Ipsilateral radial shaft, head, and medial epicondyle fractures.
A patient with a unique combination of ipsilateral midradial shaft (AO/OTA 22-A2), radial head (21-A2), and medial epicondyle (13-A1) fractures, without a recorded elbow dislocation or distal radioulnar joint disruption, is presented. The injury was treated surgically with a dorsal approach to the forearm and a lateral approach to the elbow through a single dorsolateral skin incision. The radial shaft fracture was stabilized using a 3.5-mm limited contact, dynamic compression plate; the radial head, using a 1.2-mm Luhr plate; and the medial epicondyle, using a partially threaded cancellous screw through a limited medial approach. The shaft fracture consolidated by 10 weeks, whereas radiographic consolidation of the radial head fracture was seen at 7 months. At the 15-month follow-up, the patient had achieved an excellent functional result. Awareness of the possibility of double injuries even in yet-unrecognized patterns is warranted when evaluating forearm and elbow trauma.
Darlis
Nickolaos A
NA
Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 31 Messologiou Street, 45221 Ioannina, Greece. me00301@cc.uoi.gr
Kotsovolos
Elias S
ES
Zalavras
Charalampos G
CG
Mavrodondidis
Alexander N
AN
D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome