Case report: Pediatric floating elbow fracture with monteggia-equivalent lesion, ipsilateral humeral shaft fracture, and radial nerve injury: a unique case and favorable treatment outcomes.

avascular necrosis of the radial head elastic intramedullary nailing monteggia-Equivalent lesion pediatric floating elbow radial nerve injury

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2023
Historique:
received: 09 05 2023
accepted: 05 07 2023
medline: 2 8 2023
pubmed: 2 8 2023
entrez: 2 8 2023
Statut: epublish

Résumé

This case report presents a rare and intricate pediatric floating elbow fracture involving a Monteggia-equivalent fracture, ipsilateral humeral shaft fracture, and radial nerve injury. The unique mechanism of injury highlights the importance of increased awareness and parental education for accident prevention. Elastic intramedullary nailing was employed for both humeral shaft and forearm fractures, leading to favorable outcomes. Despite the severity of the fractures and radial nerve injury, the prognosis was positive, with nerve function restoration and satisfactory functional recovery. However, the development of avascular necrosis of the radial head remains a challenge, emphasizing the need for further research to better understand and manage these uncommon and complex injuries.

Identifiants

pubmed: 37528871
doi: 10.3389/fped.2023.1219518
pmc: PMC10390064
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1219518

Informations de copyright

© 2023 Ju, Xu and Lin.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Ortop Traumatol Rehabil. 2022 Aug 31;24(4):251-261
pubmed: 36722498
World J Pediatr Surg. 2021 Jul 7;4(3):e000283
pubmed: 36474972
J Pediatr Orthop B. 2009 Sep;18(5):252-60
pubmed: 19634209
J Pediatr Orthop. 2016 Jun;36 Suppl 1:S49-55
pubmed: 27152902
J Pediatr Orthop. 2001 Sep-Oct;21(5):570-6
pubmed: 11521020
Cureus. 2022 Sep 13;14(9):e29124
pubmed: 36258969
Clin Orthop Relat Res. 1980 Nov-Dec;(153):218-22
pubmed: 7449219
J Pediatr Orthop. 2020 Sep;40(8):380-386
pubmed: 32776772
Cureus. 2020 Apr 27;12(4):e7847
pubmed: 32483498
J R Coll Surg Edinb. 1969 Jul;14(4):220-5
pubmed: 5816340
J Pediatr Orthop. 1989 Mar-Apr;9(2):219-23
pubmed: 2647788
Rev Bras Ortop. 2015 Dec 06;46(5):500-4
pubmed: 27027045
Clin Orthop Relat Res. 1967 Jan-Feb;50:71-86
pubmed: 6029027
J Bone Joint Surg Br. 1950 Aug;32-B(3):314-24
pubmed: 14778850
Chin J Traumatol. 2013;16(3):131-5
pubmed: 23735545
Eur J Trauma Emerg Surg. 2018 Apr;44(2):235-243
pubmed: 28280873
J Chir (Paris). 1984 Aug-Sep;121(8-9):527-37
pubmed: 6501457

Auteurs

Li Ju (L)

Department of Pediatric Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing, China.

Mengqiu Xu (M)

Nanjing Medical University, Nanjing, China.

Gang Lin (G)

Department of Pediatric Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing, China.

Classifications MeSH