EXPERIENCES IN TREATING LAUGIER'S FRACTURES
Laugier's fractures are rare because they are located deep in the elbow joint and are thus protected from any direct trauma. This study shows two patients whose Laugier's fractures were surgically treated. Surgical interventions were performed using the Campbell surgical approach. The u...
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| Format: | Article |
| Language: | English |
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University in Nis, Faculty of Medicine
2011-12-01
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| Series: | Acta Medica Medianae |
| Subjects: | |
| Online Access: | http://publisher.medfak.ni.ac.rs/2011-html/4-broj/Predrag%20Grubor-Laugies%20fractures.pdf |
| _version_ | 1811256821111848960 |
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| author | Ivan Golubović Milan Grubor Predrag Grubor |
| author_facet | Ivan Golubović Milan Grubor Predrag Grubor |
| author_sort | Ivan Golubović |
| collection | DOAJ |
| description | Laugier's fractures are rare because they are located deep in the elbow joint and are thus protected from any direct trauma. This study shows two patients whose Laugier's fractures were surgically treated. Surgical interventions were performed using the Campbell surgical approach. The ulnar nerve was mobilised for a distance of 12 cm, and then a tenotomy of the triceps brachii muscle and a posterior capsulectomy of the elbow joint were performed. A temporary repositioning followed by a permanent fixation were undertaken using two 3.2mm screws. The screws were inserted from the back, through the posterolateral and posteromedial pillars of the humeral condyle, to the front and medially. The tip of the screw was kept subchondrally in the bone of the humeral capitellum or trochlea and did not go through the cartilage. The stitches of the wound were done by layers, and prior to that a transposition of the ulnar nerve was performed medially. A plaster cast was worn on the upper arm for three weeks, with mandatory prophylaxis of periarticular ossification by taking indomethacin, 25mg three times a day. Upon removing the plaster cast, the patients underwent outpatient physical therapy for two weeks followed by inpatient physical therapy with full weight-bearing. Laugier's fractures have been insufficiently described in the literature. Surgical treatment does not have an alternative, and timely diagnosis and surgical and physical therapy yield, according to the Mayo elbow performance index, good results. |
| first_indexed | 2024-04-12T17:47:06Z |
| format | Article |
| id | doaj.art-584b6fabdd534da4ab1f62c6b9f77c23 |
| institution | Directory Open Access Journal |
| issn | 0365-4478 0182-1279 |
| language | English |
| last_indexed | 2024-04-12T17:47:06Z |
| publishDate | 2011-12-01 |
| publisher | University in Nis, Faculty of Medicine |
| record_format | Article |
| series | Acta Medica Medianae |
| spelling | doaj.art-584b6fabdd534da4ab1f62c6b9f77c232022-12-22T03:22:36ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44780182-12792011-12-015044954EXPERIENCES IN TREATING LAUGIER'S FRACTURESIvan GolubovićMilan GruborPredrag GruborLaugier's fractures are rare because they are located deep in the elbow joint and are thus protected from any direct trauma. This study shows two patients whose Laugier's fractures were surgically treated. Surgical interventions were performed using the Campbell surgical approach. The ulnar nerve was mobilised for a distance of 12 cm, and then a tenotomy of the triceps brachii muscle and a posterior capsulectomy of the elbow joint were performed. A temporary repositioning followed by a permanent fixation were undertaken using two 3.2mm screws. The screws were inserted from the back, through the posterolateral and posteromedial pillars of the humeral condyle, to the front and medially. The tip of the screw was kept subchondrally in the bone of the humeral capitellum or trochlea and did not go through the cartilage. The stitches of the wound were done by layers, and prior to that a transposition of the ulnar nerve was performed medially. A plaster cast was worn on the upper arm for three weeks, with mandatory prophylaxis of periarticular ossification by taking indomethacin, 25mg three times a day. Upon removing the plaster cast, the patients underwent outpatient physical therapy for two weeks followed by inpatient physical therapy with full weight-bearing. Laugier's fractures have been insufficiently described in the literature. Surgical treatment does not have an alternative, and timely diagnosis and surgical and physical therapy yield, according to the Mayo elbow performance index, good results.http://publisher.medfak.ni.ac.rs/2011-html/4-broj/Predrag%20Grubor-Laugies%20fractures.pdfLaugier's fractureelbowjointtrauma. |
| spellingShingle | Ivan Golubović Milan Grubor Predrag Grubor EXPERIENCES IN TREATING LAUGIER'S FRACTURES Acta Medica Medianae Laugier's fracture elbow joint trauma. |
| title | EXPERIENCES IN TREATING LAUGIER'S FRACTURES |
| title_full | EXPERIENCES IN TREATING LAUGIER'S FRACTURES |
| title_fullStr | EXPERIENCES IN TREATING LAUGIER'S FRACTURES |
| title_full_unstemmed | EXPERIENCES IN TREATING LAUGIER'S FRACTURES |
| title_short | EXPERIENCES IN TREATING LAUGIER'S FRACTURES |
| title_sort | experiences in treating laugier s fractures |
| topic | Laugier's fracture elbow joint trauma. |
| url | http://publisher.medfak.ni.ac.rs/2011-html/4-broj/Predrag%20Grubor-Laugies%20fractures.pdf |
| work_keys_str_mv | AT ivangolubovic experiencesintreatinglaugiersfractures AT milangrubor experiencesintreatinglaugiersfractures AT predraggrubor experiencesintreatinglaugiersfractures |