Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid

We're reporting a 35-year-old gentleman that presented with a rare combination of ipsilateral fracture of both proximal and distal ends of the radius associated with ulna styloid fracture due to a fall with outstretched hands. Thorough clinical examination of 2 adjacent joints (elbow and wrist)...

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Main Authors: Mohamed Elgassim, MD, MSc, Ammar AbuAlhaya, MD, Amro Abdelrahman, MD, Moayad Elgassim, MBBS, Thirumoothy Suresh Kumar, MD
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322007348
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author Mohamed Elgassim, MD, MSc
Ammar AbuAlhaya, MD
Amro Abdelrahman, MD
Moayad Elgassim, MBBS
Thirumoothy Suresh Kumar, MD
author_facet Mohamed Elgassim, MD, MSc
Ammar AbuAlhaya, MD
Amro Abdelrahman, MD
Moayad Elgassim, MBBS
Thirumoothy Suresh Kumar, MD
author_sort Mohamed Elgassim, MD, MSc
collection DOAJ
description We're reporting a 35-year-old gentleman that presented with a rare combination of ipsilateral fracture of both proximal and distal ends of the radius associated with ulna styloid fracture due to a fall with outstretched hands. Thorough clinical examination of 2 adjacent joints (elbow and wrist) is critical in identifying such an unusual or rare combination of injuries. Appropriate management for such cases depends on the characteristics of the injury, such as fracture patterns, job, hand dominance, and age of the patient. The treatment should aim to preserve the radial head to avoid the possibility of proximal radial migration, particularly in young patients. Such a combination of injury implies complex injury and needs special consideration in deciding management plan. In this case, the proximal end of the radius and the ulna styloid fractures were treated conservatively. In contrast, the distal end of the radius was treated with open reduction internal fixation.
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spelling doaj.art-8fb227a9773249c397f0260ececaf8532022-12-22T02:06:12ZengElsevierRadiology Case Reports1930-04332022-11-01171144394444Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloidMohamed Elgassim, MD, MSc0Ammar AbuAlhaya, MD1Amro Abdelrahman, MD2Moayad Elgassim, MBBS3Thirumoothy Suresh Kumar, MD4Corresponding author.; Department of Emergency Medicine, Hamad Medical Corporation, Doha, QatarDepartment of Emergency Medicine, Hamad Medical Corporation, Doha, QatarDepartment of Emergency Medicine, Hamad Medical Corporation, Doha, QatarDepartment of Emergency Medicine, Hamad Medical Corporation, Doha, QatarDepartment of Emergency Medicine, Hamad Medical Corporation, Doha, QatarWe're reporting a 35-year-old gentleman that presented with a rare combination of ipsilateral fracture of both proximal and distal ends of the radius associated with ulna styloid fracture due to a fall with outstretched hands. Thorough clinical examination of 2 adjacent joints (elbow and wrist) is critical in identifying such an unusual or rare combination of injuries. Appropriate management for such cases depends on the characteristics of the injury, such as fracture patterns, job, hand dominance, and age of the patient. The treatment should aim to preserve the radial head to avoid the possibility of proximal radial migration, particularly in young patients. Such a combination of injury implies complex injury and needs special consideration in deciding management plan. In this case, the proximal end of the radius and the ulna styloid fractures were treated conservatively. In contrast, the distal end of the radius was treated with open reduction internal fixation.http://www.sciencedirect.com/science/article/pii/S1930043322007348ElbowDislocationFractureTraumaInjury
spellingShingle Mohamed Elgassim, MD, MSc
Ammar AbuAlhaya, MD
Amro Abdelrahman, MD
Moayad Elgassim, MBBS
Thirumoothy Suresh Kumar, MD
Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
Radiology Case Reports
Elbow
Dislocation
Fracture
Trauma
Injury
title Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
title_full Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
title_fullStr Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
title_full_unstemmed Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
title_short Rare triad of fractures in the upper limb. Simultaneous fractures of the distal radius, with the radial head and the ulna styloid
title_sort rare triad of fractures in the upper limb simultaneous fractures of the distal radius with the radial head and the ulna styloid
topic Elbow
Dislocation
Fracture
Trauma
Injury
url http://www.sciencedirect.com/science/article/pii/S1930043322007348
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