Hashem Majdi, AlMohaini Reem A
Department of Surgery, Faculty of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Department of Surgery, Faculty of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Cureus. 2022 Mar 12;14(3):e23097. doi: 10.7759/cureus.23097. eCollection 2022 Mar.
A few cases reported simultaneous ipsilateral distal and proximal forearm fractures. This case report highlights a rare mechanism of injury that occurred due to extended forearm undergoing forced hyper-supination without the presence of ligamentous injury and the use of flexible fixation. A 49-year-old male truck driver presented to the emergency department as a motor vehicle accident (MVA) patient. A radiographic examination revealed a right forearm fracture with proximal and distal bone fractures. The distal radius was stabilized with three Kirschner wires (K-wires), and the radial neck fracture was stabilized with a single intramedullary K-wire. The olecranon and distal ulna fractures were also fixed with two intramedullary wires. On the eighth week after surgery, all K-wires were removed, and the fiberglass splint was reapplied for another two weeks. After the cast was removed, physical rehabilitation began. During the fourth month, a follow-up radiograph revealed complete healing and full wrist range of motion (ROM) with good hand grip.
有几例报告显示同侧前臂远端和近端同时发生骨折。本病例报告强调了一种罕见的损伤机制，该机制是由于前臂伸展时遭受强迫性过度旋前，且不存在韧带损伤，并采用了弹性固定。一名49岁的男性卡车司机作为机动车事故（MVA）患者被送往急诊科。影像学检查显示右前臂骨折，伴有近端和远端骨折。桡骨远端用三根克氏针（K针）固定，桡骨颈骨折用一根髓内K针固定。尺骨鹰嘴和尺骨远端骨折也用两根髓内针固定。术后第八周，取出所有K针，再次应用玻璃纤维夹板两周。拆除石膏后，开始进行物理康复。在第四个月时，随访X线片显示骨折完全愈合，腕关节活动范围（ROM）完全恢复，握力良好。
