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Báo cáo y học: " Isolated radial head dislocation, a rare and easily missed injury in the presence of major distracting injuries: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Isolated radial head dislocation, a rare and easily missed injury in the presence of major distracting injuries: a case report. | Journal of Medical Case Reports BioMed Central Open Access Case report Isolated radial head dislocation a rare and easily missed injury in the presence of major distracting injuries a case report Ulfin Rethnam Rajam SU Yesupalan and Salah S Bastawrous Address Glan Clwyd Hospital Rhyl UK Email Ulfin Rethnam - ulfinr@yahoo.com Rajam SU Yesupalan - ajeesh2000@yahoo.co.uk Salah S Bastawrous - Salah.bastawrous@cd-tr.wales.nhs.uk Corresponding author Published 29 June 2007 Received 18 April 2007 Journal of Medical Case Reports 2007 1 38 doi 10.1186 1752-1947-1-38 Accepted 29 June 2007 This article is available from http www.jmedicalcasereports.cOm content 1 1 38 2007 Rethnam et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract High velocity accidents can lead to major injuries - long bone fractures abdominal trauma pelvic fractures and chest injuries. These injuries can act as distracting factors during the initial assessment of a polytrauma patient and innocuous but significant smaller injuries can be missed. We present a rare case of isolated anterolateral radial head dislocation in a polytrauma patient. Background Isolated dislocation of the radial head in adults is rare. If neglected these can cause restriction of forearm supination and pronation secondary degenerative arthritis of the elbow and distal radioulnar joints. This important injury can easily be missed in the presence of major distracting injuries. Case presentation A 44-year old man presented to us with a high velocity motorbike accident after a head-on collision with a truck. On arrival to the A E he was alert and conscious but was hypotensive and tachycardic. He complained of