Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 2 , ISSUE 1 ( April, 2007 ) > List of Articles

CASE REPORT

The “floating forearm” injury in a child: a case report

T. Gausepohl, K. Mader, S. Kirchner, D. Pennig

Keywords : Forearm injury, Elbow fracture dislocation, Hinged external fixation, Floating elbow injury

Citation Information : Gausepohl T, Mader K, Kirchner S, Pennig D. The “floating forearm” injury in a child: a case report. 2007; 2 (1):48-54.

DOI: 10.1007/s11751-007-0017-5

License: CC BY-NC-SA 4.0

Published Online: 01-04-2007

Copyright Statement:  Copyright © 2007; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The case of a eleven-year-old girl who had a fracture dislocation of the left elbow with entrapment of the ulnar nerve into the dislocated ulnar epicondyle anlage and unstable forearm fracture of the ipslateral upper extremity is described. This severe injury to the elbow and the ipsilateral forearm is termed “floating forearm” injury. The forearm was stabilized percutaneously and the elbow fracture dislocation, remaining unstable after internal fixation was treated with a pediatric elbow fixator with motion capacity.


PDF Share
  1. Ring D, Waters PM, Hotchkiss RN, Kasser JR (2001) Pediatric floating elbow. J Ped Orthop 21:456-459
  2. Cheng JC, Shen WY (1993) Limb fracture pattern in different pediatric age groups: a study of 3,350 children. J Orthop Trauma 7:15-22
  3. Mani GV, Hui PW, Cheng JC (1993) Translation of the radius as a predictor of outcome in distal radial fractures of children. J Bone Joint Surg Am 75:808-811
  4. Borris LC, Lassen MR, Christensen CS (1987) Elbow dislocation in children and adults. Acta Orthop Scand 58:649-651
  5. Skak SV, Olsen SD, Smaabrekke A(2001) Deformity after fracture of the lateral humeral condyle in children. J Ped Orthop 10:142-152
  6. Stans AA, Maritz NG, O'Driscoll SW, Morrey BF (2002) Operative treatment of elbow contracture in patients twentyone years of age or younger. J Bone Joint Surg Am 84:382-387
  7. Gausepohl T, Koebke J, Pennig D et al (2000) The anatomical base of unilateral external fixation in the upper limb. Injury 31[Suppl 1]:11-20
  8. Gausepohl T, Pennig D, Mader K (1999) The early motion fixator concept for treatment of acute unstable fracture dislocations of the elbow. J Bone Joint Surg Br 81[Suppl II]:191
  9. Pennig D, Gausepohl T, Mader K (2000) Transarticular fixation with the capacity for motion in fracture dislocations of the elbow. Injury 31[Suppl 1]:35-44
  10. O'Driscoll SW, Bell DF, Morrey BF (1991) Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 73:440-446
  11. Farsetti P, Potenza V, Caterini R, Ippolito E (2001) Long-term results of treatment of fractures of the medial humeral epicondyle in children. J Bone Joint Surg Am 83:1299-1305
  12. Gausepohl T, Mader K, Pennig D (2006) Mechanical distraction in post-traumatic stiffness of the elbow in children. J Bone Joint Surg Am 88:211-221
  13. Mader K, Koslowsky TC, Gausepohl T, Pennig D (2007) Mechanical distraction for the treatment of posttraumatic stiffness of the elbow in children and adolescents: surgical technique. J Bone Joint Surg Am 89:26-35
  14. Buckwalter J (1995) Should bone, soft tissue and joint injuries be treated with rest of activity? J Orthop Res 13:155-156
  15. Eygendaal D, Olsen BS, Jensen SL et al (1999) Kinematics of partial and total ruptures of the medial collateral ligament of the elbow. J Shoulder Elbow Surg 8:612-616
  16. Zionts LE, Mirzayan R (2002) Elbow stiffness following malunion of a fracture of the lateral epicondyle of the humerus in a child: a case report. J Bone Joint Surg Am 84:818-821
  17. Behrens F, Kraft EL, Oegema T (1989) Biomechanical changes in articular cartilage after joint immobilization by casting or external fixation. J Orthop Res 3:335-343
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.