Báo cáo y học: " Unilateral, trifocal, diaphyseal fracture of the radius with ipsilateral mid-shaft ulna fracture in an adult: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unilateral, trifocal, diaphyseal fracture of the radius with ipsilateral mid-shaft ulna fracture in an adult: a case report. | Ibrahim et al. Journal of Medical Case Reports 2011 5 123 http content 5 1 123 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Unilateral trifocal diaphyseal fracture of the radius with ipsilateral mid-shaft ulna fracture in an adult a case report Mazin Ibrahim1 Jenny Cwilewicz2 Osman H Khan3 and Anthony Gibbon4 Abstract Introduction To the best of our knowledge a trifocal diaphyseal fracture of the radius associated with ipsilateral mid-shaft fracture of the ulna in an adult has not been reported in the literature to date. The AO classification system does not include such a fracture configuration. Case presentation We report a case of trifocal diaphyseal fracture of the radius with a mid-diaphyseal fracture of the ulna in a 53-year-old Caucasian British right-hand dominant woman involved in a head-on collision with another vehicle. The management of this rare fracture configuration is described and alternative treatment options discussed. Conclusions We describe an unusual complex fracture which with prompt surgical treatment resulted in a rapid full and satisfactory functional recovery for our patient. Introduction Both bone forearm diaphyseal fractures are commonly encountered in clinical practice. Segmental radius shaft fractures are however less commonly seen. We report a case of trifocal complex diaphyseal fracture of the radius with ipsilateral mid-shaft fracture of the ulna. Our review of the scientific literature revealed no evidence of any previous reports relating to the surgical treatment of such a fracture. However the management of a trifocal ulna fracture with bifocal radius fracture in a child has been described previously. Case presentation A 53-year-old Caucasian British right-hand dominant woman was involved in a road traffic accident while driving a car involving a head-on collision with another vehicle at approximately 30 miles hour. She sustained a closed injury to the left forearm against the steering .

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