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

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

Authors

Mayor MeshTerms
Keywords

Radius

distal radial fractures

ipsilateral

radial head

Journal Title the pan african medical journal
Publication Year Start




PMID- 28819519
OWN - NLM
STAT- MEDLINE
DA  - 20170818
DCOM- 20170904
LR  - 20170904
IS  - 1937-8688 (Electronic)
VI  - 27
DP  - 2017
TI  - Simultaneous ipsilateral fractures of distal and proximal ends of the radius.
PG  - 98
LID - 10.11604/pamj.2017.27.98.3504 [doi]
AB  - 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.
FAU - El Kadi, Khalid Ibn
AU  - El Kadi K
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - Benabid, Mounir
AU  - Benabid M
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - Saliou, Sarr
AU  - Saliou S
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - El Assil, Oussama
AU  - El Assil O
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - Marzouki, Amine
AU  - Marzouki A
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - Lahrach, Kamal
AU  - Lahrach K
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
FAU - Boutayeb, Fawzi
AU  - Boutayeb F
AD  - Department of Orthopedic Surgery (A), UH Hassan II, Fes, Morocco.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170608
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Accidents, Traffic
MH  - Adult
MH  - Braces
MH  - Elbow Joint
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Male
MH  - Radius/*injuries
MH  - Radius Fractures/*pathology/surgery
MH  - Splints
PMC - PMC5554646
OTO - NOTNLM
OT  - Radius
OT  - distal radial fractures
OT  - ipsilateral
OT  - radial head
EDAT- 2017/08/19 06:00
MHDA- 2017/09/05 06:00
CRDT- 2017/08/19 06:00
PHST- 2013/10/20 [received]
PHST- 2014/02/25 [accepted]
AID - 10.11604/pamj.2017.27.98.3504 [doi]
AID - PAMJ-27-98 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Jun 8;27:98. doi: 10.11604/pamj.2017.27.98.3504. eCollection 
      2017.