Side swipe injury elbow with fixed object collision in mountain region: Presentation and management
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Side swipe injury is a subgroup of complex elbow trauma. Management of such injury is a formidable challenge to the orthopaedic surgeon. There is no fixed management protocol that is followed due to different presentation which results in poor functional outcome. We have presented a series of rarely reported side swipe injury elbow with fixed object collision in mountain region. Material and method: A prospective study of elbow trauma of eight patient sustaining sideswipe injuries to the upper limb. Seven patients were male and one was female. Mean age was with a range of 24 to 45 years. Five were left sided non dominant and three were right dominant limb. In six patient’s injury were confined to limb and among rest two who were sustained associated injuries. One patients required immediate vascular repair followed by debridement, external fixation than definitive fixation. One patient was unusually presented with open fracture humerus with brachial plexus injury and 3 patients required external fixation, open reduction and internal fixation for open fractures of the humerus, ulna and radius. Internal fixation was used in 3 patients as primary stabilization. Complications and outcome were recorded in follow-up at outpatient department up to 1 year. Results were evaluated using the Mayo elbow performance score. Results: The injury severity scores ranged from 9 to 22. The average Mayo elbow performance score was 47.5. Good results (score 75-89) was seen in 12.5% patient. Fair (60-74) and poor results (Less than 60) were seen in 25% and 62.5% patients respectively. Conclusions: Initial assessment and staged protocol management may be needed to achieve functional result in side swipe elbow injury with fixed object in mountain region which can be presented from mild to complete loss of limb function.
Authors and Affiliations
Bhanu Sharma, RS Parmar, Rohit Verma, VK Pandey, S Metia
Keywords
Related Articles
- EP ID EP500349
- DOI 10.22271/ortho.2017.v3.i3l.122
- Views 131
- Downloads 0
Study of outcome of treatment for nonunion of femoral shaft fractures: A case series
Introduction: Nonunion of femoral shaft fractures continues to hinder the successful outcome femur fracture treatment in spite of increased understanding of biomechanics and improvements of implant design. Nonunion of fe...
Management of displaced intraarticular calcaneal fractures by minimally invasive technique: A prospective study
Introduction: Intra-articular calcaneal fractures are conventionally treated by extensive open surgical reduction to achieve anatomical reduction of the subtalar joint and also to maintain the calcaneal height and width....
Role of flexible elastic nails in diaphyseal fractures of long bones of lower extremities in children of 5-14 years of age
Femoral and tibial fractures are common long-bone injuries in children. Above five years of age all such fractures, when treated conservatively could lead to loss of reduction, malunion, intolerance and complications ass...
Outcome of early versus delayed Kirschner wire fixation of supracondylar fractures of humerus in children
Purpose: Controversy still persists regarding optimum intervention time for late presentations of supracondylar fracture of humerus in children. We compared outcomes in early and late groups of presentation and managemen...
Limb length discrepancy in total hip replacement
Introduction: Pelvic radiographs are helpful in assessing limb-length discrepancy (LLD) before and after Total Hip Replacement (THR), but are subject to variation. Different methods are used to determine LLDs. As a pelvi...