{"title":"成人同侧外伤性浮动肘和浮动前臂;一份病例报告。","authors":"Atef Awad, Basel Masoud, Mahmoud Gaber, Hany Elhalafawy, Amro Awad, Elsayed Negm","doi":"10.1016/j.ijscr.2025.111627","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This case report describes a rare and complex upper limb injury involving ipsilateral traumatic floating elbow and floating forearm in a 35-year-old male. The patient suffered fractures of the left distal third humerus, olecranon, and both forearm bones, along with anterior radial head dislocation and radial nerve injury due to a pump explosion.</p><p><strong>Materials and methods: </strong>Open reduction and internal fixation of all fractures in a single operation was done with radial nerve exploration.</p><p><strong>Results: </strong>Post-operative care and rehabilitation led to successful fracture healing, near-full range of motion, and recovery of radial nerve function by 14 weeks postoperatively.</p><p><strong>Conclusion: </strong>This case highlights the importance of prioritizing injury management in complex upper limb trauma and demonstrates that favorable outcomes can be achieved even in severe polytraumatized limb injuries thought to be the first case in the literature.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"133 ","pages":"111627"},"PeriodicalIF":0.6000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ipsilateral traumatic floating elbow and floating forearm in adults; A case report.\",\"authors\":\"Atef Awad, Basel Masoud, Mahmoud Gaber, Hany Elhalafawy, Amro Awad, Elsayed Negm\",\"doi\":\"10.1016/j.ijscr.2025.111627\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>This case report describes a rare and complex upper limb injury involving ipsilateral traumatic floating elbow and floating forearm in a 35-year-old male. The patient suffered fractures of the left distal third humerus, olecranon, and both forearm bones, along with anterior radial head dislocation and radial nerve injury due to a pump explosion.</p><p><strong>Materials and methods: </strong>Open reduction and internal fixation of all fractures in a single operation was done with radial nerve exploration.</p><p><strong>Results: </strong>Post-operative care and rehabilitation led to successful fracture healing, near-full range of motion, and recovery of radial nerve function by 14 weeks postoperatively.</p><p><strong>Conclusion: </strong>This case highlights the importance of prioritizing injury management in complex upper limb trauma and demonstrates that favorable outcomes can be achieved even in severe polytraumatized limb injuries thought to be the first case in the literature.</p>\",\"PeriodicalId\":48113,\"journal\":{\"name\":\"International Journal of Surgery Case Reports\",\"volume\":\"133 \",\"pages\":\"111627\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Surgery Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ijscr.2025.111627\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.ijscr.2025.111627","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Ipsilateral traumatic floating elbow and floating forearm in adults; A case report.
Introduction: This case report describes a rare and complex upper limb injury involving ipsilateral traumatic floating elbow and floating forearm in a 35-year-old male. The patient suffered fractures of the left distal third humerus, olecranon, and both forearm bones, along with anterior radial head dislocation and radial nerve injury due to a pump explosion.
Materials and methods: Open reduction and internal fixation of all fractures in a single operation was done with radial nerve exploration.
Results: Post-operative care and rehabilitation led to successful fracture healing, near-full range of motion, and recovery of radial nerve function by 14 weeks postoperatively.
Conclusion: This case highlights the importance of prioritizing injury management in complex upper limb trauma and demonstrates that favorable outcomes can be achieved even in severe polytraumatized limb injuries thought to be the first case in the literature.