Complex Right forearm fracture
Keywords:
FA- Fracturas de antebrazo. FE- Fijación externa. AO- Asociación para la osteosíntesis.Abstract
Background: road accidents cause many lesions affecting significantly bone and joints system; the forearm is one of the most involved structures.
Objective: to show a clinical case of a patient with a complex fracture of the right forearm and the used treatment modality to ensure functional recovery.
Clinical case: a 23 years-old, white man, without illness record who suffer a traffic accident and was taken to emergency room of Orthopedics and Traumatology complaining of pain, swelling and limitation of movement of the right forearm and left ankle which stopped him from movement in the affected areas. Simple imaging examination showed wrist and proximal shaft right radial fracture and left ankle fracture, based on clinical and imaging elements, immediate surgical treatment was indicated to reduce and fix fractures.
Conclusions: segmental and open fractures of the forearm associated to ulnar bone lost is a complex fracture. There is no a standard treatment for this condition so external fixation and AO plates achieve acceptable functional results.
DeCS: FOREARM INJURIES; ORTHOPEDIC FIXATION DEVICES; EXTERNAL FIXATORS; YOUNG ADULT; CASE REPORTS.
Downloads
References
1.Egol KA, Koval KJ, Zuckerman JD. Handbook of fractures. 5 th ed. Philadelphia: Wolters Kluwer; 2015.
2.Jerrhag D, Englund M, Karlsson MK, Rosengren BE. Epidemiology and time trends of distal forearm fractures in adults-a study of 11.2 million person-years in Sweden. BMC Musculoskelet Disord. 2017 Jun;18(1):240.
3.Padha V, Awasthi B, Singh D, Kalia S. A very rare presentation of bifocal non union radius with ipsilateral ulnar shaft non union: case report. J Orthop Case Rep. 2016 Jul-Aug;6(3):82-84.
4.Streubel PN, Pesántez RF. Diaphyseal fractures of the radius and ulna. En: Court Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P III, editors. Rockwood and Green's Fractures in Adults. 8 th ed. Philadelphia: Wolters Kluwer; 2015. p. 1121-77.
5.Boussakri H, Elibrahimi A, Bachiri M, Elidrissi M, Shimi M, Elmrini A. Nonunion of fractures of the ulna and radius diaphyses: clinical and radiological results of surgical treatment. Malays Orthop J. 2016 Jul;10(2):27-34.
6.Kim SY, Chim H, Bishop AT, Shin AY. Complications and outcomes of one-bone forearm reconstruction. Hand (N Y). 2017 Mar;12(2):140-4.
7.Kuhnel SP, Athawal GS, King GJW. Elbow and forearm trauma. En: Cannada LK, editor. Orthopaedic Knowledge Update 11. Rosemont: Am Acad Orthop Surg; 2014. p.3 87-406.
8.Hammer OL. Combined external fixation and internal fixation. En: Hove LM, editor. Distal radius fractures. Berlin: Springer Verlag; 2014. p. 159-63.
9.Chow SP, Leung F. Radial and ulnar shaft fractures. En: Bucholz RW, Heckman JD, Court Brown CM, Tornetta P, editors. Rockwood and Green‘s Fractures in Adults. 7 th ed. Philadelphia: Lippincott & Wilkins; 2010. p. 882-904.
10.Shetty N, Iyer M. The forearm. En: Iyer KM, editor. Trauma management in Orthopedics. London: Springer; 2013. p. 39-48.
11.Tang P, Lee SK. Hand wrist trauma. En: Cannada LK, editor. Orthopaedic Knowledge Update 11. Rosemont: Am Acad Orthop Surg; 2014. p. 419-32.
12.McQueen MM. Fractures of the distal radius and ulna. En: Court Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P III, editors. Rockwood and Green's Fractures in Adults. 8 th ed. Philadelphia: Wolters Kluwer; 2015. p. 1057-1177.
13.Matsuura Y, Rokkaku T, Suzuki T, Thoreson AR, An KN, Kuniyoshi K. Evaluation of bone atrophy after treatment of forearm fracture using nonlinear finite element analysis: a comparative study of locking plates and conventional plates. J Hand Surg Am. 2017 Aug;42(8):659.
14.Zalavras CG, Marcus RE, Levin LS, Patzakis MJ. Management of open fractures and subsequent complications. J Bone Joint Surg Am. 2007 Apr;89(4):884-95.
15.Lewallen LW, Rizzo M. External fixation and percutaneous pinning for distal radius fractures. En: Lawton JN, editor. Distal Radius Fractures. Ann Arbor: Springer; 2016. p. 151-64.

Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/