Spontaneous displacement of olecranon fracture through geode salvaged by elbow replacement.
We present a case of pathological fracture of olecranon through a giant geode. Fracture was initially undisplaced and was treated conservatively. It later progressed to a transolecranon dislocation as a result of a pseudarthrosis at the fracture site. The patient presented 4 years later when she developed symptoms of ulnar nerve palsy. She was treated by a total elbow arthroplasty with ulnar nerve transposition. The current report highlights this unusual case and reviews the relevant literature.
Jaiswal
Anuj
A
William Harvey Hospital, Ashford, Kent, TN24 0LY, UK. anujdr@gmail.com
Thakur
Raman
R
Relwani
Jaikumar
J
Ogufere
Wallace
W
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications; D001178:Arthroplasty / Q000379:methods*; D001845:Bone Cysts / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D018450:Disease Progression; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D056740:Olecranon Process / Q000000981:diagnostic imaging / Q000473:pathology*; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D011859:Radiography; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D020424:Ulnar Neuropathies / Q000209:etiology / Q000503:physiopathology / Q000601:surgery