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Open bilateral tibial shaft fracture: Case Report

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 26-27 | Marta Santos Silva, Tiago Barbosa, Ana Ribau, Jose Muras. doi- 10.13107/ti.2018.v04i02.073 Author: Marta Santos Silva [1], Tiago Barbosa [1], Ana Ribau [1], José Muras [1]. [1] Centro Hospitalar do Porto – Hospital Santo António, MD, Largo do Prof. Abel Salazar, 4099-001 Porto. Address of […]

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 11-13 | Vrettakos Aristeidis, Vampertzis Themistoklis, Dimitriadis Anastasios, Vavilis Theofanis, Antonoglou Georgios, Papastergiou Stergio doi- 10.13107/ti.2018.v04i02.069 Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1]. 1Department of Orthopaedics, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, […]

Open bilateral tibial shaft fracture: Case Report

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

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Open bilateral tibial shaft fracture: Case Report

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 26-27 | Marta Santos Silva, Tiago Barbosa, Ana Ribau, Jose Muras.

doi- 10.13107/ti.2018.v04i02.073

Author: Marta Santos Silva [1], Tiago Barbosa [1], Ana Ribau [1], José Muras [1].

[1] Centro Hospitalar do Porto – Hospital Santo António, MD, Largo do Prof. Abel Salazar, 4099-001 Porto.

Address of Correspondence

Dr. Marta Santos Silva,

Centro Hospitalar do Porto – Hospital Santo António, MD, Largo do Prof. Abel Salazar, 4099-001 Porto.

E-mail: marta_sss_@hotmail.com

Abstract

Introduction: Leg shaft fractures are common, usually requiring a complex treatment, especially when they are open fractures.

Case Report: This case report describes the presentation, surgical approach, and complications of a 32-year-old man, who suffered a motorcycle accident, resulting in an open bilateral tibial shaft fracture (Type IIIA + Type IIIB Gustilo-Anderson classification) and right calcaneal Sanders Type IV fracture.

Conclusion: The clinical case illustrates the challenging treatment options, with an excellent clinical and radiological outcome.

Keywords: Tibial shaft fracture, Osteosynthesis, Arthrodesis, Pseudoarthrosis.

References

1. Hungria J, Mercadante M. Fratura exposta da diáfise da tíbiatratamento com osteossíntese intramedular após estabilização provisória com fixador externo não transfixante. Ver Bras Ortop 2013;48:482-90.

2. McMahon SE, Little ZE, Smith TO, Trompeter A, Hing CB. The management of segmental tibial shaft fractures: A systematic review. Injury 2016;47:568-73.

3. Papakostidis C, Kanakaris NK, Pretel J, Faour O, Morell DJ, Giannoudis PV, et al. Prevalence of complications of open tibial shaft fractures stratified as per the gustilo-anderson classification. Injury 2011;42:1408-15.

4. Melvin JS, Dombroski DG, Torbert JT, Kovach SJ, Esterhai JL, Mehta S, et al. Open tibial shaft fractures: I. Evaluation and initial wound management. J Am Acad Orthop Surg 2010;18:10-9.

5. Hutchinson AJ, Frampton AE, Bhattacharya R. Operative fixation for complex tibial fractures. Ann R Coll Surg Engl 2012;94:34-8.

6. Märdian S, Giesecke M, Haschke F, Tsitsilonis S, Wildemann B, Schwabe P, et al. Treatment of tibial non-unions – state of the art and future implications. Acta Chir Orthop Traumatol Cech 2016;83:367-74.

7. Melvin JS, Dombroski DG, Torbert JT, Kovach SJ, Esterhai JL, Mehta S, et al. Open tibial shaft fractures: II. Definitive management and limb salvage. J Am Acad Orthop Surg 2010;18:108-17.

How to Cite this article: Silva M S, Barbosa T, Ribau A, Muras J. Open bilateral tibial shaft fracture: Case Report. Trauma International Sep-Dec 2018;4(2):26-17.

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A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 11-13 | Vrettakos Aristeidis, Vampertzis Themistoklis, Dimitriadis Anastasios, Vavilis Theofanis, Antonoglou Georgios, Papastergiou Stergio

doi- 10.13107/ti.2018.v04i02.069

Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1].

