{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:34:50Z","timestamp":1792460090325,"version":"4.5.0"},"reference-count":17,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2014,1,22]],"date-time":"2014-01-22T00:00:00Z","timestamp":1390348800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>\n                    <ns4:bold>Background:<\/ns4:bold>\n                    Congenital dislocation of the radial head of the elbow is rare. It is genetically transmitted in some cases and is often associated with syndromes, such as Nail-Patella syndrome, antecubital pterygium and ulnar dysplasia. About two thirds are posterior, with the remainder being either anterior (15%) or lateral (15%). The natural history of the condition is that symptoms are relatively benign, with only some limitation of motion and deformity. Treatment either involves early attempts at reconstruction or delayed intervention at skeletal maturity with radial head excision. We evaluated the radiographic and functional results of a two-in-one procedure (radial shortening and open reduction) in the treatment of congenital dislocation of the radial head of an eight year old girl.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Objective:<\/ns4:bold>\n                    To describe a technique for easy reduction and maintenance of normal radiocapitellar joint anatomy in cases of congenital dislocation of the radial head.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Method:<\/ns4:bold>\n                    We have introduced one modification to the Sachar\u2019s method of open reduction by adding radial shortening. This can be described as a \u2018two incision approach\u2019 with the first incision for the radial shortening and the second for the open reduction of the radiocapitellar joint. The radial shaft was osteotomised first before we performed the radial head relocation. Then the overlapping part of radial shaft was trimmed. It was stabilized with a transarticular K wire fixation.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Results:<\/ns4:bold>\n                    At one year follow up, the elbow is stable with no valgus or fixed flexion deformity. Supination has increased to 40 degrees from zero degrees. An X-ray showed reformation of the radial head with good congruity of the radiocapitellar joint and correction of the radial bow.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Conclusion:<\/ns4:bold>\n                    As far as the authors are aware, this is the first report of congenital dislocation of the radial head being treated by radial shortening and open reduction of radiocapitellar joint through a two incision approach (two-in-one approach). This paper describes this new technique, which we implemented for easy reduction maintenance of normal radiocapitellar joint anatomy.\n                  <\/ns4:p>","DOI":"10.12688\/f1000research.3-22.v1","type":"journal-article","created":{"date-parts":[[2014,1,22]],"date-time":"2014-01-22T06:29:55Z","timestamp":1390372195000},"page":"22","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["Case report: congenital dislocation of the radial head \u2013a two-in-one approach"],"prefix":"10.12688","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4927-2253","authenticated-orcid":false,"given":"Raju","family":"Karuppal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar","family":"Marthya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendran V","family":"Raman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Somasundaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2014,1,22]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","first-page":"39-47","DOI":"10.1016\/S0749-0712(21)00140-2","article-title":"Congenital Radial Head Dislocations.","volume":"14","author":"K Sachar","year":"1998","journal-title":"Hand Clin."},{"key":"ref-2","doi-asserted-by":"crossref","first-page":"829-46","DOI":"10.2106\/00004623-198668060-00005","article-title":"Treatment of congenital dislocation of the hip in children between the ages of one and three years.","volume":"68","author":"L Zionts","year":"1986","journal-title":"J Bone Joint Surg Am."},{"key":"ref-3","doi-asserted-by":"crossref","first-page":"330-6","DOI":"10.1097\/01241398-199505000-00014","article-title":"One-stage treatment of congenital dislocation of the hip in older children.","volume":"15","author":"E Karakas","year":"1995","journal-title":"J Pediatr Orthop."