Posterolateral Rotatory Instability of the Elbow without Epiphyseal Injury in Children

Lee,  Sang Uk; Jeong,  Changhoon; Kim,  Hyun Woo

doi:2014.19.3.150

Arch Hand Microsurg > Volume 19(3); 2014 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2014;19(3):150-153.
Published online September 30, 2014.
DOI: https://doi.org/10.12790/jkssh.2014.19.3.150

Posterolateral Rotatory Instability of the Elbow without Epiphyseal Injury in Children

Sang Uk Lee, Changhoon Jeong, Hyun Woo Kim

¹Department of Orthopedic Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.
²Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea. changhoonj@naver.com

Received: 17 July 2014 • Revised: 2 September 2014 • Accepted: 4 September 2014

Abstract

Posterolateral rotatory instability of the elbow in the absence of epiphyseal injury is extremely rare in children. We present a case of 12-year-old child in whom recurrent dislocation of the elbow was associated with a stretched lateral ulnar collateral ligament. We performed surgical repair and reefing of a stretched lateral ulnar collateral ligament by using a suture anchor and a continuous locking suture in order to avoid donor site morbidity and damage of the growth plate, which could occur when a transosseous tunnel for reconstruction was made. At 12 months after operation, satisfactory symptom relief was observed with no evidence of recurrence.