Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2012 Apr;25(2):150-154. Korean.
    Published online Apr 17, 2012.
    https://doi.org/10.12671/jkfs.2012.25.2.150
    Copyright © 2012 The Korean Fracture Society
    Case Report

    Ipsilateral Distal Radius and Scaphoid Fractures Associated with Posteromedial Dislocation of the Elbow Joint - A Case Report -

    Jin-Wan Kim, M.D., Young-Chul Ko, M.D., Chul-Young Jung, M.D., Il-Soo Eun, M.D., Young-Jun Kim, M.D. and Chang-Kyu Kim, M.D.
      • Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea.
    • Address reprint requests to: Young-Chul Ko, M.D. Department of Orthopedic Surgery, Busan Medical Center, 359, Worldcup-daero, Yeonje-gu, Busan 611-072, Korea. Tel: 82-51-607-2550, Fax: 82-51-607-2551, Email: panggul@naver.com
    Received September 26, 2011; Revised November 14, 2011; Accepted December 11, 2011.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Arm injuries occurring from high energy injuries such as falls or traffic accidents can be accompanied by wrist and elbow injuries. Monteggia fracture, Galeazzi fracture, and Essex-Lopresti fracture-dislocation are known some examples of such injuries. However, there are no reports on the dislocation of the elbow occurring from a distal radius fracture accompanied by scaphoid fracture, and there is nothing published about its prognosis. The authors report on the treatment and outcomes of a case of a 42-year-old male who had a distal radius and scaphoid fracture associated with posteromedial dislocation of the elbow on the same side of his arm along with a literature review.

    Keywords
    Distal radius fracture; Scaphoid fracture; Posteromedial dislocation of elbow joint

    Figures

    Fig. 1
    (A) Initial plain x-rays show posteromedial elbow dislocation, (B) displaced and communited fracture of the distal radius and (C) undisplaced fracture of the scaphoid.

    Fig. 2
    Magnetic resonance imaging show high signal intensity at the common flexor tendon and medial collateral ligament lesion of the elbow.

    Fig. 3
    Postoperative plain films. Distal radius was treated by K-wire and an external fixator.

    Fig. 4
    Postoperative plain films. Medial collateral ligament and the soft tissue of the elbow was treated by direct repair.

    Fig. 5
    Plain films show posttraumatic arthritic changes in the wrist.

    Fig. 6
    Plain films show posttraumatic arthritic changes in the wrist.

    Fig. 7
    At final follow up, a patient presented with 25 degrees of flexion contracture without evidence of elbow instability.

    References

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    MeSH Terms
    Accidents, Traffic
    Adult
    Arm
    Arm Injuries
    Dislocations
    Elbow
    Humans
    Male
    Monteggia's Fracture
    Prognosis
    Radius
    Radius Fractures
    Wrist
    Metrics
    Share
    Figures
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