PMC4275958_01
Radiographs of left elbow at initial presentation. (A, AP) and (B, lateral) Demonstrate a non-displaced olecranon fracture as well as a comminuted, displaced radial head fracture.
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The images are shown in Figs. 1 and 2.
CT of left elbow at initial presentation. (A, axial) and (B, sagittal) Show the olecranon and displaced radial head fractures. (C) and (D) Provide three-dimensional CT reconstructions of the fracture pattern.
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The images are shown in Figs. 1 and 2.
Intra-operative fluoroscopic images from initial reduction and ORIF. (A) Demonstrates the initial radial head reduction with K-wire. (B) and (C) Show the left elbow after placement of the intramedullary nail and ORIF.
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Four days after presenting to the clinic (seven days post-injury), the patient was taken to the operating room where a 1.57 mm K-wire was inserted into the fracture site and levered up to perform a percutaneous reduction (Fig. 3A). The plate was secured with both locking and non-locking screws, as well as a diaphyseal shaft screw (Fig. 3B and C).
Final follow-up radiographs and clinical photos. (A, AP) and (B, lateral) Show healed radial head and olecranon fractures with maintained reduction of the radial head. (C) and (D) Demonstrate the patient's flexion and extension motion, respectively.
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Then, the intramedullary nail and olecranon plate/screws were removed (Fig. 4) at 8 months post-operatively.