Document Detail

A case study in bilateral radial head fractures in apparently trivial trauma: a subtle diagnosis.
MedLine Citation:
PMID:  22248465     Owner:  NLM     Status:  MEDLINE    
Radial head and neck fractures are common in young to middle age adults and are seen in nearly 20 % of acute elbow injuries in this age group. These are usually associated with high energy traumas like falls from height, road traffic accidents and sports injuries. Unilateral radial head fractures are relatively common and may be associated with other concomitant injuries. Bilateral radial head fractures are rare and are mostly seen in situations when the patient has a fall on outstretched, supinated hands or a direct fall on the elbow. These injuries can be easily missed by the attending physician if the symptoms are more severe on one side, thus neglecting the other. The treatment of these fractures may be conservative or operative, depending upon the degree of head comminution, the percentage of articular surface involved, presence of loose intra-articular fragments and angulation between the radial neck and proximal shaft. We present a case series of three patients with bilateral type 1 radial head fractures (one case having type 3 on one side) managed with brief immobilization followed by active physiotherapy and full, uneventful recovery. The emphasis in these cases is the need for a high index of suspicion in the diagnosis of multiple injuries, no matter how `trivial` the mechanism of injury and, unless the history of the mode of trauma is highly suggestive, such injuries can be missed easily and cause long term problems for the patient.
Nasir Muzaffar; Naveed Bashir; Asif Baba; Aejaz Ahmad; Nawaz Ahmad
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ortopedia, traumatologia, rehabilitacja     Volume:  13     ISSN:  2084-4336     ISO Abbreviation:  Ortop Traumatol Rehabil     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2012-01-17     Completed Date:  2012-06-20     Revised Date:  2013-02-05    
Medline Journal Info:
Nlm Unique ID:  101240146     Medline TA:  Ortop Traumatol Rehabil     Country:  Poland    
Other Details:
Languages:  eng; pol     Pagination:  601-6     Citation Subset:  IM    
Department of Orthopaedics, Hospital for Bone and Joint Surgery, Barzalla, Srinagar, Kashmir, India.
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MeSH Terms
Multiple Trauma / radiography*,  therapy
Radius Fractures / radiography*,  therapy
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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