Unorthodox Treatment of a Very Rare Forearm Injury

Abstract

Injury patterns are becoming more extensive due to an increasing number of high-energy injuries. This case report describes a very extensive forearm injury pattern. An unstable elbow fracture with concomitant fractures, a displaced intra-articular distal radius fracture and a scapholunate dissociation were treated with two connected external fixators and Kirschner wires. While remaining minimally invasive and tissue preserving, clinical outcome, radiographs and questionnaires did show a satisfactory result. Classical treatments are of great value for application in many injury patterns. However, with new and extensive injuries such as the one described in this case report, it is important to think out of the box and combine treatments that may ordinarily not have been placed together.

Key words

elbow dislocation - intra-articular distal radius fracture - scapholunate dissociation - extended injury pattern

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