Posttraumatic Proximal Radioulnar Synostosis after Closed Reduction for a Radial Neck and Olecranon Fracture

Posttraumatic proximal radioulnar synostosis (PPRUS) is a severe complication of radial head and neck fractures known to occur after severe injury or operative fixation. Cases of PPRUS occurring after minimally displaced, nonoperatively treated radial neck injuries are, by contrast, extremely rare....

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Bibliographic Details
Published in:Case reports in orthopedics 2018, Vol.2018 (2018), p.1-7
Main Authors: Schoenecker, Jonathan G., Stutz, Christopher M., Cole, Heather A., Keller, Patrick R.
Format: Article
Language:English
Subjects:
Case Report
Case reports
Elbow
Fractures
Hand surgery
Injuries
Internal fixation in fractures
Joint surgery
Orthopedics
Pain
Pediatrics
Physical therapy
Surgery
Trauma
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Summary:Posttraumatic proximal radioulnar synostosis (PPRUS) is a severe complication of radial head and neck fractures known to occur after severe injury or operative fixation. Cases of PPRUS occurring after minimally displaced, nonoperatively treated radial neck injuries are, by contrast, extremely rare. Here, we present a pediatric case of PPRUS that developed after a nonoperatively treated minimally displaced radial neck fracture with concomitant olecranon fracture. While more cases are needed to establish the association between this pattern of injury and PPRUS, we recommend that when encountering patients with a minimally displaced radial neck fracture and a concomitant elbow injury, the rare possibility of developing proximal radioulnar synostosis should be considered.
ISSN:2090-6749
2090-6757
DOI:10.1155/2018/5131639