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.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Poglia, Pietro
Auteure/Auteur
Wehrli, Laurent
Auteure/Auteur
Steinmetz, Sylvain
Auteure/Auteur
Zermatten, Philippe
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1752-1947
Statut éditorial
Publié
Date de publication
2016-05-11
Volume
10
Numéro
1
Première page
121
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: epublish
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.
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.
Sujets
PID Serval
serval:BIB_C09245D266EE
PMID
Open Access
Oui
Date de création
2016-05-31T15:55:04.190Z
Date de création dans IRIS
2025-05-21T00:54:52Z
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Nom
BIB_C09245D266EE.P001.pdf
Version du manuscrit
published
Taille
1.29 MB
Format
Adobe PDF
PID Serval
serval:BIB_C09245D266EE.P001
URN
urn:nbn:ch:serval-BIB_C09245D266EE4
Somme de contrôle
(MD5):3017fe4c6edb3e60c93f84cabf7a0ef0