Elbow Dislocation With Radial Head Fracture FREE

Otto E. Aufranc, MD; William N. Jones, MD; Roderick H. Turner, MD

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From the Fracture Clinic,Massachusetts General Hospital, Boston.

JAMA. 1966;197(13):1092-1094. doi:10.1001/jama.1966.03110130092025

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ABSTRACT

ABSTRACT | REFERENCES

Dr. Joseph L. Shaw: A 48-year-old woman fell on the sidewalk while attempting to avoid being struck by a bicycle. She thinks that she landed directly on the elbow rather than on the hand. She was seen in the emergency ward at the Massaschusetts General Hospital less than an hour following her injury. Results of a physical examination were normal except for the right elbow which was swollen, tender, and deformed. Circulation and sensation in the extremity were intact, but the elbow was obviously dislocated posteriorly.

Dr. Aufranc: Dr. Edward Riseborough will discuss the x-ray films and the management of this severe elbow injury.

Dr. Edward J. Riseborough: This patient has sustained a posterior dislocation of the elbow joint with fracture of both the coronoid process of the ulna and the lateral margin of the radial head (Fig 1). Fortunately, the coronoid process fracture is small, the fragment measuring about

REFERENCES

ABSTRACT | REFERENCES

Charnley, J.: The Closed Treatment of Common Fractures , Baltimore: Williams & Wilkins Co. 1963;, pp 76-79.

Milch, H., and Milch, R.A.: Fracture Surgery , New York: Paul B. Hoeber, Inc. 1959; pp 245-251.

McLaughlin, H.L.: Trauma , Philadelphia: W.B. Saunders Co., 1959;, p 217.

Smith, F.M.: Surgery of the Elbow , Springfield, Ill.: Charles C Thomas, Publisher, 1954;, pp 166-174.

Van Gorder, G.W.: " Dislocations and Fractures of the Elbow ," in Cave, E.F. (ed.): Fractures and Other Injuries , Chicago: Year Book Publishers, Inc., 1959;, pp 329-331.

Smith, H.: " Fractures ," in Crenshaw, A. (ed.): Campbell's Operative Orthopedics , St. Louis: C.V. Mosby Co., 1963;, pp 536-539.

Watson-Jones, Sir R.: Fractures and Joint Injuries , Baltimore: Williams & Wilkins Co., 1956;, pp 510-515; 554.

Blount. W.P. Fractures in Children , Baltimore: Williams & Wilkins, 1955;.

Reidy, J.A., and Van Gorder, G.W.: Treatment of Displacement of the Proximal Radial Epiphysis , J Bone Joint Surg 45A: 1355-1372 ( (Oct) ). 1963;.

Sutro, C.J.: Regrowth of Bone at Proximal End of Radius Following Resection in This Region , J Bone Joint Surg 17:867-878 ( (Oct) ) 1935;.

Boyd, H.B.: Surgical Exposure of the Ulna and Proximal Third of the Radius Through One Incision , Surg Gynec Obstet 71: 86-88 ( (July) ) 1940;.

Osborne, G., and Cotterill, P.: Recurrent Dislocation of the Elbow , J Bone Joint Surg 48B:340-346 ( (Oct) ) 1966;.

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