1. Painful Locking Elbow in a Child with Congenital Proximal Radioulnar Synostosis 
Nezar B. Hamdi, MD, SBOS, Abdulmuhsen N. Alshammari, MBBS, SBOS, Abdullah Y. Almarshad, MBBS, Faisal M. AlFayyadh, MBBS 
Journal of Hand Surgery Global Online 
Volume 1, Issue 2, Pages (April 2019)
DOI: /j.jhsg
Copyright © 2019 The Authors Terms and Conditions

2. Figure 1
Preoperative clinical photograph showing a 45° flexion contracture of the right elbow.
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions

3. Figure 2
Preoperative anteroposterior and lateral views radiograph of the right elbow, showing a proximal radioulnar synostosis with anterior radial head dislocation.
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions

4. Figure 3
Sagittal view of MRI showing an interposed structure (arrow) that appears as a low–signal intensity band interposed between the anteriorly dislocated radial head and capitellum.
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions

5. Figure 4
Intraoperative photograph demonstrating the longitudinally divided ligament-like structure (asterisks) and the radial head (RH).
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions

6. Figure 5
Photomicrograph of the excised specimen, showing dense fibroconnective tissue (ligament) (long arrow) and unremarkable synovial tissue (short arrow) (hematoxylin–eosin stain; magnification ×2.5).
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions

7. Figure 6
Clinical photograph at 18 months after surgery, showing full extension of the right elbow.
Journal of Hand Surgery Global Online 2019 1, DOI: ( /j.jhsg )
Copyright © 2019 The Authors Terms and Conditions