Ipsilateral Distal Radius and Scaphoid Fractures Associated with Posteromedial Dislocation of the Elbow Joint - A Case Report -

Jin-Wan Kim; Young-Chul Ko; Chul-Young Jung; Il-Soo Eun; Young-Jun Kim; Chang-Kyu Kim

doi:10.12671/jkfs.2012.25.2.150

Journal List > J Korean Fract Soc > v.25(2) > 1037866

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim, Ko, Jung, Eun, Kim, and Kim: Ipsilateral Distal Radius and Scaphoid Fractures Associated with Posteromedial Dislocation of the Elbow Joint - A Case Report -

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2012; 25(2): 150-154.

Published online: 17 April 2012

DOI: https://doi.org/10.12671/jkfs.2012.25.2.150

Ipsilateral Distal Radius and Scaphoid Fractures Associated with Posteromedial Dislocation of the Elbow Joint - A Case Report -

Jin-Wan Kim, M.D., Young-Chul Ko, M.D., Chul-Young Jung, M.D., Il-Soo Eun, M.D., Young-Jun Kim, M.D., Chang-Kyu Kim, M.D.

Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea.

Address reprint requests to: Young-Chul Ko, M.D. Department of Orthopedic Surgery, Busan Medical Center, 359, Worldcup-daero, Yeonje-gu, Busan 611-072, Korea. Tel: 82-51-607-2550, Fax: 82-51-607-2551, panggul@naver.com

Received 26 September 2011 Revised 14 November 2011 Accepted 11 December 2011

Abstract

Arm injuries occurring from high energy injuries such as falls or traffic accidents can be accompanied by wrist and elbow injuries. Monteggia fracture, Galeazzi fracture, and Essex-Lopresti fracture-dislocation are known some examples of such injuries. However, there are no reports on the dislocation of the elbow occurring from a distal radius fracture accompanied by scaphoid fracture, and there is nothing published about its prognosis. The authors report on the treatment and outcomes of a case of a 42-year-old male who had a distal radius and scaphoid fracture associated with posteromedial dislocation of the elbow on the same side of his arm along with a literature review.

Keywords: Distal radius fracture, Scaphoid fracture, Posteromedial dislocation of elbow joint

Figures and Tables

Fig. 1

(A) Initial plain x-rays show posteromedial elbow dislocation, (B) displaced and communited fracture of the distal radius and (C) undisplaced fracture of the scaphoid.

Fig. 2

Magnetic resonance imaging show high signal intensity at the common flexor tendon and medial collateral ligament lesion of the elbow.

Fig. 3

Postoperative plain films. Distal radius was treated by K-wire and an external fixator.

Fig. 4

Postoperative plain films. Medial collateral ligament and the soft tissue of the elbow was treated by direct repair.

Fig. 5

Plain films show posttraumatic arthritic changes in the wrist.

Fig. 6

Plain films show posttraumatic arthritic changes in the wrist.

Fig. 7

At final follow up, a patient presented with 25 degrees of flexion contracture without evidence of elbow instability.

References

1. Batra S, Andrew JG. Ipsilateral compound distal radius fracture with missed elbow dislocation. A rare injury pattern. Eur J Emerg Med. 2007. 14:363–364.

2. Coonrad RW, Roush TF, Major NM, Basamania CJ. The drop sign, a radiographic warning sign of elbow instability. J Shoulder Elbow Surg. 2005. 14:312–317.

3. Frykman G. Fractures of the distal radius including sequelae shoulder hand finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. Acta Ortho Sacandinavica. 1967. Suppl 108:3+.

4. Hove LM. Simultaneous scaphoid and distal radial fractures. J Hand Surg Br. 1994. 19:384–388.

5. Kose O, Durakbasa MO, Islam NC. Posterolateral elbow dislocation with ipsilateral radial and ulnar diaphyseal fractures: a case report. J Orthop Surg (Hong Kong). 2008. 16:122–123.

6. Proubasta IR, Lluch AL. Concomitant fractures of the scaphoid and the distal end of the radius: treatment by external fixation. A report of two cases. J Bone Joint Surg Am. 1991. 73:938–940.

7. Shiboi R, Kobayashi M, Watanabe Y, Matsushita T. Elbow dislocation combined with ipsilateral Galeazzi fracture. J Orthop Sci. 2005. 10:540–542.

8. Sivan M, Davies N, Archilbald C, Pailthorpe C. An unusual combination of radiocarpal fracture dislocation, scaphoid fracture and posteromedial elbow dislocation. Injury Extra. 2005. 36:312–315.

9. Slade JF 3rd, Taksali S, Safanda J. Combined fractures of the scaphoid and distal radius: a revised treatment rationale using percutaneous and arthroscopic techniques. Hand Clin. 2005. 21:427–441.

10. Tountas AA, Waddell JP. Simultaneous fractures of the distal radius and scaphoid. J Orthop Trauma. 1987. 1:312–317.

TOOLS

Similar articles