The serious full-length forearm injury - a case report and literature review

Abstract

Background Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. These injuries have not been described in the same limb in the literature. Case presentation A 21-year-old male patient fell from a height in our institution and sustained multiple injuries, including carpal bone fracture-dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow of his right upper limb. After 2 surgeries and rehabilitation, he returned to work. We reviewed available reviews and related literature on serious upper-limb damage. Conclusions Full-length forearm injury is very rarely encountered, and the management of such fractures is difficult. Radial head replacement with a metal prosthesis, reconstructed the IOM with Tightrope, and fixed the DRUJ with a K-wire pin is appropriate treatment.

Diagnosis and Treatment of Terrible Triad Injury of the Elbow with An Isolated Bone Fragment: A Case Report and Literature Review

“…Treatments of radial head fracture, interosseous membrane (IOM) and distal radioulnar joint (DRUJ) remain controversial. We note that in the two case reports of such injuries, all fractures of forearm were treated with internal xation at the rst surgery, but revision surgery was performed after the reduction lost of the radial head fracture and the DRUJ mismatch, thus good function can be obtained nally after the radial head replacement and distal ulna resection or ulnar osteotomy [21,22] (Table 1). Although ectopic ossi cation was present at the last follow-up, but it is indeed a common complication after surgery of the terrible triad of the elbow.…”