Radial head dislocation with radial shaft fracture

Haddad, Farid S.; Manktelow, Andrew; Dorrell, JH

doi:10.1016/0020-1383(95)00077-m

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…Radial head dislocation and radial shaft fracture (1.2IR) was first described by Rao and Simpson in 1991 in two different publications. Subsequently, this injury pattern was reported by Linzel in a small clinical series and by Mehara, Haddad, Cherif, Simpson, Shamian, and Singh as single clinical cases, for a total of 12 cases reported in literature [44][45][46][47][48][49][50][51].…”

Section: Two-locker Injuriesmentioning

confidence: 93%

“…Two-locker injuries 1.2I PRUJ dislocation-IOM rupture Rethnam [23], Sharma [24], Obert [25], El Ibrahimi [28], Watanabe [27], Koulali-Idrissi [29] 1.2 IU PRUJ dislocation-IOM rupture-ulna fracture Rehim [5] 1.2IR PRUJ dislocation-IOM rupture-radius fracture Rao [38], Haddad [39], Linzel [40], Mehara [41], Cherif [42], Simpson [45], Shamian [43], Singh [44] 1.2RIU PRUJ dislocation-IOM rupture-ulna fracture-radius fracture Ouakrim [63] 2I.3 IOM rupture-DRUJ dislocation Wassink [30], Szabo [31], Bruckner [32], Carlsen [33] 2IR 1.3 PRUJ dislocation-DRUJ dislocation Leung [9], Verettas [10], Potter [11], Nishi [12], Spicer [13], Papageorgiu [14], Wong [35], Tosun [36], Raghavendra [37] Three-locker injuries [19,41], closed reduction and percutaneous DRUJ pinning [15,18], and open reduction with radial head fixation or ligamentous repair [14,16,17]. In two-locker injuries with ulna and/or radius shaft fracture, forearm bones must undergo osteosynthesis.…”

Section: Type Lesion Description Authorsmentioning

confidence: 99%

“…Cases of the remaining two-locker injuries with ulna and/or radius shaft fractures (1.2RIU, 2RIU.3, and 1.2IR) are very rare, and literature data are insufficient to define standard treatment [44][45][46][47][48][49][50][51][68][69][70]. Nonetheless, we believe that fracture fixation should be performed first, and subsequent PRUJ and DRUJ stability should be evaluated to determine further treatment.…”

Section: Type Lesion Description Authorsmentioning

confidence: 99%

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Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system

et al. 2020

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Background Monteggia, Galeazzi, and Essex-Lopresti injuries are the most common types of fracture–dislocation of the forearm. Uncommon variants and rare traumatic patterns of forearm fracture–dislocations have sometimes been reported in literature. In this study we systematically review the literature to identify and classify all cases of forearm joint injury pattern according to the forearm joint and three-locker concepts. Methods A comprehensive search of the PubMed database was performed based on major pathological conditions involving fracture–dislocation of the forearm. Essex-Lopresti injury, Monteggia and Galeazzi fracture–dislocations, and proximal and/or distal radioulnar joint dislocations were sought. After article retrieval, the types of forearm lesion were classified using the following numerical algorithm: proximal forearm joint 1 [including proximal radioulnar joint (PRUJ) dislocation with or without radial head fractures], middle radioulnar joint 2, if concomitant radial fracture R, if concomitant interosseous membrane rupture I, if concomitant ulnar fracture U, and distal radioulnar joint 3 [including distal radioulnar joint (DRUJ) dislocation with or without distal radial fractures]. Results Eighty hundred eighty-four articles were identified through PubMed, and after bibliographic research, duplication removal, and study screening, 462 articles were selected. According to exclusion criteria, 44 full-text articles describing atypical forearm fracture–dislocation were included. Three historical reviews were added separately to the process. We detected rare patterns of two-locker injuries, sometimes referred to using improper terms of variant or equivalent types of Monteggia and Galeazzi injuries. Furthermore, we identified a group of three-locker injuries, other than Essex-Lopresti, associated with ulnar and/or radial shaft fracture causing longitudinal instability. In addition to fracture–dislocations commonly referred to using historical eponyms (Monteggia, Galeazzi, and Essex-Lopresti), our classification system, to the best of the authors’ knowledge, allowed us to include all types of dislocation and fracture–dislocation of the forearm joint reported in literature. According to this classification, and similarly to that of the elbow, we could distinguish between simple dislocations and complex dislocations (fracture–dislocations) of the forearm joint. Conclusions All injury patterns may be previously identified using an alphanumeric code. This might avoid confusion in forearm fracture–dislocations nomenclature and help surgeons with detection of lesions, guiding surgical treatment. Level of evidence V.

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Section: Two-locker Injuriesmentioning

confidence: 93%

Section: Type Lesion Description Authorsmentioning

confidence: 99%

Section: Type Lesion Description Authorsmentioning

confidence: 99%

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Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system

et al. 2020

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“…The fracture is believed to occur as a result of RHD. 1,4,9 Evans 3 reported that isolated RHD could occur with forceful pronation of the forearm. An additional pronation force after the radial head has dislocated is believed to fracture the radial shaft at the proximal third, representing the most distal extent of the interosseous membrane injury.…”

Section: Most Cases Of Traumatic Radial Head Dislocation (Rhd)mentioning

confidence: 99%

“…RHD with ipsilateral radial shaft fracture is a very rare injury; we know of only 7 reported cases. [1][2][3][4]6,9 All 7 had a transverse fracture of the proximal third of the radius, with the radial head dislocating at the time of injury. The fracture is believed to occur as a result of RHD.…”

Section: Most Cases Of Traumatic Radial Head Dislocation (Rhd)mentioning

confidence: 99%