Holstein-Lewis fracture

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Motor vehicle accident. Radial nerve palsy.

Patient Data

Age: 14 years
Gender: Male
x-ray

Radiographs revealed an extra-articular spiral fracture of the distal third of the humerus with lateral displacement. This describes a Holstein-Lewis fracture.

Case Discussion

Holstein-Lewis fractures are extra-articular spiral fractures of the distal third of the humeral shaft. They are reported to have an increased rate of radial nerve palsy.

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