Unusual association of elbow dislocation with humeral biepicondylar fracture in a child: A case report and review of literature

Humeral biepicondylar fracture with elbow dislocation is an unusual pattern of injury encountered in paediatric population. We reported a case of humeral biepicondylar fracture-dislocation of elbow in a 11-year-old boy, who presented with tender, swollen, and deformed left elbow following fall on his outstretched hand. Roentgenographic and CT evaluation confirmed the diagnosis, and also showed incarcerated medial epicondylar fragment. Closed reduction was unsuccessful; open reduction and internal fixation was performed with headless screws. Avulsed medial collateral ligament was repaired with suture anchor. Following 4 weeks of immobilization, physiotherapy was started. The child regained satisfactory range-of-motion of the elbow with complete bony union within 3 months. Two years following operation, the child is asymptomatic, with pain free stable elbow. High index of suspicion and astute clinical and radiological assessment is utilitarian for timely diagnosis and appropriate management. Open reduction and internal fixation is believed to be pivotal to restore elbow stability and functionality.