‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature

Q4 Medicine Trauma Case Reports Pub Date : 2024-06-06 DOI:10.1016/j.tcr.2024.101067

Swapnil Keny , Nihar Modi , Murtaza Haidermota , Nikhil Gokhale , Seema Khambatta , Aryan Keny

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Abstract

Introduction

Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury.

Case

A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbow joint were done with a hyper-supination manoeuvre to reverse the translocation. She was managed with an above-elbow cast for 4 weeks and showed good radiological and functional outcomes on subsequent follow-ups until 1 year.

Conclusion

Early recognition of PRUT and a thorough clinico-radiological assessment are mandatory when dealing with paediatric elbow injuries. Our cadaveric study with illustrations defines the mechanism of this rare injury for better understanding.

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PRUT"--一项尸体研究，旨在了解这种罕见的儿科肘部损伤的机理，并对文献进行全面回顾

导言：肘关节近端放射性-尺神经移位（PRUT）伴有肘关节脱位，但没有骨折，是一种极为罕见的损伤。病例一名6岁的女性患儿因肘关节后脱位、PRUT和不完全尺神经麻痹来我院就诊。我们为她进行了血肿抽吸和肘关节复位，并采取了过度上举的手法来扭转移位。她接受了肘部以上石膏固定 4 周的治疗，在随后 1 年的随访中显示出良好的放射学和功能效果。结论：在处理儿童肘部损伤时，必须及早识别 PRUT 并进行全面的临床放射学评估。我们的尸体研究通过图解明确了这种罕见损伤的机制，有助于更好地理解这种损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.