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Age: 49

Sex: Male

Indication: Trauma

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Case #7


Findings

  • Acute open fracture of the proximal ulna including a transverse proximal diaphyseal fracture with slight apex volar angulation and a highly comminuted fracture of the olecranon
  • Radial displacement of the dominant ulnar fracture fragment including the coronoid by 1 cm
  • Anterior dislocation of the radial head
  • Extensive surrounding soft tissue injury and gas


Diagnosis

  • Open elbow fracture/dislocation

Sample Report

Acute open fracture of the proximal ulna including a transverse proximal diaphyseal fracture with slight apex volar angulation and a highly comminuted fracture of the olecranon. Radial displacement of the dominant ulnar fracture fragment including the coronoid by 1 cm.

Anterior dislocation of the radial head.

Extensive surrounding soft tissue injury and gas.


Discussion

  • This fracture/dislocation pattern is essentially a Monteggia in addition to a comminuted olecranon fracture
  • Make sure to always comment on evidence of open fracture (e.g. soft tissue gas), displacement, and comminution



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