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

Chinese Journal of Traumatology 2015年第2期18卷 113-115页

作者： vijay goni prateek behera umesh kumar meena nirmal raj gopinathan narendranadh akkina r.h.h. arjun Department of Orthopedics Post Graduate Institute of Medical Education and Research Chandigarh 160012 India

Dislocation of the elbow along with shaft fractures of both bones of the ipsilateral forearm is a rare injury though elbow dislocation or fracture of the forearm bones may occur separately. Such injuries need a concentric reduction of the dislocation and an anatomical fixation of forearm bones for optimal functional outcomes. We report a case of elbow dislocation with fracture of the lateral condyle of the hu- merus along with fractures of shafts of the radius and ulna in a 44-year-old female. Closed reduction of the elbow and operative stabilization of all fractures were done with good clinical, radiological and functional outcomes in 2 years follow-up period. A significant degree of force is needed to produce a combined dislocation of a joint and fracture of bones around that joint and these complex injuries may be missed if the clinician is not aware of the possibility of such injuries. The fact that the previously reported cases had a posterolateral dislocation while our case had a posteromedial dislocation and a fracture of the lateral humeral condyle as well makes it unique in its presentation and worth reporting. We have also included an up to date literature review on this topic.

关键词： Elbow Forearm injuries Fracture fixation humeral fractures

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