An Unusual Variant of a Floating Forearm Injury: A Case Report and Review

Hand : Official Journal of the American Association for Hand Surgery
Benjamin F Plucknette, Peter C Rhee

Abstract

"Floating forearm" injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat. We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow. At final follow-up, he had returned to his previous occupation. Radiographs demonstrated fully healing fractures without evidence of osteonecrosis or degeneration. A review of the presentation, evaluation, and management of this rare injury pattern is provided.

References

Sep 1, 1993·The Journal of Hand Surgery·G HerzbergJ Stalder
Jan 18, 2014·Journal of Wrist Surgery·Gregory Ian BainKevin Eng
Mar 20, 2014·Acta orthopaedica et traumatologica turcica·Hüseyin AşkarAli Bilge

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Citations

May 22, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Stefano ArtiacoBruno Battiston

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