Subscribe to RSS
DOI: 10.1055/s-2008-1004791
© Georg Thieme Verlag Stuttgart · New York
Posterior Interosseous Nerve Palsy and Proximal Radio-Ulnar Joint Locking after Radial Head and Neck Fracture: A Case Report
Publication History
Publication Date:
11 June 2008 (online)
Abstract
Radial head fractures are common injuries which can be managed conservatively in the absence of instability or mechanical block at the elbow. We report a case of radial head and neck fracture which uniquely incorporates two rare complications: posterior interosseous nerve (PIN) palsy, and locking of the proximal radio-ulnar joint. The causative mechanisms are described with review of the relevant literature.
Key words
Posterior interosseous palsy - joint locking - radial head - radial neck - fracture
References
- 1 Dee R, Hindes R, Silverberg S. “Ratchet-type” marginal fracture of the radial head with locked anterior dislocation. A case report. Clin Orthop. 1991; 265 196-199
- 2 Kanlic E, Perry C R. Indications and technique of open reduction and internal fixation of radial head fractures. Orthopedics. 1992; 15 837-842
- 3 Hirachi K, Kato H, Minami A, Kasashima T, Kaneda K. Clinical features and management of traumatic posterior interosseous nerve palsy. J Hand Surg [Br]. 1998; 23 413-417
- 4 Sudhahar T A, Patel A D. A rare case of partial posterior interosseous nerve injury associated with radial head fracture. Injury. 2004; 35 543-544
- 5 Williams R L, Haddad F S, Hallam P J. Unrecognized osteochondral radial head fracture causing elbow locking. J R Coll Surg Edinb. 1998; 43 117-118
E. Shears
Specialist Registrar · Trauma Department · University Hospital · Birmingham · Selly Oak
Raddlebarn Road
Selly Oak, Birmingham
B29 6JD United Kingdom
Phone: (44) / 12 16 27 16 27
Fax: (44) / 12 16 27 88 87
Email: shears@doctors.org.uk