the elbow.
        J Bone Joint Surg Br. 1974; 56: 501-507
        • Letts M.
        • Locht R.
        • Wiens J.
        Monteggia fracture-dislocations in children.
        J Bone Joint Surg Br. 1985; 67: 724-727
        • Lincoln T.L.
        • Mubarak S.J.
        “Isolated” traumatic radial-head dislocation.
        J Pediatr Orthop. 1994; 14: 454-457
        • O'Driscoll S.W.
        • Bell D.F.
        • Morrey B.F.
        Posterolateral rotator instability of the elbow.
        J Bone Joint Surg Am. 1991; 73: 440-446
        • Adams J.E.
        • Steinmann S.P.
        Elbow tendinopathies and tendon ruptures.
        in: Wolfe S.W. Green's Operative Hand Surgery. 6th ed. Elsevier, Philadelphia2011: 923-944
        • Thompson J.D.
        • Lipscomb A.B.
        Recurrent radial head subluxation treated with annular ligament reconstruction: a case report and follow-up study.
        Clin Orthop Relat Res. 1989; : 131-135
        • Ibata I.
        • Horiuchi Y.
        • Yamanaka K.
        • et al.
        A case of voluntary dislocation of bilateral radial heads.
        Rinsho Seikei Geka. 1996; 31 ([In Japanese.]): 951-954