Tiwari Vivek, Karkhur Yugal, Das Anupam
Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, India.
Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Cureus. 2018 Mar 3;10(3):e2264. doi: 10.7759/cureus.2264.
Fracture dislocations are common around the elbow joint. However, closed fracture of the distal radius with ipsilateral elbow dislocation is an uncommon injury pattern. We discuss the case of a middle-aged woman presenting with posterolateral elbow dislocation with concomitant ipsilateral closed intra-articular fracture of the distal radius. It was treated with closed reduction for the elbow dislocation first followed by closed reduction for the distal radius fracture. Even with conservative management, the patient had a good functional outcome at one year. The importance and incidence of such a rare injury pattern and the possible mechanism of injury has been discussed.
骨折脱位在肘关节周围很常见。然而,桡骨远端闭合性骨折合并同侧肘关节脱位是一种不常见的损伤模式。我们讨论了一名中年女性的病例,她表现为肘关节后外侧脱位并伴有同侧桡骨远端闭合性关节内骨折。首先对肘关节脱位进行了闭合复位,随后对桡骨远端骨折进行了闭合复位。即使采用保守治疗,患者在一年时仍取得了良好的功能结果。本文讨论了这种罕见损伤模式的重要性、发生率以及可能的损伤机制。