PMC9891395_01
A: lateral radiograph of right forearm; B: anteroposterior radiograph of right forearm. Arrow 1: Radial head fracture; Arrow 2: Olecranon fracture; Arrow 3: Distal radius fracture; Arrow 4: Distal ulna fracture
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PMC9891395_01_cureus-0015-00000033263-i01.jpg
FIG1
She underwent radiographs of her right forearm that showed displaced and comminuted intra-articular fractures of the distal radius, distal ulna shaft fracture, proximal ulna fracture, radial head fracture dislocation, and radial neck fracture extending into the shaft of the radius (Figures 1A, 1B).
Coronal CT of right forearm. Arrow 1: Radial head fracture; Arrow 2: Olecranon fracture; Arrow 3: Distal radius fracture; Arrow 4: Distal ulna fracture
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PMC9891395_01_cureus-0015-00000033263-i02.jpg
FIG2
A: Medial view of the 3D CT reconstruction of the right forearm; B: Lateral view of the 3D CT reconstruction of the right forearm. Arrow 1: Radial head fracture; Arrow 2: Olecranon fracture; Arrow 3: Distal radius fracture; Arrow 4: Distal ulna fracture
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PMC9891395_01_cureus-0015-00000033263-i03.jpg
FIG3
A: Anteroposterior intra-operative image intensifier (II) views of the wrist; B: Lateral intra-operative II views of the wrist. Distal radius plate illustrated with arrows
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FIG4
This was then checked on II and confirmed excellent reduction, fixation and stability (Figures 4A, 4B).
A: Anteroposterior intra-operative image intensifier (II) views of the elbow; B: Lateral intra-operative II views of the elbow. Arrow 1: Radial head implant; Arrow 2: Pre-contoured olecranon plate
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PMC9891395_01_cureus-0015-00000033263-i05.jpg
FIG5
Cement was used as the stem size was between the available stem diameters so cementation was chosen to provide secure primary fixation (Figures 5A, 5B).
A: Lateral radiograph taken six months post surgery; B: Anteroposterior radiograph taken six months post surgery. Arrow 1: Radial head replacement; Arrow 2: Pre-contoured olecranon plate; Arrow 3: Distal radius plate
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PMC9891395_01_cureus-0015-00000033263-i06.jpg
FIG6
Radiographs were also taken, which showed a healed fracture of the proximal ulna, distal radius, distal ulna, and a well-fixed radial head implant (Figures 6A, 6B).