Work

Quadruple bilateral fracture-dislocation of the elbow and the wrist: A rare and complex case report

Year: 2025

Type: article

Abstract: We report an exceptionally rare and complex case of quadruple bilateral fracture dislocation of the elbow and the wrist in a 39-year-old construction worker, who sustained the injury after falling from a scaffold of 9 m secondary to a 6.9 magnitude earthquake. The patient was treated with a combination of closed and open reduction, internal fixation, and radial head arthroplasty, and had a good functional outcome at 12 months follow-up, with no complications or instability. This case illustrates the challenges and the possibilities of managing such complex injuries, and adds to the scarce literature on this topic. • An exceptionally rare case of a 39-year-old construction worker who experienced quadruple bilateral fracture-dislocation of the elbow and wrist following a fall from a 9-meter scaffold during a 6.9 magnitude earthquake. • The injuries included a Monteggia fracture-dislocation and a radiocarpal fracture-dislocation in the right side, an elbow fracture dislocation with a radial head fracture and a Galeazzi fracture-dislocation in the left side. • The complex injuries were treated through a combination of closed and open reduction, internal fixation, and radial head arthroplasty. • The patient underwent a rigorous post-operative rehabilitation program, including physiotherapy and occupational therapy. • This case highlights the challenges and possibilities in managing such complex injuries and contributes to the limited literature on this topic.

Source: Trauma Case Reports

DOI: 10.1016/j.tcr.2025.101147