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:: Volume 20, Issue 3 (10-2018) ::
J Gorgan Univ Med Sci 2018, 20(3): 110-114 Back to browse issues page
Bilateral radial head fracture in a female with simple falling down: A case report
Saeed Kokly * 1, Afshin Sahebjamee2
1- Fellowship in Shoulder, Elbow and Sport Injuries, Assistant Professor, Bones - Joints and Connective Tissue Research Center, Department of Orthopedic Surgery, Golestan University of Medical Sciences, Gorgan, Iran. skokly@gmail.com , skokly@gmail.com
2- Assistant Professor, Department of Orthopedic Surgery, Golestan University of Medical Sciences, Gorgan, Iran
Abstract:   (8150 Views)
The proximal radioulnar joint plays an important role in elbow and forearm movements. Radial head fracture involves about 20% of the elbow fractures, which is most often accompanied by other damage to the soft or bone tissue. Isolated form is about 2% and bilateral form is rare. Most radial head fractures are the result of low energy and falling down with outstretched hands. Heavy sports injuries, high energy trauma and crashes cause a breakdown with displacement and the possibility of further complications.In this article we  reported a woman  nurse with 35 years old whom suffered pain and swelling of both elbows due to simple falling down with outstretched hands. In the clinical examination, there was a bilateral tenderness and swelling of the elbows. Movements were decreased in right side. There was no nerve defect. In the Xray radiography, bilateral radial head fractures, Mason-type 3 at right and type 1 at left elbow were observed. Right elbow treated by open reduction and internal fixation by mini plate and screws and left side treated by conservative method. The patient was discharged with indomethacin 25 mg 3 times a day for 6 weeks and bilateral long arm splint for 5 to 7 days, active movements were begun. Subsequently, the patient was not adviced for physiotherapy. Complete movements of elbow joints were obtained in right side and left side after 8 and 4 weeks due to teratment. Precise clinical examinations and correct radiographs are necessary to diagnose the bilateral radial head fractures. Early diagnosis and proper treatment and, if necessary, physiotherapy leads to proper improvement and acceptable movements and function.
Keywords: Elbow fractures, Radial head, Bilateral, Proximal radioulnar joint
Full-Text [PDF 228 kb] [English Abstract]   (18643 Downloads) |   |   Abstract (HTML)  (435 Views)  
Type of Study: Case Report | Subject: Orthopaedics
* Corresponding Author Address: Fellowship in Shoulder, Elbow and Sport Injuries, Assistant Professor, Bones - Joints and Connective Tissue Research Center, Department of Orthopedic Surgery, Golestan University of Medical Sciences, Gorgan, Iran. skokly@gmail.com
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Kokly S, Sahebjamee A. Bilateral radial head fracture in a female with simple falling down: A case report . J Gorgan Univ Med Sci 2018; 20 (3) :110-114
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Volume 20, Issue 3 (10-2018) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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