Distal humerus fracture

Case contributed by Jerry Jiang

Presentation

Previously healthy female status post slip and backwards fall in shower onto elbow

Patient Data

Age: 25 years
Gender: Female
X-ray

On presentation

Additional views could not be obtained due to pain. There is a moderately comminuted and displaced intra-articular fracture of the distal humerus with separation of the fracture fragments. Dislocation strongly suspected on this single view exam. 

X-ray

Post closed reduction

Limited follow up imaging due to pain. Much improved alignment and approximation of fracture fragments at the comminuted intra-articular fracture of the distal humerus now status reduction. Mild diffuse soft tissue swelling around the distal arm. The bone density is normal.

Case Discussion

This is a patient with a comminuted distal humerus fracture with separation and angulation of the fragments. This case emphasizes the importance of multiple views for intra-articular fractures involving the joints. In our case, the integrity of the elbow joint could not be adequately assessed. The patient underwent closed reduction with good alignment and approximation of fracture fragments. 

 

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center

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Case information

rID: 69903
Published: 26th Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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