Aşkar Hüseyin, Ertürk Cemil, Altay Mehmet Akif, Bilge Ali
Department of Orthopedics and Traumatology, Balıklıgöl State Hospital, Şanlıurfa, Turkey.
Department of Orthopedics and Traumatology, Harran University Faculty of Medicine, Şanlıurfa, Turkey.
Acta Orthop Traumatol Turc. 2014;48(1):102-5. doi: 10.3944/AOTT.2014.2824.
Bipolar dislocation of the forearm (floating forearm) is an unusual injury and is therefore often overlooked. We report a 28-year-old male patient who presented at another center with a history of a fall while climbing a tree. The patient's left elbow was treated with closed reduction and immobilization with a long-arm cast brace due to elbow dislocation. However, the patient was admitted with pain and swelling of the wrist to our emergency department the following day. Physical and radiological examination revealed dorsal trans-scaphoid perilunate dislocation. A dorsal incision was performed for open reduction and internal fixation to provide wide surgical exposure. Concomitant occurrence of elbow dislocation and fracture-dislocation of the perilunate is infrequent. Therefore, physicians should be aware of possible additional injuries and current recommended treatment methods.
前臂双极脱位（漂浮前臂）是一种不常见的损伤，因此常常被忽视。我们报告一名28岁男性患者，他在另一家中心就诊，有爬树时摔倒的病史。由于肘部脱位，患者的左肘部接受了闭合复位并用长臂石膏支架固定。然而，第二天患者因手腕疼痛和肿胀被收入我院急诊科。体格检查和影像学检查显示经舟骨月骨周围背侧脱位。为提供广泛的手术暴露，进行了背侧切口以进行切开复位内固定。肘部脱位与月骨周围骨折脱位同时发生的情况并不常见。因此，医生应意识到可能存在的其他损伤以及当前推荐的治疗方法。
