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Case history

A 23 year old man was involved in a road traffic accident, resulting in multiple injuries. He also dislocated his right elbow, which was initially treated by closed reduction, but subsequently it had required open reduction, as the joint was unstable. In spite of regular active physiotherapy he developed stiffness and limitation of movement around the elbow joint, with a range of flexion of 80 to 100 degrees. Four weeks later he developed weakness and neurological deficit in the right hand.