Posterior Ulno-Humeral Dislocation with Radioulnar Shaft Fracture: Case Report and Literature Review
,
Abstract
Background: The occurrence of radioulnar shaft fracture and elbow dislocation simultaneously is not a usual event, and it has only been reported in a few studies. This study aimed to report a case with posterior ulno-humeral joint dislocation and concomitant radioulnar shaft fracture. Furthermore, in a literature review, we summarized other studies that reported this kind of fracture-dislocation and the treatment chosen in each study.
Case Report: A 12-year-old boy was admitted to the emergency department due to high-energy trauma following a car accident while cycling. Open fracture of the left radioulnar shaft and posterior dislocation of the left elbow were detected.
Conclusion: More studies are required to advance our knowledge about this kind of fracture-dislocation, especially its mechanism of injury. Subsequent examinations can help us design an efficient classification system and determine the best treatment option for radioulnar shaft fracture with elbow dislocation.
1. Tagliafico AS, Bignotti B, Martinoli C. Elbow US: Anatomy, variants, and scanning technique. Radiology. 2015;275(3): 636-50. doi: 10.1148/radiol.2015141950. [PubMed: 25997130].
2. Ramesh S, Lim YJ. Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: A rare combination.
Strategies Trauma Limb Reconstr. 2011;6(2):97-101. doi: 10.1007/s11751-011-0112-5. [PubMed: 21773776]. [PubMed Central: PMC3150645].
3. Kose O, Durakbasa MO, Islam NC. Posterolateral elbow dislocation with ipsilateral radial and ulnar diaphyseal fractures: A case report. J Orthop Surg (Hong Kong). 2008;16(1):122-3. doi: 10.1177/230949900801600129. [PubMed: 18453676].
4. Goni V, Behera P, Meena UK, Gopinathan N, Akkina N, Arjun RH. Elbow dislocation with ipsilateral diaphyseal forearm bone fracture: A rare injury report with literature review. Chin J Traumatol. 2015;18(2):113-5. doi: 10.1016/j.cjtee.2014.10.004. [PubMed: 26511306].
5. Monteggia GB. Dislocations of the bones of the upper extremities. In: Monteggia GB, editor. Surgical institutions. Milan, Italy: Giuseppe Maspero; 1814. p. 131-3. [In Italian].
6. Rehim SA, Maynard MA, Sebastin SJ, Chung KC. Monteggia fracture dislocations: A historical review. J Hand Surg Am. 2014;39(7):1384-94. doi: 10.1016/j.jhsa.2014.02.024. [PubMed:24792923]. [PubMed Central: PMC4266382].
7. Rockwood CA, Bucholz RW, Green DP, Court-Brown, Heckman JD, Tornetta P. Rockwood and Green's fractures in adults. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.
8. Olney BW, Menelaus MB. Monteggia and equivalent lesions in childhood. J Pediatr Orthop. 1989;9(2):219-23. [PubMed: 2647788].
9. Dharmshaktu GS. Elbow dislocation with ipsilateral fracture of radius and ulna in a child – Case report and literature review. Journal of Orthopaedic Diseases and Traumatology. 2019;2(3):55-7. doi: 10.4103/JODP.JODP_14_19
10. Hung SC, Huang CK, Chiang CC, Chen TH, Chen WM, Lo WH. Monteggia type I equivalent lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in an adult. Arch Orthop Trauma Surg. 2003;123(6):311-3. doi: 10.1007/s00402-003-0526-8. [PubMed: 12774238].
11. Mathur K, Nazir AA, Patil S, Lin K. Divergent dislocation of elbow with ipsilateral fracture in both forearm bones in a child. Eur J Orthop Surg Traumatol. 2006;16(1):36-7. doi: 10.1007/s00590-005-0010-y
12. Fleming FJ, Flavin R, Poynton AR, Glynn T. Elbow dislocation with ipsilateral open radial and ulnar diaphyseal fractures--a rare combination. Injury. 2004;35(1):90-2. doi: 10.1016/s0020-1383(02)00143-2. [PubMed: 14728963].
13. Kumar P, Manjhi LB, Rajak RL. Open segmental fracture of both bone forearm and dislocation of ipsilateral elbow with extruded middle segment radius. Indian J Orthop. 2013;47(3):307-9. doi: 10.4103/0019-5413.111512. [PubMed: 23798764]. [PubMed Central: PMC3687910].
14. Hassini L, Saidi A, Touati B, Ben Fradj A, Aloui I, Abid A. An
unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child. Chin J Traumatol. 2018;21(2):122-4. doi: 10.1016/j.cjtee.2017.12.002. [PubMed: 29605430]. [PubMed Central: PMC5911725].
15. Rijal L, Kc KM, Sagar G. Elbow dislocation with ipsilateral radius and ulna fracture: is it so common? Nepal Med Coll J. 2012;14(2):163-4. [PubMed: 23671971].
