CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 073-077
DOI: 10.1016/j.rbo.2017.09.015
Case Report | Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Fracture of the Humeral Shaft Associated to Elbow Dislocation and Fracture of the Distal-third of the Forearm: Case Report[*]

Article in several languages: português | English
Jonatas Brito Alencar Neto
1  Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, Brasil
,
2  Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, Brasil
,
Renackson Jordelino Garrido
3  Hospital Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brasil
,
Pedro Henrique Messias da Rocha
3  Hospital Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brasil
› Author Affiliations
Further Information

Publication History

14 July 2017

14 September 2017

Publication Date:
01 March 2019 (online)

Abstract

Humeral shaft fractures combined with elbow dislocation and fracture of the distal third of the bones of the forearm are uncommon. No description of this simultaneous association has been found in the same patient. Some studies report the association of these two lesions; however, no reports on the three ipsilateral lesions have been found at the PubMed, Lilacs and Bireme databases. The present report describes a case that occurred in a 13-year-old boy who suffered a fall from a height of approximately three meters and was admitted to a trauma hospital. Radiographs showed an ipsilateral humeral shaft fracture combined with elbow dislocation and a fracture of the distal-third of the bones of the forearm. Under general anesthesia, the injuries were readily reduced by closed manipulation, obtaining a satisfactory reduction of the injuries. Following this, an antebrachiopalmar splint and a commercial Velpeau shoulder immobilizer for the treatment of the humerus diaphyseal fracture were used. After 1 week, the patient presented non-alignment of the diaphyseal fracture of the humerus and was submitted to surgical treatment with flexible retrograde intramedullary nailing, antebrachiopalmar cast, and a commercial Velpeau shoulder immobilizer.

* Work developed at Instituto Doutor José Frota, Fortaleza, CE, Brazil.