PMC8464426_01
Left wrist PA (a), oblique (b), and lateral (c) injury radiographs along with left elbow lateral (d) and AP (e) injury radiographs. Left elbow posterior dislocation with fracture fragment along the anterolateral aspect of the elbow. Comminuted intraarticular left distal radius fracture.
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Initial radiographs requested in the emergency department showed a comminuted intraarticular left distal radius fracture with mild dorsal angulation (Figures 1(a)-1(c)) and a posterior dislocation of the left elbow with a displaced fracture fragment along the anterolateral aspect of the elbow (Figures 1(d) and 1(e)).
Postoperative radiographs of the plate fixation in the left wrist PA (a), lateral rotation (b), and external rotation (c) along with postoperative AP (d) and lateral radiographs (e) of the left elbow showing IJS placement.
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A dorsal spanning plate was used to reduce the distal radius (Figures 2(a)-2(c)). The lateral collateral ligament (LCL) was repaired, and a left internal joint stabilizer (IJS) was placed (Skeletal Dynamics, Miami, FL) (Figures 2(d) and 2(e)).
Radiographs at final follow-up showing healed fractures. Left wrist PA (a), external rotation (a) and lateral rotation (c). Left elbow lateral (d) and AP 2 views (e, f).
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At 3 months, the spanning plate of the left wrist was removed and tenolysis of the extensor pollicis longus was performed due to adherence to the dorsal spanning plate (Figures 3(a)-3(c)). The IJS and dorsal base plate of the left elbow were removed, proceeding with an arthrotomy of the radiocapitellar joint to improve extension from 20 degrees to full extension (Figures 3(d)-3(f)).