Ipsilateral simultaneous fracture of the trochlea involving the lateral end clavicle and distal end radius: a rare combination and a unique mechanism of injury.
- Author:
R-K GUPTA
1
;
Raj SINGH
;
Vinit VERMA
;
Amit BATRA
;
Nishant SETIA
;
Paritosh GOGNA
;
Jeetesh GAWANDE
Author Information
1. Department of Orthopaedics, Pt. BD Sharma Post Graduate Institute of Medical Sciences.
- Publication Type:Case Reports
- MeSH:
Accidents, Traffic;
Adolescent;
Clavicle;
diagnostic imaging;
injuries;
Fracture Fixation, Internal;
methods;
Humans;
Humeral Fractures;
diagnostic imaging;
surgery;
Male;
Radiography;
Radius Fractures;
diagnostic imaging;
surgery
- From:
Chinese Journal of Traumatology
2014;17(4):246-248
- CountryChina
- Language:English
-
Abstract:
Isolated trochlea fracture in adults is a rare surgical entity as compared to its capitellar counterpart. It has been only mentioned sporadically in the literature as case reports. Fracture of the trochlea is accompanied by other elbow injuries like elbow dislocation, capitellum fracture, ulnar fracture and extraarticular condylar fracture. Here we report a unique case of isolated displaced trochlea fracture associated with fractures of the lateral end clavicle and the distal end radius. We propose a unique mechanism for this rare combination of injuries: typical triad of injury, i.e. fracture of the distal end radius with trochlea and fracture of the lateral end of the clavicle. Nonoperative treatment is recommended for undisplaced humeral trochlea fractures; but for displaced ones, anatomical reduction and internal fixation are essential to maintain the congruous trochlea-coronoid articulation and hence to maintain the intrinsic stability of the elbow.
