Classic Floating Elbow in Adults: A Case Series
Clinics in Shoulder and Elbow
;
: 8-12, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-37892
ABSTRACT
BACKGROUND:
The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults.METHODS:
Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22-64 years) and the average follow-up period was 37.0 months (14-103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated.RESULTS:
Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final follow-up examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome.CONCLUSIONS:
Although the classic floating elbow is rare, these injuries potentially have associated problems such as open fracture or nerve injury. The presence of residual neurological symptoms predispose to poorer clinical outcomes.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Rádio (Anatomia)
/
Ombro
/
Ulna
/
Demografia
/
Estudos Retrospectivos
/
Seguimentos
/
Avaliação de Resultados em Cuidados de Saúde
/
Cotovelo
/
Escala Visual Analógica
/
Fraturas Expostas
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Clinics in Shoulder and Elbow
Ano de publicação:
2015
Tipo de documento:
Artigo
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