Modified Bell Tawse Technique for Correction of Pediatric Isolated Radial Head Dislocation without Ulnar Bowing
Year: 2021
Type: article
Study design: Case Report
Abstract: Chronic radial head dislocation is a rare and potentially devastating injury in pediatric population, resulting in long term function and movement impairment.Early recognition and management are essential to restore elbow flexion and more important pronation and supination.The treatment of chronic radial head dislocations in children can be challenging and currently there is no consensus on the optimal treatment.The authors describe a case of a 6-year-old boy who suffered a fall onto his outstretched left arm, with 6 weeks evolution, and sustained a left radial head fracture with anterior dislocation, without ulnar deformity.A Boyd and Speed approach was made, and a modified Bell Tawse procedure was performed using a lateral slip of the triceps tendon, passed around the radial neck and fixed with a suture anchor into ulna.This versatile approach allowed access to all the structures, minimizing the risk of surgical scarring, with excellent functional and imagiologic results, without long-term major complications.To our knowledge, there are no reported cases regarding an annular ligament reconstruction using a modified Bell Tawse procedure with suture anchor.Level of evidence IV.
Source: Acta Scientific Orthopaedics
Authors: Joana Monteiro Pereira, Ana Esteves, Pedro Ribeiro, Francisco Bernardes, Tiago Costa, Pedro Barreira
Institution: Centro Hospitalar do Tâmega e Sousa
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3202365367