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            [0] => The divergent elbow dislocation Associated with Fractures :A Case Report
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            [0] => Hopital sahloul sousse
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    [nom] => Array
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            [0] => jellali
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    [prenom] => Array
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            [0] => alaeddine
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            [0] => jellalialaeddine1614@gmail.com
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            [0] => 26697847
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            [0] => 
 
Nom prénom / Name Surname: Lassaad HASSINI*, Sami CHEBBI*, Wajdi CHERMITI*, Mahmoud BEN MAITIGUE*, Mourad MTAOUMI*, Karim BOUATTOUR*
Email: jellalialaeddine1614@gmail.com
Hôpital / Hospital: hopital sahloul sousse

        )

    [mots_cles] => Array
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            [0] => Elbow dislocation, forearm, fracture,;

        )

    [event-id] => Array
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            [0] => 3663
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            [0] => 1
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            [0] => jellalialaeddine1614@gmail.com
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    [specialite] => Array
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            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
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            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction:
The divergent elbow dislocation represents a rare lesion where the proximal radioulnar joint is torn and the distal part of the humerus goes between the radius and the ulna, the forearm dislocates posteriorly.
Case Report:
We report the case of a 37-year-old male patient who had a traumatic divergent dislocation of the left elbow, associated with ipsilateral fractures of the ulnar diaphysis and the radial styloid process. The elbow joint was reduced under general anesthesia with internal fixation of the ulnar diaphysis fracture and a pinning of the radial styloid fracture. At 3 years of follow-up, the fractures were consolidated and the elbow was stable with a satisfying mobility.
Discussion :
Previously reported cases of transverse divergent elbow dislocation involved children. Kazuki et al reported a case of traumatic elbow dislocation with divergent fracture associated with an Essex-Lopresti lesion in a 41-year-old adult male, in which the radial head and coronoid process were fractured. Casstevens et al [2] published another adult case in 2012, associating a fracture of the distal part of the humeral shaft and an open perilunate dislocation. However, elbow dislocations with simultaneous fractures of the ipsilateral radius and ulna are very rare. Greene et al [3] reported the case of a 49-year-old man with traumatic avulsion of the distal part of the left forearm. X-rays showed a divergent elbow dislocation associated with an ipsilateral ulnar shaft fracture. 
The injury mechanism underlying posterior elbow dislocations begins with an unlocking of intrinsic stability, with extreme supination of the forearm while the body rotates internally in relation to the fixed extremity.
Conclusion:
The aim of our case report is to underline the diagnostic and therapeutic challenges of this complex lesion.
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