Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy
In this paper, we report a pregnant woman with a missed capitellar fracture of the elbow, who was treated successfully with open reduction and internal fixation using two headless screws. A 29-year-old 6-month pregnant woman presented to the emergency department due to a history of falling on her ou...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/6024057 |
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| author | Barış Polat Ramadan Özmanevra Deniz Aydın Enes Sarı Mehmet Yalçınozan |
| author_facet | Barış Polat Ramadan Özmanevra Deniz Aydın Enes Sarı Mehmet Yalçınozan |
| author_sort | Barış Polat |
| collection | DOAJ |
| description | In this paper, we report a pregnant woman with a missed capitellar fracture of the elbow, who was treated successfully with open reduction and internal fixation using two headless screws. A 29-year-old 6-month pregnant woman presented to the emergency department due to a history of falling on her outstretched hand. A long-arm splint was applied without radiological evaluation due to pregnancy. She came to the orthopaedics and traumatology outpatient clinic 6 weeks after trauma and her examination after splint removal revealed pain and restriction in the elbow joint movements. Radiography was taken by using a lead shield in order to protect the fetus. Radiographs showed a displaced osteochondral capitellar fracture. Using the posterolateral approach as described by Kocher, the fracture was fixed using headless canulated compression screws. The follow-up examination showed excellent functional and radiological results. Radiological evaluation should not be avoided in case of obvious fracture findings after trauma even in case of pregnancy. It is also highlighted that good results in terms of union and functional recovery can be achieved with open reduction and headless compression screw fixation followed by early rehabilitation even in delayed treatment of capitellum fractures. |
| format | Article |
| id | doaj-art-4ca98024db0d47c69d2f8bc70792201c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-4ca98024db0d47c69d2f8bc70792201c2025-02-03T05:59:54ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/60240576024057Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in PregnancyBarış Polat0Ramadan Özmanevra1Deniz Aydın2Enes Sarı3Mehmet Yalçınozan4Near East University Orthopaedics and Traumatology Department, Nicosia, Northern Cyprus, Mersin 10, TurkeyDr. Suat Günsel Kyrenia University Orthopaedics and Traumatology Department, Kyrenia, Northern Cyprus, Mersin 10, TurkeyNear East University Orthopaedics and Traumatology Department, Nicosia, Northern Cyprus, Mersin 10, TurkeyNear East University Orthopaedics and Traumatology Department, Nicosia, Northern Cyprus, Mersin 10, TurkeyNear East University Orthopaedics and Traumatology Department, Nicosia, Northern Cyprus, Mersin 10, TurkeyIn this paper, we report a pregnant woman with a missed capitellar fracture of the elbow, who was treated successfully with open reduction and internal fixation using two headless screws. A 29-year-old 6-month pregnant woman presented to the emergency department due to a history of falling on her outstretched hand. A long-arm splint was applied without radiological evaluation due to pregnancy. She came to the orthopaedics and traumatology outpatient clinic 6 weeks after trauma and her examination after splint removal revealed pain and restriction in the elbow joint movements. Radiography was taken by using a lead shield in order to protect the fetus. Radiographs showed a displaced osteochondral capitellar fracture. Using the posterolateral approach as described by Kocher, the fracture was fixed using headless canulated compression screws. The follow-up examination showed excellent functional and radiological results. Radiological evaluation should not be avoided in case of obvious fracture findings after trauma even in case of pregnancy. It is also highlighted that good results in terms of union and functional recovery can be achieved with open reduction and headless compression screw fixation followed by early rehabilitation even in delayed treatment of capitellum fractures.http://dx.doi.org/10.1155/2018/6024057 |
| spellingShingle | Barış Polat Ramadan Özmanevra Deniz Aydın Enes Sarı Mehmet Yalçınozan Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy Case Reports in Orthopedics |
| title | Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy |
| title_full | Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy |
| title_fullStr | Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy |
| title_full_unstemmed | Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy |
| title_short | Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy |
| title_sort | missed capitellar fracture caused by avoidance of radiological evaluation in pregnancy |
| url | http://dx.doi.org/10.1155/2018/6024057 |
| work_keys_str_mv | AT barıspolat missedcapitellarfracturecausedbyavoidanceofradiologicalevaluationinpregnancy AT ramadanozmanevra missedcapitellarfracturecausedbyavoidanceofradiologicalevaluationinpregnancy AT denizaydın missedcapitellarfracturecausedbyavoidanceofradiologicalevaluationinpregnancy AT enessarı missedcapitellarfracturecausedbyavoidanceofradiologicalevaluationinpregnancy AT mehmetyalcınozan missedcapitellarfracturecausedbyavoidanceofradiologicalevaluationinpregnancy |