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Radial heads, posterior dislocation of

MedGen UID:
357272
•Concept ID:
C1867398
•
Disease or Syndrome
Synonym: Posterior radial head dislocation
 
HPO: HP:0005798
Monarch Initiative: MONDO:0008356
OMIM®: 179200

Definition

A dislocation of the head of the radius from its socket in the elbow joint in an posterior direction. [from HPO]

Clinical features

From HPO
Limited elbow extension
MedGen UID:
401158
•Concept ID:
C1867103
•
Finding
Limited ability to straighten the arm at the elbow joint.
See: Feature record | Search on this feature
Radial heads, posterior dislocation of
MedGen UID:
357272
•Concept ID:
C1867398
•
Disease or Syndrome
A dislocation of the head of the radius from its socket in the elbow joint in an posterior direction.
See: Feature record | Search on this feature
Antecubital pterygium syndrome
MedGen UID:
401231
•Concept ID:
C1867439
•
Disease or Syndrome
Antecubital pterygium syndrome is an autosomal dominant disorder characterized by a fleshy web extending across the anterior aspect of the cubital fossa, absence of the long head of the triceps, limitation of full elbow extension, and missing skin creases over the terminal interphalangeal joints of the fingers (summary by Wallis et al., 1988).
See: Feature record | Search on this feature
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Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRadial heads, posterior dislocation of

Conditions with this feature

Radial heads, posterior dislocation of
MedGen UID:
357272
•Concept ID:
C1867398
•
Disease or Syndrome
A dislocation of the head of the radius from its socket in the elbow joint in an posterior direction.
See: Condition Record
Radial heads, posterior dislocation of

Professional guidelines

PubMed

Point-of-Care Ultrasonography to Assist in the Diagnosis and Management of Subluxation of the Radial Head in Pediatric Patients: A Case Series.
Güngör F, Kılıç T
J Emerg Med 2017 May;52(5):702-706. Epub 2017 Mar 9 doi: 10.1016/j.jemermed.2017.01.049. PMID: 28284770

Recent clinical studies

Etiology

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.
Kim JM, London DA
J Am Acad Orthop Surg 2020 Oct 1;28(19):e839-e848. doi: 10.5435/JAAOS-D-19-00625. PMID: 32649440
Ultrasound findings of the elbow posterior fat pad in children with radial head subluxation.
Rabiner JE, Khine H, Avner JR, Tsung JW
Pediatr Emerg Care 2015 May;31(5):327-30. doi: 10.1097/PEC.0000000000000420. PMID: 25875991
Epidemiology of nursemaid's elbow.
Vitello S, Dvorkin R, Sattler S, Levy D, Ung L
West J Emerg Med 2014 Jul;15(4):554-7. doi: 10.5811/westjem.2014.1.20813. PMID: 25035767Free PMC Article
Efficacy of reduction maneuvers for "pulled elbow" in children: a prospective study of 115 cases.
García-Mata S, Hidalgo-Ovejero A
J Pediatr Orthop 2014 Jun;34(4):432-6. doi: 10.1097/BPO.0000000000000130. PMID: 24322628
Absence of radiographic abnormalities in nursemaid's elbows.
Eismann EA, Cosco ED, Wall EJ
J Pediatr Orthop 2014 Jun;34(4):426-31. doi: 10.1097/BPO.0000000000000126. PMID: 24276229

Diagnosis

Missed Pediatric Monteggia Fractures.
Hubbard J, Chauhan A, Fitzgerald R, Abrams R, Mubarak S, Sangimino M
JBJS Rev 2018 Jun;6(6):e2. doi: 10.2106/JBJS.RVW.17.00116. PMID: 29870420
Radial head button holing: a cause of irreducible anterior radial head dislocation.
Shin SM, Chai JW, You JY, Park J, Bae KJ
Skeletal Radiol 2016 Oct;45(10):1449-52. Epub 2016 Aug 8 doi: 10.1007/s00256-016-2451-2. PMID: 27502623
Ultrasound findings of the elbow posterior fat pad in children with radial head subluxation.
Rabiner JE, Khine H, Avner JR, Tsung JW
Pediatr Emerg Care 2015 May;31(5):327-30. doi: 10.1097/PEC.0000000000000420. PMID: 25875991
Epidemiology of nursemaid's elbow.
Vitello S, Dvorkin R, Sattler S, Levy D, Ung L
West J Emerg Med 2014 Jul;15(4):554-7. doi: 10.5811/westjem.2014.1.20813. PMID: 25035767Free PMC Article
Absence of radiographic abnormalities in nursemaid's elbows.
Eismann EA, Cosco ED, Wall EJ
J Pediatr Orthop 2014 Jun;34(4):426-31. doi: 10.1097/BPO.0000000000000126. PMID: 24276229

Therapy

Efficacy of reduction maneuvers for "pulled elbow" in children: a prospective study of 115 cases.
García-Mata S, Hidalgo-Ovejero A
J Pediatr Orthop 2014 Jun;34(4):432-6. doi: 10.1097/BPO.0000000000000130. PMID: 24322628

Prognosis

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.
Kim JM, London DA
J Am Acad Orthop Surg 2020 Oct 1;28(19):e839-e848. doi: 10.5435/JAAOS-D-19-00625. PMID: 32649440
Treatment of forearm diaphyseal defect by distraction compression bone transport and continued distraction for radial head reduction: A case study.
Kliushin NM, Stepanenko P, Mekki WA
Chin J Traumatol 2019 Oct;22(5):304-307. Epub 2019 Jun 15 doi: 10.1016/j.cjtee.2019.04.005. PMID: 31443938Free PMC Article
Ultrasound findings of the elbow posterior fat pad in children with radial head subluxation.
Rabiner JE, Khine H, Avner JR, Tsung JW
Pediatr Emerg Care 2015 May;31(5):327-30. doi: 10.1097/PEC.0000000000000420. PMID: 25875991
Loeys-Dietz syndrome with bilateral radial head dislocations: a case report.
Rustagi T, Agashe MV, Dhamele J, Aroojis AJ, Mehta R
J Orthop Surg (Hong Kong) 2013 Aug;21(2):262-5. doi: 10.1177/230949901302100231. PMID: 24014798

Clinical prediction guides

Treatment of forearm diaphyseal defect by distraction compression bone transport and continued distraction for radial head reduction: A case study.
Kliushin NM, Stepanenko P, Mekki WA
Chin J Traumatol 2019 Oct;22(5):304-307. Epub 2019 Jun 15 doi: 10.1016/j.cjtee.2019.04.005. PMID: 31443938Free PMC Article

Recent systematic reviews

Neglected Monteggia fracture dislocations in children: a systematic review.
Goyal T, Arora SS, Banerjee S, Kandwal P
J Pediatr Orthop B 2015 May;24(3):191-9. doi: 10.1097/BPB.0000000000000147. PMID: 25714935

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