A case report of an isolated fracture through the radial bicipital tuberosity
| Autor: | Kanta Imao, Hitoshi Miwa, Norio Imai, Kazutoshi Watanabe, Naoto Endo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Posterior approach
medicine.medical_specialty Article 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Blunt Forearm Shaft fracture medicine Radial bicipital tuberosity Radial nerve Brachial plexus block 030222 orthopedics business.industry Anatomy IM intramedullary Surgery medicine.anatomical_structure Posterior interosseous nerve 030220 oncology & carcinogenesis Complication business PIN posterior interosseous nerve Artery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2017.10.037 |
| Popis: | Highlights • An isolated fracture through the radial bicipital tuberosity is rare. • The posterior approach has lower complication and is suitable for this fracture. • IM nailing is not recommended in fractures through the radial bicipital tuberosity. Introduction Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to reduce postoperative complications by using a posterior approach. Presentation of case We describe an isolated fracture through the radial bicipital tuberosity in a 69-year-old man caused by direct blunt force and our management of the fracture. The patient underwent an operation for the fracture under brachial plexus block. The injury was explored using the posterior approach, and plate fixation was performed after confirming the absence of obstacles to rotation on pronation and supination. One year later, the patient did not have any difficulties in activities of daily living. Discussion Since an isolated fracture through the radial bicipital tuberosity is more distal than the radial head and neck and more proximal than a common radius diaphysis fracture, we had to consider a different operative approach. The nerve and blood vessels of the forearm, such as the radial nerve and artery, run in a complicated fashion around the proximal radius; thus, we chose the posterior approach because of its simpler surgical technique and lower complication risk, compared with the anterior approach. Conclusion Surgeons can obtain a favorable treatment result using the posterior approach to the fracture and reduce complications by ensuring with rigid fixation using a locking plate. |
| Databáze: | OpenAIRE |
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