Simultaneous ipsilateral fractures of distal and proximal ends of the radius.

Autor:	El Kadi K; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., Benabid M; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., Saliou S; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., El Assil O; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., Marzouki A; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., Lahrach K; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco., Boutayeb F; Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2017 Jun 08; Vol. 27, pp. 98. Date of Electronic Publication: 2017 Jun 08 (Print Publication: 2017).
DOI:	10.11604/pamj.2017.27.98.3504
Abstrakt:	We treated a patient with a rare combination of ipsilateral fractures of the distal and proximal ends of the radius. A man aged 42 years had simultaneous fractures of the distal and proximal ends of the radius (radial neck) following a roadside accident. The distal end fracture of the radius was treated with surgical reduction and T-plate volar fixation, and the undisplaced radial neck fracture was treated by an above elbow splintage for 2 weeks. The elbow mobilization was started at 2 weeks. The distal radius was protected for another 4 weeks in a below elbow functional brace. Ipsilateral proximal and distal radial fracture is an uncommon injury pattern. The series illustrates a number of problems associated with this combination. Firstly, one should be aware of this rare injury pattern and there should be greater emphasis on clinical examination of elbow in cases of wrist injuries and vice versa. Once diagnosed, one faces the dilemma of appropriate management in these cases. The appropriate management will depend on the injury characteristics including the age of the patient and the fracture pattern. One should try to preserve the radial head to prevent a possible proximal radial migration especially in younger patients.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu