Intermediate-term outcomes for floating elbow and floating elbow variant injuries

Jockel, Christopher R.; Gardenal, Ricardo Martín; Chen, Neal C.; Golden, Robert D.; Jupiter, Jesse B.; Capomassi, Miguel

doi:10.1016/j.jse.2012.11.008

Cited by 16 publications

(16 citation statements)

References 23 publications

(38 reference statements)

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“…9 Floating elbows occur as a result of high energy trauma, sometimes involving soft tissue and / or neuro-vascular injury. [3][4][5][6][7][8][9][10] Considering the site of injury, the left thoracic limb was involved 3 times and the right thoracic limb 1 time in our study. The predominance of left hemisphere has been found in other studies.…”

Section: Discussionmentioning

confidence: 99%

“…Non displaced ipsilateral diaphyseal fractures of the humerus and the forearm can be treated with orthopedic plaster in children and in adults. [6][7][8][9][10][11] This option is widely used in children. 11 The plaster immobilization blocking the upper and lower joints until complete healing, presents little benefit in adults, especially when in case of displaced fractures of one or both bones from the forearm.…”

Section: Discussionmentioning

confidence: 99%

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Floating elbows in adults: epidemiology, clinical presentation, management and prognosis: Brazzaville Teaching Hospital experience

et al. 2020

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Background: The objective of this study was to describe the epidemiological, clinical presentation, management and prognosis of classic floating elbows at the Brazzaville University hospital. Methods: This is retrospective descriptive study conducted in the Trauma-Orthopedics Department at Brazzaville University Hospital between January 2013 and December 2018. Four patients meeting the inclusion criteria underwent surgery. Open fractures were classified according to the classification of Gustilo and Anderson. Anatomical evaluation was based on the quality of fracture reduction and bone healing. The functional results were assessed according to the Mayo Clinic score. Results: The functional results were assessed according to the Mayo Clinic score of the 4 patients in our study, there were 3 men and 1 woman. The average age was 31 (28 and 34). They were all victims of traffic accidents. Three floating elbows were closed and one open at the humeral level with paralysis of the radial nerve. The closed fractures were treated by screwed plates and the open fracture by external fixator. Bone healing was achieved in 3 patients and we observed 1 case of aseptic nonunion of the radius. According to the Mayo Clinic score, 2 patients had a very good functional result, 1 patient an average result and 1 patient a poor result. Conclusions: Classic floating elbows are rare and their prognosis remains unpredictable, especially when they involve musculo-cutaneous or neurovascular damages. Their treatment must be surgical in the adult to avoid a prolonged immobilization which may lead to stiffness of the elbow. A multidisciplinary approach should then be taken into consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Floating elbows in adults: epidemiology, clinical presentation, management and prognosis: Brazzaville Teaching Hospital experience

et al. 2020

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“…3,4,14) Most published articles on floating elbow have dealt with both classic floating elbow and floating elbow variant injuries. We thought that classic floating elbow injuries have different entity from floating elbow variant injury.…”

Section: )mentioning

confidence: 99%

“…13) Jockel et al 4) reported that floating elbow represents highenergy trauma and there are significant associated injuries. They concluded that nerve injury is correlated with lower subjective clinical outcomes.…”

Section: 1315)mentioning

confidence: 99%

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Classic Floating Elbow in Adults: A Case Series

Cho¹,

Min²

2015

Clinics in Shoulder and Elbow

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Background: The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults. Methods: Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22−64 years) and the average follow-up period was 37.0 months (14−103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated. Results: Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final followup examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome.

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Floating Elbow

Eglseder¹

2017

Atlas of Upper Extremity Trauma

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Intermediate-term outcomes for floating elbow and floating elbow variant injuries

Cited by 16 publications

References 23 publications

Floating elbows in adults: epidemiology, clinical presentation, management and prognosis: Brazzaville Teaching Hospital experience

Floating elbows in adults: epidemiology, clinical presentation, management and prognosis: Brazzaville Teaching Hospital experience

Classic Floating Elbow in Adults: A Case Series

Floating Elbow

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