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

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

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.

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.
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Fig. 2
Magnetic resonance imaging show high signal intensity at the common flexor tendon and medial collateral ligament lesion of the elbow.
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Fig. 3
Postoperative plain films. Distal radius was treated by K-wire and an external fixator.
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Fig. 4
Postoperative plain films. Medial collateral ligament and the soft tissue of the elbow was treated by direct repair.
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Fig. 5
Plain films show posttraumatic arthritic changes in the wrist.
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Fig. 6
Plain films show posttraumatic arthritic changes in the wrist.
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Fig. 7
At final follow up, a patient presented with 25 degrees of flexion contracture without evidence of elbow instability.
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