16. Alencar Neto JB, Costa Cavalcante ML, Garrido RJ, Messias da Rocha PH. Fracture of the humeral shaft associated to elbow dislocation and fracture of the distal-third of the forearm: Case report. Rev Bras Ortop (Sao Paulo). 2019;54(1):73-7. doi: 10.1016/j.rbo.2017.09.015. [PubMed: 31363247]. [PubMed Central: PMC6415518].
2. Ramesh S, Lim YJ. Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: A rare combination.
Strategies Trauma Limb Reconstr. 2011;6(2):97-101. doi: 10.1007/s11751-011-0112-5. [PubMed: 21773776]. [PubMed Central: PMC3150645].
3. Kose O, Durakbasa MO, Islam NC. Posterolateral elbow dislocation with ipsilateral radial and ulnar diaphyseal fractures: A case report. J Orthop Surg (Hong Kong). 2008;16(1):122-3. doi: 10.1177/230949900801600129. [PubMed: 18453676].
4. Goni V, Behera P, Meena UK, Gopinathan N, Akkina N, Arjun RH. Elbow dislocation with ipsilateral diaphyseal forearm bone fracture: A rare injury report with literature review. Chin J Traumatol. 2015;18(2):113-5. doi: 10.1016/j.cjtee.2014.10.004. [PubMed: 26511306].
5. Monteggia GB. Dislocations of the bones of the upper extremities. In: Monteggia GB, editor. Surgical institutions. Milan, Italy: Giuseppe Maspero; 1814. p. 131-3. [In Italian].
6. Rehim SA, Maynard MA, Sebastin SJ, Chung KC. Monteggia fracture dislocations: A historical review. J Hand Surg Am. 2014;39(7):1384-94. doi: 10.1016/j.jhsa.2014.02.024. [PubMed:24792923]. [PubMed Central: PMC4266382].
7. Rockwood CA, Bucholz RW, Green DP, Court-Brown, Heckman JD, Tornetta P. Rockwood and Green's fractures in adults. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.
8. Olney BW, Menelaus MB. Monteggia and equivalent lesions in childhood. J Pediatr Orthop. 1989;9(2):219-23. [PubMed: 2647788].
9. Dharmshaktu GS. Elbow dislocation with ipsilateral fracture of radius and ulna in a child – Case report and literature review. Journal of Orthopaedic Diseases and Traumatology. 2019;2(3):55-7. doi: 10.4103/JODP.JODP_14_19
10. Hung SC, Huang CK, Chiang CC, Chen TH, Chen WM, Lo WH. Monteggia type I equivalent lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in an adult. Arch Orthop Trauma Surg. 2003;123(6):311-3. doi: 10.1007/s00402-003-0526-8. [PubMed: 12774238].
11. Mathur K, Nazir AA, Patil S, Lin K. Divergent dislocation of elbow with ipsilateral fracture in both forearm bones in a child. Eur J Orthop Surg Traumatol. 2006;16(1):36-7. doi: 10.1007/s00590-005-0010-y
12. Fleming FJ, Flavin R, Poynton AR, Glynn T. Elbow dislocation with ipsilateral open radial and ulnar diaphyseal fractures--a rare combination. Injury. 2004;35(1):90-2. doi: 10.1016/s0020-1383(02)00143-2. [PubMed: 14728963].
13. Kumar P, Manjhi LB, Rajak RL. Open segmental fracture of both bone forearm and dislocation of ipsilateral elbow with extruded middle segment radius. Indian J Orthop. 2013;47(3):307-9. doi: 10.4103/0019-5413.111512. [PubMed: 23798764]. [PubMed Central: PMC3687910].
14. Hassini L, Saidi A, Touati B, Ben Fradj A, Aloui I, Abid A. An
unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child. Chin J Traumatol. 2018;21(2):122-4. doi: 10.1016/j.cjtee.2017.12.002. [PubMed: 29605430]. [PubMed Central: PMC5911725].
15. Rijal L, Kc KM, Sagar G. Elbow dislocation with ipsilateral radius and ulna fracture: is it so common? Nepal Med Coll J. 2012;14(2):163-4. [PubMed: 23671971].
16. Alencar Neto JB, Costa Cavalcante ML, Garrido RJ, Messias da Rocha PH. Fracture of the humeral shaft associated to elbow dislocation and fracture of the distal-third of the forearm: Case report. Rev Bras Ortop (Sao Paulo). 2019;54(1):73-7. doi: 10.1016/j.rbo.2017.09.015. [PubMed: 31363247]. [PubMed Central: PMC6415518].
| Files | ||
| Issue | Vol 9, No 2 (2023) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v9i2.12628 | |
| Keywords | ||
| Fracture Dislocation Elbow Monteggia Fracture | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Shayan-Moghadam R, Motahel M, Sharafi M, Oryadi Zanjani L. Posterior Ulno-Humeral Dislocation with Radioulnar Shaft Fracture: Case Report and Literature Review. J Orthop Spine Trauma. 2023;9(2):96-9.