1Department of Orthopaedics, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece 2Olympion Therapeutirion, General Clinic of Patras, Patra, Greece 3Laboratory of Medical Biology – Genetics, Medical School, Aristotle University of Thessaloniki, Greece

Address of Correspondence

Dr. Vampertzis Themistoklis,
Department of Orthopaedics,
Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece.
Email: themisvamper@yahoo.com

Abstract

Introduction: Supracondylar processes are vestigial remnants in humans that are usually asymptomatic, serendipitous findings, but under certain conditions, they can complicate the clinical presentation of other pathological entities. We present the first case of an elbow dislocation and the complications arising from the presence of such a process.

Case Report: A 45-year-old female patient was admitted to our outpatient’s department after a fall on her outstretched right hand. The patient’s primary complaints were numbness and paresthesia mainly on her right thumb and index finger palmary, while she was also unable to perform any elbow movements. The elbow itself was edematous and painful on palpation. Radiographic evaluation revealed lateral dislocation of the elbow joint, accompanied by a chip fracture of the lateral condyle and a supracondylar process, 11 mm in length, over the medial epicondyle of the right humerus. Supplementary, a reduction in the radial pulse wave was noted. Reduction of the dislocated elbow was performed which restored the radial artery pulse wave, as confirmed by Doppler echography, but the neurological findings persisted. A posterior elbow splint was placed for 6 weeks, allowing gradually for acuter angle movements (90° in the 1st week, 45° in the 2nd week, 30° in the 3rd week, and full range of motion afterward). 6 months after the dislocation, the patient has a 10° extension lag, with full elbow joint stability restoration and is able to return to her occupation.

Conclusion: To the best of our knowledge, this is the first report in literature, of the involvement of a previously silent supracondylar process during a lateral elbow dislocation. Hereby, we advise the attending physicians to take into account such anatomical variations when considering diagnosis and treatment of elbow dislocations.

Keywords: Supracondylar process, humerus, lateral elbow dislocation, radial artery pulse wave, median nerve compression.

References

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11. Spinner RJ, Lins RE, Jacobson SR, Nunley JA. Fractures of the supracondylar process of the humerus. J Hand Surg Am 1994;19:1038-41.

12. Jelev L, Georgiev GP. Unusual high-origin of the pronator teres muscle from a struthers’ ligament coexisting with a variation of the musculocutaneous nerve. Rom J Morphol Embryol 2009;50:497-9.

13. Ay S, Bektas U, Yilmaz C, Diren B. An unusual supracondylar process syndrome. J Hand Surg Am 2002;27:913-5.

14. Pećina M, Borić I, Anticević D. Intraoperatively proven anomalous struthers’ ligament diagnosed by MRI. Skeletal Radiol 2002;31:5325.

15. Sener E, Takka S, Cila E. Supracondylar process syndrome. Arch Orthop Trauma Surg 1998;117:418-9.

16. Horak BT, Kuz JE. An unusual case of pronator syndrome with ipsilateral supracondylar process and abnormal muscle mass. J Hand Surg Am 2008;33:79-82.

17. Thompson JK, Edwards JD. Supracondylar process of the humerus causing brachial artery compression and digital embolization in a fast-pitch softball player. A case report. Vasc Endovascular Surg 2005;39:445-8.

18. Thomsen PB. Processus supracondyloidea humeri with concomitant compression of the median nerve and the ulnar nerve. Acta Orthop Scand 1977;48:391-3.

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20. Tzaveas AP, Dimitriadis AG, Antoniou KI, Pazis IG, Paraskevas GK, Vrettakos AN, et al. Supracondylar process of the humerus: A rare case with compression of the ulnar nerve. J Plast Surg Hand Surg 2010;44:325-6.

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How to Cite this article: Vrettakos A, Vampertzis T, Dimitriadis A, Vavilis T, Antonoglou G, Papastergiou S. A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process. Trauma International Sep-Dec 2018;4(2):11-13.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Open bilateral tibial shaft fracture: Case Report

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Open bilateral tibial shaft fracture: Case Report

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Full Sized Blog Element (Big Preview Pic)

Open bilateral tibial shaft fracture: Case Report

Author: Marta Santos Silva [1], Tiago Barbosa [1], Ana Ribau [1], José Muras [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1].

Abstract

References

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