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Bowing out of the Tournament

Author: Evon Looper, MD, PGY1; Ramesh Karra, MD
Peer-Reviewer and Final Editor: Will Denq, MD, CAQ-SM

A 15-year old male presents with right elbow pain and deformity after injury sustained during a wrestling tournament. He has a large joint effusion and prominent olecranon, and is otherwise neurovascularly intact. 

X-ray of a human arm

Description automatically generated 

Image 1. Plain radiographs of the right elbow taken on initial presentation after unsuccessful conscious reduction attempt in the field. Author’s own images. 


References 

[1] Boden S, Boden S, Olgun ZD. Novel Technique for Closed Reduction of Incarcerated Medial Epicondyle from the Elbow Joint. Journal of the Pediatric Orthopaedic Society of North America. 2022;4(1):1-6. doi:10.55275/jposna-2022-0012. 

[2] Dodds SD, Flanagin BA, Bohl DD, DeLuca PA, Smith BG. Incarcerated medial epicondyle fracture following pediatric elbow dislocation: 11 cases. The Journal of Hand Surgery. 2014;39(9):1739-1745. doi:10.1016/j.jhsa.2014.06.012. 

[3] Lewallen L, Elliott M, McIntosh AL, Ho CA. Pediatric elbow dislocations and associated fractures. Children (Basel). 2023;10(6):993. doi:10.3390/children10060993. 

[4] Murphy RF, Vuillermin C, Naqvi M, Miller PE, Bae DS, Shore BJ. Early Outcomes of Pediatric Elbow Dislocation—Risk factors associated with morbidity. Journal of Pediatric Orthopaedics. 2017;37(7):440-446. doi:10.1097/bpo.0000000000000676. 

[5] Vuillermin C, Donohue K, Miller P, Bauer A, Kramer D, Yen Y. Incarcerated Medial Epicondyle Fractures With Elbow Dislocation: Risk Factors Associated With Morbidity. Journal of Pediatric Orthopaedics. 2019; 39 (9): e647-e651. doi: 10.1097/BPO.0000000000000991.

[6] Weerakkody Y, Gaillard F. Elbow ossification. Radiopaedia.org. May 2008. doi:10.53347/rid-1263.