J Korean Fract Soc.  2012 Apr;25(2):150-154. 10.12671/jkfs.2012.25.2.150.

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

• Kim JW
• Ko YC
• Jung CY
• Eun IS
• Kim YJ
• Kim CK

• KMID: 2015460
• DOI: http://doi.org/10.12671/jkfs.2012.25.2.150

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.

Keyword

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

MeSH Terms

Accidents, Traffic
Adult
Arm
Arm Injuries
Dislocations
Elbow
Humans
Male
Monteggia's Fracture
Prognosis
Radius
Radius Fractures
Wrist

Figure

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  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.

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

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

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

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

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

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

Reference

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