Case. We present a 23-year-old male with 7 episodes of left elbow dislocation during a two-year period. He had a positive pivot shift\ntest with engaging. The original treatment plan included lateral ulnar collateral ligament reconstruction and eventually bone defect\ngrafting and osteosynthesis. However, a bone graft was not performed. After 2 years of follow-up, the DASH score was 3.3. The\nMayo Score was 90. Conclusion. Posterolateral instability associated with an engaging bone defect, in every elbow extension and\npivot shift test, was not found in the literature. The capitellum defects are associated with PLRI and make it worse. Bone\nreconstruction may not be indicated.
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