An Uncommon Combination of Fractures around the Elbow: Capitellum Fracture Associated with Radial Head Fracture.
BACKGROUND
The coexistence of fractures of capitulum humeri and radial head in the elbow joint is a rare entity.


METHODS
A 30-year-old woman was admitted to our hospital after having sustained a fall on her outstretched right arm. She complained of pain, swelling, and restriction of motion of the right elbow joint. Anteroposterior and lateral radiographs revealed displaced fractures in the capitellum and the radial head. The patient was operated. Fractures were exposed through a lateral (Kocher) incision. Fracture was reduced, and fixation was performed with 2 AO compression screw. Two fragments of radial head fracture were also reduced and fixed with AO compression screw. Clinical and radiographic outcomes were excellent at the end of a 5-year follow-up.


CONCLUSIONS
These fractures occurred following a fall on the palm with outstretched arm. The success of the treatment depends greatly on surgical approach and suitable technique which requires comprehensive knowledge of detailed anatomy and biomechanics of the elbow.
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
Osman
O
Walid
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
Braiki
B
Meriem
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
Alaya
A
Zeineb
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
Naouar
N
Nader
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
Ben Ayeche
BA
Mohamed
Elbow joint; fractures; internal fixation; surgery