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Late Traumatic Dislocation of the Radial Head

Otto E. Aufranc, MD; William N. Jones, MD; Benjamin E. Bierbaum, MD
JAMA. 1969;208(13):2465-2467. doi:10.1001/jama.1969.03160130049012.
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Dr. Arthur L. Boland: An 8-year-old boy was seen during consultation for a deformity of the right elbow. Three years earlier, the patient had been treated for a fracture of the midshaft of the right ulna. The forearm, reportedly, was held in a long arm plaster cast for three weeks. Soon after removal of the cast, the parents noted a prominence about the right elbow. It was their impression now that the deformity was becoming worse.

The child appeared slender, pleasant, and alert. Normal findings were encountered in the general physical examination. The patient had 25° of cubitus valgus in the right elbow, compared with 10° in the left. Supination of the forearm was limited to 45° on the right. The remaining motions of the upper extremity joints were within normal range. The right radial head appeared to be dislocated anteriorly. There was no impairment of neurological or circulatory function.

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