The combination of ipsilateral humeral fractures at three different levels namely proximal, shaft and supracondyle has been rarely defined in the literature. We present a case report on such a complex injury in a 10-y...The combination of ipsilateral humeral fractures at three different levels namely proximal, shaft and supracondyle has been rarely defined in the literature. We present a case report on such a complex injury in a 10-year- old child after falling down from the second floor of his house while playing. To the best of our knowledge, no such case report exists in the English literature. We define it as ＂double floating arm＂ injury. Firstly, shaft of humerus was open reduced and fixed with 4.5 mm narrow dynamic com- pression plate. Then closed reduction and pinning of the supracondylar humerus under an image intensifier was obtained. Open reduction using deltopectoral approach to the proximal humerus was done and the fracture was fixed with three K-wires. Ipsilateral multiple fractures in children often result from high energy trauma. Immediate reduction and fixation is required. Usually surgeons need to treat simple fractures firstly, which makes the subsequent treat- ment of complex fractures easier.展开更多
文摘The combination of ipsilateral humeral fractures at three different levels namely proximal, shaft and supracondyle has been rarely defined in the literature. We present a case report on such a complex injury in a 10-year- old child after falling down from the second floor of his house while playing. To the best of our knowledge, no such case report exists in the English literature. We define it as ＂double floating arm＂ injury. Firstly, shaft of humerus was open reduced and fixed with 4.5 mm narrow dynamic com- pression plate. Then closed reduction and pinning of the supracondylar humerus under an image intensifier was obtained. Open reduction using deltopectoral approach to the proximal humerus was done and the fracture was fixed with three K-wires. Ipsilateral multiple fractures in children often result from high energy trauma. Immediate reduction and fixation is required. Usually surgeons need to treat simple fractures firstly, which makes the subsequent treat- ment of complex fractures easier.
