Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report

IntroductionHumeral shaft fractures can lead to radial nerve injury and may require surgery and rehabilitation. We determined the causative events of humeral fracture, including arm wrestling, in young Korean soldiers and examined whether humeral fracture is related to demographic characteristics and the presence of radial nerve palsy.MethodsWe reviewed 7.5 years (July 2012 to June 2019) of medical records covering patients who had experienced a humeral shaft fracture after entering military service and had received surgery for open reduction and internal fixation. Data were obtained on basic demographics, initial event provoking the fracture, presence of radial nerve palsy, initial and follow-up severity of the weakness, and any discharge from military service because of prolonged radial nerve palsy.ResultsOf 123 cases, arm wrestling was the leading cause (52.8%). A high energy injury, such as falling from a height (11.4%), and sports related slips (10.6%) were other causes. All humeral shaft fractures caused by forceful contraction were spiral, while 40% of the fractures caused by external force related events were of a transverse type. The percentage of left-sided fractures was significantly higher for fractures arising from an external force than in those caused by forceful contraction related events. Radial nerve palsy was found in 34 patients (27.6%), and 16 were discharged from the military because of prolonged radial nerve palsy 6 months after the fracture. The causative events and other factors did not affect the presence of radial nerve palsy.ConclusionArm wrestling was the leading cause of humeral fracture in young Korean soldiers but the chance of developing comorbid radial nerve palsy did not differ from that of other causes. These epidemiologic findings in this young active group may help in understanding the causes of humeral shaft fracture in soldiers and in the wider young population.

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Intraoperative Interfragmentary Radial Nerve Compression in a Medially Plated Humeral Shaft Fracture: A Case Report

Journal of Orthopaedic Trauma ◽

10.1097/01.bot.0000144045.78008.a1 ◽

2005 ◽

Vol 19 (7) ◽

pp. 491-493 ◽

Cited By ~ 4

Author(s):

Andrew Yam ◽

Ter-Chyan Tan ◽

Beng-Hai Lim

Keyword(s):

Case Report ◽

Radial Nerve ◽

Shaft Fracture ◽

Humeral Shaft Fracture ◽

Nerve Compression ◽

Humeral Shaft

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Throwing Induced Non-stress Humeral Shaft Fracture - A Case Report -

The Korean Journal of Sports Medicine ◽

10.5763/kjsm.2011.29.1.68 ◽

2011 ◽

Vol 29 (1) ◽

pp. 68

Author(s):

Wooseung Lee ◽

Jung Ro Yoon ◽

Young-Bae Kim ◽

Jae Hyuk Yang ◽

Seongrok Oh

Keyword(s):

Case Report ◽

Shaft Fracture ◽

Humeral Shaft Fracture ◽

Humeral Shaft

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Simultaneous palmar divergent dislocation of scaphoid and lunate concurrent with i psilateral humeroradial joint dislocation and humerus shaft fracture: report a rare case and add a new subtype

10.21203/rs.2.19896/v1 ◽

2020 ◽

Author(s):

Wan-wen Feng ◽

Ya-yi Xia ◽

Yue-peng Liu ◽

yuping liu

Keyword(s):

Open Reduction ◽

Rare Condition ◽

Humeral Fracture ◽

Shaft Fracture ◽

Humeral Shaft Fracture ◽

High Energy ◽

Humeral Shaft ◽

Scapholunate Ligament ◽

Joint Dislocation ◽

Volar Approach

Abstract Background: Simultaneous palmar dislocation of scaphoid and lunate is a rare condition generally resulting from high-energy trauma and usually classified into two types. The literature has only reported nine patients with palmar divergent dislocation of scaphoid and lunate. Here we we present a case of accompanied ipsilateral humeroradial joint dislocation and open humeral shaft fracture caused by the same violence travelling from the wrist. Considering the emerging cases with their own characteristics, we suggest this severer injury be expanded into the third type of palmar dislocation of scaphoid and lunate. Case presentation: A 31-year-old male who fell from a three-storey building, with his right wrist directly hitting the ground, was admitted to the orthopaedic department of our hospital. Physical and radiographic examinations defined simultaneous palmar divergent dislocations of scaphoid and lunate concurrent with ipsilateral humeroradial joint dislocation and open humeral shaft fracture. After debridement and internal fixation for humerus and close reduction for humeroradial joint, the scaphoid and lunate were treated with open reduction and fixation by Kirschner’s wires, and the palmar scapholunate ligament and anterior capsule were repaired through volar approach. After a 3-year follow-up, his humeral fracture healed without recurrent dislocations, collapse or avascular necrosis of scapholunate. Favorable hand function regained . Conclusions: Palmar divergent dislocation of scaphoid and lunate caused by considerable violence is rare and appropriate to urgent open reduction and fixation with Kirschner’s wires and repair of the stronger palmar scapholunate ligament through single volar approach. When the residual violence continues to transmit to the upper extremity, ipsilateral dislocation or fracture may occur. We advise that this complex injury be classified into a third subtype of simultaneous palmar dislocation of scaphoid and lunate to avoid misdiagnosis.

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