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| RK Gupta,Raj Singh,Vinit Verma,Amit Batra,Nishant Setia,Paritosh Gogna,Jeetesh Gawande.[J].Chin J Traumatol,2014,17(4):246-248. [doi] |
| Ipsilateral simultaneous fracture of the trochlea involving the lateral end clavicle and distal end radius: a rare combination and a unique mechanism of injury |
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| DOI： |
| KeyWord: Isolated trochlea fracture Clavicle Radius fractures |
| FundProject: |
| Author Name | Affiliation | | RK Gupta | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences | | Raj Singh | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences | | Vinit Verma | Department of Orthopaedics, Civil Hospital Campus
Rohtak, Rohtak, Haryana 124001, India | | Amit Batra | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences | | Nishant Setia | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences | | Paritosh Gogna | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences | | Jeetesh Gawande | Department of Orthopaedics, Pt. BD Sharma Post
Graduate Institute of Medical Sciences |
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| Abstract: |
| Isolated trochlea fracture in adults is a rare surgical entity as compared to its capitellar
counterpart. It has been only mentioned sporadically in the literature as case reports. Fracture of the trochlea is accompanied by other elbow injuries like elbow dislocation, capitellum fracture, ulnar fracture and extraarticular condylar fracture. Here we report a unique case of isolated displaced trochlea fracture associated with fractures of the lateral end clavicle and the distal
end radius. We propose a unique mechanism for this rare combination of injuries: typical triad of injury, i.e. fracture of the distal end radius with trochlea and fracture of the lateral end of the clavicle. Nonoperative treatment is recommended for undisplaced humeral trochlea fractures;
but for displaced ones, anatomical reduction and internal fixation are essential to maintain the congruous trochleacoronoid articulation and hence to maintain the intrinsic stability of the elbow. |
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