Ipsilateral Diaphyseal Fractures of Radius, Ulna and Radial Head: Case Report

摘要

Forearm fractures along with elbow or radial head injuries are quite rare. The early use of radial head prosthesis in these injuries is quite controversial. We present a case report on our experience of management of forearm fracture along with radial head fractures with early use of radial head prosthesis. Introduction Fractures of forearm with elbow are still challenge in trauma surgery. We present a case report in which we managed the variant of Monttegia type 4 along with ipsilateral fracture of radius with ORIF and use of Radial head prosthesis. The results were quite satisfactory and we recommend the use of early ORIF with Radial head prosthesis in these injuries especially in young patient group. In the event of communited fractures of the radial head which are impossible to reconstruct by osteosynthesis and which occur with concomitant ulnar ligamentous and osseus injury, the implantation of a prosthesis is preferred over the resection of the head of the radius. Case Report 34 year old male, marine engineer by profession, presented to us with injury to his non dominant left forearm as it was it crushed between anchor elevator and ships hull. His G.C.S was 15/15 and there were no other injuries. The left forearm was grossly swollen and bruised with dorsal angulation. The injury was closed. There was no sensory loss and distal pulses were good. The elbow flexion was possible only up to 60 degrees. After initial care the forearm including the elbow and wrist was x-rayed. The x-rays showed the comminuted fracture of midshaft of radius and ulna along with type 2 comminuted fracture and dislocation of radial head ( Fig 1,2).