Abstract
BackgroundAmong upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. These injuries have not been described in the same limb in the literature.Case presentationA 21-year-old male patient fell from a height in our institution and sustained multiple injuries, including carpal bone fracture-dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow of his right upper limb. After 2 surgeries and rehabilitation, he returned to work. We reviewed available reviews and related literature on serious upper-limb damage.ConclusionsFull-length forearm injury is very rarely encountered, and the management of such fractures is difficult. Radial head replacement with a metal prosthesis, reconstructed the IOM with Tightrope, and fixed the DRUJ with a K-wire pin is appropriate treatment.
Highlights
Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries
Among upper limb injuries, carpal bone fracturedislocation is relatively rare, and perilunate dislocations and fracture-dislocations account for approximately 10% of wrist injuries [1].Lunate subluxation, magnum bone, and scaphoid bone fracture are difficult to diagnose
The terrible triad of the elbow is one of the Correspondence: junee@126.com 1Department of orthopedic, Xiaoshan 1st People’s Hospital, Hangzhou 311200, China 2Department of orthopedic, Xiaoshan 1st People’s Hospital, No 199 Shixin Road, Hangzhou 311201, Zhejiang Province, China most challenging injuries due to its complex injury pattern and compromised clinical results. This high-energy injury of the elbow joint consists of a characteristic triad, namely, posterior dislocation of the elbow associated with a radial head fracture and a coronoid fracture [4]
Summary
Carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. Radial head replacement with a metal prosthesis, reconstructed the IOM with Tightrope, and fixed the DRUJ with a K-wire pin is appropriate treatment. This high-energy injury of the elbow joint consists of a characteristic triad, namely, posterior dislocation of the elbow associated with a radial head fracture and a coronoid fracture [4].
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