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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...

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Autores principales: Imao, Kanta, Miwa, Hitoshi, Watanabe, Kazutoshi, Imai, Norio, Endo, Naoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
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.
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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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