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A case report of an isolated fracture through the radial bicipital tuberosity
INTRODUCTION: Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to red...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686223/ https://www.ncbi.nlm.nih.gov/pubmed/29096351 http://dx.doi.org/10.1016/j.ijscr.2017.10.037 |
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author | Imao, Kanta Miwa, Hitoshi Watanabe, Kazutoshi Imai, Norio Endo, Naoto |
author_facet | Imao, Kanta Miwa, Hitoshi Watanabe, Kazutoshi Imai, Norio Endo, Naoto |
author_sort | Imao, Kanta |
collection | PubMed |
description | INTRODUCTION: Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to reduce postoperative complications by using a posterior approach. PRESENTATION OF CASE: We describe an isolated fracture through the radial bicipital tuberosity in a 69-year-old man caused by direct blunt force and our management of the fracture. The patient underwent an operation for the fracture under brachial plexus block. The injury was explored using the posterior approach, and plate fixation was performed after confirming the absence of obstacles to rotation on pronation and supination. One year later, the patient did not have any difficulties in activities of daily living. DISCUSSION: Since an isolated fracture through the radial bicipital tuberosity is more distal than the radial head and neck and more proximal than a common radius diaphysis fracture, we had to consider a different operative approach. The nerve and blood vessels of the forearm, such as the radial nerve and artery, run in a complicated fashion around the proximal radius; thus, we chose the posterior approach because of its simpler surgical technique and lower complication risk, compared with the anterior approach. CONCLUSION: Surgeons can obtain a favorable treatment result using the posterior approach to the fracture and reduce complications by ensuring with rigid fixation using a locking plate. |
format | Online Article Text |
id | pubmed-5686223 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56862232017-11-22 A case report of an isolated fracture through the radial bicipital tuberosity Imao, Kanta Miwa, Hitoshi Watanabe, Kazutoshi Imai, Norio Endo, Naoto Int J Surg Case Rep Article INTRODUCTION: Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to reduce postoperative complications by using a posterior approach. PRESENTATION OF CASE: We describe an isolated fracture through the radial bicipital tuberosity in a 69-year-old man caused by direct blunt force and our management of the fracture. The patient underwent an operation for the fracture under brachial plexus block. The injury was explored using the posterior approach, and plate fixation was performed after confirming the absence of obstacles to rotation on pronation and supination. One year later, the patient did not have any difficulties in activities of daily living. DISCUSSION: Since an isolated fracture through the radial bicipital tuberosity is more distal than the radial head and neck and more proximal than a common radius diaphysis fracture, we had to consider a different operative approach. The nerve and blood vessels of the forearm, such as the radial nerve and artery, run in a complicated fashion around the proximal radius; thus, we chose the posterior approach because of its simpler surgical technique and lower complication risk, compared with the anterior approach. CONCLUSION: Surgeons can obtain a favorable treatment result using the posterior approach to the fracture and reduce complications by ensuring with rigid fixation using a locking plate. Elsevier 2017-10-27 /pmc/articles/PMC5686223/ /pubmed/29096351 http://dx.doi.org/10.1016/j.ijscr.2017.10.037 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Imao, Kanta Miwa, Hitoshi Watanabe, Kazutoshi Imai, Norio Endo, Naoto A case report of an isolated fracture through the radial bicipital tuberosity |
title | A case report of an isolated fracture through the radial bicipital tuberosity |
title_full | A case report of an isolated fracture through the radial bicipital tuberosity |
title_fullStr | A case report of an isolated fracture through the radial bicipital tuberosity |
title_full_unstemmed | A case report of an isolated fracture through the radial bicipital tuberosity |
title_short | A case report of an isolated fracture through the radial bicipital tuberosity |
title_sort | case report of an isolated fracture through the radial bicipital tuberosity |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686223/ https://www.ncbi.nlm.nih.gov/pubmed/29096351 http://dx.doi.org/10.1016/j.ijscr.2017.10.037 |
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