Walid Osman, Meriem Braiki, Zeineb Alaya, Nader Naouar, Mohamed Ben Ayeche
Department Orthopedics, MES Medical College, Sahloul University Hospital, Sousse, Tunisia.
J Orthop Case Rep. 2016 Sep-Oct;6(4):108-110. doi: 10.13107/jocr.2250-0685.596.
The coexistence of fractures of capitulum humeri and radial head in the elbow joint is a rare entity.
A 30-year-old woman was admitted to our hospital after having sustained a fall on her outstretched right arm. She complained of pain, swelling, and restriction of motion of the right elbow joint. Anteroposterior and lateral radiographs revealed displaced fractures in the capitellum and the radial head. The patient was operated. Fractures were exposed through a lateral (Kocher) incision. Fracture was reduced, and fixation was performed with 2 AO compression screw. Two fragments of radial head fracture were also reduced and fixed with AO compression screw. Clinical and radiographic outcomes were excellent at the end of a 5-year follow-up.
These fractures occurred following a fall on the palm with outstretched arm. The success of the treatment depends greatly on surgical approach and suitable technique which requires comprehensive knowledge of detailed anatomy and biomechanics of the elbow.
肘关节中肱骨小头骨折与桡骨头骨折并存是一种罕见的情况。
一名30岁女性在伸直右臂摔倒后被送入我院。她主诉右肘关节疼痛、肿胀及活动受限。前后位和侧位X线片显示肱骨小头和桡骨头有移位骨折。患者接受了手术。通过外侧（科赫尔）切口暴露骨折。骨折复位，并用2枚AO加压螺钉固定。桡骨头骨折的两块碎片也进行了复位并用AO加压螺钉固定。5年随访结束时，临床和影像学结果均极佳。
这些骨折是在手掌伸展位摔倒后发生的。治疗的成功很大程度上取决于手术入路和合适的技术，这需要对肘关节详细的解剖结构和生物力学有全面的了解。
