Open dislocation of the elbow with ipsilateral fracture of the radial head and distal radius: a rare combination without vascular injury

While the isolated fractures of proximal or distal radius are very common injuries in adults and account to 14% and 18% of all extremity fractures the simultaneous ipsilateral fractures of proximal and distal end of radius are quite uncommon. We present two cases (females 64 and 56 years old) with ipsilateral fractures of radial head and distal end of radius due to a fall. No signs of ligamentous injuries were found in preoperative magnetic resonance imaging’s (MRI). Firstly we treated the distal radius fracture in both cases with volar locking plate, secondly we approached the radial head fracture: in one case (Maison type I) conservatively (plaster of Paris) and in the other case (Maison type III) with radial head replacement. The aim of this study has two objectives: first to increase the awareness of diagnosing this bipolar injury in the emergency department and second to introduce the modalities of treatment.

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Dislocation of the elbow with fracture of the radial head and distal radius

JAMA ◽

10.1001/jama.202.9.897 ◽

1967 ◽

Vol 202 (9) ◽

pp. 897-900 ◽

Cited By ~ 1

Author(s):

O. E. Aufranc

Keyword(s):

Distal Radius ◽

Radial Head

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Lengthening of the Forearm by Callus Distraction

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(96)80090-8 ◽

1996 ◽

Vol 21 (2) ◽

pp. 151-163 ◽

Cited By ~ 55

Author(s):

M. ABE ◽

H. SHIRAI ◽

M. OKAMOTO ◽

T. ONOMURA

Keyword(s):

Distal Radius ◽

Radial Head ◽

Callus Formation ◽

Congenital Dislocation ◽

Growth Disturbance ◽

Distal Ulna ◽

And Function ◽

Pin Track ◽

Delayed Consolidation

Ten patients aged 3 to 13 years (mean, 9 years and 7 months) underwent forearm lengthening by callotasis. The indications for lengthening were shortening and/or deformity of the forearm due to exostosis of the distal ulna in five cases, enchondroma of the distal ulna in one, growth disturbance after fracture of the distal radius in one, radial club hand in one, congenital amputation of the forearm in one and congenital dislocation of the radial head in one. Four had lengthening of the ulna, one of the radius and five of both the radius and the ulna. The average lengthening achieved was 30 mm. Complications encountered were pin track discharge in three cases, callus fracture in five, delayed consolidation of the callus in one and no callus formation in one. Review after 1 to 7 years follow-up (with a mean of 4 years and 9 months) showed satisfactory improvement in appearance and function especially in patients who had tumorous conditions or traumatic epiphyseal arrest.

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SIMULTANEOUS FRACTURES OF THE SCAPHOID, PROXIMAL AND DISTAL END OF THE RADIUS: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810410004643 ◽

2010 ◽

Vol 15 (02) ◽

pp. 123-125 ◽

Cited By ~ 1

Author(s):

Issei Nagura ◽

Hiroyuki Fujioka ◽

Yuji Nabeshima

Keyword(s):

Case Report ◽

Range Of Motion ◽

Distal Radius ◽

Radial Head ◽

Active Range Of Motion ◽

Motion Exercise

We report a case of injury, simultaneous fractures of scaphoid, distal radius and radial head. It was treated by fixation operatively, and then early active range of motion exercise was started.

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