We report on 4 patients with congenital posterior dislocation of radia
l heads in 3 generations of a family, Radiographs of the elbow joints
of 3 individuals are presented. All affected subjects have mild limita
tion of extension and a strong restriction of rotation in the elbows,
Comparison with previously described patients shows similarities in th
e X-ray findings, Congenital posterior dislocation of the radial head
can be unilateral or bilateral, This malformation is also found in pat
ients with antecubital pterygium or nail-patella syndrome, This family
confirms the autosomal dominant inheritance of congenital posterior d
islocation of radial heads. (C) 1995 Wiley Liss, Inc.