Multiple Concomitant Injuries in One Upper Extremity: A Case Report

Abutalib, Raid A.; Khoshhal, Khalid I.

doi:10.12659/ajcr.894984

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…The awareness of this association for early recognition is of paramount significance for ideal clinical results. 5 In the present case report, after 1 year, the patient had no pain, and had attained the same ROM as compared with the nonaffected side. Radiographs showed full healing of the fracture with adequate DRUJ and elbow joint congruity.…”

Section: Discussionsupporting

confidence: 60%

Elbow Dislocation with Ipsilateral Radial Shaft Fracture – A Case Report

Aita

Oliveira²,

Praetzel³

et al. 2019

Rev Iberoam Cir Mano

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Background Posterior dislocation of the elbow associated to a radial shaft fracture is a rare lesion, its treatment is difficult and complicated, and the indications, surgical options, and timing of surgery may vary. In the present case, we performed immediately after the trauma (urgent care) an open reduction internal fixation (ORIF) surgery of the radial fracture by means of a 3.5 mm locking plate, associated to closed elbow reduction and stabilization with dynamic bracing. Case Report A 26-year-old woman was seen in our service with a traumatic deformity of her right, dominant forearm and elbow after a fall from a balance board and presented with a radial shaft fracture and posterior elbow dislocation. The palmar approach was used and the shaft fracture was fixated. During the radial fracture reduction maneuver, the dislocation of the elbow was spontaneously reduced. At 1 year postoperatively, the patient showed good wrist, forearm, and elbow range of motion (ROM). Disabilities of the arm, shoulder and hand (DASH) score of 5, visual analogue scale (VAS) of 0, and grip strength of 92%, as compared with the nonaffected side. Clinical Relevance Nowadays, case reports of concomitant, ipsilateral multiple injuries that uncommonly occur together in a single traumatic episode are very rare. The awareness of this association for early recognition is of paramount significance for ideal clinical results.

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Section: Discussionsupporting

confidence: 60%

Elbow Dislocation with Ipsilateral Radial Shaft Fracture – A Case Report

Aita

Oliveira²,

Praetzel³

et al. 2019

Rev Iberoam Cir Mano

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“…Повреждение структур верхней конечности, в частности, нервных стволов на более высоком уровне зачастую приводит к получению малоутешительных функциональных результатов. Менее агрессивными считаются повреждения структур, локализованных в дистальных зонах предплечья и кисти, где концевое звено расположено близко, и, тем самым, регенерация восстановленных нервных стволов также не занимает длительного периода [26,27].…”

Section: о б з о р ы л и т е р а т у р ыunclassified

Some Aspects of Diagnosis and Surgical Treatment of Upper Extremity Nerve Injuries

Malikov¹,

Khasanov²,

Mirzobekov³

et al. 2020

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The review addresses the issues of diagnosis and surgical treatment of concomitant chronic injuries of the upper limb nerves. The role of modern additional research methods in damage to the nerves is shown, and, depending on the prevalence of damage to certain structures, the value of each technique is shown. A detailed description of the clinical manifestations of sensory and motor disorders of the hand is given. The reasons for the diagnostic and tactical errors made during the examination and treatment of victims at the stages of medical evacuation are especially indicated. Depending on the nature and the duration of the injury, the expediency of using traditional and microsurgical methods of correction for chronic damage to the nerves is shown. The issues of neurotization and tendomuscular transposition are highlighted, and indications for their use are determined. Keywords: Upper limb, chronic injuries of the nerves, neurotization, tendomuscular transposition.

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Multiple Fractures in a Single Upper Extremity: Humeral Shaft, Olekranon, Distal Radius and Fourth Metacarpal Bone Fractures in an Elderly Patient After a Fall: A Case Report

Bayram¹,

Mert²,

Ekinci³

et al. 2021

jmed

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Floating limb is a complicated injury and is associated with limb deformation and increased morbidity and mortality. We report a rare case of a floating upper limb in a 77-year old woman with ipsilateral humeral shaft, olecranon, distal radial and metacarpal bone fractures after a simple fall. The patient underwent surgery for humerus shaft, olecranon, and distal radius and was treated surgically with the 4 th metacarpal conservative method. At the final follow-up 3 years after surgery, the patient had no complaints, all fracture had healed completely and elbow-wrist range of motion was complete. We discuss the surgical procedures that we used for the fractures, the mechanism of injury and the functional and radiological results. Multiple bone fractures in the same limb are rare and typically associated with high-trauma. We reported a unique case of an elderly patient with osteoporosis having multiple fractures in the same extremity that occurred as a result of low-energy trauma.

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Multiple Concomitant Injuries in One Upper Extremity: A Case Report

Cited by 5 publications

References 13 publications

Elbow Dislocation with Ipsilateral Radial Shaft Fracture – A Case Report

Elbow Dislocation with Ipsilateral Radial Shaft Fracture – A Case Report

Some Aspects of Diagnosis and Surgical Treatment of Upper Extremity Nerve Injuries

Multiple Fractures in a Single Upper Extremity: Humeral Shaft, Olekranon, Distal Radius and Fourth Metacarpal Bone Fractures in an Elderly Patient After a Fall: A Case Report

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