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Medical Science Monitor Basic Research


Multiple Concomitant Injuries in One Upper Extremity: A Case Report

Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis), Rare co-existance of disease or pathology

Raid A. Abutalib, Khalid I. Khoshhal

Saudi Arabia Department of Orthopedic Surgery, King Fahad Hospital, Almadinah Almunawwarah, Saudi Arabia

Am J Case Rep 2016; 17:6-11

DOI: 10.12659/AJCR.894984

Available online: 2016-01-06

Published: 2016-01-06


BACKGROUND: This report is about unusual multiple upper extremity concomitant injuries in an adult after a fall from a height. To the best of our knowledge this is the first reported case of concomitant ipsilateral occurrence of multiple common injuries, uncommonly occurring together in a single traumatic episode.
CASE REPORT: A 36-year-old right-handed man fell through a skylight to the floor about 4 meters below. He presented with multiple concomitant injuries in his right upper extremity: elbow dislocation with radial head fracture associated with distal radius, ulnar styloid, and scaphoid fractures.
CONCLUSIONS: The probable mechanism of injury along with the surgical treatment of these previously undescribed injuries is discussed to emphasize the need to clinically examine the whole upper extremity in severe injuries. The awareness of such an association for early recognition is paramount for excellent clinical results.

Keywords: Dislocations - complications, Adult, Accidental Falls, Elbow Joint - injuries, Radius Fractures - complications, Scaphoid Bone - injuries, Ulna Fractures - complications