Radial nerve palsy after the use of an adjuvant hinged external fixator in a complex fracture-dislocation of the elbow: a case report and review of the literature.

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Version: Final published version
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Serval ID
serval:BIB_C09245D266EE
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Radial nerve palsy after the use of an adjuvant hinged external fixator in a complex fracture-dislocation of the elbow: a case report and review of the literature.
Journal
Journal of medical case reports
Author(s)
Poglia P., Wehrli L., Steinmetz S., Zermatten P.
ISSN
1752-1947 (Electronic)
ISSN-L
1752-1947
Publication state
Published
Issued date
11/05/2016
Peer-reviewed
Oui
Volume
10
Number
1
Pages
121
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: epublish
Abstract
The combination of an elbow dislocation, a radial head fracture, and a coronoid process fracture is known as "terrible triad" injury of the elbow. This injury is one of the most challenging injuries of the musculoskeletal system and almost always causes instability of the elbow. The use of an adjuvant hinged external fixator in such injuries is still debated.
In this case report we present a case of radial nerve palsy after setting up an adjuvant hinged external fixator in a complex fracture-dislocation of the elbow. The patient was a 39-year-old white man. A revision of his radial nerve was undertaken at 7 weeks. A radial nerve injury at two levels facing the humeral apex pins was found intraoperatively; the pins were carefully removed and partial nerve grafts done. The functional outcome at 18 months was excellent.
This case report highlights that the use of an adjuvant hinged external fixator in complex fracture -dislocation of the elbow is technically demanding and not without risk.
Keywords
Adult, Elbow Joint/diagnostic imaging, Elbow Joint/injuries, Elbow Joint/surgery, External Fixators/adverse effects, Fracture Dislocation/diagnostic imaging, Fracture Dislocation/surgery, Fracture Fixation, Internal, Humans, Imaging, Three-Dimensional, Ligaments/injuries, Male, Postoperative Complications/etiology, Postoperative Complications/surgery, Radial Nerve/injuries, Radial Nerve/surgery, Radial Neuropathy/etiology, Radial Neuropathy/surgery, Radius Fractures/diagnostic imaging, Radius Fractures/surgery, Tomography, X-Ray Computed, Ulna Fractures/diagnostic imaging, Ulna Fractures/surgery
Pubmed
Open Access
Yes
Create date
31/05/2016 17:55
Last modification date
27/03/2020 7:19
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