Unusual Combination of Postero-Lateral Elbow Dislocation and Ipsilateral Diaphyseal Radial Fracture: A Case Report and Review of Literature

Fahl M, Valdumir R, Gomez P, B. J, C. B, Bencheba D, Boussouga M
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Abstract

The combination of a radial diaphysis fracture and ipsilateral elbow dislocation is a rare lesion. Only a few similar cases have been reported in the literature. Such injuries need a concentric reduction of the dislocation and an anatomical fixation of the radius for optimal functional outcomes. The radial fracture and ipsilateral dislocation of the elbow were probably caused by forearm hypersupination with extension of the elbow. Closed reduction of the elbow and operative stabilization of radial fracture were done with good clinical, radiological and functional outcomes in 8 months follow-up period. We discuss through a clinical case of a radial shaft fracture unusually associated with postero-lateral elbow dislocation and through a review of the literature the clinical aspects, the mechanism, treatment and the evolving profile of this particular lesion.
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不同寻常的肘关节后外侧脱位合并同侧桡骨骨干骨折1例报告及文献复习
桡骨骨干骨折合并同侧肘关节脱位是一种罕见的病变。文献中仅有少数类似病例报道。这种损伤需要同心复位脱位和桡骨解剖固定以获得最佳功能结果。桡骨骨折和同侧肘关节脱位可能是由于前臂旋后过伸引起的。在8个月的随访中,肘关节闭合复位和桡骨骨折手术稳定均取得了良好的临床、影像学和功能预后。我们通过一个与肘关节后外侧脱位异常相关的桡骨轴骨折的临床病例,并通过文献回顾,讨论了这种特殊病变的临床方面、机制、治疗和发展概况。
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Unusual Combination of Postero-Lateral Elbow Dislocation and Ipsilateral Diaphyseal Radial Fracture: A Case Report and Review of Literature
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