Fracture of the Humeral Shaft Associated to Elbow Dislocation and Fracture of the Distal-third of the Forearm: Case Report

• Main Authors: Jonatas Brito Alencar Neto, Maria Luzete Costa Cavalcante, Renackson Jordelino Garrido, Pedro Henrique Messias da Rocha
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Ortopedia e Traumatologia 2019-05-01
• Series: Revista Brasileira de Ortopedia
• Subjects: fraturas do úmero; cotovelo; pinos ortopédicos; fios ortopédicos; fixação interna de fraturas
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000100073&lng=en&tlng=en

Abstract Humeral shaft fractures combined with elbow dislocation and fracture of the distal third of the bones of the forearm are uncommon. No description of this simultaneous association has been found in the same patient. Some studies report the association of these two lesions; however, no reports on the three ipsilateral lesions have been found at the PubMed, Lilacs and Bireme databases. The present report describes a case that occurred in a 13-yearold boywho suffered a fall froma height of approximately threemeters andwas admitted to a trauma hospital. Radiographs showed an ipsilateral humeral shaft fracture combinedwith elbowdislocation anda fracture of thedistal-third of thebonesof the forearm.Undergeneral anesthesia, the injurieswere readily reduced by closedmanipulation, obtaininga satisfactory reduction of the injuries. Following this, an antebrachiopalmar splint and a commercial Velpeau shoulder immobilizer for the treatment of the humerus diaphyseal fracture were used. After 1 week, the patient presented non-alignment of the diaphyseal fracture of the humerus and was submitted to surgical treatment with flexible retrograde intramedullary nailing, antebrachiopalmar cast, and a commercial Velpeau shoulder immobilizer.