What is seen on x-ray with posterior elbow dislocation?
In posterior dislocation of elbow, x rays findings show coronoid process anterior to humerus # Except for the shoulder, the elbow is the joint most frequently dislocated, and in children less than 10 years of age elbo dislocation occurs more than any other luxation. # Considerable violence is absorbed and 30-40% are associated with adjacent fractures. # Dislocated elbows are at risk of vascular injury. (not as high as supracondylar fractures) # Due to extent of trauma, posterior splinting after reduction better than casting. # Usually, reduction is quite simple. # Most elbows are stable after reduction. management : Manipulative Reduction While an assistant holds the arm and makes steady counteraction, Grasp the wrist with one hand and make steady traction on the forearm in the position in which it lies. While traction is maintained, correct any lateral displacement with the other hand. Then While traction is maintained, Gently flex the forearm (with reduction, a click is usually felt and heard as the olecranon engages the aicular surface of the humerus) Quigley Technique Patient is prone on table Forearm is allowed to dangle toward the floor and Operator applies traction by grasping the wrist and slowly pulling in the direction of the long axis of the forearm. (Gently) After muscle relaxation occurs, the olecranon is grasped with the operator&;s other hand using the thumb and index finger. The olecranon is then guided to the reduced position without force. In this way, medial or lateral components of the dislocation can be controlled and corrected. Ref : essential ohopaedics ,maheshwari and mhaskar 9th ed p105<img alt="" src=" />
Coronoid process posterior to humerus
Coronoid process anterior to humerus
Coronoid process below humerus
None
Elbow injuries