Singh Jagdeep, Kalia Anoop, Dahuja Anshul
Department of orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.
Department of Orthopaedics, Guru Nanak Dev Super Speciality Hospital, Tarn taran, Punjab, India.
Open Orthop J. 2018 May 31;12:189-195. doi: 10.2174/1874325001812010189. eCollection 2018.
Dislocation of the radial head in adults is quite uncommon. A simultaneous dislocation of the radial head with a fracture of ipsilateral shaft radius without any other associated injury is even rare.
We are reporting a case of a young adult male who was operated for proximal one-third radial shaft fracture at some peripheral centre by Open Reduction and Internal Fixation (ORIF), but came to our centre on the fourth post-operative day with complaints of painful restricted movements of the elbow joint. On careful look at the postoperative x-ray, radial head was found to be dislocated. Radial head dislocation was reduced under general anesthesia and at 2 years follow up, patient fracture has fully united having good functional outcome.
Traumatic dislocation of radial head with ipsilateral fracture shaft radius is a rare injury in adults and it is very important to timely diagnose it and manage it appropriately in order to give good functional outcome to the patient.
成人桡骨头脱位相当罕见。桡骨头同时脱位伴同侧桡骨干骨折且无其他相关损伤的情况更为罕见。
我们报告一例年轻成年男性病例,该患者在某外周中心因桡骨近端三分之一骨折接受切开复位内固定术(ORIF),但术后第四天因肘关节疼痛性活动受限前来我院。仔细查看术后X线片发现桡骨头脱位。在全身麻醉下对桡骨头脱位进行了复位,随访2年时,患者骨折已完全愈合,功能恢复良好。
桡骨头外伤性脱位伴同侧桡骨干骨折在成人中是一种罕见损伤,及时诊断并妥善处理对于患者获得良好功能预后非常重要。