Auberger Guillaume, Leclerc Philippe, Marmor Simon
Department of Orthopedic Surgery and Traumatology, La Croix Saint Simon Hospital, Paris, France.
Trauma Case Rep. 2024 Nov 25;54:101121. doi: 10.1016/j.tcr.2024.101121. eCollection 2024 Dec.
Radial diaphyseal fractures are relatively common in daily trauma practice. We present a unique case of a bifocal radial fracture associated with a posterolateral elbow dislocation.
A 36-year-old obese female patient was admitted to our service after a low-energy fall in stairs. She presented with a radial diaphyseal fracture, a radial neck fracture with approximately 15° angulation, and a posterolateral elbow dislocation. The first procedure involved an urgent reduction of the elbow dislocation, followed by surgical fixation of the bifocal radial fractures and reattachment of the external and posterolateral elbow structures.
A bifocal radial fracture associated with an elbow dislocation is, to our knowledge, a previously unreported injury. The clinical outcome after osteosynthesis and elbow stabilization was favorable.
桡骨干骨折在日常创伤诊疗中较为常见。我们报告一例罕见的双焦点桡骨骨折合并肘关节后外侧脱位的病例。
一名36岁肥胖女性患者在楼梯上不慎低能量摔倒后入院。她表现为桡骨干骨折、桡骨颈骨折伴约15°成角以及肘关节后外侧脱位。首次手术包括紧急复位肘关节脱位，随后对双焦点桡骨骨折进行手术固定，并修复肘关节外侧和后外侧结构。
据我们所知，双焦点桡骨骨折合并肘关节脱位是一种此前未报道过的损伤。骨折内固定及肘关节稳定术后的临床效果良好。
