Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015:6C:194-7.
doi: 10.1016/j.ijscr.2014.12.020. Epub 2014 Dec 18.

Ipsilateral olecranon and distal radius fracture: A case report

Ömer Cengiz  1 , Gökhan Polat  2 , Gökhan Karademir  3 , Deniz Kara  4 , Mehmet Erdil  5
Affiliations

Ipsilateral olecranon and distal radius fracture: A case report

Ömer Cengiz et al. Int J Surg Case Rep. 2015.

Abstract

Introduction: Concomitant ipsilateral olecranon and distal radius fracture are rare injuries. Their clinical presentation is unusual and investigation and management is poorly described.

Presentation of case: We present a 55-year-old woman patient who fell off sustaining a concomitant distal radius and olecranon fracture in the same extremity. On examination, there was gross swelling of the proximal and distal forearm and no neurovascular deficit. Radiographs confirmed distal radius and olecranon fracture. Patient was treated with open reduction and anatomic locking plate for olecranon and a closed reduction percuteneous K wire fixation with penning fixator for distal radius fracture. After physical therapy program, functional results were good and DASH score was 60.

Discussion: Several different combinations of fracture with dislocation have been described, but, to our knowledge, concurrent ipsilateral olecranon and distal radius fracture has not been reported before. In the literature review there are two similar cases in the English literature.

Conclusion: Ipsilateral olecranon and distal radius fracture is a very rare injury due to different trauma mechanisms. However we should keep in mind that there may be adjacent joints and structures for concomitant injuries.

Keywords: Concomitant; Distal; Fracture; Ipsilateral; Olecranon; Radius.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Preoperative radiological assessment of the patient, AP – lateral radiograph of the elbow (a) and wrist (b).
Fig. 2
Fig. 2
At 3 months control; radiological assessment of the patient, AP – lateral radiograph of the elbow (a) and wrist (b).
Fig. 3
Fig. 3
Clinical pictures which show patient's functional status at 3 months control.
See this image and copyright information in PMC

References

    1. Karlsson M.K., Hasserius R., Karlsson C., Besjakov J., Josefsson P.O. Fractures of the olecranon: a 15–25-year followup of 73 patients. Clin. Orthop. Relat. Res. 2002;403:205–212. - PubMed
    1. Fanuele J., Koval K.J., Lurie J., Zhou W., Tosteson A., Ring D. Distal radial fracture treatment: what you get may depend on your age and address. J. Bone Joint Surg. Am. 2009;91:101–109. - PMC - PubMed
    1. Stanitski Carl L., Micheli Lyle J. Simultaneous ipsilateral fractures of the arm and forearm in children. Clin. Orthop. Relat. Res. 1980;153:218–222. - PubMed
    1. Edward Perez A. Fractures, dislocations, and fracture-dislocations of the elbow. In: Terry Canale S., James Campbell H., editors. Operative Orthopaedics. 12th ed. Elsevier; Philadelphia: 2013. pp. 2873–2876.
    1. Clare D.J., Corley F.G., Wirth M.A. Ipsilateral combination Monteggia and Galeazzi injuries in an adult patient: a case report. J. Orthop. Trauma. 2002;16(2):130–134. - PubMed