Abstract

Posterior elbow dislocations are very rare in childrens. Elbow dislocations annually affect between 6 and 7 people per 100,000.approximately 90% of all elbow dislocations seen in the non-dominant upper extremity. Typically, this type of injury is caused by a traumatic fall onto an outstretched arm resulting in a hyper-extension injury. Most commonly, the dislocation is associated with a damaged or torn anterior capsule. Posterior elbow dislocation can be classified as simple (74%) or complex (26%). A simple dislocation is absent of fractures while a complex dislocation has related fractures. Fractures may exist on the radial head, coronoid process, olecranon, humeral condyles, capitellum or may lead to disruption of the medial collateral ligament,lateral collateral ligament or interosseous membrane. Here, we presenting a case of 14 year old boy, right hand dominant came to the OPD with complaints of pain, swelling and inability to move his right elbow after a fall in outstretched hand 2 weeks back. He was treated indigenously in an outside hospital for 2 weeks. There were no external wounds and no neurovascular involvement. No abnormalities were found in ipsilateral shoulder and wrist joints.Now patient came with above said complaints. He was diagnosed clinically and radiologically to have 2 weeks old neglected right unreduced posterior elbow dislocation.patient was planned for surgerical management after parents consent. He was treated with right elbow open reduced and V-Y lengthening of triceps (SPEEDS PROCEDURE) and internal fixation with K wires. Above elbow pop slab given for 2weeks, following which kwires were removed. He was started on active and passive movements of elbow joint. Patient was followed up for 2 years postoperatively there was full range of movements with no pain or instability, and no valgus or varus deformity was observed.

Key words: Ped, Triceps Lengthening, Speeds Procedure