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 135
- Downloads 0
Comparative analysis of anteromedial portal versus transtibial femoral tunnel drilling in arthroscopic anterior cruciate ligament reconstruction
Arthroscopic anterior cruciate ligament reconstruction is standard procedure for ACL deficient knee with episodic or recurrent knee instability. Two described techniques one is transtibial and another one transportal (an...
Case report on torticolis
Congenital Muscular Torticollis (CMT) is a rare congenital musculoskeletal disorder. results from shortening or excessive contraction of the sternocleidomastoid (SCM) muscle. It presents in newborn infants or young child...
Fixation of choice for diagonally fractures of medial malleolus of ankle
Background: Fixation of alternative for diagonally fractures of medial malleolus was invariably been as debate a most of the days the fragment is simple too little to attain placement of two screw heads. Absolute stabili...
Arthroscopically assisted anterior cruciate ligament reconstruction: Comparison of bone-patellar tendon-bone versus semitendinosus gracilis autograft
Anterior cruciate ligament (ACL) tear is the most common serious ligamentous injury to the knee joint. The ACL is the primary stabilizer against anterior translation of the tibia on the femur and is important in countera...
Retrospective critical analysis of treatment of closed extra capsular proximal Femur fractures with proximal femur nail at rural teaching setup
Background: For extracapsular proximal femur fractures, the treatment options are innumerous, though the implant choice is debatable. In our institute we use proximal femoral nail for the treatment of extracapsular proxi...