Acute unstable complex radial head and neck fractures fixed with a mini T-shaped plate in a 20-year-old man: a case report

Acute unstable complex radial head and neck fractures in adults are seldom reported in the literature. Early recognition and appropriate management are essential to prevent long-term consequences of the loss of elbow function, forearm rotation, and chronic pain. Here, we describe an unusual case of...

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Bibliographic Details
Published in:Therapeutics and clinical risk management 2016, Vol.12 (Issue 1), p.825-830
Main Authors: Yu, Weiguang, Hu, Jun, Zhang, Xinchao, Zhu, Xingfei, Xu, Yinfeng, Yi, Jianhua, Liu, Yunjiang
Format: Article
Language:English
Subjects:
Biomechanics
Care and treatment
Case Report
Case reports
Case studies
Diagnosis
Elbow
Fractures
Head injuries
Internal fixation
Joint surgery
Knee
Ligaments
mini T-shaped plate
Neck injuries
Orthopedics
radial head
radial head replacement
Surgical techniques
Trauma
unstable complex fractures
Wire
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Summary:Acute unstable complex radial head and neck fractures in adults are seldom reported in the literature. Early recognition and appropriate management are essential to prevent long-term consequences of the loss of elbow function, forearm rotation, and chronic pain. Here, we describe an unusual case of a 20-year-old man who exhibited acute unstable complex fractures of the head and neck of the right radius without other injuries or comorbidity. An open reduction and mini T-shaped plate fixation were performed within 3 hours after injury, and the results were satisfactory. A long plaster fixation was continued for 3 weeks. A gradual mobilization was started after the removal of the plaster under the supervision of a physiotherapist. At the 12-month follow-up, no complications associated with the use of the mini T-shaped plate were noted, and the Mayo Elbow Performance Score was 97 (excellent). To our knowledge, acute unstable complex radial head and neck fractures in adults can be successfully treated with a mini T-shaped plate reconstruction technique.
ISSN:1176-6336
1178-203X
1178-203X
DOI:10.2147/TCRM.S107640