Aouad Dany, Kortbawi Rabih, Daher Mohammad, Nehme Alexandre, Moucharafieh Ramzi, Badra Mohammad
Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon.
Faculty of Medicine, University Saint Joseph, P.O. Box 17-5208, Mar Mikhael, Beirut, Lebanon.
Case Rep Orthop. 2022 May 18;2022:3571724. doi: 10.1155/2022/3571724. eCollection 2022.
Traumatic injuries of the upper limb can result in variant fracture combination. This article discusses a rare injury combination including ipsilateral proximal and distal humerus fractures alongside a distal radius fracture. The mechanism of the fall is unknown, but the patient being old with such a complex injury, one can only assume that osteoporosis played a major role. Open reduction and internal fixation was opted for the distal humerus and radius fractures, and percutaneous pinning was done for the proximal humerus fracture. Surgery is an option to each one of these injuries with different techniques available for managing such an association, with emphasis made on osteoporosis workup to help prevent such complex injuries.
上肢创伤性损伤可导致多种骨折组合。本文讨论一种罕见的损伤组合，包括同侧肱骨近端和远端骨折以及桡骨远端骨折。跌倒机制不明，但患者年事已高且损伤复杂，只能推测骨质疏松起了主要作用。对肱骨远端和桡骨骨折选择切开复位内固定，对肱骨近端骨折行经皮穿针固定。对于这些损伤中的每一种，手术都是一种选择，有不同的技术可用于处理这种联合损伤，重点是进行骨质疏松症检查以帮助预防此类复杂损伤。
