Convergent luxation in pediatric elbow. Report of two cases

Introduction We describe two clinical cases and review the available literature on the convergent elbow dislocation. Result Our first case shows how a delay in the diagnosis will lead to an open reduction and internal fixation with K-wires. On the other hand, an early diagnosis prompts a closed reduction and without fixation as it is described in the second case. Conclusions The diagnostic key for the convergent dislocation of the elbow lies in the correct interpretation of the radiographs and the prono-supination block on physical examination. The use of indomethacin is recommended to avoid heterotopic calcifications. The final outcome is better when an early diagnosis is achieved regardless of the method of reduction. Keywords: convergent dislocation, elbow dislocation, pediatrics, radioulnar translocation