Introduction: Simple dislocation of elbow is quite common in adults and managed conservatively. Sometimes it is associated with fracture of one of the condyle, radial head or olecranon and is refractory to conservative treatment. Case presentation: We are reporting a case of posterolateral dislocation of elbow and displaced medial epicondyle fracture of humerus which presented one month after injury. Patient was managed with open reduction and internal fixation. Additional stability achieved by trans-articular fixation and ligamentotaxis. Patient could regain adequate stability and movements after physiotherapy. Conclusion: All the patients presented with elbow dislocation/ subluxation should be evaluated clinically and radiologically. Relocation of joint should be done as soon as possible with sedation or local anaesthesia. Irreducible and neglected case should be plan for early surgical intervention.
posterolateral dislocation medial condyle fracture cancellous screw trans-articular fixation ligamentotaxis.
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