Speed's Procedure Used to Treat Chronic Elbow Dislocation

摘要

In this report, operative treatment for 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 53year-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 (ED) 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 the triceps and supplementary fixation using Kirschner (K-wires) wires through the elbow joint (Speed's Procedure). The occurrence, patho-mechanics, operative technique and its outcome are discussed.