Abstract
Introduction: Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature.
 
 Case report: We present a case report on such a complex injury in a 9-year old child after falling down from the first floor of his house while playing. The injury pattern consist of ipsilateral supracondylar fracture humerus with distal humerus and ipsilateral distal forearm fracture. Open reduction and pinning of the both injuries was obtained.
 
 Conclusion: Ipsilateral multiple fractures in children often result from high energy trauma and are associated with complications. Immediate reduction and fixation is required. If satisfactory reduction cannot be achieved by closed technique, open reduction should be considered to avert additional soft tissue injury and forthcoming complications.
Highlights
INTRODUCTIONPediatric upper extremity injury involving displaced fractures of both the distal humerus and the distal forearm (the so-called floating elbow) is the result of a high energy trauma.[1]
Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature
The combination of ipsilateral segmental humeral fracture with forearm injury is rarely mentioned injury in literature
Summary
Pediatric upper extremity injury involving displaced fractures of both the distal humerus and the distal forearm (the so-called floating elbow) is the result of a high energy trauma.[1]. A segmental fracture of humerus with ipsilateral forearm fracture: a rare variant of pediatric floating elbow injury. A 9 years old boy was brought to the emergency department of our hospital with an alleged history of fall from a tree (15 ft high) while playing He fell on an outstretched hand with semi flexed elbow. Plain radiographs of the left upper limb revealed extension type displaced supracondylar fracture with distal humerus shaft fracture and ipsilateral Salter Harris type II epiphyseal injury of distal radius ulna fracture (Fig 1B). Due to the swelling around the elbow, closed reduction of the elbow injury was not possible, so an open reduction using lateral Kocher approach was done and fracture was fixed with three lateral K-wires.And an additional. The parents were not much bothered about the deformity and agreed for a corrective osteotomy later
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