Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first? / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 59-62, 2019.
Article
en En
| WPRIM
| ID: wpr-771642
Biblioteca responsable:
WPRO
ABSTRACT
Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Clinically her right elbow was posteriorly dislocated and right wrist was deformed. Plain radiographs showed an intraarticular fracture of the distal end of radius and a comminution radial head fracture with a proximally migrated radius. Magnetic resonance imaging (MRI) showed no significant ligament injuries. We addressed her distal radius first with an anatomical locking plate followed by her radial head with a radial head replacement. Our rationale to treat the distal end radius: first was to obtain a correct alignment of Lister's tubercle and correct the distal radius height. Lister's tubercle was used to guide for the correct rotation of the radial head prosthesis. Correcting the distal end fracture radial height helped us with length selection of the radial head prosthesis and address the proximally migrated radial shaft and neck. Postoperative radiographs showed an acceptable reduction. The Cooney score was 75 at 3 months postoperatively, which was equivalent to a fair functional outcome.
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Texto completo:
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Índice:
WPRIM
Asunto principal:
Radio (Anatomía)
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Fracturas del Radio
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Cirugía General
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Accidentes por Caídas
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Diagnóstico por Imagen
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Imagen por Resonancia Magnética
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Resultado del Tratamiento
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Artroplastia de Reemplazo
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Articulación del Codo
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Reducción Abierta
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Chinese Journal of Traumatology
Año:
2019
Tipo del documento:
Article