Plucknette Benjamin F, Rhee Peter C
1 San Antonio Military Medical Center, TX, USA.
Hand (N Y). 2018 Nov;13(6):NP32-NP38. doi: 10.1177/1558944718789411. Epub 2018 Jul 18.
"Floating forearm" injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat.
We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow.
At final follow-up, he had returned to his previous occupation. Radiographs demonstrated fully healing fractures without evidence of osteonecrosis or degeneration.
A review of the presentation, evaluation, and management of this rare injury pattern is provided.
“漂浮肘”损伤，即合并肘关节脱位的月骨周围损伤，较为罕见且治疗具有挑战性。
我们报告一例罕见的漂浮肘损伤变异病例，即经舟骨月骨周围骨折脱位并肘关节脱位，患者从梯子上跌落，同时合并开放性双骨折前臂骨折。治疗包括前臂伤口的冲洗和清创、前臂及月骨周围损伤的切开复位内固定以及肘关节的闭合复位。
末次随访时，患者已恢复之前的工作。X线片显示骨折完全愈合，无骨坏死或退变迹象。
本文对这种罕见损伤模式的表现、评估及处理进行了综述。