},{"key":"ref-4","first-page":"104","article-title":"The Netter Collection of Medical Illustrations: Musculoskeletal System Volume 6, Part I - Upper Limb","author":"P Joseph","year":"2012"},{"key":"ref-5","doi-asserted-by":"crossref","first-page":"526-8","DOI":"10.1097\/01241398-199307000-00020","article-title":"Congenital unilateral dislocation of the radial head.","volume":"13","author":"D Agnew","year":"1993","journal-title":"J Pediatr Orthop."},{"key":"ref-6","doi-asserted-by":"crossref","first-page":"598-600","DOI":"10.3109\/17453679708999034","article-title":"Isolated congenital dislocation of the radial head. Good function in 4 untreated patients after 14\u201345 years.","volume":"68","author":"B Echtler","year":"1997","journal-title":"Acta Orthop Scand."},{"key":"ref-7","first-page":"487-488","article-title":"Bone and Cartilage Injury, Chapter 12. In Chung CB and Steinbach LS (editors)","author":"T Hughes","year":"2010"},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"725-42","DOI":"10.1001\/archpedi.1955.02050110865010","article-title":"Linear growth of long bones of extremities from infancy through adolescence; continuing studies.","volume":"89","author":"M Maresh","year":"1955","journal-title":"AMA Am J Dis Child."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"295-8","DOI":"10.1001\/archpedi.1955.02050110865010","article-title":"Congenital dislocation of the radial head: spectrum and natural history.","volume":"1","author":"D Kelly","year":"1981","journal-title":"J Pedatr Orthop."},{"key":"ref-10","doi-asserted-by":"crossref","first-page":"365-7","DOI":"10.1016\/0020-1383(89)90016-8","article-title":"Disruption of the radiocapitellar line in the normal elbow.","volume":"20","author":"K Miles","year":"1989","journal-title":"Injury."},{"key":"ref-11","doi-asserted-by":"publisher","first-page":"41-49","DOI":"10.1002\/bjs.1800249306","article-title":"Congenital dislocation of the head of the radius.","volume":"24","author":"B McFarland","year":"1936","journal-title":"Br J Surg."},{"key":"ref-12","doi-asserted-by":"publisher","first-page":"2410-2418","DOI":"10.1007\/s11999-010-1283-y","article-title":"Morphologic evaluation of chronic radial head dislocation: three-dimensional and quantitative analyses.","volume":"468","author":"K Oka","year":"2010","journal-title":"Clin Orthop Relat Res."},{"key":"ref-13","first-page":"935","article-title":"Lovell and Winter\u2019s Pediatric Orthopaedics","volume":"2","author":"W Wood","year":"2006"},{"key":"ref-14","doi-asserted-by":"publisher","first-page":"215-9","DOI":"10.1097\/00003086-200011000-00029","article-title":"Treatment of chronic isolated radial head dislocation in children.","author":"H De Boeck","year":"2000","journal-title":"Clin Orthop Relat Res."},{"key":"ref-15","first-page":"639-42","article-title":"Operation for chronic dislocation of the radial head in children: Reduction by osteotomy of the ulna.","volume":"69","author":"T Hirayama","year":"1987","journal-title":"J Bone Joint Surg Br."},{"key":"ref-16","doi-asserted-by":"crossref","first-page":"306-12","DOI":"10.1097\/01241398-199905000-00006","article-title":"Management of chronic posttraumatic radial head dislocation in children.","volume":"19","author":"M Seel","year":"1999","journal-title":"J Pediatr Orthop."},{"key":"ref-17","first-page":"579","article-title":"Fractures and Joint Injuries","author":"R Watson-Jones","year":"1955"}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/3-22\/v1\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/3-22\/v1\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/3-22\/v1\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T03:49:12Z","timestamp":1648093752000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/3-22\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1,22]]},"references-count":17,"URL":"https:\/\/doi.org\/10.12688\/f1000research.3-22.v1","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.3476.r13345","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.3476.r5769","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.3476.r10118","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.3476.r5769","asserted-by":"object"},{"id-type":"doi","id":"10.5256\/f1000research.3476.r10118","asserted-by":"object"},{"id-type":"doi","id":"10.5256\/f1000research.3476.r13345","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1,22]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/3-22\/v1#article-reports","order":0,"name":"referee-status","label":"Referee 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University, Manipal, Karnataka, India, 04 May 2016, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/3-22\/v1#referee-response-13345","order":2,"name":"referee-response-13345","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}