Speed's Procedure Used to Treat Chronic Elbow Dislocation.

Abstract

In this report, operative treatment of chronic elbow dislocation using Speed's technique is described. Reports on this phenomenon are infrequent. This clinically important pathology is quite uncommon but impacts negatively on a patient's functionality and normal daily activities. We present the case of a 53-year old woman with a missed diagnosis of elbow dislocation. The patient was unable to function because of pain, stiffness and loss of motion. Her diagnosis was missed in the emergency department and in a general practitioner's office. A correct diagnosis was made three months later. The consultant organized an early date for surgery. The definitive treatment entailed open reduction, VY plasty of triceps and supplementary fixation using K wires through the elbow joint (Speed's Procedure). The occurrence, patho-mechanics, operative technique and its outcome are discussed.