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.

Détails

Ressource 1Télécharger: BIB_C09245D266EE.P001.pdf (1320.29 [Ko])
Etat: Serval
Version: de l'auteur
ID Serval
serval:BIB_C09245D266EE
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
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.
Périodique
Journal of medical case reports
Auteur(s)
Poglia P., Wehrli L., Steinmetz S., Zermatten P.
ISSN
1752-1947 (Electronic)
ISSN-L
1752-1947
Statut éditorial
Publié
Date de publication
11/05/2016
Peer-reviewed
Oui
Volume
10
Numéro
1
Pages
121
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: epublish
Résumé
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.

Mots-clé
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
Oui
Création de la notice
31/05/2016 17:55
Dernière modification de la notice
09/05/2019 0:43
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