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Case Series
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| Ipsilateral fracture of the supracondylar humerus and forearm in children | ||||||
| Shahid Hussain | ||||||
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Registar, Department of Orthopedics, Sheri Kashmir Institue of Medical Sciences and Hospital, Bemina, Srinagar, Jammu and Kashmir, India.
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| How to cite this article: |
| Hussain S. Ipsilateral fracture of the supracondylar humerus and forearm in children. International Journal of Case Reports and Images 2014;5(3):189–194. |
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Abstract
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Introduction:
Simultaneous ipsilateral fracture of the elbow and forearm (floating elbow) is an uncommon injury and treatment recommendations are controversial. The aim of our study was to evaluate the incidence of ipsilateral fractures of the upper limb and to present our experience in dealing with such injuries and to review the literature relating to this topic. The following variables were used: age, gender, side, mechanism of injury, type of fracture, classification, treatment methods, complications and outcome.
Case Report: We prospectively followed five children who presented with displaced supracondylar fractures of the humerus associated with a forearm fracture of the same limb. All patients underwent emergency procedures in the form of closed reduction and K-wire fixation/cast fixation. At a minimum follow up of 24 months, all patients were assessed clinically and radiologically and the results evaluated according to a conventional scoring system. Four patients had excellent or good outcomes, and there was one poor result. Conclusion: The floating elbow is an indicator of a high energy injury. The incidence of open fractures, compartment syndrome and nerve injury and the need to perform an open reduction were higher than those recorded for isolated supracondylar or forearm fractures. The existing controversies in the management of such a complex injury and associated problems are outlined. A pertinent literature review is also included. | |
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Keywords:
Children, Musculoskeletal injuries, Floating elbow, closed reduction and internal fixation
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Author Contributions:
Shahid Hussain – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Shahid Hussain et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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