Open segmental fracture of both bone forearm and dislocation of ipsilateral elbow with extruded middle segment radius

Abstract

Extruded middle segment of radius with open segmental fracture both bone forearm and dislocation of ipsilateral elbow is a rare injury. A 12-year-old child presented to us within 4 hours following fall from tree. The child's mother was carrying a 12-cm-long extruded soiled segment of radius. The extruded bone was thoroughly washed. The medullary cavity was properly syringed with antiseptic solution. The bone was autoclaved and put in the muscle plane of the distal forearm after debridement of the wound. After 5 days, a 2.5-mm K-wire was introduced by retrograde method into the proximal radius by passing through the extruded segment. Another 2.5-mm K-wire was passed in ulna. The limb was evaluated clinicoradiologically every 2 weeks. The wound was healed by primary intention. At 4 months, the reposed bone appeared less dense radiologically and K-wire seemed to be out of the bone. In the subsequent months, the roentgenograms show remodeling of the extruded fragment. After 20 weeks, the K-wires were removed (first ulnar and then radial). Complete union was achieved with full range of movement except loss of few degrees of extension of elbow and thumb. This case is reported to show a good outcome following successful incorporation of an extruded segment of radius in an open fracture.

Segmental forearm bone injuries in children: classification and treatment

“…Fractures of the olecranon or coronoid process associated with diaphyseal fractures of the ulna may also be included. A dislocated elbow associated with an ipsilateral diaphyseal fracture of the forearm bones, which has been once previously reported in the literature [ 19 ], was also included.…”

Elbow dislocation with ipsilateral diaphyseal forearm bone fracture: A rare injury report with literature review

“…3 Only few cases of elbow dislocation with ipsilateral diaphyseal fractures of both bones of forearm have been reported in the published literature. [2][3][4][5][6][7][8] We report a case of elbow dislocation with ipsilateral fracture of the lateral condyle of the humerus, shaft of the radius and ulna with good clinical and functional outcome in 2 years follow-up after operative management. We also discuss the possible mechanism of injury and management issues related to such injuries.…”