Luxación crónica de la cabeza radial, una modificacion a la técnica de Bell Tawse

García-Pinto, Guillermo; Redon-Tavera, Antonio
January 2010
Revista de Sanidad Militar;jan/feb2010, Vol. 64 Issue 1, p7
Academic Journal
The anterior traumatic dislocation of the radial head usually torn annular ligament and the capsular joint, some times comes with ulnae or distal radial fracture. If we recognize the dislocation in the early stage (the first month) we can fixed with a conservative management with great results. The treatment of the chronic dislocation is very controversial and the opinions differ; the clasical procedure of Bell Tawse is to take a long portion of the triceps tendon as long as 6 cms, and take it around the radial head and holding the ulna in a bone bridge and so then reconstruction of the annular ligament, is the most accepted surgical procedure with radial and ulnar osteotomy, unlucky, we found ourself with two patients with a very short and wide triceps tendon, so we decide to make a modification to the original surgical procedure. Description of the surgical procedure: Place the patient prone on the operating table, with the arm abducted 90°, and the flex the elbow, we make a Boyd incision, move lateral the anconeus muscle and identify the capsular joint, usually is folded in two layers and lateral, because the anterior portion is torn, you make a vertical incision and remove the rest of the capsular joints and the annular ligament, with our thumb we reduce the radial head gently, then we identify the triceps tendon and separated it from the muscle portion, split longitudinal in two, we have two portions of 4 cms each, we have to be very careful to not dissected from the olecranon, each portion of the annular tendon is hold it with a Bunell, we leave free the portions, suture most be non absorbable, we make a perforation thought the ulnar bone and we past the medial portion of the annular tendon around the anterior portion of the radial head, the lateral portion pass thought the posterior portion of the radial head, portions are hold together on the lateral side and make a knot making good tension. After six months our patients has a good function of the radial head.


Related Articles

  • Stress Fractures of the Upper Limb. Brukner, P. // Sports Medicine;Dec1998, Vol. 26 Issue 6, p415 

    Stress fractures are commonly found in the lower limb, but also occur in the upper limb, and are particularly associated with upper limb-dominated sports such as tennis and swimming and those involving throwing activities. Stress fractures of the clavicle and scapula are rare but have been...

  • ulna, fracture of. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p767 

    An encyclopedia entry for "ulna, fracture of" is presented. It refers to the fracture of one of the forearm bones called the ulna. Fractures of the ulna commonly occur across the half of the shaft or at the olecranon process. A blow to the arm or a fall on to the hand usually causes a fracture...

  • Unusual stress fracture in an adolescent baseball pitcher affecting the trochlear groove of the olecranon. Blake, Joseph J.; Block, John J.; Hannah, Gene A.; Kan, J. Herman // Pediatric Radiology;Jul2008, Vol. 38 Issue 7, p788 

    Stress fractures of the proximal ulna are known to occur in throwing athletes. Most cases extend to involve the olecranon, and cases limited to the trochlear groove are rare. In this report we present a 17-year-old elite baseball pitcher with a stress fracture of the trochlear groove of the...

  • Composite implant of native bovine bone morphogenetic protein (BMP), collagen carrier and biocoral in the treatment of resistant ulnar nonunions: report of five preliminary cases. Kujala, Sauli; Raatikainen, Timo; Ryhänen, Jorma; Kaarela, Outi; Jalovaara, Pekka // Archives of Orthopaedic & Trauma Surgery;Feb2004, Vol. 124 Issue 1, p26 

    Introduction. Bone morphogenetic protein (BMP) has been shown to induce bone formation and union in long bone defects and nonunions. There are, however, no previous reports of BMP being used for ulnar nonunions. We report on five cases of resistant ulnar nonunions treated with a composite...

  • GP REGISTRAR: WHAT THEY DIDN'T TELL YOU... Aspirating Olecranon Bursitis.  // GP: General Practitioner;2/2/2004, p52 

    Olecranon bursitis is the inflammation of the bursa blue overlying the olecranon process at the proximal aspect of the ulna, caused by acute trauma or repetitive minor trauma. No local anesthetic is normally required for aspiration. Advance the needle while maintaining negative pressure in the...

  • A swollen elbow.  // Independent Nurse;6/2/2008, p20 

    The article presents a case study of a 70-year old man with a painful swollen elbow. Diagnosis shows olecranon bursitis where an inflammation of the bursa overlying the olecranon process of the ulna caused by infection, however, is not associated with arthritis. The article discusses how to...

  • olecranon. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p561 

    An encyclopedia entry for "olecranon" is presented. It refers to the bony projection at the upper end of the ulna or the inner bone of the forearm that is the point of the elbow.

  • CYCLIC LOADING OF OLECRANON FRACTURE FIXATION CONSTRUCTS. Hutchinson, Douglas T.; Horwitz, Daniel S.; Ha, Gregory; Thomas, Cameron W.; Bachus, Kent N. // Journal of Bone & Joint Surgery, American Volume;May2003, Vol. 85-A Issue 5, p831 

    Background: Despite the good results that are usually reported after fixation at the sites of olecranon fractures and osteotomies, problems such as loss of fixation, nonunion, and the need for revision surgery are still encountered. Various types of fixation have been recommended, but few have...

  • 'Sliding angulation osteotomy': preliminary report of a novel technique of treatment for chronic radial head dislocation following missed Monteggia injuries. Rajasekaran, Shanmuganathan; Venkatadass, Krishnamoorthy // International Orthopaedics;Dec2014, Vol. 38 Issue 12, p2519 

    Purpose: Neglected anterior radial head dislocation in type I Monteggia lesions leads to restriction of movement, deformity and instability of the affected elbow. If left untreated this leads to a painful arthritic elbow due to secondary degenerative changes. This is a difficult problem to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics